Joint Annual Health Review

JAHR 2010: Vietnam's health system on the threshold of 5-year plan

The JAHR 2010 is the first JAHR that covers all six major components of Vietnam’s health system, assessing the situation and recommending solutions for priority issues for all six components (with health service delivery being the focal point where inputs from human resources for health, health financing, health information systems, medical products and technologies, and health system governance meet).

 
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 Overview

The JAHR 2010 is the first JAHR that covers all six major components of Vietnam’s health system, assessing the situation and recommending solutions for priority issues for all six components (with health service delivery being the focal point where inputs from human resources for health, health financing, health information systems, medical products and technologies, and health system governance meet).

Based on the theoretical framework of the health system developed by the World Health Organization, Vietnam’s health system framework can be illustrated as in Figure 1 below.
The input resource components of the health system have the following basic criteria.
Human resources for health must be adequate in number and structure, appropriately distributed, have an assured level of professional qualifications to meet their assigned responsibilities, and work with a high level of accountability and responsiveness.
Health financing mechanism must mobilize sufficient resources to invest in health with an appropriate balance between public and private spending, ensure that the population can access health care and use necessary health services, and that they are protected from financial risk or impoverishment related to health expenditures; at the same time it must encourage efficient use of available resources in the health sector.
Health information systems must collect, analyze and disseminate reliable information in a timely manner to assist in planning and management of the health system.
Pharmaceuticals, vaccines and other biologics, medical equipment, technology and infrastructure are input factors that must not be lacking for proper operation of a health system. These factors must meet required standards of quality so that health services can meet the goals of quality, safety and effectiveness.
Governance and stewardship must ensure that all the necessary policy and strategic frameworks are in place, and that they are combined with monitoring of effectiveness, development of linkages, legal documents, and address any concerns about design of the system and accountability.
All five input resource components above are aimed at ensuring that health service delivery can be the best for each member of the population, including examination and treatment, rehabilitation, preventive medicine and health promotion organized in a network with appropriate functions for each level of the system (See Figure 14 below). Health services also need to meet basic criteria including population coverage, access (financially and geographically), plus services must be of good quality , equitable and provided efficiently.
Outcomes and final objectives of the health system are to improve the people’s health, while contributing to social equity and socio-economic development of the nation.
Vietnam’s health system framework is used throughout this report. On the basis of this framework, the JAHR 2010 report is structured according to the following 11 chapters and three appendices:
Chapter 1: Health status and determinants.
Chapter 2: Preventive medicine and primary health care.
Chapter 3: Medical examination and treatment.
Chapter 4: Population, family planning and reproductive health services.
Chapter 5: Human resources for health.
Chapter 6: Health information systems.
Chapter 7: Drugs, vaccines, blood and other biologics.
Chapter 8: Medical equipment and technology.
Chapter 9: Health financing.
Chapter 10: Health system governance.
Chapter 11: Conclusions and recommendations.
The nine Chapters 2 through 10 cover the six major components of the health system, with health service delivery being covered in the three Chapters 2 through 4 (preventive medicine, examination and treatment, and family planning and reproductive health), and the component on medical products and technologies being covered in the two Chapters 7 & 8 (drugs, vaccines, and blood products and medical equipment). All chapters have a similar structure including: i) Concepts; ii) Situation analysis; iii) Priority issues; iv) Recommendations.
The final Chapter 11 on Conclusions and Recommendations was synthesized from the main findings and assessments regarding each component of Vietnam’s health system and a summary of recommended solutions for priority problems of 2011 and for the 5-year plan (2011-2015).
Appendix 1:  Review of achievements related to recommendations from previous JAHRs.
Appendix 2:  Summary of priority problems and solutions.
Appendix 3:  JAHR monitoring indicators.

 

Editorial board

 

Nguyen Quoc Trieu, PhD – Chief Editor

Assoc. Prof. Nguyen Thi Kim Tien, PhD

Assoc. Prof. Pham Le Tuan, PhD

Nguyen Hoang Long, PhD

Assoc. Prof. Pham Trong Thanh, PhD

Sarah Bales, MS

Duong Duc Thien, MS

 

 

National consultants

 

Nguyen Dang Vung, PhD

Assoc. Prof. Bui Thanh Tam, PhD

Assoc. Prof. Phan Van Tuong, PhD

Nguyen Quoc Anh, PhD

Nguyen Dinh Loan, MD

Phuong Thi Thu Huong, MS

Assoc. Prof. Bui Thi Thu Ha, PhD

Nguyen Thi Tinh, PhD

Hoang Thanh Huong, MS

Assoc. Prof. Nguyen Thi Kim Chuc, PhD

Doan Nhat Anh, Engineer

Nguyen Khanh Phuong, MS

Tran Van Tien, PhD

Do Quang Tuyen