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Privatization of the Health Care System and Migrant Construction Workers in the Informal Sector in Hanoi, Vietnam |
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| รหัสดีโอไอ | |
| Creator | Tran Khanh An |
| Title | Privatization of the Health Care System and Migrant Construction Workers in the Informal Sector in Hanoi, Vietnam |
| Publisher | Amarin Publishing |
| Publication Year | 2558 |
| Journal Title | Journal of Human Right and Peace Studies |
| Journal Vol. | 1 |
| Journal No. | 2 |
| Page no. | 64-89 |
| Keyword | Privatization, Informal sector, Social Networks, Social support |
| ISSN | 2465-4183 |
| Abstract | After Doimoi (Renovation) policy, the Vietnamese health care system has been strongly privatized, affecting various vulnerable groups including migrant construction workers in the informal sector. An ethnographic approach, including participatory observation, in-depth, and informal interviews, was adopted to understand the health problems of 11 migrant construction workers in two sites, one large scale and one small scale, in Hanoi, Vietnam during December 2014 and February 2015. The research has found that the informal sector exacerbated the health of construction workers. Their health seeking behavior was to delay treatment of the illness or use drugs without consulting with qualified pharmacists or doctors. The main barrier as financial factors and the lack of formal social protection without social insurance and health insurance, construction workers had to rely on their social relations. However, their social relations mainly limited to interpersonal ones, lack a connection with civil society organizations. As the interpersonal networks were also at the low-middle class, they mainly provided emotional, informational, or instrumental not financial support. The workers therefore could not improve their health seeking behavior and might become vulnerable when suffering serious health problems. |
