Viet Nam: Support to Strengthening Local Health Care Program

Sovereign Project | 50285-001 Status: Active

Summary

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.

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Procurement Documents

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Project Name Support to Strengthening Local Health Care Program
Project Number 50285-001
Country Viet Nam
Project Status Active
Project Type / Modality of Assistance Technical Assistance
Source of Funding / Amount
TA 9265-VIE: Support to Strengthening Local Health Care Program
Technical Assistance Special Fund US$ 225,000.00
Strategic Agendas Inclusive economic growth
Drivers of Change Governance and capacity development
Knowledge solutions
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

Project Outcome

Description of Outcome SLHCP implementation readiness strengthened
Progress Toward Outcome
Implementation Progress
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)
Geographical Location

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 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 Staff

Responsible ADB Officer Mangahas, Joel V.
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 28 Nov 2016
Fact Finding 28 Nov 2016 to 28 Nov 2016
MRM -
Approval 21 Dec 2016
Last Review Mission -
Last PDS Update 28 Mar 2017

TA 9265-VIE

Milestones
Approval Signing Date Effectivity Date Closing
Original Revised Actual
09 Dec 2016 - 09 Dec 2016 30 Sep 2018 - -
Financing Plan/TA Utilization Cumulative Disbursements
ADB Cofinancing Counterpart Total Date Amount
Gov Beneficiaries Project Sponsor Others
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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Related Publications

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