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| Working for
better social services and health Outreach to Vietnam By Sharon Gray |
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| Dr. Lan Gien (L) and Dr. Elizabeth Dow at the Children's Peace Village in Hanoi | |

A woman in the streets of Hanoi, Vietnam
Memorial’s School of
Nursing has been involved in improving the quality of
nursing education in Vietnam for the past four years, and now a joint project
with the School of Social Work is targeting the area of social services and
health.
Dr. Elizabeth Dow, Social Work, and Dr. Lan Gien, Nursing, have
joined forces to better the quality of life in rural Vietnam by improving social
services for women, children, the elderly and the disabled. Dr. Ken Barter and
Sharon Taylor, School of Social Work, are also members of the team. The
five-year project has received a grant of $749,000 from the Canadian
International Development Agency (CIDA), administered by the Association of
Universities and Colleges of Canada (AUCC)
Dr. Gien is already well acquainted with working in Vietnam. She
heads up a four-member team of nursing faculty from Memorial who work with the
Secondary Technical Medical School One in Hai Duong province to train nursing
teachers who, in turn, teach courses in areas such as mental health and primary
health care to nurses in Vietnam. Dr. Gien said that during her work in Vietnam
the government expressed a need to improve the training of social workers.
“When I came to Memorial in 1998, Lan told me about the work she
was doing in rural Vietnam,” said Dr. Dow. “We linked up and had an opportunity
last April to go to Hanoi and meet with faculty at the College of Labour and
Social Affairs. “We looked at their curriculum with them. It has a theoretical
and sociological focus and lacks practical social work perspective. Vietnamese
officials have identified and targeted specific social needs, such as reducing
the poverty which is a result of the increasing gap between the rich and poor in
a market economy. The poverty is partly due to the fact that many people have
been maimed during the war, some from landmines, while others have been born
with deformities from the effect of Agent Orange. This has resulted in a large
population of disabled individuals who are poor.
“Despite the extreme poverty and deprivation, the Vietnamese
people are very resilient. The population has grown rapidly within its very
small land mass from 40 million to 78 million people.”
Unlike Canada, Vietnam does not offer extensive social programs
such as health plans and financial safety nets such as social assistance. “They
are very different, culturally and economically,” said Dr. Dow.
Under the CIDA-funded project, Drs. Dow and Gien will facilitate
how social work is taught and implemented in Vietnam. Using a community
development approach, social work curriculum that is culturally-sensitive and
relevant will be developed with the College of Labour and Social Affairs.
Part of the Memorial University project will involve facilitating
additional training for faculty from the Vietnamese college. “Many have
psychology or sociology degrees and would like to earn social work degrees,”
said Dr. Dow. “We may develop some sort of model similar to the one we have with
the Inuit, developing programs for people within their own environment who can
then become teachers.”
Dr. Gien said, “There are a large number of people working in the
area of social work, but their qualifications need to be upgraded. This project
will provide additional knowledge and skills for social work teachers and also
provide workshops to improve the qualifications of those who are working in
rural areas.”
The project also includes a community outreach component by
establishing a clinical institute where students and teachers can apply the new
knowledge and skills to directly serve the disadvantaged groups of surrounding
communities. Health education will be integrated into all activities to improve
health and self-care of these same groups.
A planning mission will be held in Vietnam within the next few
months to finalize details about how the project will be implemented. “The
emphasis has to be on issues for women, children, elderly people and disabled
people,” said Dr. Dow. “We want to focus on particularly vulnerable
groups.”