Voices from Vietnam: experiences of children and youth with disabilities,and their families,from an Agent Orange affected rural region

This study examines the experiences of young people with disabilities from ethnic minorities, and their families, in central Vietnam. The study is set in an area contaminated by Agent Orange during the Vietnam War. Data were gathered from interviews with youth with disabilities and interviews and focus groups with mothers who had children with disabilities. Respondents expressed confronting multiple barriers to inclusion, education, health and well-being similar to other persons with disabilities and their families from around the world. Participants sought broad-ranging human rights as they described experiencing stigmatization and marginalization from negative social reaction toward disabilities and by residing in a location known for dioxin contamination. The participants’ voices are not only important in informing program responses to support implementation of Vietnam’s new National Law on Persons with Disabilities, but also timely as the US government considers proposed legislation providing material support for Vietnamese nationals affected by Agent Orange.     

Multidimensionl Poverty and The Role of Social Capital in Poverty Alleviation Among Ethnic Groups in Rural Vietnam: A Multilevel Analysis

This paper empirically examines the disparities over time across six dimensions of poverty (monetary, education, health, housing, basic services, and durable assets) between ethnic minority and majority households in rural Vietnam. Using the five-wave panel data of the Vietnam Access to Resources Household Survey (VARHS) 2008–2016, we observe improvements in most non-monetary dimensions of poverty for both ethnic groups, while the monetary dimension shows the highest degrees of deprivation and the lowest rate of decrease during the studied period. Health is the only dimension in which ethnic minority households are not only better off than those of majority households during the studied period, but also report improvement. We further explore the role of social capital in ethnic minorities and non-minorities at household and community levels in multiple dimensions of poverty by employing multilevel models. Our study reports the significant effects social capital have at the community level on reducing poverty in the monetary, education, housing, and basic services dimensions for ethnic minorities, while social capital at the household level shows significant effects on monetary, basic services, and durable assets. These findings indicate that policy makers ought to consider the role of social capital when designing poverty alleviation strategies for the country.

     

Implications of economic reform and spatial mobility for fertility in Vietnam

Vietnam has registered a dramatic decline in fertility during the last decades. While the causes of such a sustained decline are still not well documented, many observers believe that government policies adopted in the 1980s have contributed to lower fertility. This article focuses on the implications of the Doi Moi program of market reforms on fertility, taking into account the influences of migration and population policy. The analysis is based on a sequential logit model of birth histories of ever married women interviewed in Vietnam in 1997. The results show a substantial decline in fertility since the Doi Moi program was introduced. The disruptive effects of migration are less pronounced, although migrants generally exhibit lower childbearingrates, and a somewhat different pattern of parity progression. We argue that the economic reforms of 1986, and the two-child policy initiated two years later, have reinforcedVietnamese women's desire for smaller families.     

Drivers of Economic Reform in Vietnam's Provinces

Allowing provinces to find their own way forward was central to Vietnam's progress in institutional and economic development. This article examines who drives this process of economic reform and finds that, in those provinces making the most progress, the private sector played an important role, not against, but with government. Both national and foreign enterprises played a role, but small enterprises tended to be marginalised. Some of the best insights come from comparing provinces and observing how different alignments of interest influenced the reform process.     

Positioning Inventory in Clinical Trial Supply Chains

As a result of slow patient recruitment and high patient costs in the United States, clinical trials are increasingly going global. While recruitment efforts benefit from a larger global footprint, the supply chain has to work harder at getting the right drug supply to the right place at the right time. Certain clinical trial supply chains, especially those supplying biologics, have a combination of unique attributes that have yet to be addressed by existing supply chain models. These attributes include a fixed patient horizon, an inflexible supply process, a unique set of service‐level requirements, and an inability to transfer drug supplies among testing sites. We provide a new class of multi‐echelon inventory models to address these unique aspects. The resulting mathematical program is a nonlinear integer programming problem with chance constraints. Despite this complexity, we develop a solution method that transforms the original formulation into a linear integer equivalent. By analyzing special cases and through numerical study of both real‐life and simulated examples, we demonstrate the effectiveness of the solution and develop insights into inventory positioning and the cost drivers in clinical trial supply chains.     

Post-high school choices: New evidence from a multinomial logit model

A multinomial logit model is estimated to investigate the destination of students one-year after graduating from high school. The appropriate specification of the choice set available to high school leavers is as follows: private four-year college, public four-year college, private two-year college, public two-year college, employed and unemployed. We test for several possible combinations of these choices and find that these pooled models are all rejected in favour of the full model. The transition from high school to college and to work is more complex than previous studies have recognised. Received: 12 July 2002/Accepted: 2 November 2002 All correspondence to Jim Taylor. The authors are grateful to Steve Bradley and an anonymous referee for valuable comments on a previous draft of this paper. We alone are responsible for the errors and omissions. Anh Nguyen is grateful to the ESRC for providing financial support. Responsible editor: Daniel S. Hamermesh.     

Empathy and drug use behaviors among African-American adolescents

The current study proposed that empathy may indirectly play a protective role for adolescents in drug use behaviors and that this relationship will be mediated by self-regulatory strategies found in drug refusal efficacy. We predict that empathy will be linked to prosocial behavior and aggression, though we do not believe that they will mediate the relationship between empathy and drug use. The sample included 498 African-American adolescents in the 6th, 7th, and 8th grade. The results of structural equation modeling provided support for our hypotheses. Empathy was significantly and positively associated with drug refusal efficacy and prosocial behavior. Empathy was negatively associated with aggression. Drug refusal efficacy was negatively related to past 30-day drug use, providing evidence for the fully mediating role of drug refusal self-efficacy on empathy and past 30-day drug use. Consistent with our predictions, aggression and prosocial behavior were not significantly associated with past 30-day drug use. These findings may be useful in the context of programming efforts for drug prevention.     

SPECTRAL REPRESENTATION AND ERGODICITY OF ASYMPTOTICALLY STATIONARY PROCESSES

A second order process with mean zero and covariance is asymptotically stationary if lim ds exists for every; this limit then defines the covariance function of the process. The paper establishes the spectral representation for the covariance function and a mean ergodic theorem for the process. When stationarity is assumed, the results reduce to the well-known corresponding theorems for stationary processes.     

Local Linear Kernel Regression with Long-Range Dependent Errors

This paper considers the use of a local linear kernel regression method to test whether the mean function of a sequence of long-range dependent processes has discontinuities or change-points. It proposes a non-parametric estimation procedure and then establishes an asymptotic theory for the estimation procedure. Examples, simulated and real, illustrate the estimation procedure.     

Reviewing the latest national policies and services for people with severe mental health disorders in government-funded institutions in Vietnam,and policy recommendations for service improvements

The aim of this paper is to provide the international community with a broad and updated picture of key policies and services for people with severe mental health disorders in Vietnam. In particular, the paper (1) reviews the most important national policies governing care for people with mental health disorders, (2) reviews the status of free-of-charge care provided to people with severe mental health disorders in a network of government-funded facilities across the nation and (3) discusses the future policy directions of Vietnam regarding people with mental health disorders.