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Challenges to Rural Poverty Reduction in Viet Nam - Oxfam Blogs

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Five-year Synthesis Report<br />

Part 2: <strong>Challenges</strong> <strong>to</strong> <strong>Rural</strong> <strong>Poverty</strong> <strong>Reduction</strong> <strong>in</strong> <strong>Viet</strong> <strong>Nam</strong><br />

bus<strong>in</strong>ess activities.<br />

Education<br />

71<br />

More children are go<strong>in</strong>g <strong>to</strong> school at most moni<strong>to</strong>r<strong>in</strong>g po<strong>in</strong>ts. However, the<br />

percentage of children aged 6 <strong>to</strong> 15 who do not go <strong>to</strong> school rema<strong>in</strong>s high <strong>in</strong> some<br />

mounta<strong>in</strong>ous ethnic m<strong>in</strong>ority communes with specific difficulties such as Ban Lien-Lao<br />

Cai, Phuoc Dai and Phuoc Thanh-N<strong>in</strong>h Thuan. See Section 6 “Improvement of access <strong>to</strong><br />

education service”.<br />

Difficulties with the <strong>Viet</strong>namese language rema<strong>in</strong>s a problem for some adults.<br />

Illiteracy limits access <strong>to</strong> useful <strong>in</strong>formation and knowledge of science and technology.<br />

In mounta<strong>in</strong>ous ethnic m<strong>in</strong>ority communes women are more likely <strong>to</strong> be illiterate than<br />

men, limit<strong>in</strong>g their ability <strong>to</strong> participate <strong>in</strong> the family and wider society (Table 2.7).<br />

TABLE 2.7. <strong>Viet</strong>namese language skills of the respondents, 2011 (%)<br />

Commune Speak<strong>in</strong>g and<br />

Read<strong>in</strong>g<br />

Writ<strong>in</strong>g<br />

listen<strong>in</strong>g<br />

Males Females Males Females Males Females<br />

Thuan Hoa 100 100 88 74 83 26<br />

Ban Lien 100 91 77 55 74 45<br />

Thanh Xuong 95 100 95 85 100 85<br />

Luong M<strong>in</strong>h 100 90 69 65 67 65<br />

Duc Huong 100 100 100 100 100 100<br />

Xy 70 54 55 38 77 23<br />

Cu Hue 100 100 96 81 96 78<br />

Phuoc Dai 100 100 72 60 76 60<br />

Phuoc Thanh 97 100 51 32 54 32<br />

Thuan Hoa 100 100 76 73 76 64<br />

Average 95 96 75 71 78 64<br />

SOURCE: Household <strong>in</strong>terviews<br />

Health<br />

Healthcare has improved <strong>in</strong> the last five years. There were fewer reported<br />

epidemics and diseases. The <strong>in</strong>cidence of Malaria, <strong>in</strong> particular, has fallen <strong>in</strong> many<br />

mounta<strong>in</strong>ous communes. In most surveyed sites, there are medical doc<strong>to</strong>rs at commune<br />

health stations. S<strong>in</strong>ce 2009 <strong>in</strong> specially disadvantaged communes such as Ban Lien-Lao<br />

Cai, Luong M<strong>in</strong>h-Nghe An, Phuoc Dai and Phuoc Thanh-N<strong>in</strong>h Thuan, s<strong>in</strong>ce 2009 medical<br />

doc<strong>to</strong>rs have been dispatched under the M<strong>in</strong>istry of Health’s Project 1816. The Village<br />

Healthcare Network and population collabora<strong>to</strong>rs now cover all villages and <strong>in</strong> some<br />

places there are even nutrition advisors. An <strong>in</strong>creas<strong>in</strong>g proportion of women give birth<br />

<strong>in</strong> commune health stations and have gynaecological and pre-natal check-ups. Many<br />

people <strong>in</strong> ethnic m<strong>in</strong>ority areas, who traditionally made ceremonial offer<strong>in</strong>gs <strong>in</strong> order <strong>to</strong><br />

treat disease now use local health facilities.<br />

Table 2.8 shows the percentage of households with members hospitalized <strong>in</strong> 2011 was<br />

lower than <strong>in</strong> 2007. Fewer respondents f<strong>in</strong>d healthcare services “unsatisfac<strong>to</strong>ry”, ma<strong>in</strong>ly<br />

because ethnic m<strong>in</strong>orities <strong>in</strong> difficult circumstances receive free medical <strong>in</strong>surance<br />

cards. Primary healthcare at grassroots level has also been improved.

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