Challenges to Rural Poverty Reduction in Viet Nam - Oxfam Blogs

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Participatory poverty monitoring in rural communities in Viet Nam TABLE 2.8. Access to and perception of healthcare services, 2007-2011 72 Commune Illnesses leading to check ups and treatments at health facilities (%) Perception of healthcare services as “unsatisfactory” (%) 2007 2011 2007 2011 Thuan Hoa 71 70 29 2 Ban Lien 70 65 3 6 Thanh Xuong 63 69 18 14 Luong Minh 51 45 20 0 Duc Huong 92 92 47 18 Xy 84 88 0 2 Cu Hue 58 67 29 14 Phuoc Dai 93 67 5 0 Phuoc Thanh 98 63 9 6 Thuan Hoa 81 71 4 0 Average 76 69 16 6 SOURCE: Household interviews In lowland communes such as Thanh Xuong-Dien Bien, Duc Huong-Ha Tinh and Cu Hue-Dak Lak, the percentage of people who feel healthcare services are unsatisfactory remains high. As many people in these communes also use district and province health services their standards are higher. Typical issues are the attitudes of doctors when people use medical insurance cards, overcrowding in hospitals, and the range and quality of medicines available with medical insurance. The malnutrition rate among children under five has fallen, but remains high in some specially disadvantaged communes, such as Ban Lien-Lao Cai, Xy-Quang Tri, Phuoc Dai and Phuoc Thanh-Ninh Thuan (Table 2.9). In the surveyed sites people lack fresh food and vegetables. A month after giving birth many mothers leave their baby at home and return to upland farming. Babies are therefore weaned early. TABLE 2.9. Percent of malnourished children under 5 years old, 2007-2011 Commune Percent of malnourished children under 5 (%) 2007 2011 Thuan Hoa 25 22 Ban Lien 50 39 Thanh Xuong 19 17 Luong Minh 32 19 Duc Huong 19 16 Xy 57 50 Cu Hue 20 12 Phuoc Dai 53 36 Phuoc Thanh 41 33 Thuan Hoa 21 18 SOURCE: Statistics of malnourished children are provided by commune health stations
Five-year Synthesis Report Part 2: Challenges to Rural Poverty Reduction in Viet Nam Food security Food security improved at most monitoring points. Where livelihoods involved wet rice farming, commodity production, waged labour or migratory employment, few people faced food shortages (such as Thuan Hoa-Ha Giang, Ban Lien-Lao Cai, Thanh Xuong-Dien Bien, Xy-Quang Tri, Cu Hue-Dak Lak, Thuan Hoa-Tra Vinh). In some remote areas dependent on unstable upland hill-side farming with frequent poor weather such as Luong Minh-Nghe An the proportion of households facing food shortages increased (Table 2.10). 73 TABLE 2.10. Regular food shortages, 2007-2011 Commune Percent of households facing regular food shortages (%) Number of months of regular food shortage (among people suffering food shortage) 2007 2011 2007 2011 Thuan Hoa 5 0 2.7 0 Ban Lien 11 9 3.3 2.0 Thanh Xuong 28 7 2.9 5.0 Luong Minh 49 73 5.0 6.1 Duc Huong - 5 - 4.0 Xy 35 2 3.8 1.5 Cu Hue 4 0 3.5 0 Phuoc Dai - 33 - 4.8 Phuoc Thanh - 35 - 3.9 Thuan Hoa 5 0 5.0 0 Average 23 16 3.3 4.9 SOURCE: Household interviews Some people are always short of food particularly the vulnerable (disabled, long term sick, elderly living alone and single mothers) who also lack productive land or live in disaster-prone areas. For this reason, the percentage of households in regular food shortage reduces sharply but the number of months of regular food shortage (of the remaining households in “poverty cores”) increased at some monitoring points. Agricultural employment The percentage of households relying on agriculture declined slightly, but remains high. Agriculture-based employment (with no alternative income sources) is an important poverty indicator as felt by local residents at the surveyed sites. Table 2.11 shows the percentage of agriculture-based households in the survey sample declined slightly in the last five years. In many remote mountainous areas (Thuan Hoa-Ha Giang, Ban Lien-Lao Cai, and Luong Minh-Nghe An), the percentage of agriculture-based employment in 2011 was high, over 30%.
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PARTICIPATORY POVERTY MONITORING IN
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PREFACE 1 7 In early 2007, Viet Nam
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ABBREVIATIONS AND TERMS 10 ActionAi
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12 EXECUTIVE SUMMARY The last five
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14 and improve monitoring and evalu
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16 TABLE 1. The monitoring points C
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18 transparency, and accountability
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20 TABLE 2. Characteristics of the
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Part 3 Toward Sustainable Rural Pov
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Participatory poverty monitoring in
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Participatory poverty monitoring in
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Challenges to Rural Poverty Reduction in Viet Nam - Oxfam Blogs

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