1. CAPACITY DEVELOPMENT IN HEALTH PLANNING AND FINANCIAL RESOURCE MOBILIZATION FOR HEALTH Nguyễn Hoàng Long Dept of Planning and Finance, MOH

2. CD Individual EnvironmentOrganisation Policy CD Overall Framework Human, physical resources; structure; leadership Policies, laws, regulations, rules, standards, enforcement Social norms, rights, supportive measures Knowledge, attitude, practice, personality

3. Health System Framework (WHO)

4. Development of 5-yr Health Plan (2011-15) 1. Follow common guidelines (PM, MPI, MOF) 2. 5-yr plan team: Experienced officials, involvement of concerned Depts/agencies 3. With participation of stakeholders: Provinces, MOH Depts and agencies Provinces, MOH Depts and agencies Health Partnership Group (HPG) Health Partnership Group (HPG) Implementing agencies Implementing agencies Beneficiaries Beneficiaries TA, consultants (EC, WHO, UNICEF…) TA, consultants (EC, WHO, UNICEF…) 4. WHO Health System Framework and LFA 5. MTEF and better link between Planning and Budgeting 6. Situation analysis – Priority setting – Solution: JAHR 7. Joint Assessment of National Strategy/Plan (JANS)/IHP+

5. Mobilizing financial resource for health 1. Total health spending:  Public spending: Tax-based + SHI + ODA/NGO  Private spending: OOP + CHI + Other privates 2. Vietnam: Low, too much private (especially OOP)

6. Annual Health Expenditure of Selected Asia Pacific Countries (Vietnam: 29/33, above Burma, India, Campuchia)

7. Health Financing Reforms: Higher – More balanced – Equity – Efficiency 1. Increase tax-based budget for health (Res 18) 2. Pre-payment schemes (towards universal coverage) 3. Improve efficiency: Financial autonomy, pilot RBF 4. Hospital financing reforms: Service fee, payment mechanisms… 5. PPP 6. Support the poor, near-poor, children <6, elderly people…

8. Mobilizing external aid for health 1. Clear organization and functions (DPF, ICD) 2. Health Partnership Group and its sub-groups (financing, MCH, HIV…) 3. HPG meeting every 2 months 4. Paris – Hanoi – AAA => SOI (Statement of Intent) with 10 milestones 5. IHP+ and JANS 6. Ext aid management: Projec management, procurement, financial management, reporting, M&E… 7. New aid modality: Budget support

9. Support for CD in the Health Sector 1. Health facility construction 2. Supplies of medcial equipment 3. Training and HRD for health 4. Support for national health target programmes/projects 5. Mgmt capacity, policy development and implementation 6. Healthcare for the poor, near-poor, and dis-groups Indiv Orga Policy Envrmt CD