Browsing by Subject "Vietnam"

Using Fort Bragg and Fayetteville, North Carolina, as a local case study, this dissertation examines the GI dissent movement during the Vietnam War and its profound impact on the ending of the draft and establishment of the All-Volunteer Force in 1973. I propose that the US military consciously and methodically shifted from a conscripted force to the All-Volunteer Force as a safeguard to ensure that dissent never arose again in the ranks as it had during the Vietnam War. This story speaks to profound questions regarding state power that are essential to making sense of our recent history. What becomes of state and military legitimacy when the soldier refuses to sanction or participate in the brutality of warfare? And perhaps more importantly, what happens to the foreign policy of a major power when soldiers no longer protest, and thereby hold in check, questionable military interventions? My dissertation strives to answer those questions by reintroducing the dissenting soldier into the narrative of the All-Volunteer Force.

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In his Dispatches, Michael Herr quotes the gonzo photojournalist Tim Page: "Take the glamour out of war! I mean, how the bloody hell can you do that?[...] Ohhhh, war is good for you, you can't take the glamour out of that. It's like trying to take the glamour out of sex, trying to take the glamour out of the Rolling Stones." This dissertation is in essence an exploration of Page's question, examining how popular media during the American conflict in Indochina first removed and then restored the glamour of war. For most of its history, the United States has been defined by a certain level of militarism, a glamorizing of the process of regeneration through violence reflected in this quotation, but the late 1960s and early 1970s saw a challenging of this warrior ethos; this challenge was reversed by the 1980s, when American militarism was taken to a new, paramilitary, level. In this project, I propose that this oscillation in the association of masculinity and violence was directly linked to popular media's depiction of the Vietnam war and of the soldiers who fought it. American society is haunted by Vietnam, not just because it was the first war the US lost (as the cliché would have it), but because of the ways in which popular culture presented the war to Americans: in particular, because of the ways the American public received this war through the emerging technologies of their television screens. The rapid response of television news to the conflict created an image of mundane warfare not through any intention on the part of broadcasters but because of the nature of the medium itself; over the next twenty years this image was both mystified and moderated by the more delayed media of film and literature and eventually molded into the now-familiar Vietvet killing machine.

In five chapters, I chronicle the evolution of the iconic Vietvet through the twenty years following the war. Following the methods of Raymond Williams and the Birmingham School, I trace the history and development of images from Vietnam as well as the interaction of those images with popular narratives of war, violence, masculinity and heroism in America. I start with Susan Jeffords' work in The Remasculization of America, taking her emphasis on the cultural narratives that fostered the restoration of patriarchal ideologies; I then move through Marita Sturken's discussion of the creation of cultural memory from historical artifacts in Tangled Memories. To these foundational texts, I bring an emphasis on form and technology to shift the focus from the narratives to the mechanisms of transmission themselves. In my first chapter, I show how the relatively new medium of television, and the depiction on the nightly news of Vietnam as both mundane and corrupt, called into question the image of the heroic soldier, finally replacing that image with the demon of the uncontrollable violent vet, driven insane by an unjust war. My next two chapters look at how this image was rehabilitated through its recharacterization in the less immediate channels of novels and film, a recharacterization driven by national debates over the diagnosis of PTSD and the design of the Vietnam Veterans Memorial. And in my final two chapters, I show how the image of the overly-muscled Supervet killing machine from pulps and blockbusters replaced the broken, victimized effigy.

I focus on the evolving history of veterans of the Vietnam War in particular because the strong interdependence of the history of that war and popular culture functions as a spotlight on the nature of the relation between media, history and cultural memory. Television coverage of the Vietnam War to a large extent worked not only to expose the inherent immorality of that particular conflict, but also of war more generally and of the image of the soldier hero. But in the two decades between the end of the Vietnam War and the first Gulf War, the standard history of the war had resolidified into one glorifying combat and violence. By looking at this changing social understanding of Vietnam, I hope to reveal the greater mechanisms by which the newly emerging media technologies of the 1960s through the 1980s drastically changed the nature of representation of warfare, violence, and masculinity: first routinizing, then rejecting, and finally enthroning the image of the explosively violent soldier yoked to the state.

The burden of non-communicable diseases (NCDs) continues to grow in Vietnam. Recently, Vietnam government initiated a new national plan with a strong focus on NCD prevention and control in the community. This study is intended to investigate the current role of Vietnamese village health workers (VHWs) in preventive and NCD-related care, and to explore the barriers and facilitators to expand the role by including routine community-based NCD prevention and control services. From June to July 2016, four focus group discussions with VHWs (n=24) and thirteen in-depth interviews (n=13) with public health administrators (n=13) were conducted in Chi Lin District, Hai Duong Province, Vietnam. A thematic analysis was conducted to identify themes in the data. The participants identified health education, program outreach, and case management as the current responsibilities of VHW. In NCD programs, VHWs provide these services mostly to hypertension and diabetes patients. Majority of the participants endorsed the idea of incorporating NCD early detection and risk reduction into VHW role and thought their close connection with community justified their strength in conducting these services. Currently perceived barriers included aging VHW, insufficient NCD-related knowledge, poor training quality, imbalanced workload and remuneration, lack of resource, and policy-driven guideline. While, participants believed that upon empowering through training, guidance, and proper incentive, VHWs would serve as effective NCD risk detector and healthy behavior promoter in their communities. The study indicates that, with interpersonal, organizational and policy support, VHWs may have the potential to conduct routine community-based NCD early detection and risk reduction activities in Vietnam.

Background: Vietnam is in the process of an epidemiological transition, with cardiovascular diseases now ranked as the leading cause of death. This study assessed the commune health centers in selected rural and urban communities in Vietnam in terms of their capacity for prevention and management of cardiovascular diseases by using a mixed method approach.

