the process of composing the strategy

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National Strategy For the Protection, Care and Improvement of People’s Health for the 2011-2020 period and Vision to 2030. The process of composing the Strategy. Ministry of Health (MOH) established the Steering Committee and Strategy Drafting Committee (April 2010) - PowerPoint PPT Presentation

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    National Strategy For the Protection, Care and Improvement of Peoples Health for the 2011-2020 periodand Vision to 2030

  • *The process of composing the Strategy Ministry of Health (MOH) established the Steering Committee and Strategy Drafting Committee (April 2010) The Strategy Drafting Committee make a draft of the Strategy based on: Analysis and assessment of the implementation of the Strategy 2001-2010 The Joint Annual Health Report, and reports from other related departments Intergration with the 5-year plan in Health sector 2011-2020. Consultancy from Leaders of MOH Other relevant departments, administrations, investigation groups (2 rounds) Experts Related ministries and departments Meeting on Draft 3 (in Vinh Phuc province 12th April, 2010), chaired by Minister of MOH Comments from other departments within MOH (Draft 4) DPF presented the Draft 5 at the meeting on 20th April, 2011 chaird by Mme. Nguyen Thi Kim Tien, Vice minister of MOH DPF got comments from relevant departments (round 3) and consolidated all comments at the meeting on 20th April, 2011, making Draft 6 Organized a meeting with 3 provinces and related departments at Do Son on 6-7th May, 2011, Strategy Drafting Committee meeting on 12th and 18th May, then sent to DPs on 20th May, 2011 Publish the Strategy on Governments website (23rd May to 23rd July), received comments from DPs (20th to 28th May)

  • Structure of the StrategyPART I: ASSESSMENT OF THE IMPLEMENTION OF STRATEGY IN THE 2001-2010 PERIOD:(according to WHOs structure: 6 building block)Peoples health statusHealth service provisionPreventive medicineExamination, treatment and habilitation service provisionFamily, population planning and reproductive healthHuman resources in healthHealth information systemPharmaceuticals, vaccines and bloodMedical equipment and technologyHealth financingHealth system governance

  • PART 2: NATIONAL STRATEGY FOR THE PERIOD 2011-2015Forcast of epidemic diseases and health determinantsForecast of epidemic diseases and disease patternsForecast of health determinantsDevelopment viewpointPrinciples of composing the Strategy (sent to Prime Minister)ObjectivesMain targetsSolutionsImplementation

  • ASSESSMENT OF THE IMPLEMENTION OF STRATEGY 1. Peoples health status until 2010Achievements:Average life expectancy: 72.8 years old / Target: 72 years old.Infant mortality rate:

  • 2. Health service provision

    2.1. Preventive medicine AchievementsA wide network of preventive medicine from the central to village level; Infrastructure, human resources, budget for the preventive care activities have also been strengthenedMost of targets related to preventive medicine have been achieved.Difficulties and ChallengesHealth risk factors are prevalentUnderstanding and behavior of the people on protection and promotion of health remains weakParticipation of the people, mass and social organizations is limitedIncentive policy for preventive workers is not satisfied.Forecasting capacity is limited.*

  • 2. Health service provision

    2.2. Examination, treatment and habilitation service provision Achievements- Health examination and treatment networkk has been expanded and strengthened- Health service has been improved and Many modern techniques have been applied successfully.- Many kinds of health service have been applied effectively.- Number of patient bed per 10000 inhabitants in 2010 is at 20.5 beds- Access to health care services of the poor and the government preferential policy beneficiaries has been increased.Difficulties and Challenges- Health service provision capacity is still weak.- Bypassing is relatively prevalent, which leads to overcrowding in high level facilities - There exists difference in access to quality health care services between income groups and across regions*

  • 2. Health service provision

    - Management of health care quality is facing difficulties and challenges. - The risk of abusing medical technologies or drugs in some facilities remains high.- There are many prolems relating to mechanism.2.3. Family, population planning and reproductive health Achievements- Vietnam has achieved the replacement fertility rate and maintained this population growth rate over many years- The health examination and treatment network is strengthened and developedDifficulties and Challenges- Pre-marital health check-up, ante-natal screening and neonatal screening services are not expanded- The service quality remains poor, especially in remote, isolated areas and ethnic minorities- Imbalance in sex ratio at birth gets more serious- The risk of high fertility rate may occurs in some locals. *

