Abstract
In Vietnam, people with disabilities and their families are disproportionately poor, receiving little assistance from the government despite Vietnam’s rapidly developing economy. Non-governmental organizations play an important role in the support system for many families of people with disabilities, yet often operate from a narrowly defined set of interventions. This study, informed by a diverse set of stakeholders including people with disabilities, parents, government officials, and professionals, assists in constructing the meaning of a good life for people with disabilities in Da Nang, Vietnam. The authors used a qualitative thematic analysis approach to develop an ecological model of factors affecting the ability of people with disabilities to live a good life, organized into four ecological levels: personal, interpersonal, community, and sociocultural. Interplay between levels was common, suggesting the need for further intervention targeting multiple ecological levels, especially the sociocultural level that tends to go unaddressed in many current attempts at disability related assistance. Implications for practice and research are discussed.
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References
Beresford, P. (1996). Poverty and disabled people: challenging dominant debates and policies. Disability and Society, 11(4), 553–568. doi:10.1080/09687599627598.
Braithwaite, H., & Mont, D. (2009). Disability and poverty: a survey of the World Bank poverty assessments and implications. Alter: European Journal of Disability Research, 3, 219–232. doi:10.1016/j.alter.2008.10.002.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. doi:10.1191/1478088706qp063oa.
DiCicco-Bloom, B., & Crabtree, B. F. (2006). The qualitative research interview. Medical Education, 40, 314–321. doi:10.1111/j.1365-2929.2006.02418.x.
Doody, O., & Noonan, M. (2013). Preparing and conducting interviews to collect data. Nurse Researcher, 20(5), 28–32. doi:10.7748/nr2013.05.20.5.28.e327.
Elmir, R., Schmied, V., Jackson, D., & Wilkes, L. (2011). Interviewing people about potentially sensitive topics. Nurse Researcher, 19(1), 12–16. doi:10.7748/nr2011.10.19.1.12.c8766.
Gammeltoft, T. M. (2008). Childhood disability and parental moral responsibility in northern Vietnam: towards ethnographies of intercorporeality. Journal of the Royal Anthropological Institute, 14(4), 825–842. doi:10.1111/j.1467-9655.2008.00533.x.
General Statistics Office (2012). Statistical yearbook of Vietnam 2011. Hanoi: Statistical Publishing House.
Hunt, P. C. (2005). An introduction to Vietnamese culture for rehabilitation service providers in the United States. In J. H. Stone (Ed.), Culture and disability: providing culturally competent services (pp. 203–223). Thousand Oaks, CA: Sage.
International Labour Organization. (2013). Inclusion of people with disabilities in Vietnam. Retrieved from http://www.ilo.org/wcmsp5/groups/public/---ed_emp/---ifp_skills/documents/publication/wcms_112407.pdf.
Le, T. N. T., & Johansson, A. (2001). Impact of chemical warfare with agent Orange on women’s reproductive lives in Vietnam: a pilot study. Reproductive Health Matters, 9(18), 156–164. doi:10.1016/S0968-8080(01)90102-8.
Minh, H. V., Giang, K. B., Liem, N. T., Palmer, M., Thao, N. P., & Duong, L. B. (2014). Estimating the extra cost of living with disability in Vietnam. Global Public Health, 10(S1), 70–79. doi:10.1080/17441692.2014.971332.
MOLISA (2009). Investigation on the implementation of the ordinance on persons with disabilities in 11 cities/provinces in Vietnam. Hanoi: Author.
Mont, D., & Cuong, N. (2011). Disability and poverty in Vietnam. World Bank Economic Review, 25(2), 323–359. doi:10.1093/wber/lhr019.
Munday, J. (2012). Introducing translation studies: theories and applications. New York: Routledge.
National Coordinating Council on Disability. (2010). 2010 Report on the status of people with disabilities in Vietnam. Retrieved from http://nccd.molisa.gov.vn/attachments/221_BC%20thuong%20nien%202010%20tieng%20Anh%20cuoi.pdf.
