Download Health Financing and Delivery in Vietnam: Looking Forward by World Bank PDF

By World Bank

Vietnam’s successes within the future health zone are impressive. among 2000 and 2005, Vietnam completed mark downs in mortality premiums for every age, whereas a few of its associates observed little switch or perhaps raises. thus far, its child and under-five mortality charges are reminiscent of these of nations with considerably larger in keeping with capita earning. based on the information assembled in 'Health Financing and supply in Vietnam', the rustic keeps to accomplish strongly within the quarter, yet its overall healthiness care approach is dealing with new demanding situations, as do these of different international locations. by means of foreign criteria, for instance, a wide percent of Vietnamese families make out-of-pocket well-being care funds that exceed an inexpensive fraction in their source of revenue. the rustic has been increasing the breadth of medical insurance insurance, yet questions stay on tips to additional extend assurance, tips to lessen future health care expenses, and the way to extend the general caliber of care. 'Health Financing and supply in Vietnam' studies the country’s successes and the demanding situations it faces, and indicates a few techniques for additional reforming the country’s overall healthiness process. those comprise the problem of stewardship—what diversified components of presidency (for instance, the well-being Ministry and the well-being insurer) might be doing at each one point of presidency, and what diversified degrees of presidency (for instance, the vital executive and the provincial executive) should be doing. 'Health Financing and supply in Vietnam' should be of curiosity to readers operating within the parts of public overall healthiness and social research and coverage.

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Additional info for Health Financing and Delivery in Vietnam: Looking Forward (Health, Nutrition, and Population)

Sample text

Health Inequalities While Vietnam seems to have done reasonably well in terms of average levels of health (at least according to some indicators), it seems to have done less well in terms of addressing health inequalities between the poor and better-off. 5 shows how infant mortality has fallen faster in Vietnam’s richer southern regions, and least quickly in its poorer northern regions.

Chapter 5 discusses provider payments in some detail, and chapter 6 discusses possible reforms. What of the organization of providers? In the public sector, Vietnam still operates the tiered pyramid model that it developed in the north prior to unification: CHCs sit at the bottom; above them sit intercommune polyclinics; above them district hospitals; then provincial hospitals; and at the very top sit central hospitals and specialty institutes. On average, a CHC serves just 7,000 people— comparable to the figure in Thailand (Government of VietnamDonor Working Group on Public Expenditure Review 2000).

Cfm. Recent Trends in Vietnam’s Health Sector Performance burden of disease in Vietnam. And of course each has a devastating potential to cause large numbers of deaths. Finally, with incidence having leaped and still rising, the most potent threat to health and length of life for most Vietnamese comes from cancer, cardiovascular disease (CVD), diabetes, and mental illness, along with accidents, injuries, and poisoning. These “noncommunicable” diseases and conditions (NCDs) already account for nearly 60 percent of all deaths, with this proportion likely to rise in the short to medium term.

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