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Enhancing Health for All: Implementing SDG3 in Vietnam

This project focuses on the transition from MDGs to SDG3 in Vietnam, addressing challenges like disparities in health indicators, unmet service coverage, and lack of sustainable funding. It aims to achieve universal health coverage and improve overall well-being through targeted interventions and intersectoral collaboration until 2030.

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Enhancing Health for All: Implementing SDG3 in Vietnam

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  1. Department of Planning and Finance, MOH HEALTH-RELATED SDGs AND 5-YEAR NATIONAL HEALTH SECTOR PLAN 2016-2020

  2. TRANSITION FROM MDGs • 3 health goals: • MDG4: Reducing child mortality • MDG5: Improving maternal health • MDG6: CombatingHIV/AIDS, malaria and other diseases • Several health-related targets in other goals: • Reducing malnutrition (MDG1) • Improving sustainable access to safe dringking water and basic sanitation (MDG7)

  3. LOOKING BACK: OVERVIEW OF MDG PROGRESS

  4. LOOKING BACK: OVERVIEW OF MDG PROGRESS

  5. DIFFICULTIES AND CHALLENGES Number of indicators have fallen considerably in the last 3 years for example under 5 mortality rate, mother mortality, assess to HIV/AIDS treatment. The disparity in health indicators among areas, group of people keeps increasing. Mother and child mortality rate in mountainous areas is 3- 4 time higher than that in plains area and go double compared to the national average rate Children malnutrition stays high in the North West and Central Highland Number of MDG programs implemented with foreign financial supports which is rapidly reduced, thus supplement sources is needed There’s little interest from government, the involvement of people, civil organization stay limited. Unmet health service coverage/capacity , commune health care faces up difficulties especially in the remote areas.

  6. MDGs AND POST 2015 MOH submit the proposal of Resolution No 05/NQ-CP to promote health related MDGs to the Government for its enactment. To overcome obstacles, challenges to achieve MDGs in 2015 and maintain its sustainability post 2015 period To develop roadmap in political system: Ministries, Governmental entities, Provincial People’s Committee at the central level take this Resolution’s target implementation into great consideration. Provincial People’s Committees have issued Action plans to implement Resolution No. 05.

  7. SDG3: To ensure healthy lives and promote wellbeing for all at all ages 3.1. Reduce the global maternal mortality ratio 3.2. End preventable deaths of newborns and children under five 3.3. End the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, waterborne diseases and other CDs 3.4. Reduce premature mortality from NCDs and promote mental health and well-being 3.5. Strengthen the prevention and treatment of substance abuse 3.6. Halve the number of global deaths and injuries from road traffic accidents 3.7. Ensure universal access to sexual and reproductive health-care services 3.8. Achieve universal health coverage (UHC) 3.9. Reduce the number of deaths and illnesses from hazardous chemicals and air, water and soil population and contamination 3.a. Strengthen the implementation of the WHO Framework Convention on Tobacco Control 3.b. Support the research, development and access to vaccines and medicines 3.c. Increase health financing and the recruitment, development, training and retention of the health workforce in developing countries, 3.d. Strengthen the capacity for early warning, risk reduction and management of national and global health risks

  8. Health in other SDGs 1.4. The poor and those in vulnarable situation access to basic services 2.2. And all forms of malnutrion 5.2. Eliminate all forms of violence against all women and girls 5.6. Sexual and reproductive health and reproductive right 6.1. Access to safe and affordable drinking water 6.2. Access to sanitation and hygiene 8.8. Safe and secure working environments 11.1. Housing and basic services 11.6. Air quality, waste managements in cities 13.1. Climate-related hazards and natural disaster 16.1. Violence 16.9. Legal identity

  9. SDGs include a broad range of social determinants

  10. FRAMEWORK FOR SDG3 AND ITS TARGETS

  11. ORIENTATION FOR IMPLEMENTATION IN VIETNAM Communication, awareness raising, training on SDGs Identify prioritized targets, indicators for different 5-year period until 2030, send to MPI for submission to PM for approval Integrate SDG targets, indicators into strategies, policies, SEDP of country and health sector Intersectoral action by multiple stakeholders: “Health in All Policies”; “One Health”, … Mobilize all financing resources, emphasizing domestic financing, new sources of funding (Socialization, PPP, private sector,…) Equity: Attention to reducing inequalities between regions, income groups, ... Monitoring and evaluation: New technologies to manage large volumes of data, disaggregation, tracking progress

  12. RESULTS OF REVIEWING SDGs IN VIETNAM • 8/14 targets intergratedintonationalstrategies, policies, plans; howevermainlyuntil 2020, notfor 2025 and2030. • MOH is expected to be assigned 14 targets and 28 indicators, only 12 indicators having available data Ket qua ra soat SDG y te.doc

