Utilization of services provided by village based ethnic minority midwives in mountainous villages of Vietnam

Introduction: Since 2011, the Vietnam’s Ministry of Health implemented the ethnic minority midwives (EMMs) scheme in order to increase the utilization of maternal health services by women from ethnic minorities and those living in hard-to-reach mountainous areas. This paper analyzes the utilization of antenatal, delivery, and postpartum care provided by EMMs and reports the key determinants of utilization of EMM services as perceived by service users. Methods: A structured questionnaire was administered in 2015 to all mothers (n=320) who gave birth to a live-born during a 1-year period in 31 villages which had EMM in two provinces, Dien Bien and Kon Tum. A multivariate logistic regression model was used to examine the association between all potential factors and the use of services provided by EMMs. Results: We found that EMMs provided more antenatal care and postnatal care as compared with delivery services, which corresponded to their job descriptions. The results also showed that utilization of antenatal care provided by EMMs was lower than that of postnatal care. The proportion of those who never heard about EMM was high (24%). Among the mothers who knew about EMM services, 33.4% had antenatal checkups, 20.1% were attended during home deliveries, and 57.3% had postnatal visits by an EMM. Key factors that determined the use of EMM services included knowledge of the location of EMM’s house, being aware about EMMs by health workers, trust in services provided by EMMs, and perception that many others mothers in a village also knew about EMM services. Conclusion: EMM seems to be an important mechanism to ensure assistance during home births and postnatal care for ethnic minority groups, who are often resistant to attend health facilities. Building trust and engaging with communities are the key facilitators to increase the utilization of services provided by EMMs. Communication campaigns to raise awareness about EMMs and to promote their services in the village, particularly by other health workers, represent an important strategy to further improve effectiveness of EMM scheme

Universality in odd-even harmonic generation and application in terahertz waveform sampling

Odd-even harmonics emitted from a laser-target system imprint rich, subtle information characterizing the system's dynamical asymmetry, which is desirable to decipher. In this Letter, we discover a simple universal relation between the odd-even harmonics and the asymmetry of the THz-assisted laser-atomic system -- atoms in a fundamental mid-IR laser pulse combined with a THz laser. First, we demonstrate numerically and then analytically formulize the harmonic even-to-odd ratio as a function of the THz electric field, the source of the system's asymmetry. Notably, we suggest a scaling that makes the obtained rule universal, independent of the parameters of both the fundamental pulse and atomic target. This universality facilitates us to propose a general pump-probe scheme for THz waveform sampling from the even-to-odd ratio, measurable within a conventional compact setup

How cheap can hygienic latrines be?

A construction and operation costing of 12 types of hygienic latrines widely used in rural areas of Vietnam and presented in the Hygienic latrine Manual of the Ministry of Health, using traditional construction materials has been conducted. The cost of latrines using traditional construction materials is ranging from USD37.5 (VIP) to USD194.4 (Septic tank constructed by brick for treatment of black and grey wastewater from sitting bowl toilet). Annually averted O&M costs of Vietnamese latrines range from USD1.86 (VIP) to USD 4.58 (wet latrine with septic tank) per capita per year. Costs of hygienic latrines can be further reduced, applying solutions such as using local materials for construction, reducing the tank volume by using the water-saving flushing devices or applying more frequent tank emptying services and mass production of latrine components. The less a hygienic latrine costs, the more chance for poor people in different places can get access to improved sanitation

Critical Assessments of the Potential for Integrating Renewable Energy into Isolated Grids on Vietnamese Islands: The Case of the An-Binh Grid

Renewable electricity for off-grid areas is widely seen as one of the top choices in supporting local economic development in most countries, and so is Vietnam. Over the years, many isolated networks using renewable energy sources have been deployed for off-grid areas in Vietnam. However, the use of these energy sources in Vietnam’s isolated networks is still facing many challenges due to its infancy here. The issues of reliability and vulnerability of these networks are not given the expected attention. Another challenge is that the issues of the operational security of these systems could also be negatively affected by the variable nature of renewable sources, including static and dynamic security. For this reason, this study aims to contribute to a better understanding of integrating renewable energy into isolated networks, and in this case, using solar power for the An-Binh Island grid in Vietnam. The findings from this study suggest that choosing the right structure of the power mix could contribute to improving the operational security of isolated networks. Moreover, several solutions to enhance the reliability of this grid are also proposed. The NEPLAN environment was selected for simulation and analysis for all the scenarios in this study

Biological activities of essential oils from leaves of paramignya trimera (Oliv.) guillaum and limnocitrus littoralis (miq.) swingle

The present study aimed to determine the bioactivities of essential oils extracted from the leaves of Paramignya trimera and Limnocitrus littoralis, including cytotoxicity, antiviral, antibacterial, antimycotic, and antitrichomonas effects. Herein, it was indicated that P. trimera and L. littoralis oils showed no cytotoxicity on normal cells, namely MT-4, BHK-21, MDBK, and Vero-76. P. trimera oil (i) exhibited the strongest inhibition against Staphylococcus aureus with MIC and MLC values of 2% (v/v); (ii) showed MIC and MLC values of 8% (v/v) in Candida parapsilosis; and (iii) in the remaining strains, showed MIC and MLC values greater than or equal to 16% (v/v). On the other hand, L. littoralis oil (i) displayed the strongest inhibition against Candida tropicalis and Candida parapsilosis with 2% (v/v) of MIC and MLC; and (ii) in the remaining strains, possessed MIC and MLC greater than or equal to 16% (v/v). In addition, antitrichomonas activities of the oils were undertaken, showing IC50, IC90, MLC values, respectively, at 0.016%, 0.03%, and 0.06% (v/v) from P. trimera, and 0.03%, 0.06%, 0.12% (v/v) from L. littoralis, after 48 h of incubation. The oils were completely ineffective against ssRNA+ (HIV-1, YFV, BVDV, Sb-1, CV-B4), ssRNA- (RSV, VSV), dsRNA (Reo-1), and dsDNA (HSV-1, VV) viruses. This is the first report describing the cytotoxicity, antiviral, antibacterial, antimycotic, and antitrichomonas activities of the essential oils of P. trimera and L. littoralis

A Conceptual Design and Numerical Analysis for a Small-Scale and Low-Cost Plastic Recycling Machine

A new conceptual design for a small-scale and low-cost plastic recycling machine is generated by combining melting part and compression process. Starting with one of the outstanding requirements is in terms of an affordable-priced machine that can perform two processes with high accuracy and capacity, some issues related to balancing among quality, capacity and cost of machine occurred during a discussion. After implementing various designing methods such as Quality Function Deployment, Reverse Engineering, Morphological Matrix and Pugh Method, an idea of final concept about using an electric oven and hydraulic system to melt down and compress plastic tile which has a dimension of 300x300x9 mm was created. The design of concept is divided into two parts which are mechanical and electrical systems. In a mechanical section, the technical drawing and simulation are made to see how machine performs under operation. Besides, we examined the forces that applied in the moulds to evaluate the strength of the system. In heating and electricity section, we chose electrical components, designed oven parameters and conducted the heating simulation on the mould. In addition, the heating and cooling time was calculated based on the principles of thermodynamics and heat transfer. Furthermore, the manufacturing plan is created to estimate the essential resources producing a certain number of heat-forming machines. In general, the machine needs to be prototyped for controlling its main function and finding practical issues. After that, some improvements could be made to enhance efficiency and increase capacity by designing an optimal mould to more heat absorb and reduce post process, calculate and design more efficient oven, create faster lock mechanism and other improvements for an automatizing machine