  • 3. Human resources in healthAchievements- The number of health human resource has increased over years. Vietnam ranks in the top rows among countries for high health workforce ratio to 10,000 inhabitants- Quality of health workforce has been improved, many medical categories have been formulatedDifficulties and Challenges- There exists imbalance structure and distribution of health workforce.- Qualifications of teachers, methods and teaching facilities are inadequate and poor, and very field practice is applied- Quality control system for training seems inadequate and ineffective- Health workforce management is ineffective. Planning for training and use of health workforce is facing huge difficulties *

  • 4. Health information system AchievementsHealth information work has shown considerable improvements and many legal policies in health information have beenMany channels of information collection are exploredThere are diverse information sourcesDifficulties and ChallengesInformation is not up-to-dateQuality of information is limitedThere is no policy, orientation and health information system development plan available. Information of some areas is not available Many information sources do not have dissemination mechanism, so it is not easy to accessLimited knowledge in data analysis, assessment and forecast*

  • 5. Pharmaceuticals, medical equipment and civil work5.1. Pharmaceuticals, vaccines and bloodAchievements- Ensure sufficient provision of quality drugs - Regulations on drug quality is reviewed and revised to gradually integrate into regional and global standards- Many conventional drugs are used and proved to be very effective.Difficulties and Challenges- Imported drugs are prevalent.- Vietnam had to import 90% of active substances to produce local drugs- The administration and control of drug prices in Vietnam market remains a big challenge- Purchase of drugs for self-medication is very common as regulation for drug sale over prescription is not strictly followed.*

  • 5. Pharmaceuticals, medical equipment and civil work5.2. Medical equipment and technologyAchievementsConsiderable investment in and upgrading of medical equipment has been made in recent years (from such sources as Government budget, ODA, and others)Modern equipment is availableDevelop and issue 135 sector standards and 35 Vietnam standards for medical device. The system of production, business and import-export of medical equipment has been expandedDifficulties and ChallengesHigh risk of abusing investment leads to limited efficiencyStandardized audit, warranty and preventive and corrective maintenance is almost neglected by health facilitiesLack of comprehensive investment*

  • 6. Health financing

    AchievementsTotal spending in state budget for health increases rapidlyThe state budget is used to support health insurance for the poor and for children under 6 years old.The proportion of public share out of total expenditure on health increases obviouslyPeople are given the right to make their own decisionsHealth insurance coverage, especially Health insurance for the poor in community has come into practice.Difficulties and ChallengesThe state budget spending for health care remains insufficient.Imbalance of budget allocation between prevention and cure. There is no effective measures to control health care costsPayment mechanism is still limited The application of co-payment mechanism in health insurance for the poor decreases accessibility to health care services

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  • 7. Health system governance

    AchievementsMany health policies have been timely revised and supplemented. The organizational structure of health delivery system has been completed and stabilizedHealth inspection system has been strengthenedDifficulties and ChallengesMany health policies are delayed for reformPolicy implementation is not appropriateThe development, issuance of technical standards to manage health care quality is not fully implementedOrganization of local health system is not appropriateIn health insurance, lack of a full-time unit responsible for the state management of health insurance at provincial and a lack of professionalism of health insurance implementing agencies. Health inspection, check-up and fail to meet up requirements for state management of health*

  • Health performance based on Health indicators (according to Decision No.35/2001/QD-TTg)

    NoTargets2001 Performance2010 Target(Decision No.35/TTg) 2010 Performance1Life expectancy6871732Reductions in fertility rate (p1000)0,20,23MMR/100.0009570684Under 1 MR 35< 25< 165Under 5 MR 423225/20096LBW

  • NoTargets2001 Performance2010 Target(Decision No.35/TTg) 2010 Performance7Under 5 malnutrition (%) 31,9 95> 95(7 vaccines)9% of commune have physician56,3808010% Communes with midwives or Ob/Ped. Ass. Doctors88,1> 959511% Village have health worker77,4859012Doctor/10,000 pop. 44,57

  • NoTargets2001 Performance2010 Target(Decision No.35/TTg) 2010 Performance13Pharmacist/10,000 pop.0,3811,214No. of Government beds/10,000> 20,520,5In which: Beds not included