To continue creating changes in the sense of law respect and compliance through law propaganda, dissemination and education on 12 March 2008 the Prime Minister signed Decision 37/2008/QD-TTg to approve the Program on law dissemination and education in 2008-2012. To ensure effective implementation of Decision 37/2008/QD-TTg in the health sector, on 23 March 2010 the National Commission for Ideology and Propaganda (NCIP) and Ministry of Health (MOH) signed the “Program on cooperation to implement political missions and resolve sensitive and urgent issues in terms of ideology among staff and people in health care, protection and promotion”. The key contents of this program are to boost dissemination and education to raise awareness among leaders of Party committees at levels, government authorities, staff and people in health care, protection and promotion. MOH assigns the Health Strategy and Policy Institute (HSPI) to cooperate with the MOH Cabinet and Legislation Department to conduct the study “Evaluating current situation of resources and needs of training propaganda staff on policies in the health sector” at 77 units/institutions attached to MOH and 63 provincial health departments. The aim is to learn about current situation of resources and needs of training propaganda staff on policies in the health sector and thereby identify training needs for propaganda personnel
In 2005, the Minister of Health released the Action plan to combat human pandemic influenza in Vietnam. After four years the plan being in implementation, there is a need for evidence on outcomes as well as challenges and drawbacks of the action plan, whereby recommendations for amendment of the Action plan to combat human influenza A (H1N1) pandemic can be made and solutions to improve the feasibility and performance of the plan can be proposed.
All the surveyed higher level hospitals have hospital bed use at or beyond 100%, including specialized hospitals. Some of the hospitals are in a serious overcrowding, such as Bach Mai hospital (165%), Cho Ray hospital (139%) and National Children’s hospital (119%). Most of the remaining hospitals are short-staffed compared to the existing norms. All destinations of rotated expatriate share a same status of health service delivery limitation. Most hospitals in these locations have not yet been able to provide the full list of services required for their respective levels of care. Local clients seeking medical care often have to rely on referrals or bypass the designated level of care.
On 26/5/2008, the Minister of Health signed Decision 1816/QD-BYT, which approves the Project “Fielding rotated professionals from upper level hospitals to lower levels to improve the quality of medical care”. The project objectives include: To improve the quality of medical care at lower levels, especially in the mountainous, remote areas with staff shortage; To reduce overcrowding for upper level hospitals, especially central level hospitals; and To transfer technologies and conduct on-site training to improve skills and qualifications for lower level health care professionals. The project has worked and to ensure the sustainability it is needed to carry out an assessment of the implementation in the last period to identify emerging issues as well as barriers to remove, thereby making recommendations on more appropriate and feasible solutions.
The National drug policy in Vietnam enacted with the Government Resolution 37/CP, dated June 20, 1996, acts as the yardstick for development planning in the pharmaceutical industry. The national drug policy demonstrates strong support and commitment of the government in meeting the public need for medication, and also offers comprehensive and long-term strategies to achieve identified objectives , including regular and adequate supply of quality drugs to users; safe, rational and effective use of drugs, among others. After 15 years implementing the national drug policy, the need for a full-scale evaluation of how the policy works out to inform subsequent updates of the national drug policy in the next phases, meeting the practical needs in the industry, adapted to the current context, emerges.
The Health Strategy and Policy Institute, in cooperation with the Legislation Department, Ministry of Health, conducted this evaluation of 18-year of implementing of the law on examination and treatment (since the Law on People’s Health Protection and Care was in effect from 1989 to 2008) in Vietnam to collect evidence for legislative drafting and identify gaps in the existing regulatory system to recommend inputs for the Project: Law on Medical service delivery with a view to achieving fair treatment between the public and private sector and equity in health protection, care and promotion for the people.
The Pharmaceutical Law enacted on June 14, 2005 provides a major legal framework for public governance in pharmaceutical sector. Six years after implementation, the Pharmaceutical Law has proved up to par in meeting existing needs, strengthening the effectiveness and efficiency of pharmaceutical governance, and safeguarding the legitimate rights and interests of the population for access to quality, rational and safe drugs. The introduction of the Pharmaceutical Law enables the pharmaceutical sector in Vietnam to develop and play a better part in the region and the world. The implementing process of the Pharmaceutical Law and its sub-law documents, however, reveals various gaps and challenges. There is a real need for changes and updates of the 2005 Pharmaceutical Law to help negotiate with emerging social relations in the field of pharmacy, as well as revision and replacement of any regulatory schemes that are no longer relevant to the current needs and international treaties that Vietnam is a party to. The amendment of the law needs to base on objective and comprehensive review of the enforcement process and impacts of the Pharmaceutical Law 6 years after it was first introduced.
On Sep. 7, 2009, the central Party Secretariat released Directive 38-CT/TW on “Strengthening health insurance in the new context” aiming to enhance enforcement of the HI Law in practice and contribute to social security and equity in health care. To provide a timely interim review of the success story and to find challenges and drawbacks as the Directive is translated to real life, to come up with ways to further improve performance and enforcement in the immediate future, a review of the “Two years of implementing the Party Secretariat’s Directive 38-CT/TW on strengthening health insurance in the new context” is needed.