ABSTRACT
Even though indigenous knowledge (IK) is considered as one of the most effective strategies in response to climate change issues, this form is not being sufficiently integrated into the climate change planning and policy at both local and national levels in Vietnam. This study investigates the role of the traditional agricultural practices of the Xo Dang ethnic minority groups in Central Vietnam and provides insights into the factors that influence farmers to adopt these practices in response to climate change. Primary data was obtained through three focus group discussions and 87 household surveys involving the Xo Dang people through face-to-face semi-structured interviews in the Tra Doc commune, Bac Tra My district, Quang Nam province, Central Vietnam. The binary logistic regression model was used to examine the factors which have influenced the choices made by this community in response to climate change. The results showed that Xo Dang people were highly aware of climate change risks and had, in response, employed their current adaptation practices. The major adaptation strategies implemented by the Xo Dang people included the use of flora and fauna indicators, native plant varieties, the adjustment of planting calendars, irrigation practices, and the application of intercropping. The results indicated that the living years, their monthly farm incomes, and farmer's perceptions of ongoing climate change effects on their environment were the factors that significantly affected farmers' adaptation decisions. Understanding indigenous knowledge plays a fundamental role in the processes of deciding the appropriate adaptation techniques more effectively and making use of human resources. Therefore, policy makers should pay much attention to indigenous knowledge to combat climate change in future national policies and projects.
ABSTRACT
BACKGROUND: Musculoskeletal disorders (MSDs) are a major occupational health problematic among healthcare workers, and the prevalence is especially high among nurses. In high income countries, the prevention of MSDs is an occupational health priority. But in Vietnam, there is no data available among health professionals. OBJECTIVES: To determine the prevalence and associated factors of musculoskeletal disorders among district hospital nurses in Haiphong city. MATERIAL AND METHODS: A cross-sectional study was conducted on 1179 nurses working in 15 district hospitals using the Standardized Nordic Questionnaire. RESULTS: A very high prevalence of MSDs in the past 12 months (74.7%) and during the last 7 days (41.1%), with the two most common sites being the low back (44.4%) and neck (44.1%), was found; 37.8% complained that MSDs symptoms limit their work. When analyzing factors related to MSDs, the results showed that women were 2.1 times more likely to develop MSDs than men; people with a previous history of MSDs were more likely to develop MSDs symptoms in the past 12 months than those with no history (OR = 7.1); nurses with symptoms of psychological distress and frequent absenteeism in the workplace had a higher prevalence of MSDs compared to the rest (p<0.001). CONCLUSIONS: Due to the high prevalence of MSDs among nurses in district hospitals in Haiphong, preventive actions are needed to improve the working conditions and to raise the awareness of nurses about MSDs prevention.
