OVERVIEW OF MAJOR DIRECTIONS IN THE HEALTH SECTOR

1. OVERVIEW OF MAJOR DIRECTIONS IN THE HEALTH SECTOR Trần Thị Mai Oanh Viện Chiến lược và Chính sách Y tế

2. Related documents for reviewing • The 11th Party document on directions and tasks of the health sector • The national strategy for socio-economic development, 2011- 2020 • Draft national strategy for the care and protection of people's health in the 2011-2020 period and the five-year health sector plan, 2011-2015 • Orientational references from WHO

3. The 11th Party document on directions and tasks of the health sector • The goal for the next 5 years is “... comprehensively promote reform process; ... laying down foundation so that by 2020 Vietnam will basically become an industrialized country toward modernization.”  The 11th Party indicate following tasks: - Improving quality, effectiveness, stable development, mobilizing and use resources effectively - Generating obvious advance in the progression toward societal equity, assuring social security, reducing poverty rate; and improving people's health care conditions.

4. The 11th Party document on directions and tasks of the health sector • Mentioned orientation implies that the health sector should continue: + “Comprehensive reform”, making contributions to realizing society equity, assuring social security and improving living standard; + Creating a muli-faceted basis for new development of the health care system when Vietnam becomes an industrialized country toward modernization. + Improving quality (quality of human resources, quality of services), improving effectiveness of performance, mobilizing and using resources effectively.

5. The 11th Party document on directions and tasks of the health sector • Health care cause development is one of elements that secure effective performance of social equity and progression in each step and policy for development. - Taks assigned to the health sector: +Improving quality of health care for people and activities related population’s health, family planning, maternal and child health care. + Continuing revision and improve health insurance system to assure social security

6. The 11th Party document on directions and tasks of the health sector • Mentioned orientation implies that the health sector should continue: - Social equity in health care should be realized even in the context of resource constraint. - Social equity should be reflected in specific sector policies and regimes in both financing, health service delivery, health human resource… and in policies of other sectors as well to enhance equity in health.

7. The National Strategy for Socio-Economic Development, 2011- 2020 • It is approved at the 11th Party Congress confirms: “Development of health care cause, improvement of quality of health care services for the people”. • Mentioned specific tasks in people's health care reflect consistent viewpoint on the health care system toward equity, efficiency and development • Emphasizes the demand for “improving quality of care for the people” • Also determines that health care and pharmaceutical industry are advantageous services with high concentration of knowledge and high-technology, and potential contributions to GDP, and should be focused for investment.

8. Draft National Strategy for protection ofpeople's health in the 2011-2020 period and the five-year health sector plan, 2011-2015 Goal is to: • Continue establishing the Vietnamese health care system toward equity, efficiency and development; • Improving quality of care, better responding to the growing and diverse need for health care, protection and improvement of the people; • Reducing morbidity and mortality, increasing life expectancy, improving quality of population that contributes to improving human resource in response to the demand for industrialization, modernization, national construction and defense, making positive contributions to the national socio-economic development.

9. Orientational references from WHOSix-building Blocks Framework of WHO • Applying the six-building blocks framework in its five-year health sector plan, monitoring the performance

10. Orientational references from WHOReform in the conception and approach to PHC • Four reform aspects to primary health care(WHR 2008) - Reform in universal coverageaims to improve equity in health: health system reform toward universal coverage is reflected through secured availability of health care services, removing barriers to access to heath care services and securing social safety. • Reform in health service delivery toward people-centred care: Re-organization of the primary health care network (a) closer to the people; (b) satisfy health care needs of each segment of population. • Reform in public policiestoward inter-sectoral public policies that benefit people health. • Reform in leadership:do their own business with comprehensive and democratic leadership (community-based) with negotiation with stakeholders.

11. Orientational references from WHOUniversal Coverage • World Health Report 2010 refers to "universal coverage", in which they recommend: - Improve effectiveness in financing mobilization: give priorities of state budget to health care - Eradicate financial risk, reducing dependency on OOP payment; encourage pre-paid services (compulsory health insurance); expand coverage of health care services - Effective use of resources and reduce waste, improve effectiveness in hospital operation;...

12. Thank you for your attentions!