This Situation Analysis was undertaken in 2010 and 2011 under the Provincial Child Friendly Programme within the framework of the Country Programme of Cooperation between the Government of Viet Nam and UNICEF in the period 2006-2011. This publication exemplifi es the strong partnership between An Giang Province and UNICEF Viet Nam.
The research was completed by a research team consisting of Edwin Shanks, Nguyen Tam Giang and Duong Quoc Hung. Findings of the research were arrived at following intensive consultations with local stakeholders, during fi eldwork in late 2010 and through a consultation workshop in An Giang in April 2011. Inputs were received from experts from relevant provincial line departments, agencies and other organisations, including the Department of Planning and Investment, the Department of Labour, Invalids and Social Affairs, the Department of Education, the Department of Health, the Provincial Statistics Offi ce, the Department of Finance, the Social Protection Centre, the Women's Union, the Department of Agriculture and Rural Development, the Provincial Centre for Rural Water Supply and Sanitation, the Committee for Ethnic Minorities, representatives from the districts of Tinh Bien and Tan Chau and Long Xuyen City and representatives from the communes of Vinh Trung and Chau Phong and My Binh ward.
Finalisation and editing of the report was conducted by the UNICEF Viet Nam Country Office.
An Giang Province and UNICEF Viet Nam would like to sincerely thank all those who contributed to this publication.
The set of provincial profiles was developed to facilitate the sub-national planning and programming process by UNICEF and the Government of Viet Nam for the next Country Programme cycle 2012-2016. It contains a total of eight statistical profiles representing the eight provinces that, after an extensive analytical selection process, were identified as representing the sub-national geographical focus for the coming five years, notably: Dien Bien, Kon Tum, Ninh Thuan, Dong Thap, An Giang, Ho Chi Minh City, Gia Lai and Lao Cai.
Each profile contains key demographic and socio-economic data by province, a provincial map with districts and its relative position on the map of Vietnam, a box on key emerging issues by province, as well as a column on national averages for comparison purposes. The main data source used is the 2009 Census, and efforts were made to disaggregate data in keeping with the equity focus. In addition to informing the sub-national planning and programming processes, the statistical profiles double as a baseline for monitoring purposes and as a fundraising tool for the next country programme cycle.
The eight focal provinces were selected based on a number of criteria, the most important of which being the depth and number of deprivations among children in a given province. Deprivation is measured based on a number of key social indicators (reflected in the profiles), including child mortality; stunting; net enrolment; and use of safe drinking water and sanitation, among others. Other considerations include: continuity and existing partnerships with provincial authorities, UNICEF and counterpart capacity, presence of partners, UNICEF added value, and regional balance.
Protection, care and education of children are one of the best traditional practices of Vietnam. That tradition has been protected, respected and promoted. The attention and care of children are more evident since Vietnam has signed the United Nation Convention on the Rights of the Child in 1990; which is a strong commitment of the Government of Socialist Republic of Vietnam regarding of protection, care and education of children, ensuring all children are subject to equal treatment and best conditions for full potential development and a safe and healthy living environment so that all children are entitled to basic rights and fulfil their obligations.
Vietnam has been developing and improving its legislation in general as well as child care and protection legislation and policy. Vietnam’s legislation has reflected international standards and harmonious adoption of them in Vietnam’s specific context. This is the legal framework to ensure the exercise of child rights. However, in accompanied with rapidly increasing and diversified social relationships in child protection, the legal regulations in child protection need continuously review assessment and revision to accommodate Vietnam context as well as international legislations.
This technical assessment was aimed at reviewing the implementation of the Health Insurance Law in Viet Nam with focus on marginalized groups including children under six, the poor and the near-poor and ethnic minority groups.
Overall, Viet Nam has made considerable progress in improving economic and social well-being such as reducing the absolute poverty rate and attaining rapid and sustained economic growth. Epidemiologically, Viet Nam has been experiencing a transition to that of a developing country with an increased prevalence of non-communicable diseases. Financially, key expenditures on health have been increasing. Specifically, total health expenditure as a percentage share of Gross Domestic Product (GDP) increased slightly from 4.9% in 1998 to 6.4% in 2008, mainly as a result of increases in government and social security expenditures on health. The poor and children under six have been considered vulnerable groups in health financing policies in general, and in health insurance, in particular.
Child injuries remain a growing public health problem and injuries are now acknowledged as one of the leading contributors to the global burden of disease. The evidence suggests that the burden of injury on children is unequal, with the greatest burden amongst the poor and in developing and middle income countries, compared with high income countries. These countries are where most of the world’s children live. In these countries children are exposed to considerable risk from hazards in all environments.
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