Enhancing the local health care system is a key priority of the Government of Viet Nam. In this regard, the Ministry of Health (MOH) will spearhead the implementation of the government's Master Plan for Strengthening the Local Health Care Program (SLHCP). SLHCP will consolidate and build on efforts to improve the quality of and access to primary health care services, especially for the poor and ethnic minorities in remote, border, and disadvantaged areas. It seeks to improve the network of local health facilities (consisting of commune health stations (CHS), district health centers, and district hospitals) to meet the changing health requirements of the population. More specifically, SLHCP will (i) upgrade the local health facilities to meet national standards, (ii) strengthen health human resources, (iii) improve operating and financing mechanisms, and (iv) enhance local health system management.
|Project Name||Support to Strengthening Local Health Care Program|
|Project Type / Modality of Assistance||Technical Assistance
|Source of Funding / Amount||
|Strategic Agendas||Inclusive economic growth
|Drivers of Change||Governance and capacity development
Private sector development
|Sector / Subsector||
Health - Health sector development and reform
|Gender Equity and Mainstreaming||Gender equity|
|Description||Enhancing the local health care system is a key priority of the Government of Viet Nam. In this regard, the Ministry of Health (MOH) will spearhead the implementation of the government's Master Plan for Strengthening the Local Health Care Program (SLHCP). SLHCP will consolidate and build on efforts to improve the quality of and access to primary health care services, especially for the poor and ethnic minorities in remote, border, and disadvantaged areas. It seeks to improve the network of local health facilities (consisting of commune health stations (CHS), district health centers, and district hospitals) to meet the changing health requirements of the population. More specifically, SLHCP will (i) upgrade the local health facilities to meet national standards, (ii) strengthen health human resources, (iii) improve operating and financing mechanisms, and (iv) enhance local health system management. SLHCP will contribute to overall government efforts to achieve universal health coverage (UHC) and promote inclusive growth. MOH has requested a small-scale capacity development technical assistance (S-CDTA) from the Asian Development Bank (ADB) to enhance the institutional capacity for SLHCP implementation. A reconnaissance mission conducted on 16 26 September 2016 reached an understanding with MOH on the impact, outcome, outputs, implementation arrangements, cost and financing, and consulting services for the S-CDTA.|
|Project Rationale and Linkage to Country/Regional Strategy||Despite the significant gains in poverty reduction and improvement in the health status of the Vietnamese population, evidence points to growing inequity in health between the rapidly developing urban cities and disadvantaged remote areas. In the latter, morbidity and mortality attributable to communicable, maternal, perinatal and nutritional conditions remains high, with the disparity most pronounced in mountainous areas. Ethnic minorities, members of poor households, and people with low education levels bear a disproportionate share of the disease burden. In border areas, the risk of communicable disease spread poses an ongoing threat to regional health security. In tandem with the threat from communicable diseases, the country faces a significant and growing burden from non-communicable diseases (NCD). In 2012, the World Health Organization estimated that NCD accounted for the highest share of overall disease burden in Viet Nam and 72.9% of deaths. As Viet Nam transitions to an aging population, the share of disease burden attributable to NCD as well as the associated financial burden on households, particularly the poor, is likely to rise. The dual burden of communicable and NCD presents challenges for the institutional and managerial capacities of Viet Nam's health system, particularly at the local level.|
|Impact||Quality of and access to local health systems strengthened toward better health outcomes, particularly in disadvantaged, remote, and mountainous areas|
|Description of Outcome||SLHCP implementation readiness strengthened|
|Progress Toward Outcome|
|Description of Project Outputs||
Technical assessments completed
Institutional and capacity development framework developed
Development assistance options for supporting SLHCP identified
|Status of Implementation Progress (Outputs, Activities, and Issues)|
|Summary of Environmental and Social Aspects|
|Stakeholder Communication, Participation, and Consultation|
|During Project Design|
|During Project Implementation|
|Consulting Services||The S-CDTA will finance international (7 person-months) and national (5 person-months) consulting services. The S-CDTA will be implemented from 1 March 2017 to 30 September 2018. All consultants will report to the ADB project officer. ADB will recruit individual consultants in accordance with ADB's Guidelines on the Use of Consultants (2013 as amended from time to time). To facilitate TA activities and ensure that MOH gains technical expertise and knowledge, the consultants will work closely with MOH counterparts, who will assist with the necessary stakeholder consultations and preparatory and analytical work. Consultative workshops will be conducted to disseminate TA outputs across relevant departments of MOH and to evaluate TA outcomes.|
|Responsible ADB Officer||Mangahas, Joel V.|
|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||28 Nov 2016|
|Fact Finding||28 Nov 2016 to 28 Nov 2016|
|Approval||21 Dec 2016|
|Last Review Mission||-|
|Last PDS Update||28 Mar 2017|
|Approval||Signing Date||Effectivity Date||Closing|
|09 Dec 2016||-||09 Dec 2016||30 Sep 2018||-||-|
|Financing Plan/TA Utilization||Cumulative Disbursements|
|225,000.00||0.00||0.00||0.00||0.00||0.00||225,000.00||09 Dec 2016||0.00|
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