Professional Documents
Culture Documents
Viet Nam
V
iet Nam has mainly mountainous and hilly regions.
Fully 39% of the Vietnamese population lives on the Area: 329 314 sq kma
Red River Delta in the north and the Mekong Delta in Population, 2009: 85 789 573b
the south, two of the largest low flat deltas which cover 13% Rural-Urban Population, 2009: 70.4%-29.6%b
of the total land area.1 Crude birth rate/Crude death rate, 2009: 17.6 per
thousand/6.8 per thousandb
With a population density of 259 people per km2, Viet Nam is Annual population growth rate, 2009: 1.2% per annumb
one of the most densely populated countries in the Region, Human Development Index (HDI), 2010: 0.572 (Rank:
third after Singapore and the Philippines. The population 113 of 169 countries)c
density in the capital, Hanoi, is 1926 people per km2 and it is Multidimensional Poverty Index, 2000–2008: 0.075d
3399 people per km2 2 in Ho Chi Minh City. Gross National Income per capita (PPP int. US$), 2009:
US$ 2790e
Although Viet Nam’s health indices have improved substantially Population living on <US$ 1 (PPP int. US$) a day, 2006:
in recent years, the country now faces new health problems 21.5%f
such as avian influenza. Viet Nam also has to reduce its burden Population below the national income poverty line,
from road accidents, HIV/AIDS, noncommunicable diseases 2002: 28.9%f
such as tobacco-related diseases, cancer, heart disease and
diabetes, which are on the rise.3
Figure 1: Viet Nam Population Pyramid, 2009
POPULATION
2009
In 2009, the adolescent population aged 10–19 made up 80+
18.7% (16 million) of the total population (10–14 years = Male
75–79
Female
70–74
8.5% and 15–19 years = 10.2%).4 65–69
60–64
55–59
EDUCATION 50–54
45–49
Student enrolment: In the Survey Assessment of Vietnamese 40–44
Youth Round 2 (SAVY 2), 99% of males and 98% of females 35–39
30–34
aged 14–25 had ever enrolled in school. Fully 99% of Kinh/ 25–29
Chinese respondents and 92% of those from ethnic minorities 20–24
Educational attainment: Table 1 shows the highest level Ethnic minority children: The net enrolment ratio (NER)
of education attained by respondents in SAVY 2. A higher remained low for ethnic minority children. Between 2003 and
proportion of female respondents (9.5%) had a university or 2004, the NER was less than 20% for a primary education,
higher level of education than their male counterparts (7.5%). less than 15% for a lower secondary education and less than
Urban youth also generally had a higher education than rural 10% for an upper secondary education. The number of repeat
youth, as do Kinh/Chinese compared with ethnic minority students and drop-outs is high and the quality of education is
respondents.7 lower in the remote mountainous areas.13
Gender parity index (GPI): MICS 2006 indicated that the Employment-Unemployment: Of more than 47.7 million
GPI for a primary and secondary level education was 1.00 and jobs in 2009, the population aged 15–29 accounted for
1.02, respectively.11In 2001, the GPI in primary level enrolment 34.6%.15 Of the 1 504 888 people unemployed, those aged
was 0.95; in secondary-school enrolment, the GPI was 0.92, 15–29 accounted for 49.4%. The unemployed population in Viet
and in the tertiary level, it was 0.73.12 Nam has a relatively high level of educational attainment, with
one third having an upper secondary or higher education.16
10–14 4 328 000 N.A. 4 032 000 N.A. Underage employment: The proportion of respondents in
SAVY 2 who reported that they started working before age
15–19 4 762 000 1 686 000 4 412 000 1 523 000
(35.4%) (34.5%) 15 was 7.6%. For ethnic minorities, about one fourth reported
working before age 15.23 The MICS 2006 reported that about
20–24 4 045 000 3 055 000 3 942 000 2 886 000
(75.5%) (73.2%) 15.8% of children aged 5–14 were involved in labour, with
most participating in a household’s agricultural activities
Source: Viet Nam Household Living Standards Survey 2008: Estimates and
