|Status of Implementation Progress (Outputs, Activities, and Issues)
Output 1 - Better planning and management of human resources: This output, accounting for 22.4% of the total budget, supports the strengthening of human resources policy, planning, and implementation through the joint committee on health human resources (HHR). It has provided technical inputs to guide the legal and administrative arrangements for establishing and monitoring the registration and licensing of health professionals as mandated by the Law on Examination and Treatment (LET). The LET covers the (i) rights and responsibilities of patients, medical practitioners, and health care institutions; (ii) classification, accreditation, and licensing of health professionals and health care facilities; (iii) operational procedures in health services; and (iv) recording and remedying of medical malpractice. Based on the LET and report on HHR reform, 5 policy issuances were made from 2011 to 2014 to strengthen the legal framework for registration and licensing. Sub-output 1B supports the ongoing study on LET implementation and private health system, as well as the expansion of IT system for registration and capacity building for the National Advisory Council involved in providing guidance on registration and licensing. It also supports the ongoing revision of Circular 41/2011/TT-BYT dated 14 November 2011 to provide guidelines on practice certification for the medical practitioners and operation license of medical facilities. 11 of 25 budgeted activities (44%) have been completed while 14 will be completed by project completion date on December 2016. These are activities relating to the enhancement of the national registration and licensing system and associated training activities.
Output 2 - Higher quality of human resources training: This component accounts for the biggest share of total budget (69.4%). It enhances the capacities of educational institutions for pre-service training and continuing education of the health workforce, including the application of modern teaching and learning methods and transformation of educational institutions into teaching and learning hubs for other institutions. Specifically, this output supports the upgrading of teaching laboratories and equipment in 17 medical colleges, training of about 600 teachers in modern teaching methods, provision of pre-service and in-service training for ethnic minority groups, and conduct of learning exchange programs. It also includes laboratory renovation and upgrading of basic sciences equipment, as well as establishment of e-learning network and national virtual library in the medical sciences. 34 of 48 budgeted activities (71%) have been completed and the remaining 14 activities relating to completion of scholarships and eLearning activities are expected to be completed up to December 2016.
Output 3- Improved management systems in health service delivery: This output, accounting for 8.2% of the total budget, aims to organize and standardize clinical processes and link them to provider payment mechanism in line with the following policy commitments: (i) development, benchmarking and costing of 20 care pathways in at least 6 hospitals, including at least 3 pathways directly related to medical care for women or primary level, and (ii) formulation of guidelines on provider payment per case associated with care pathways. This output has supported capacity building on care pathway development, clinical coding and hospital costing, monitoring and evaluation, and development of case mix database for MOH team. 17 of 25 budgeted activities (68%) have been completed while the remaining 8 activities relating to continued costing studies and simulation of the case-based payment model to all participating hospitals are expected to be completed by December 2016.