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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