projections. Accessed in http://laborsta.ilo.org [accessed 6 November 2010] and family business (13%) followed by household chores for
at least 28 hours per week (2.4%), paid labour (1.2%) and
unpaid labour (0.2%).24
The unemployment rate for those aged 15–19 was 5.0%
(11.2% in urban areas and 3.8% in rural areas). In urban Migrant labor force participation: In SAVY 2, there were
areas, the unemployment rate for adolescents (12.5% for 38% of those aged 14–25 who had ever lived away from home
males, 9.8% for females) was the highest compared with other continuously for more than a month. Of these, 41% did so to
age groups. In rural areas, the unemployment rate was highest earn a living. The average age at leaving home for the first
for those aged 20–24, followed by the 55–59 and 15–19 age time among those who were away to earn a living was 18.25
groups.17
In the 2009 census, almost half of the migrants aged 15–19 did
SAVY 2 found that the mean age at first work was 17.4 years. not participate in the labour force. The labour force participation
Ethnic minority youth had a lower mean age at first work rate of rural-urban migrants was 47.9% compared with 52.8%
compared with the Kinh/Chinese at 16.2 years. Having to work of general migrants. Of the total unemployed rural-urban
at very young ages negatively influenced school performance.18 migrants, the proportion of those aged 15–19 was 16.1%.26
Among those aged 14–17 in SAVY 2, 29% of males and 23% SEXUAL AND REPRODUCTIVE HEALTH
of females mentioned that they had ever worked for money. Legislation: (i) The Penal Code states that “any adults
This was lower than the 35% of males and 30% of females in having sexual intercourse with children aged from full 13 to
SAVY 1. In the 18–21 age group, 73% of males and 64% of under 16 shall be sentenced to between one and five years of
females had ever worked for money.19 imprisonment.” (ii) According to the Marriage and Family Law
of 2000, the minimum age of marriage is 20 years for men and
Type of work: According to the HLSS 2008, among those 18 years for women. (iii) The Law on Protection of People’s
aged 15–19, the majority (59.4%) were engaged in agriculture Health of 1989 states that women have the right to abortion.
followed by the industry sector (18.7%) and services
(6.1%). However, when in paid employment, the majority of Sexual behaviour: The mean age at first sex among youth
adolescents (44.3%) were in the industry sector, followed by 14–25 had decreased to 18.1 years in SAVY 2 (18.2 years for
agriculture (17.1%) and construction (15.1%).20 males and 18.0 for females) compared with 19.6 years in SAVY
1. Youth in rural areas initiated sex slightly earlier (18 years)
Adolescents in the construction, industry, trade and services than their urban counterparts (18.4 years).27
sectors worked about 31.6–36.1 hours per week. Those in
agriculture, forestry and fishery worked an average of 18.7–
28.2 hours per week.21 22 Survey Assessment of Vietnamese Youth Round 2. (SAVY 2) Hanoi,
Viet Nam: Ministry of Health, General Statistics Office, World Health
SAVY 2 found that of those who were working, 78% were Organization and the United Nations Children’s Fund, 2010.
doing unskilled work, a nine percentage point increase from 23 Ibid.
24 Viet Nam Multiple Indicator Cluster Survey 2006, Final Report. Ha Noi,
Viet Nam: General Statistics Office, 2006.
17 Ibid.
25 Survey Assessment of Vietnamese Youth Round 2. (SAVY 2) Hanoi,
18 Survey Assessment of Vietnamese Youth Round 2. (SAVY 2) Hanoi, Viet Nam: Ministry of Health, General Statistics Office, World Health
Viet Nam: Ministry of Health, General Statistics Office, World Health Organization and the United Nations Children’s Fund, 2010.
Organization and the United Nations Children’s Fund, 2010.
26 The 2009 Vietnam Population and Housing Census: Major findings.
19 Ibid. Vietnam: General Statistics Office, 2009. [Cited 6 November 2010.]
20 Results of the Survey on Household Living Standards 2008. Vietnam: Available from: http://www.gso.gov.vn/Modules/Doc_Download.
