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This book describes the nature of public-private partnerships (PPPs) in the health sector in Vietnam. It defines health-related PPPs, describes their key characteristics, and develops a taxonomy of the different types of PPPs that exist in practice, illustrated by international examples. It also assesses the regulatory and institutional framework for the health PPP program in Vietnam, as well as financing and accountability mechanisms for PPPs at its national and subnational levels. It provides an overview of the PPP project pipeline in Vietnam and analyzes important issues in the health PPPs’ design, preparation, and implementation, using eight case studies involving projects in different phases of the project cycle. This book also examines barriers that have hampered the successful design and implementation of health care PPPs in Vietnam. These barriers may be broadly categorized as barriers in the PPP policy and regulatory framework, in the public sector, in the private sector, and in the financial sector. It proposes feasible and actionable recommendations so that the government can consider tackling the identified barriers and advance the successful design and implementation of health PPPs.
One of the first medical ethnographies to be written on contemporary Vietnam, Familiar Medicine examines the practical ways in which people of the Red River Delta make sense of their bodies, illness, and medicine. Traditional knowledge and practices have persisted but are now expressed through and alongside global medical knowledge and commodities. Western medicine has been eagerly adopted and incorporated into everyday life in Vietnam, but not entirely on its own terms. Familiar Medicine takes a conjectural, interdisciplinary approach to its subject, weaving together history, ethnography, cultural geography, and survey materials to provide a rich and readable account of local practices in the context of an increasingly globalized world and growing microbial resistance to antibiotics. Theoretically, it draws on current critical and cultural theory (in particular applying Pierre Bourdieu's work on habitus and practical logics) in innovative but approachable ways. David Craig addresses a range of contemporary fascinations in medical anthropology and the sociology of health and illness: from the trafficking of medical commodities and ideas under globalization to the hybridization of local cultural formations, knowledge, and practices. His book will be required reading for international workers in health and development in Vietnam and a rich resource for courses in cultural geography, anthropology, medical sociology, regional studies, and public and international health.
Have U.S. military personnel experienced health problems from being exposed to Agent Orange, its dioxin contaminants, and other herbicides used in Vietnam? This definitive volume summarizes the strength of the evidence associating exposure during Vietnam service with cancer and other health effects and presents conclusions from an expert panel. Veterans and Agent Orange provides a historical review of the issue, examines studies of populations, in addition to Vietnam veterans, environmentally and occupationally exposed to herbicides and dioxin, and discusses problems in study methodology. The core of the book presents What is known about the toxicology of the herbicides used in greatest quantities in Vietnam. What is known about assessing exposure to herbicides and dioxin. What can be determined from the wide range of epidemiological studies conducted by different authorities. What is known about the relationship between exposure to herbicides and dioxin, and cancer, reproductive effects, neurobehavioral disorders, and other health effects. The book describes research areas of continuing concern and offers recommendations for further research on the health effects of Agent Orange exposure among Vietnam veterans. This volume will be critically important to both policymakers and physicians in the federal government, Vietnam veterans and their families, veterans organizations, researchers, and health professionals.
Over 3 million U.S. military personnel were sent to Southeast Asia to fight in the Vietnam War. Since the end of the Vietnam War, veterans have reported numerous health effects. Herbicides used in Vietnam, in particular Agent Orange have been associated with a variety of cancers and other long term health problems from Parkinson's disease and type 2 diabetes to heart disease. Prior to 1997 laws safeguarded all service men and women deployed to Vietnam including members of the Blue Navy. Since then, the Department of Veteran Affairs (VA) has established that Vietnam veterans are automatically eligible for disability benefits should they develop any disease associated with Agent Orange exposure, however, veterans who served on deep sea vessels in Vietnam are not included. These "Blue Water Navy" veterans must prove they were exposed to Agent Orange before they can claim benefits. At the request of the VA, the Institute of Medicine (IOM) examined whether Blue Water Navy veterans had similar exposures to Agent Orange as other Vietnam veterans. Blue Water Navy Vietnam Veterans and Agent Orange Exposure comprehensively examines whether Vietnam veterans in the Blue Water Navy experienced exposures to herbicides and their contaminants by reviewing historical reports, relevant legislation, key personnel insights, and chemical analysis to resolve current debate on this issue.
