Is equitable access to health and social care possible for Vietnamese older adults? Care providers' perspectives.

Abstract

Background: Despite growing initiatives to support older adults, disparities in accessing health and social care services persist in developing countries such as Vietnam. Insufficient evidence exists on how to improve equitable access to these services. This study aimed to determine care workers' perceptions of disparities in service accessibility and potential solutions in facilitating equal access for older adults.

Methods: A qualitative study included 27 focus group discussions and in-depth interviews conducted using a semi-structured questionnaire with 171 health and social care workers in Thua Thien Hue Province, Vietnam in 2019. Inductive thematic analysis was used to identify the perceived disparities and solutions.

Results: Three main themes emerged concerning these disparities: socio-economic and geographic barriers, cultural stigma and access gaps for disadvantaged communities. To facilitate equitable access, it was perceived crucial to enhance social protection coverage and benefits, empower community-based care and localized programs and implement targeted interventions.

Conclusions: The findings indicate persistent disparities. However, effective implementation of social health protection, fostering community engagement and targeted interventions can be beneficial in narrowing these gaps. The findings suggest that achieving equitable access for Vietnam's aging population is within reach through a more comprehensive social protection system.