General Statistics Office. [Cited 6 November 2010.] Available from: aspx?DocID=11532
http://www.gso.gov.vn/default_en.aspx?tabid=515&idmid=5&ItemID=9 27 Survey Assessment of Vietnamese Youth Round 2. (SAVY 2) Hanoi,
647 Viet Nam: Ministry of Health, General Statistics Office, World Health
21 Ibid. Organization and the United Nations Children’s Fund, 2010.
30.0
29.8 separated. (Figure 3)35
25.0
20.0
14.8
16.1 Male Figure 3: Proportion of population aged 15–24
Female
15.0 by marital status, age group and sex, 2009
8.8
10.0
6.1
5.0 2.2 2.1 3.0
0.5 0.9
0.0
14-17 18-21 22-25 Urban Rural
Males Females
Sexual attitudes: In SAVY 2, 44% of those aged 14–25 (58% Currently married Never married
of males and 30% of females) had “modern attitudes” about
premarital sex compared with 36% in SAVY 1. Those aged Source: The 2009 Vietnam Population and Housing Census: Major findings.
14–17 held the most traditional values followed by 18–21 year Vietnam: General Statistics Office, 2009.
olds. Those over 21 years old had the most modern attitude.30
In rural areas, for both men and women, the proportion of
Transactional sex: In SAVY 2, among those who had ever married adolescents was three times higher than in urban
had sex, 3.2% (70 people) reported having paid cash or areas. Among women aged 18 in rural areas, 15% were
exchanged goods for sex. This was slightly lower than the married and 27% were married by age 19. In urban areas, the
5.2% reported in SAVY 1. The proportion of those who had corresponding figures were 7% and 11%.36
transactional sex in urban areas was 6.5%, higher than the
2.2% in rural areas. The proportion was also higher for Kinh/
Chinese than ethnic minority youth (3.7% versus 1.5%).31 32 Survey Assessment of Vietnamese Youth Round 2 Report on Puberty,
Sexual and Reproductive Health. Hanoi, Viet Nam: Ministry of Health,
General Statistics Office, World Health Organization and the United
Sex with sex worker: About 5% of the 2218 SAVY 2 Nations Children’s Fund, 2010.
respondents who had had sex reported that they had had 33 The 2009 Vietnam Population and Housing Census: Major findings.
premarital sex with a commercial sex worker; with one Vietnam: General Statistics Office, 2009. [Cited 6 November 2010.]
exception, all were male. Among sexually active youth, the Available from: http://www.gso.gov.vn/Modules/Doc_Download.
aspx?DocID=11532
proportion of those who had had sex with a commercial
34 Survey Assessment of Vietnamese Youth Round 2. (SAVY 2) Hanoi,
sex worker was 6% in urban areas compared with 3% in
Viet Nam: Ministry of Health, General Statistics Office, World Health
Organization and the United Nations Children’s Fund, 2010.
35 The 2009 Vietnam Population and Housing Census: Major findings.
28 Ibid.
Vietnam: General Statistics Office, 2009. [Cited 6 November 2010.]
