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Negotiating Compliance: The Case of Autonomous Hospitals in Vietnam

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  • Gillian Lê
  • Ha Thu Thi Bui
  • Tolib Mirzoev
  • Ha Thanh Nguyen

Abstract

type="main" xml:id="dpr12112-abs-0001"> Maternal death is one of the highest causes of global mortality. Governments have long used regulation to improve maternal health but concurrent fiscal-decentralisation reforms can undermine clinical performance. This article focuses on public Vietnamese hospitals to explore how regulatory compliance is pursued in decentralised health facilities, since Vietnam has seen increasing autonomisation of public hospitals in the last decade while simultaneously experiencing marked reductions in the maternal mortality ratio. Our analysis suggests that autonomisation has allowed regional regulatory regimes to emerge and that regulatory compliance must compete with other priorities. Compliance can therefore be rethought as a negotiation having implications for how government and maternal health advocates persuade self-sufficient hospitals to take on wider health-system goals.

Suggested Citation

  • Gillian Lê & Ha Thu Thi Bui & Tolib Mirzoev & Ha Thanh Nguyen, 2015. "Negotiating Compliance: The Case of Autonomous Hospitals in Vietnam," Development Policy Review, Overseas Development Institute, vol. 33(3), pages 373-390, May.
    • Handle: RePEc:bla:devpol:v:33:y:2015:i:3:p:373-390
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    File URL: http://hdl.handle.net/10.1111/dpr.2015.33.issue-3
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    Cited by:

    1. Bui Thi Thu Ha & Nguyen Thi Thu Huong & Doan Thi Thuy Duong, 2017. "Prenatal diagnostic services in three regional centers in Vietnam," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 27-33, February.

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