  13. STRATEGIES, POLICIES INCLUDED SDGs • Decision No. 12 /QD-TTg dated 01/10/2013 approving the National Strategy for the protection, care and promotion of people's health in 2011-2020, with a vision to 2030 • Decision No. 1167/QD-TTg dated 06/28/2017 on adjusting the target of health insurance coverage period 2016-2020 • Decision No. 226 / QD-TTg dated 22/02/2015 of the Prime Minister approved the national strategy on nutrition 2011-2020 and vision to 2030. • Decision No. 2013 / QD-TTg dated 14/11/2011 approving the Strategy for Population and Reproductive Health 2011-2020 • Decision No. 608 / QD-TTg dated 25/05/2012 of the Prime Minister issued the National Strategy on HIV / AIDS to 2020 and vision to 2030

  14. STRATEGIES, POLICIES INCLUDED SDGs • Decision No. 374 / QD-TTg dated 17/03/2014 of the Prime Minister approving the National Strategy for prevention and control of tuberculosis by 2020 and vision to 2030 • Decision No. 1920 / QD-TTg dated 27/10/2011 on approving the National Strategy for prevention and elimination of malaria in Vietnam for the period 2011 to 2020 and orientations to 2030 • Decision No. 376/QD-TTg dated 20/03/2015 approving the National Strategy for prevention and control of cancer, cardiovascular disease, diabetes, chronic obstructive pulmonary disease, asthma and other non-communicable diseases period 2015-2025 • Decision No. 1586 / QD-TTg dated 24/10/2012 approve the national strategy to ensure order road safety to 2020 and vision to 2030

  15. SDGs IMPLEMENTATION AND NATIONAL PLAN No. 139/KH-BYT DATED 01/3/2016 ON PEOPLE’S HEALTH PROTECTION, CARE AND PROMOTION IN THE PERIOD 2016-2020

  16. OVERALL OBJECTIVE To reduce morbidity and mortality rates caused by diseases and epidemics, contribute to improving people’s life expectancy and core health indicators; to enhance capacity and performance of the health system, to create a solid foundation for the development of a health system with equity, efficiency, quality and sustainability, meeting people’s health care needs in the course of industrialization and modernization.

  17. SPECIFIC OBJECTIVES • To implement UHC, ensuring that all people have access to basic and quality health care services (SDG 3.8). to prevent occurrence of major epidemics; to gradually control health hazards related to the environment, food safety, lifestyle and behaviors of people (SDG 3.3, 3.4, 3.5, 3.9, 6.1, 6.2) • To improve the quality and effectiveness of the service delivery network; to ensure collaboration, linkage and integration among levels of care, among curative services, rehabilitation, preventive services PHC; to reduce overcrowding in hospitals at higher levels; to promote the leading roles of intensive and hi-tech health facilities in the transfer of techniques and support to the entire service delivery network; to modernize and develop traditional medicine, and to combine traditional medicine with modern medicine (SDG 3.8) • To maintain a reasonably low fertility rate; to contain the increasing speed of SRB; to reduce congenital defects and diseases for improving well-being of the population; to meet the needs for family planning services of the people; to increase accessibility to quality reproductive health care services (SDG 3.1, 3.2. 3.7, 5.6)

  18. SPECIFIC OBJECTIVES • To ensure balance in the allocation and use of health human resources between regions and levels, between training and utilization of health workers(SDG 3.c) • To rapidly increase proportion of public expenditures on health and on achievement of universal HI coverage, to improve the efficiency of budget allocation and utilization; to develop health infrastructure; to develop health care in poor, mountainous, remote areas and to have preferential treatment in health care for poor people and beneficiaries of social policies. (SDG 3.8) • To ensure sufficient supply of quality medicines, vaccines, bio-medical products, blood, blood products and medical equipment at reasonable prices, meeting people’s needs for disease prevention and treatment; to manage and use drugs and equipment in an appropriate, safe and effective manner. (SDG 3.b) • To improve the capacity of managing and implementing health policies, to promote administrative reform to meet the needs for innovating and developing the health sector in the new period; to consolidate and perfect the organizational structure of the health sector at all levels, to re-structure health facilities towards narrowing the focal points for more effective performance and investment. (SDG 3.8)

  19. MAIN INDICATORS • 59 targets, including: • National Assembly, Prime Minister assign 02 indicators: (1) Number of patient beds/10,000 inhabitants.; (2) Percentage of health insurance coverage • 16 indicators into 5-year and annual national socio-economic development plan (SEDP) • To add more indicators to general overview on health care system, NCD management, UHC, SDGs, targeted program

  20. 16 CORE INDICATORS

  21. 16 CORE INDICATORS

  22. REMAINING INDICATORS

  23. REMAINING INDICATORS

  24. REMAINING INDICATORS

  25. National Assembly conducts annual supervision of the implementation of targets assigned by the NA to the health sector MoH is responsible for evaluating the implementation of the plan and the annual assigned targets, which will serve as a foundation for making health plans in the following years. DoH are responsible for monitoring and supervising the implementation of the plan and health indicators at provincial level. Data collection and publication of achievement of targets are conducted in compliance with regulations of the Prime Minister on national statistical indicators. Indicators under responsibility of the MoH need to be collected and aggregated from the routine HIS of the health sector, combined with other reliable data sources. MONIRORING, EVALUATION, SUPERVISION

  26. THANK YOU FOR YOUR ATTENTION!

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