29 Ibid. Available from: http://www.gso.gov.vn/Modules/Doc_Download.
30 Ibid. aspx?DocID=11532
31 Ibid. 36 Ibid.
According to MICS 2006, 0.7% of women aged 15-49 were Of those who had had intercourse (n=396), half (n=185) said
married before age 15 and 13.1% were married before age 18. that they had used condoms at first sex. Of those who did not
Of young women aged 15–19, 5.4% were currently married or use condoms at first sex, the majority (38% of males and 54%
in union and 0.4% were married before age 15. The prevalence of females) said that they had not wanted to use them; 26%
of early marriage (before age 18) was higher in rural (15.8%) of males and 12% of females said that they had not intended
than in urban areas (6%).38 to have sex at that time; and 9% of males and 7% of females
said that they had not known how to use them.44
Contraceptive knowledge and use: Among SAVY 2
respondents aged 14–25, 92% knew about oral contraception Child-bearing: According to the 2002 DHS, of 1630 women
and 95% were aware of condoms.39 Knowledge of aged 15–19, 1.7% had one child; among the 67 currently
contraceptive methods was lowest among those aged 14–17 married adolescent women, 40.9% had one child. 12.1% had
followed by the 18–21 age group, and highest for those aged an unmet need for spacing and 1.3% had an unmet need for
22–25. For example, 6% of those aged 14–17 registered low limiting births (unmet need was highest among those aged
condom knowledge compared with 4% of those aged 18–21 15–19 compared with other age groups). Among those 15–19,
and 3% of those aged 22–25.40 1.0% had their first birth between 18 and 19 years old, 0.6%
between 15 and 17 years old and 0.2% before 15. Adolescent
SAVY 2 also found that contraceptive knowledge increased child-bearing was inversely related to education level — 10%
with educational levels—45% of those with no education of women with some primary education had begun child-
and 17% of those with a primary education had low bearing compared with 0.5% of those with a higher secondary
condom knowledge compared with 3% of those with an school education.45
upper secondary education and 1% of those with a college
education. Kinh/Chinese youth and urban youth were also Adolescent birth rate: The age-specific fertility rate for
more knowledgeable about condoms than their ethnic minority those aged 15–19 was 24 per thousand women in 2009; for
and rural counterparts—4% of Kinh/Chinese youth had low those aged 20–24, the fertility rate was 121 and it was 133 for
condom knowledge compared with 9% of ethnic minorities.41 the 25–29 age group. In the past decade, fertility had remained
concentrated primarily in the 20–29 age group.46
MICS 2006 found that 71.9% of adolescents aged 15–19
who were currently married or in union were not using any In urban areas, fertility was highest among women aged
contraceptive method, 22.2% were using any modern method 25–29, with 129 children per thousand women. In rural areas,
(13.8% IUD and 8.4% the pill) and 5.9% were using any fertility was highest among women aged 20–24, with 144
traditional method (3.2% withdrawal, 2.4% LAM and 0.3% children per thousand women.47 48
periodic abstinence).42
0 5 10 15 20 25 30
Table 3 shows that in 2002, children born to young mothers
under 20 years old had the highest rates of mortality.49
Percent
0 1 2 3 4 5 6 0 1 2 3 4 5 6
Table 3: Infant and child mortality rates by mother’s age at 14–17 Age Group 14–17 Age Group
birth, 2002 0 5 10 15 20 25 30
10%
4.5 4.5 7.7 8.2
0%
SAVY 2 found that 98% of youth had ever heard about HIV/ Male (N=1212) Female (1253) Male (N=3904) Female (3676)
AIDS, with 57% of respondents answering all questions about Urban Rural
HIV transmission correctly. Another 7% had little knowledge Poor, having high risks of contracting HIV
Average, having high risks of discrimination
and 36% had a middle level of knowledge. Figure 5 shows that Good
Male Female 14–17 18–21 22–25 Urban Rural I will have a job
80
77.8
that i like
Very 9.9% 3.7% 7.3% 6.7% 6.0% 8.8% 6.2% 76.4
often 79.5
I will have opportunity 77.3
Often 32.3% 13.3% 27.1% 20.0% 18.2% 23.6% 22.8% to do what i want
74.7
Source: Survey Assessment of Vietnamese Youth Round 2. (SAVY 2) Hanoi, Viet 67.8
I will have a good income
Nam: Ministry of Health, General Statistics Office, World Health Organization and to live comfortably 63.5
the United Nations Children’s Fund, 2010. 54.6
0 10 20 30 40 50 60 70 80 90 100
MENTAL HEALTH Age group 22–25 Age group 18–21 Age group 14–17
Table 5: Percentage of youth who completely agree with the self-assessment statements by sex, age groups and place of residence,
Viet Nam, SAVY 2
Male Female Age group Age group Age group Urban Rural
14–17 18–21 22–25
I have some good qualities 65.5% 67.5% 63.8% 66.1% 72.4% 62.0% 67.9%
I am not proud of myself 20.9% 23.5% 19.4% 25.7% 23.5% 21.9% 22.3%
I believe that I can do what others do 65.8% 66.6% 63.5% 68.9% 68.3% 67.7% 65.7%
Sometimes I feel I am no good at all 28.7% 31.1% 29.0% 32.7% 28.1% 31.9% 29.2%
I think I am valuable to my family 78.8% 75.9% 73.9% 77.9% 83.9% 72.2% 79.0%
Source: Survey Assessment of Vietnamese Youth Round 2. (SAVY 2) Hanoi, Viet Nam: Ministry of Health, General Statistics Office, World Health Organization and the United
Nations Children’s Fund, 2010.