Ngo, A. D., Brolan, C., Fitzgerald, L., Pham, V., & Phan, H. (2013). Voices from Vietnam: experiences of children and youth with disabilities, and their families, from an Agent Orange affected rural region. Disability and Society, 28(7), 955–969. doi:10.1080/09687599.2012.741516.
Ngo, H., Shin, J. Y., Nhan, N. V., & Yang, L. H. (2012). Stigma and restriction on the social life of families of children with intellectual disabilities in Vietnam. Singapore Medical Journal, 53(7), 451–457.
Nguyen, M.T.., & Berry, H. (2013). Social capital and mental health among mothers in Vietnam who have children with disabilities. Global Health Action, 6. doi:10.3402/gha.v6i0.18886.
Palmer, M. G. (2005). The legacy of Agent Orange: empirical evidence from Central Vietnam. Social Science & Medicine, 60, 1061–1070. doi:10.1016/j.socscimed.2004.04.037.
Palmer, M., Groce, N., Mont, D., Nguyen, O. H., & Mitra, S. (2015). The economic lives of people with disabilities in Vietnam. PloS One, 10(7), 1–16. doi:10.1371/journal.pone.0133623.
Park, S., Glidden, L., & Shin, J. (2009). Structural and functional aspects of social support for mothers of children with and without cognitive delays in Vietnam. Journal of Applied Research in Intellectual Disabilities, 23(1), 38–51. doi:10.1111/j.1468-3148.2009.00550.x.
QSR International. (2012). NVivo 10 for Windows [Computer software]. Available from http://www.qsrinternational.com.
Roulston, K. (2001). Data analysis and ‘theorizing as ideology’. Qualitative Research, 1(3), 279–302. doi:10.1177/146879410100100302.
Shin, J., Nhan, N. V., Crittenden, K. S., Hong, H. D., Flory, M., & Ladinsky, J. (2006). Parenting stress of mothers and fathers of young children with cognitive delays in Vietnam. Journal of Intellectual Disability Research, 50(10), 748–760. doi:10.1111/j.1365-2788.2006.00840.x.
Tran, B. X., Ohinmaa, A., Nguyen, L. L., Nguyen, T. A., & Nguyen, T. H. (2011). Determinants of health-related quality of life in adults living with HIV in Vietnam. AIDS Care: Psychological and Socio-Medical Aspects of AIDS/HIV, 23(10), 1236–1245. doi:10.1080/09540121.2011.555749.
Truong, Q.T. (2015). The quality of life and caregiving burden among caregivers of people with dementia in Hanoi, Bac Ninh and Hai Phong, Vietnam. (Unpublished doctoral dissertation). Queensland University of Technology, Australia.
UNFPA. (2011). People with disabilities in Vietnam, key findings from the 2009 Vietnam population and housing census. Retrieved from: http://vietnam.unfpa.org/webdav/site/vietnam/shared/Disability_ENG.pdf.
UNICEF & MOLISA. (2011). Children with disability in An Giang and Dong Nai. Retrieved from: http://www.unicef.org/vietnam/KAP-English-opt.pdf.
Vo, C. H., Guillemina, F., Duong, D. C., Parkerson, G., Quynh, P. T., & Briancona, S. (2005). Health related quality of life of adolescents in Vietnam: cross-cultural adaptation and validation of the adolescent Duke health profile. Journal of Adolescence, 28(1), 127–146. doi:10.1016/j.adolescence.2004.11.016.
World Bank. (2015). Vietnam Retrieved from http://www.worldbank.org/en/country/vietnam.
Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15, 398–405. doi:10.1111/hns.12048.
Acknowledgments
We are grateful to My Nguyen, Phong Le, Thom Van, Huong Thi Luong, and Nancy Letteri for their support in conducting this research.
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All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Bogenschutz, M., Im, H. & Liang, A. Ecological Model of a Good Life for People with Disabilities in Vietnam. Glob Soc Welf 3, 243–254 (2016). https://doi.org/10.1007/s40609-016-0068-y
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DOI: https://doi.org/10.1007/s40609-016-0068-y