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HRD IN RESPOND TO AIDS, TB, MALARIA AND MDGs IN VIETNAM. VIETNAM: GENERAL INFORMATION,2005. Area: 332 000 km2 Pop: 82 millions GDP: 560 US$ LEB: 71.3 yrs Total fertility rate: 2.3 IMR: 18/1000 lbs MMR: 85/100,000 lbs. GENERAL INFORMATION ( cont.).
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VIETNAM: GENERAL INFORMATION,2005 Area: 332 000 km2 Pop: 82 millions GDP: 560 US$ LEB: 71.3 yrs Total fertility rate: 2.3 IMR: 18/1000 lbs MMR: 85/100,000 lbs
GENERAL INFORMATION ( cont.) To achieve Millennium Development Goals, HIV/AIDS, Tuberculosis and Malaria are priorities health problem
HIV/AIDS PREVELENCE Resource: Vietnam Health Statistics, 2005
TB PREVELENCE - Morbidity rate: 192/100,000 - Mortality rate: 26/100.000 Resource: Vietnam Health Statistics, 2005
MALARIA MORBILITY RATE PER 100.000 POPULATIONS Resource: Vietnam Health Statistics, 2005
MALARIA MORTALITY RATE Resource: Vietnam Health Statistics, 2005
SYSTEM OF HIV, TB AND MALARIA -NIHE/ Communicable disease hospital - TB Hospital - Malaria Institute MINISTRY OF HEALTH -Provincial HIV Control Center/ GPH - Provincial TB Control Center/PTBH - Provincial Malaria Control center/GPH PROVINCIAL HEALTH OFFICE DISTRICT HEALTH OFFICE • District Preventive Center • District Hospital Commune Health Center : Direct management : Provide technical
HRH from 2001-2005 Resource: Vietnam Health Statistics, 2005
DOCTOR 5.6 doctors/10,000 pop. It is lower than Asian countries
PHARMACIST Vietnam needs more than 2.000 pharm.in order to achieve 1 pharm./10,0000 pop.) 0.76 Pharm./10.000 pop. It is the lowest in comparison with Asian countries
HUMAN RESOURCE FOR HIV/AIDS • Central level:- HIV/AIDS Control and Prevention Department, MOH (2005) with 40 staffs;4 institutions with 550 staffs • Provincial level: Provincial HIV/AIDS Control • Centers (43/64 provinces): 435 specialized; 752 not specialized) • District level: 1,646 (388 specialized; 1,258 not specialized) • Commune level: 11,284 • HR in local level is less specialized and qualified
HUMAN RESOURCE FOR TB • At central TB hospital: 3 TB hospitals with 750 staffs • At provincial TB hospital: 29 hospital with 3234 staffs • Shortage of health workers. • At local level: not specialized • Difficulty of recruit
HRH IN MALARIA • At Central level: 430 persons( 3 Malaria and Parasitic Institute) • At provincial level: 1,130 in Provincial Malaria Control Center (26 provinces)/ Malaria division in Provincial Preventive Center (38 provinces) • District level: 4 persons/ district preventive center • Commune: 1 person/ commune health center
CHALLENGES • The Health system has been reorganized: Set up HIV/AIDS Preventive and Control Center in the all provinces (64 provinces) • Increasing number of HIV/AIDS, and TB • Shortage of health workers • Increasing workload • Health workers at local level not specialized, qualified • Mal- distribution/ Inner Brain drain/ from rural to urban • Training models do not match the changing of pattern of diseases • Poor management and supervision HR • Investment for health is still limited.
ACTIONS • Reorganization health care system • Increasing capacity of health training institutions • Innovation of education and training program • Upgrading technical capabilities for local health facilities; providing the continuous training for health workers • Policy on HRD in remote areas: training for local people for specific locality according to their needs and requirement • Incentives for health workers to serve in rural areas • HR information system • Investment more for health
MALARIA PREVALENCE Resource: Vietnam Health Statistics, 2005