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Identifies the factors associated with the over utilisation of emergency services or the under utilisation of primary care services. Uses a two year abstraction of medical records containing 2035 visits across 253 children under the age of two. Shows that parents who used less primary care services and too much emergency care provision were often black, single unsupported mother from low income families with low education and little insurance. Cites barriers as location, lack of transport and cost.

This study analyses climate change vulnerability and adaptation in a northern province in Vietnam from the gender perspective.

A survey questionnaire was used to collect data for the study. The Livelihood Vulnerability Index (LVI) was calculated for 134 female and 239 male-headed households. Descriptive statistics were synthesized to investigate climate change adaptation from the gender perspective.

The results show that the LVI of female-headed households is higher than male-headed households, but the variation is negligible. In addition, female and male farmers in the study area use different methods to adapt to climate change. Female farmers have critically contributed to the family workforce and climate change adaptation. Nevertheless, female farmers have less accessibility to agricultural services such as training and credit.

The study suggests that gendered interventions for improvement of livelihood to adapt to climate change should be developed for each aspect of the livelihood. Furthermore, enhancement of services for women and recognition of women's roles in responding to climate change would contribute to more active adaptation to climate change.

Studies on climate change from the gender perspective in Vietnam have been conducted on a limited scale. Particularly, there are very limited studies on climate change in association with gender issue in North Vietnam. Thus, this study will provide more insights into the gender dimension of climate change vulnerability and adaptation so that gender-based adaptation strategies can be developed.