fbpx 50139-002: Strengthening the Policy and Institutional Framework of Social Health Insurance | Asian Development Bank

Viet Nam: Strengthening the Policy and Institutional Framework of Social Health Insurance

Sovereign (Public) Project | 50139-002 Status: Active

Project Details

Project Officer
Tanaka, Sakiko Southeast Asia Department Request for information
Country
  • Viet Nam
Modality
  • Technical Assistance
Sector
  • Health
 
Project Name Strengthening the Policy and Institutional Framework of Social Health Insurance
Project Number 50139-002
Country Viet Nam
Project Status Active
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 9221-VIE: Strengthening the Policy and Institutional Framework of Social Health Insurance
Japan Fund for Poverty Reduction US$ 1.80 million
Strategic Agendas Inclusive economic growth
Drivers of Change Gender Equity and Mainstreaming
Governance and capacity development
Knowledge solutions
Partnerships
Sector / Subsector

Health / Health sector development and reform

Gender Equity and Mainstreaming Effective gender mainstreaming
Description
Project Rationale and Linkage to Country/Regional Strategy
Impact Universal SHI coverage achieved
Project Outcome
Description of Outcome Capacity of MOH and stakeholders enhanced to support the development and implementation of a responsive SHI program, especially for poor and vulnerable people
Progress Toward Outcome

Performance indicator (a) is being tracked, used and updated using existing monitoring frameworks including Health care financing strategy and MoH Master Plan for people's health protection, care and promotion. etc.,

" Health insurance population coverage

5/2019

89%

(100% the poor coverage) (Source: VSS)

" Out of pocket health expenditure share

2014 2020 2025

39.5% <40% <35%

(Source: 2014: VLSS, GSO; 2020: Decision 538/Q -TTg dated 29 March 2013; 2025: Resolution No. 20/NQ-TW dated 25 October 2017)

b. All policy papers were finalized. Findings and recommendations are being served as inputs in revision of the SHI Law as well as the development of Circulars for the implementation of the SHI Law

Implementation Progress
Description of Project Outputs

Priority legislative and regulatory measures identified and endorsed to appropriate authorities for decision

LTHC model for the elderly designed and pilot tested

Staff capacity and SHI knowledge of stakeholders improved

Status of Implementation Progress (Outputs, Activities, and Issues)

Output 1 - Priority legislative and regulatory measures identified and endorsed to appropriate authorities for decision:

1a. All 6 SHI policy papers approved by DHI and ADB. Papers inform the

following: 1) Decree on SHI premium and subsidy; 2) Circular on national list

of medical services, and the conditions and rates for reimbursements under the

SHI fund; 3) Circular on national list of traditional medicines, and the

conditions and rates for reimbursements under the SHI fund; 4) Decision on collaboration between the MOH and VSS; 5) Circular/Decision on

Health Technologies Assessment (HTA) in SHI; 6) Circular guiding SHI

implementation. It is expected that all 6 policy papers will be submitted to MOH

by Q1 of 2020.

1b. Legislative proposal on SHI premium will be submitted by MOH after the revised SHI law is submitted to National Assembly.

1c. The report was finalized in June 2019 and was submitted to Minister by

DHI

Output 2 - LTHC model:

2a. LTHC model pilot was tested in 2 provinces (Ha Noi and Ha Tinh) from

January 2019 to July 2019. Under the model, care was provided at home

either by family members or village health workers and CHS staff to 136

OPs in 4 communes till end of July 2019; Information on care provided to

OPs has been collected twice a month till end of July 2019. Trainings on provision of care to OPs organized for family care givers and health staff.

Monitoring on care provision jointly conducted by health staff, expert from

National Geriatric Hospital and expert of T&C

2b. The final report was finalized in November 2019. The report presents

evidence on: 1) acceptability; 2)adequacy; 3) adaptation; and 4)expansion on the Model. Dissemination of pilot results took place in December 2019. The report is planned to be submitted to the Minister of Health by DHI by end of 2019.

Output 3- Staff capacity and SHI knowledge of stakeholder improved:

3a. The report on SHI training needs assessment was submitted and

approved in March 2019

3b. The learning and development framework including gender elements

was approved by DHI and ADB in April 2019

3c. From May-September 2019, 10 training workshops were successfully

conducted, with 39 participants from central agencies (18 of them from

MOH, other from VSS/PSS, other Government agencies) and 612 LGU

participants working in the health and social insurance sectors

3d. Trainers developed pre- and post-training assessment tools for their

training courses by May 2019. Pre-and post tests were developed and used

during the training courses. The results of the pre-training and post-training

tests in both central and local training courses showed a great improvement

in learning of participants in the program (90% of participants had

correct answers of more than 50% of the test questions in the post-test,

compared to 65% in pre-test). This showed that the trained participants

demonstrated their immediate learning results on pre- and post-training

assessment.