Methods: The study was conducted in July 2016 in Chi Linh district, Hai Duong province – a mountainous area located in northern Vietnam. Structured questionnaire surveys and in-depth interviews were used to collect data on the current capacity of commune health centers in Chi Linh district. The capacity included six aspects: equipment and service availability, medicine, medical record system, service utilization and referral, financing and human resources. Ten facility staff members in the selected commune health centers were surveyed and interviewed. Five policy makers from the local level, the regional level, and the national level were also interviewed.

Results: A description of Chi Linh district’s commune health center capacity on CVD prevention and management was reported. (1) Equipment & Service Availability: Not all essential equipment and health services recommended by WHO was available at commune health centers. A few centers owned glucometers and no center had an ECG machine. (2) Medicine: No diabetic medicines were available in the commune health center; the essential medicines for other CVD conditions were inadequate in terms of quantity and diversity. (3) Medical record system: One fifth of the commune health centers had an electronic medical record system, others used a paper-based record. (4) Service Utilization & Referral: On average, each facility admitted 63 CVD out-patients per month (urban 152, rural 29); none of the facilities could provide in-patient service. (5) Financing: Government budget and social health insurance were the main sources of facility revenue. (6) Human resources: The human resources specialized in CVD were inadequate in commune health centers. On average, there were 0.328 medical doctors, 0.182 nurses and midwives and 0.009 pharmaceutical personnel per 1000 population.

Conclusion: The capacity of commune health centers to prevent and manage cardiovascular diseases in Vietnam is inadequate. The results of this study show critical gaps in primary healthcare facilities in Vietnam in six key areas. They include service delivery, health workforce, health information system, access to essential medicine, financing and governance. Thus, there is an urgent need to improve the capacity of commune health centers.

Due to a high burden of disease of pneumonia in Vietnam, the country not including the pneumococcal conjugate vaccine (PCV) in its National Expanded Programme of Immunization (EPI), and the scarce data on PCV vaccine coverage or caregivers’ behavior within the country, it is imperative to assess the Knowledge, Attitude and Practice (KAP) of the caregivers’ community, to further explore ways to increase PCV uptake. The purpose of this study is to understand the KAP of caregivers towards PCV inoculation for children in Hanoi, VietnamMethodology: 338 respondents fulfilled the Qualtrics questionnaire and 26 respondents (16 caregivers and 10 health workers) were interviewed in Hanoi, Vietnam, using semi-structured interviews in June-December 2023. Materials and data were transcribed between Vietnamese and English, and analyzed according to selected themes. Discussion/Conclusions: Although the findings suggest that caregivers in Hanoi have limited knowledge on PCV, support for attitude and practice on accepting PCV exists, especially from caregivers with high socio-economic status. This study wished to contribute to a better understanding of the KAP factors regarding childhood vaccines, which may support decision-making about vaccine policies, and be utilized for creating suitable vaccine promotion materials for child caregivers.

This dissertation deals with the history and memory of the Border War with China in contemporary Vietnam. Due to its particularity as a war between two neighboring socialist countries in Cold War Asia, the Border War has been a sensitive topic in Vietnam. While political sensitivity regarding the national past derives largely from the Party-State, the history and memory of the war has permeated Vietnamese society. The war's legacy can be seen in anti-China sentiments that, in the globalized neoliberal order, appear to be reviving alongside post-Cold War nationalism. The Border War against China represented an important nationalist turn for Vietnam. At the same time, the traumatic breakdown of the socialist fraternity cultivated anxiety over domestic and international relations. The recent territorial dispute over the South China Sea, between Vietnam and China, has recalled the history and memory of the war in 1979. The growing anti-China sentiment in Vietnam also interpellates the war as a near future.

As an anthropological approach to the history and memory of war, this dissertation addresses five primary questions: 1) how the historyscape of Vietnam's past has been shifted through politics on the Border War; 2) how the memoryscape involving the Border War has been configured as national and local experience; 3) how the Border War has shaped the politics of ethnic minorities in a border province; 4) why the borderscape in Vietnam constantly affects the politics of the nation-state in the globalized world order; and 5) why the border markets and trade activities have been a realm of competing instantiations of post-Cold War nationalism and global neoliberalism.

In order to tackle these questions, I conducted anthropological fieldwork in Lang Son, a northern border province and Ha Noi, the capital city of Vietnam from 2005 to 2012, and again briefly in 2014. A year of intensive fieldwork from 2008 to 2009 in Lang Son province paved the road to understanding the local history and local people's memory of the Border War in a contemporary social context. This long-term participant observation research in a sensitive border area allowed me to take a comprehensive view of how the memory of the Border War against China plays out in everyday life and affects the livelihood of the border's inhabitants. In Ha Noi, conducting archival research and discussing issues with Vietnamese scholars, I was able to broaden my understanding of Vietnamese national history and the socialist past. Because Vietnam is one of the countries with the fastest growing use of the Internet, I have also closely traced the emergence of on-line debates and the circulation of information over the Internet as a new form of social exchange in Vietnam.

As a conclusion, I suggest that memory and experience have situated Vietnam as a nation-state in a particular mode of post-Cold War nationalism, one which keeps recalling the memory of the Border War in the post-Cold War era. As the national border has been reconfigured by the legacy of war and by fluctuating border trade, the border challenges unbalanced bilateral relations in the neoliberal world order. The edge of the nation-state becomes the edge of neoliberalism in the contemporary world. The Vietnamese border region will continue to recall the horrors of nationalism and internationalism, through the imaginaries of socialist fraternity or in the practices off contemporary neoliberal multilateralism.

KEYWORDS:

Vietnam, China, Lang Son, the Border War, Memory, the Cold War, the post-Cold War, Neoliberalism.