policy orientation towards universal health coverage in vietnam

8/10/2019 Policy Orientation towards Universal Health Coverage in Vietnam

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Policy Orientation towards

Universal Health Coverage in Vietnam

Hoang Thi Phuong, PhDMOH Delegate

Study visit to ADB in Philippines

December 9, 2014

Disclaimer: The views expressed in this presentation are the views of the author and do not necessarily

reflect the views or policies of the Asian Development Bank (ADB), or its Board of Governors, or the

governments they represent. ADB does not guarantee the accuracy of the data included in this paper

and accepts no responsibility for any consequence of their use. Terminology used may not necessarily

be consistent with ADB official terms.


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Content

1 Country context

2 Population coverage

3 Benefit coverage

4

Financial protection

5 Policy orientations towards UHC


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Country Context

Key Indicators Figure

Year

(latestavailable)

Source

Population 88.8 2012GSO, Census &

PCFPS

Life Expectancy at Birth 73 2012GSO, Census &

PCFPS

GDP per capita (International $, PPP-

adjusted)3,635 2012 WB

Total Health Exp. (THE) per capita ($US) 103 2012 WB

Total Health Exp. (THE) (% GDP) 6.6 2012 WB

Government health spending as % of THE 25.3 2010 NHA

Out-of-pocket payments as % of THE 48.8 2012 NHA

# Physicians per 10,000 population 7.46 2012 MoH-HSYB

Hospital beds per 10,000 population 11 2012 MoH-HSYB 3


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Health Financing Transition in Vietnam

Before 1990s: Taxed based health financing.

Since 1992: introduction of user charge and social

health insurance; Health Insurance Law 2008.

Mixed health financing mechanism: tax basedfinancing for preventive care, public health

programs and target health programs.

Social health insurance, government budget andhousehold OOP for curative care.

4


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Share of sources of total health

expenditure in 2012

8.6

48.815.8

2.5

22.8

1.5

Other private Exp. OOP

Health Insurance Central Gov. budget

Local Gov. budget ODA


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Trend of health expenditure, 1999-2012

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

ODA Central Gov. Exp. Local Gov. Exp. HI Exp. OOP Other Exp.


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Content

1 Country context

2 Population coverage

3 Benefit coverage

4

Financial protection

5 Priority Issues


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Expanding HI Coverage

1992 1998 2005 2009 2010 2012 2014

Civil Servants ;

All GOE workers;

Workers in medium and largeprivate enterprises;

Pensioners

Social ProtectionGroups

All salaried workers in private

sector

The Poor, ethnic minorities

The near poor

Children under 6

Schoolchildren,

students

Non poor rural

The rest

population

Sources: Dr Tran Van Tien - HSPI


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23.428.4

44.4 43.5 47.858.3

62 63 6568

0

1020

30

40

50

60

70

80

90

100

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Cov

erageas%o

fpop

ulation

Population Coverage

Preventive care: Universal coverage

Curative care:

Universal coverage for the poor andother vulnerable groups

Sources: Vietnam Social Security (2013)


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Enrollment rates as a share of the

population

25% 26%

51%

80% 81%

95% 98% 100% 100%

0%

20%

40%

60%

80%

100%

Near-poor

Othervoluntary

Formalsector

Stud

ents

Childre

n

policy orientation towards universal health coverage in vietnam

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