|Project Name||Strengthening the Policy and Institutional Framework of Social Health Insurance|
|Project Type / Modality of Assistance||Technical Assistance
|Source of Funding / Amount||
|Strategic Agendas||Inclusive economic growth
|Drivers of Change||Gender Equity and Mainstreaming
Governance and capacity development
|Sector / Subsector||
Health / Health sector development and reform
|Gender Equity and Mainstreaming||Effective gender mainstreaming|
|Project Rationale and Linkage to Country/Regional Strategy|
|Impact||Universal SHI coverage achieved|
|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
(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
|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
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
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.
|Summary of Environmental and Social Aspects|
|Stakeholder Communication, Participation, and Consultation|
|During Project Design|
|During Project Implementation|
|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|
Ministry of Health
138A Giang Vo Str.
Hanoi, Viet Nam
|Concept Clearance||18 Apr 2016|
|Fact Finding||14 Apr 2016 to 21 Apr 2016|
|Approval||04 Nov 2016|
|Last Review Mission||-|
|Last PDS Update||30 Mar 2020|
|Approval||Signing Date||Effectivity Date||Closing|
|04 Nov 2016||14 Aug 2017||14 Aug 2017||31 Dec 2018||31 Dec 2020||-|
|Financing Plan/TA Utilization||Cumulative Disbursements|
|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.
The Access to Information Policy (AIP) recognizes that transparency and accountability are essential to development effectiveness. It establishes the disclosure requirements for documents and information ADB produces or requires to be produced.
The Accountability Mechanism provides a forum where people adversely affected by ADB-assisted projects can voice and seek solutions to their problems and report alleged noncompliance of ADB's operational policies and procedures.
In preparing any country program or strategy, financing any project, or by making any designation of, or reference to, a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.
|Title||Document Type||Document Date|
|Strengthening the Policy and Institutional Framework of Social Health Insurance: Technical Assistance Report||Technical Assistance Reports||Nov 2016|
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.
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.
|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||—|
None currently available.