3e. The Advocacy and Communication Plan on Social Health Insurance

Policies was submitted and approved in March 2019. Factsheets and leaflets

advocating and communicating for the SHI-related issues developed and

distributed to various stakeholders in workshops, meetings and trainings.

Television and radio reportages, news, articles and journals of VSS, MOH on

the implementation of SHI have been aired in various central and local

channels, including in rural, remote areas and ethnic minority communities.

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
Business Opportunities
Consulting Services The technical assistance (TA) will require 9 person-months of international and 190 person-months of national consulting services. The international consultants and national policy specialists will be recruited using the individual consultant selection method. Other national experts will be recruited through a firm using quality- and cost-based selection procedures with simplified technical proposals.
Procurement Office equipment package comprising desktop computers, notebooks, multi media projector and printer to be procured following ADB's Procurement Guidelines (2015, as amended from time to time).
Responsible ADB Officer Tanaka, Sakiko
Responsible ADB Department Southeast Asia Department
Responsible ADB Division Human and Social Development Division, SERD
Executing Agencies
Ministry of Health
138A Giang Vo Str.
Hanoi, Viet Nam
Timetable
Concept Clearance 18 Apr 2016
Fact Finding 14 Apr 2016 to 21 Apr 2016
MRM -
Approval 04 Nov 2016
Last Review Mission -
Last PDS Update 30 Mar 2020

TA 9221-VIE

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
04 Nov 2016 14 Aug 2017 14 Aug 2017 31 Dec 2018 31 Dec 2020 -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
0.00 1,800,000.00 0.00 0.00 0.00 0.00 1,800,000.00 04 Nov 2016 1,577,332.04

Project Data Sheets (PDS) contain summary information on the project or program. Because the PDS is a work in progress, some information may not be included in its initial version but will be added as it becomes available. Information about proposed projects is tentative and indicative.

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Safeguard Documents See also: Safeguards

Safeguard documents provided at the time of project/facility approval may also be found in the list of linked documents provided with the Report and Recommendation of the President.

None currently available.

Evaluation Documents See also: Independent Evaluation

None currently available.

Related Publications

None currently available.


The Access to Information Policy (AIP) establishes the disclosure requirements for documents and information ADB produces or requires to be produced in its operations to facilitate stakeholder participation in ADB's decision-making. For more information, refer to the Safeguard Policy Statement, Operations Manual F1, and Operations Manual L3.

Requests for information may also be directed to the InfoUnit.

Tenders

Tender Title Type Status Posting Date Deadline
Development of costing database in Viet Nam (Health Economist) Individual - Consulting Closed 12 Mar 2020 18 Mar 2020
Development of costing database in Viet Nam (IT expert) Individual - Consulting Closed 12 Mar 2020 18 Mar 2020
Long-term care costing – Phase II Individual - Consulting Closed 12 Mar 2020 18 Mar 2020
Assessment of Possible Economic Impact of the Revised Health Insurance Law Individual - Consulting Closed 16 Oct 2019 29 Oct 2019
Assessment of Possible Economic Impact of the Revised Health Insurance Law (Health Economist 2) Individual - Consulting Closed 16 Oct 2019 29 Oct 2019
Circular on national list of medical services, and the conditions and rates for reimbursements under the SHI fund Individual - Consulting Closed 19 Jul 2019 11 Sep 2019
Long-term care costing Individual - Consulting Closed 19 Jul 2019 11 Sep 2019
SHI Law review report Individual - Consulting Closed 19 Jul 2019 15 Aug 2019
Adaptive Social Health Insurance Strategy and Policy to Aging in Viet Nam (Statistician) Individual - Consulting Closed 29 Nov 2018 05 Dec 2018
Adaptive Social Health Insurance Strategy and Policy to Aging in Viet Nam (Health Economist/Team Leader) Individual - Consulting Closed 29 Nov 2018 05 Dec 2018
Adaptive Social Health Insurance Strategy and Policy to Aging in Viet Nam (Demographer) Individual - Consulting Closed 29 Nov 2018 05 Dec 2018
Project Coordinator (National) Individual - Consulting Closed 13 Oct 2017 26 Oct 2017
Health Insurance Policy Specialist Individual - Consulting Closed 15 Aug 2017 21 Aug 2017
Strengthening the Policy and Institutional Framework of Social Health Insurance (Firm) Firm - Consulting Closed 13 Jul 2017 31 Jul 2017

Contracts Awarded

Contract Title Approval Number Contract Date Contractor Contractor Address Executing Agency Contract Description Total Contract Amount (US$) Contract Amount Financed by ADB (US$)
Policy and Advisory Technical Assistance 9221 09 Jan 2018 TRANSFORMATION AND CHANGE MANAGEMENT CONSULTING CO. (VIET NAM, SOC. REP. OF) NO. 18 ALLEY 12/21 DAO TAN STREET, CONG BA DINH DISTRICT, HANOI VIETNAM Ministry of Health Consulting Services 1,111,240.00

Procurement Plan

None currently available.