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Update on PRSC 8 and 9 negotiation and health triggers

Update on PRSC 8 and 9 negotiation and health triggers. Dao Lan Huong The World Bank Health Partnership Group Meeting 26/5/2009. PRSC 8 negotiation. PRSC 8 (initiate negotiation was in May 22-27, 2008): 4 pillars Business development: 3 triggers, 15 benchmarks

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Update on PRSC 8 and 9 negotiation and health triggers

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  1. Update on PRSC 8 and 9 negotiation and health triggers Dao Lan Huong The World Bank Health Partnership Group Meeting 26/5/2009

  2. PRSC 8 negotiation • PRSC 8 (initiate negotiation was in May 22-27, 2008): 4 pillars • Business development: 3 triggers, 15 benchmarks • Social inclusion: 3 triggers (Education, Health, Social Protection), 6 benchmarks • Natural resources: 2 triggers, 11 benchmarks • Modern governance: 3 triggers, 14 benchmarks

  3. PRSC 8 negotiation (cont) • Total achieved: • Triggers: 8/11 (missed 01 Health and 01 Land & forest) • Benchmarks: 23/46

  4. Health triggers Adopt standards for certification of health care practitioners and classification of private hospital -> MISSED FOLLOW UP UNDER PRSC 9

  5. Health benchmark Strengthen regulation against pollutions through increased penalties for non-compliance. -> REPLACED BY: Strengthen regulation on safe treatment of water and air discharge by hospital and penalties for non-compliance. • MOH: Decision 43; Directive 7164 • MONRE: Revision of Decree 81 • MOC: Issuance of the TCVN on hospital waste management

  6. PRSC 9 • Negotiation is on May 19, 2009 • 4 pillars • 12 triggers, one for each sector

  7. PRSC 9: Health trigger • Before negotiation: Adopt national standards and establish an independent national accrediting system for certification of health care practitioners • After negotiation: Adopt national standards and establish a unified licensing system for health care practitioners.

  8. Justification • MOH is preparing a circular on national standards. • MOH expects the national standards to be adopted by January 2010. The most suitable licensing model is still being debated. It is expected that the licensing will not only cover doctors who are managers in private hospitals (as currently), but also be extended to all health care practitioners, both public and private. • MOH will establish a unified licensing system for central to provincial levels by January 2010, with the mandate of certifying health practitioners. • The LET is expected to be adopted by the National Assembly by end 2009. The standards and licensing system are expected to be consistent with the new law, and revised regulations will be prepared by May 2010 if needed. • Address the system for patients’ complaints.

  9. Recommendation • The trigger formulation and discussion process should be done more thoroughly between MOH and development partners. • A responsible person in related department should be appointed to be a focal point to follow up and update the PRSC process.

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