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FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL 1 FINANCIAL & SOCIAL SUPPORT – PATIENT WITH SCI IN VIET NAM EQUITY FUND (EF) MODEL Truong.

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Presentation on theme: "FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL 1 FINANCIAL & SOCIAL SUPPORT – PATIENT WITH SCI IN VIET NAM EQUITY FUND (EF) MODEL Truong."— Presentation transcript:

1 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL 1 FINANCIAL & SOCIAL SUPPORT – PATIENT WITH SCI IN VIET NAM EQUITY FUND (EF) MODEL Truong Thi Ngoc Anh Project Coordinator 8 th ASCoN, NOVEMBER 2009 Katmandu - Nepal

2 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL2 Outline… General introduction Statistic Outcomes Challenges

3 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL3 0.0$ Health care General introduction Health accessibility FOR PATIENT with SCI In Viet Nam a few years ago

4 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL4 Family economy change rapidly after injury: - Longer hospitalization - Surgery cost - Living cost in big city is high - Head of household are male Population -80% of patients are poor before accident Health insurance is very poor Cont… No subsidies from government to people with SCI

5 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL5 Patient with SCI discharge very early without finishing treatment program Influence to progression of rehabilitation when patient and family cant afford to some basic practical needs such as a good diet for pressure sore healing or bowel management Cont…

6 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL6 Cont…. To answer, Equity Fund was born 2006 in Spinal Unit of HCM Rehabilitation hospital to help patient with SCI can remain their stay in the hospital until complete their treatment program.

7 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL7 Patient Hospital for the Care and Rehabilitation of Professional Diseases Association Equity Fund Administration Donors 3- Payment of reduced fees 4- Compensation 6- Financing from extra services 2- External financing Ministry of Health StaffLogistics 5- Op. costs Reserved fund 7- Savings 1- Subsidies Cont…. Financial mechanism

8 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL8 SCI person In-charge Supporting levels 30% - 50% - 70% Poverty identification During the first 48ting For all SCI patients Socio – Eco status Heads of HH, average income, edu.received,,insurance very poor – poor – nearly poor better off Cont…. Administrative mechanism

9 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL9 Supporting package: bed fees, medical care, medicines, devices, physiotherapy and occupational therapy sessions Coordination boarddouble check data Equity Fund Beneficiaries SCI Patients identified Poor / Vulnerable from the poverty identification Supporting grants for the poor SCI patients 3 supporting levels: 70%, 50%, 30% Patients with Insurance cards, having support from other parties, having compensation - not eligible for EF support Capable adjusting support levels provided during hospitalization Cont….

10 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL10 Strengthening the financial cooperation of parties Insisting the contribution of partners Promoting the fundraising strategy Financing sources - Promoting equity in medical care - Enhancing accessibility to rehabilitation care, targeted for the poor Spinal Unit:monthly contribution with 15% income generated from services and bed fees Donors: regular contribution for the reserve fund Cont….

11 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL11 Statistic (HCM City and NT-KH-DN Provinces)

12 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL12 Cont….

13 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL13 Cont….

14 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL14 Multiplied to 3 provinces KH, DN and PY since May 2007 after implemented successfully in HCM Integrated into the hospital structure at the provincial level Good cooperation with partner at provincial level- target of beneficiaries is more appropriated Living cost is lower Outcomes

15 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL15 Cont….. Hien oi, Try!!! Nguyen Tan Hien – from Spinal unit of Da Nang Sanatorium. He was a 1st year student of Economical University. On the way home, he fell down when going over a pot-hole and had C6C injury. Now he has the remark positive A+ in the unit. He plays sport, draws pictures, and many of his masterpieces were highly evaluated and sold. In December 2007, he joined the training of Skills in accessing and psychological advising for SCI patients in Nha Trang. He is considered as the potential seed for the position peer counselor for Spinal unit Da Nang. Comprehensive rehabilitation

16 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL16 Human resource: Third-party cooperation for social work: social service-> not sustainable if the project closed or no financial support. Human resource: Third-party cooperation for social work: social service-> not sustainable if the project closed or no financial support. Time limitation due to combination of work: PT- Social worker Time limitation due to combination of work: PT- Social worker Not accepted officially from the local authority to integrate into personnel policy of the hospital. No salary, not clear job description Not accepted officially from the local authority to integrate into personnel policy of the hospital. No salary, not clear job description Considered as a temporary tools when the health insurance system is still not a comprehensive service yet to the whole population Considered as a temporary tools when the health insurance system is still not a comprehensive service yet to the whole population Challenges

17 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL17 Additional funding needed – donor identification: failed in social worker role Along with economic development of the country, the health insurance is getting improved and most of people have been covered by the government => require an adjustment as well as a new orientation of EF in a new context of Viet Nam (new criteria: food support, wheelchair support, aid-devices, basic home adaptation-> social inclusion oriented. Challenges

18 FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL18 Thanks for your attention


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