Climatic hazards, health risk and response in Vietnam: Case studies on social dimensions of vulnerability

Vietnam is highly prone to climatic hazards, including extreme weather events and marked seasonal changes. Climatic hazards have wide-ranging implications for human health, but in most hazard-prone countries there has been little household level research on health risks. Drawing on the results of exploratory research in low-income communities in the Central Provinces and the Mekong Delta, this paper uses a qualitative approach to examine how the social dimensions of vulnerability can come into play in the generation of health outcomes associated with hazards. It explores particularly how aspects of economic livelihood, physical location, education and protective behaviour combined to influence the exposure and susceptibility of households, as well as to shape their capability to avoid adverse health impacts. These aspects were closely linked with, but not solely determined by, income-poverty: underlining the argument that understanding of risks to health in low-income settings requires careful analysis of this complex shaping of vulnerability. It also requires recognition that health protection for the poor may be articulated more in terms of protection of wider livelihood assets than preventive health actions per se. (C) 2010 Elsevier Ltd. All rights reserved.