40354-014: Health Human Resource Sector Development Program–Phase 2 (HHRSDP-2) | Asian Development Bank

Viet Nam: Health Human Resource Sector Development Program–Phase 2 (HHRSDP-2)

Sovereign (Public) Project | 40354-014 Status: Active

The proposed Health Human Resources Sector Development Program Phase 2 (HHRSDP-2) will assist the Government of Viet Nam achieve universal health coverage (UHC) and progress toward meeting health-related sustainable development goals (SDGs) through a combination of policy and investment support to ensure the steady supply of competent and qualified health workforce. It builds on the achievements of Health Human Resources Sector Development Program (HHRSDP). The design and monitoring framework is in Appendix 1.

Project Details

Project Officer
Mangahas, Joel V. Southeast Asia Department Request for information
Country
  • Viet Nam
Modality
  • Technical Assistance
Sector
  • Public sector management
 
Project Name Health Human Resource Sector Development Program–Phase 2 (HHRSDP-2)
Project Number 40354-014
Country Viet Nam
Project Status Active
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 9046-VIE: Health Human Resources Sector Development Program Phase 2 (HHRSDP-2)
Technical Assistance Special Fund US$ 800,000.00
Strategic Agendas Inclusive economic growth
Drivers of Change Gender Equity and Mainstreaming
Governance and capacity development
Knowledge solutions
Partnerships
Sector / Subsector

Public sector management / Social protection initiatives

Gender Equity and Mainstreaming Gender equity
Description The proposed Health Human Resources Sector Development Program Phase 2 (HHRSDP-2) will assist the Government of Viet Nam achieve universal health coverage (UHC) and progress toward meeting health-related sustainable development goals (SDGs) through a combination of policy and investment support to ensure the steady supply of competent and qualified health workforce. It builds on the achievements of Health Human Resources Sector Development Program (HHRSDP). The design and monitoring framework is in Appendix 1.
Project Rationale and Linkage to Country/Regional Strategy

Health care needs to be more responsive. The overall health status of the Vietnamese people has improved significantly. The country is likely to meet the health-related Millennium Development Goals by end of 2015. However, the lack of access to quality and affordable health care services continues to be a key challenge especially among the poor. Viet Nam is coping with the increased demand for health services associated with the aging population, growing burden of non-communicable diseases, higher insurance coverage, and rising incomes. Viet Nam's total health expenditure decreased from 6.4% of the gross domestic product in 2010 to 6% in 2013. The out-of-pocket spending on health was 50% in 2013, which was higher than those of neighboring countries. The national health insurance covered 71.6% of the population in 2015. Appendix 2 presents the problem tree.

Overcrowding of hospitals. Tertiary level and specialist hospitals across the country are overcrowded due to deficiencies in primary care and preventive medicine. Health care at the lower levels are commonly by-passed due to insufficient capacity of health units and poor quality of services. In 2013, only 40% of commune health stations (CHS) met national standards. Financing of preventive health services remains limited, with revenues insufficient to cover costs.

Shortage of health workforce. There is lack of medical specialists, nurses, pharmacists, rehabilitation workers, preventive medicine or public health workers, and specialist managers (particularly for hospitals), at provincial, district, and commune levels. Out of the 424,237 health personnel in 2013, there were 104,948 (25%) and 70,367 (17%) assigned at the district and commune levels, respectively. About a quarter of the CHS do not have physicians. To achieve the 2015 staffing benchmarks of 8 doctors per 10,000 people and 3.5 nurses per doctor by 2020, the country needs to double its current output of graduates.

Limited quality of skilled health workforce. Many health personnel, particularly at the lower levels, do not have appropriate professional education and training. Out of the 100,526 health workers at the district level, about 58,305 (58%) are secondary school graduates and about 42,221 (32%) have college or university and post-graduate degrees. A survey of commune level health staff in 2012 found that only 17.3% of doctors had appropriate first aid skills, 17% could identify risk factors during pregnancy, 50.5% of health workers knew could diagnosis hypertension, and 15.6% understood the appropriate response to an epidemic.

The performance of medical universities and schools is constrained by old and under-resourced facilities, inadequate practice facilities and training equipment, lack of qualified instructors, and outdated curricula and teaching methods. The curricula place insufficient emphasis on practice, soft skills, public health, and clinical skills development. There is a need to develop quality standards for teaching and enhance quality assurance and accreditation system of training institutions.

Slow pace of health governance reform. Management capacities and operating systems at different levels of health care need to be enhanced. Only 30% of hospital administrators were trained in management although they have been working as managers for many years; 95% of hospital administrators indicated that they lack management skills. Procurement and financial management systems are weak. Evidence-based policy making and capacities to implement policies remain limited. Monitoring and evaluation of the health system are constrained by inadequate resources and standardized methodologies, which weaken the ability to measure performance and identify responsibilities and accountabilities.

Impact
Project Outcome
Description of Outcome
Progress Toward Outcome
Implementation Progress
Description of Project Outputs
Status of Implementation Progress (Outputs, Activities, and Issues)
Geographical Location Nation-wide
Summary of Environmental and Social Aspects
Environmental Aspects
Involuntary Resettlement
Indigenous Peoples
Stakeholder Communication, Participation, and Consultation
During Project Design
During Project Implementation
Responsible ADB Officer Mangahas, Joel V.
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Asian Development Bank
6 ADB Avenue,
Mandaluyong City 1550, Philippines
Timetable
Concept Clearance -
Fact Finding -
MRM -
Approval 15 Dec 2015
Last Review Mission -
PDS Creation Date 15 Apr 2010
Last PDS Update 29 Sep 2017

TA 9046-VIE

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
15 Dec 2015 16 Oct 2017 16 Oct 2017 30 Jun 2017 31 Dec 2018 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
800,000.00 0.00 0.00 0.00 0.00 0.00 800,000.00 15 Dec 2015 0.00

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Evaluation Documents See also: Independent Evaluation

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Related Publications

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Tenders

Tender Title Type Status Posting Date Deadline
Pre-Feasibility Study and Basic Design Consulting Firm Firm - Consulting Active 20 Sep 2017 09 Oct 2017

Contracts Awarded

No contracts awarded for this project were found

Procurement Plan

None currently available.