This work includes a foreword by lynne Maher. Head of Innovation Practice, NHS Institute for Innovation and Improvement, University Of Warwick, Coventry. "Experience Based Design" (EBD) is a new way of bringing about improvements in healthcare services by being user-focussed. Facilities, healthcare professionals, carers, family and friends are all involved in the patient experience and systems and policies need to adapt to take this into consideration. By exploring the underlying concepts, methods and practices of EBD, this exciting guide offers a unique approach to healthcare customer satisfaction. It offers recommendations for the future and many interesting points for discussion. It will be of great interest to health and social care management, particularly directors of service improvement in hospitals and directors of nursing, health and social care policy makers and shapers, and quality improvement and organisational development specialists in healthcare. Patient groups and national organisations, too will find the book inspirational. 'Experience based design-you cannot do without it. Read this book and it will change the way you think about providing health services for ever.' - Lynne Maher.
Uniquely using historical material and military records as well as personal interviews and clinical diagnoses, Surviving Vietnam focuses on veterans' war-zone experiences and the development in some of PTSD. It addresses controversies regarding reported rates of PTSD and the importance of exposure to traumatic events compared with pre-war personal vulnerability.
"Most important, there is no evidence that the good will built by U.S. doctors transferred to the South Vietnamese forces, and in fact the opposite may have been true: American programs may have emphasized the inability of the South Vietnamese government to provide basic health care to its own people. Furthermore, the programs may have demonstrated to Vietnamese civilians that foreign soldiers cared more for them than their own troops did. If that is the case, the programs actually did more harm than good in the attempt to win hearts and minds."--BOOK JACKET.
This book presents a detailed overview of the healthcare environment in Viet Nam. Given the general lack of understanding of healthcare in the Vietnamese context, it discusses the background and history, current status and the future of healthcare in the country. The first part of the book provides a summary of the current state of Vietnamese healthcare, incorporating discussions on the training and professional practice environment and the development, implementation and impact of national insurance policies. In addition, it highlights the cultural aspects of health provision and behaviours, technology integration and health trends from a number of angles based on standard global reporting dimensions. The second part elaborates on the 5-year strategic plan for national healthcare management and the top 5 barriers to meeting these planned objectives. It documents key investors and project objectives and outcomes, as well as the top 10 health issues in Vietnam including an overview of national and international initiatives to tackle these issues, addressing financial and social burdens in the process. In the third part, the book outlines the opportunities and barriers for improvement in healthcare outcomes for Viet Nam, providing evidence to support future work by local or international researchers. It is a fundamental text for anyone looking to work or research in the Vietnamese healthcare environment and provides an outline for project planning and targeted programs of work to achieve measureable improvements in Viet Nam.
This book is a must-read for any specialist in the history of colonial and post-colonial psychiatry, as well as a fantastic case study for those interested in the social history of European colonialism more generally.― Choice Claire Edington's fascinating look at psychiatric care in French colonial Vietnam challenges our notion of the colonial asylum as a closed setting, run by experts with unchallenged authority, from which patients rarely left. She shows instead a society in which Vietnamese communities and families actively participated in psychiatric decision-making in ways that strengthened the power of the colonial state, even as they also forced French experts to engage with local understandings of, and practices around, insanity. Beyond the Asylum reveals how psychiatrists, colonial authorities, and the Vietnamese public debated both what it meant to be abnormal, as well as normal enough to return to social life, throughout the early twentieth century. Straddling the fields of colonial history, Southeast Asian studies and the history of medicine, Beyond the Asylum shifts our perspective from the institution itself to its relationship with the world beyond its walls. This world included not only psychiatrists and their patients, but also prosecutors and parents, neighbors and spirit mediums, as well as the police and local press. How each group interacted with the mentally ill, with each other, and sometimes in opposition to each other, helped decide the fate of those both in and outside the colonial asylum.