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Vietnam Investment and Finance for TB. A presentation by Mr. Ho Minh Chien Director, Department of Labour and Socio-Cultural Affairs Ministry of Planning and Investment - Vietnam. Achievements 1997-2002. 1995 TB a national priority 1996 National TB Development Plan
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Vietnam Investment and Finance for TB A presentation by Mr. Ho Minh Chien Director, Department of Labour and Socio-Cultural Affairs Ministry of Planning and Investment - Vietnam
Achievements 1997-2002 1995 TB a national priority 1996 National TB Development Plan 1999 100% DOTS coverage achieved 1997-2002 532,703 TB cases detected Target 70%: Achieved 82% 1997-2001 260,698 positive cases treated Target 85%: Achieved 92%
Reasons for Success • High political commitment • Extensive basic health care network • Effective resource mobilisation • Strong partnership with: Medical Committee Netherlands Vietnam KNCV TB foundation, Government of The Netherlands, WB, WHO, CDC and GFATM
Continuity of financing and drug supply • Spend US$ 15 million • Cost per case diagnosed: 28 US$ • Cost per case cured: 30 US$ • WB 51%: Mainly drugs • Netherlands and NGO’s: 26%: Program coordination and TA • Government: 23%: Staff and facilities
Challenges • Urgent need to mobilize resources for 2006 -2010 plan period, as WB support ends March 2005 Dutch support ends December 2005, while • HIV epidemic halts decline of TB and • Health sector development policies may change focus
Sustainable financing • Needed 2006 -2010: US$ 30 million • 6% average annual growth GDP last decade • Current per capita spending for TB 0.3 US$ or 0.85% of overall government per capita expenditure on health • Consider increase of government investment in TB control and coverage by health insurance
Considerations • Continuation of support needed in view of: • Increasing number of cases (HIV) • Implementation of DOTS plus • Further development of diagnostic facilities • Consolidation of the DOTS program • Maintenance of reserves stocks of drugs