Suicide: SAVY 2 found that 4.1% of those aged 14–25 had Figure 7: Percentage of current male youth smokers
ever thought of suicide, with 5.9% of young women having among those who had ever smoked, Viet Nam, SAVY 2
done so, nearly twice that of men at 2.3%. More urban (5.4%)
than rural youth (3.6%) had thought of suicide. Among those 90
82.1
aged 14–17, 4.1% reported having had suicidal thoughts 80 74.9 74.6 77
72.7 71.3
70
compared with 4.4% of those aged 18–21 and 3.8% of those 60.7 58.6
60
aged 22–25.72
50
40
A quarter of the 409 youth aged 14–25 who had ever thought 30
Percentage
52.1
Percentage of students who were 50
47.5 Ever finished an
current tobacco product users (other 1.9 0.7 1.2 alcoholic drink
40 36.5 Ever been drunk
than cigarettes) 30.8
30
22
Percentage of students who smoked 20
0
Percentage of students who were 14-17 18-21 22-25 Male Female
exposed to smoke from others in their 59.0 58.0 58.5 Age and Sex
home
Source: Survey Assessment of Vietnamese Youth Round 2. (SAVY 2) Hanoi, Viet
Source: Global Youth Tobacco Survey, Viet Nam, 2007
Nam: Ministry of Health, General Statistics Office, World Health Organization and
the United Nations Children’s Fund, 2010.
Table 7: Child injury mortality rates by causes and age Health, Education and Welfare
groups (per 100 000 children), 2007
• Law on Child Protection, Care and Education, 2004
Causes 0–19 years 10–14 15–19 • Law on Marriage and Family, 2000
years years • Penal Code, 1999
• Law on Universal Primary Education, 1991
Drowning 10.4 8.1 6.8
Note: This is not meant to be a comprehensive list of all • Master Plan for Adolescent and Youth Health 2006–
relevant government initiatives. 2010.
Sources:
a. Viet Nam: Achieving the Millennium Development Goals. (2005). [cited 6 November 2010]. Available from: http://www.undg.org/archive_docs/6623-
Viet_Nam_Fourth_MDG_Report.pdf
b. The 2009 Vietnam Population and Housing Census: Major findings. Vietnam, General Statistics Office, 2009. [Cited 6 November 2010.] Available from:
http://www.gso.gov.vn/Modules/Doc_Download.aspx?DocID=11532
c. Human Development Report 2010. Table 2: Human Development Index Trends, 1980-2010. United Nations Development Programme, 2010. [Cited 6
November 2010.] Available from: http://hdr.undp.org/en/media/HDR_2010_EN_Table2.pdf
d. Human Development Report 2010. Table 5: Multidimensional Poverty Index. United Nations Development Programme. [Cited 6 November 2010.]
Available from: http://hdr.undp.org/en/media/HDR_2010_EN_Table5.pdf
e. Gross national income per capita 2009, Atlas method and PPP. World Development Indicators Database, World Bank. [Updated 14 April 2011, cited 15
May 2011.] Available from: http://siteresources.worldbank.org/DATASTATISTICS/Resources/GNIPC.pdf
f. Viet Nam country data. Millennium Development Goals Indicators. United Nations Statistics Division, Department of Economic and Social Affairs,
United Nations. [Updated 23 June 2010, cited 6 November 2010.] Available from: http://mdgs.un.org/unsd/mdg/Data.aspx