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The New Generation of Essential Medicines: Vietnam…now

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Presentation on theme: "The New Generation of Essential Medicines: Vietnam…now"— Presentation transcript:

1 The New Generation of Essential Medicines: Vietnam…now
Dr Socorro Escalante Technical Officer-Pharmaceuticals Country Office for Vietnam WHO Country Office for Viet Nam

2 WHO Country Office for Viet Nam
Access to essential medicines in Vietnam is shaped partly by the need and vision for health , and more so by its political and economic development WHO Country Office for Viet Nam

3 Vietnam Now: key events leading to the present situation
Doi moi Decentralization Donor Presence WTO Hospital Reforms 1980’s 1996 2000’s 2007 2008 WHO Country Office for Viet Nam

4 Outcomes and impact to medicines access
WHO Country Office for Viet Nam

5 Current Issues that need attention
Prices Inequities Quality and Safety Medicines Use Policy Coherence WHO Country Office for Viet Nam

6 Current Issues that need attention
Prices of Medicine Table 2. MPR across countries in Asia Country Year of Survey Public Sector Procurement Prices Public Sector Patient Prices Private Sector Patient Prices IB LPG Viet Nam 2005 8.29 1.82 46.58 11.51 44.61 8.30 Philippines 14.19 5.14 15.31 6.4 17.28 5.24 Malaysia 2004 2.41 1.09 16.5 6.57 Mongolia 2.3 2.6 4.17 Thailand 2006 1.46 4.36 2.55 11.6 3.31 China, Shanghai 5.48 1.52 5.64 2.03 8.76 1.77 Source: Data retrieved from WHO/HAI Medicines Prices Database: WHO Country Office for Viet Nam

7 Current Issues that need attention
List of 10 Provinces/cities- Drug expenditure reimbursement is the highest in 2009 No Province/city's name Drug expenditure reimbursement in 2009 (1000VND) Rate Province's drug cost/ national total cost of drug (%) Cumulative Rate Inpatient Outpatient Total Cost 1 Hochiminh 910,359,625 1,011,622,566 1,921,982,191 20.49% 2 Hanoi 1,032,747,368 553,099,628 1,585,846,996 16.91% 37.40% 3 Thanh Hoa 166,160,826 175,511,838 341,672,664 3.64% 41.04% 4 Nghe An 115,906,718 167,828,905 283,735,623 3.03% 44.07% 5 Hai Phong 126,717,815 86,324,162 213,041,977 2.27% 46.34% 6 Dong Nai 33,094,586 171,991,793 205,086,379 2.19% 48.53% 7 Binh Duong 31,231,094 159,362,616 190,593,710 2.03% 50.56% 8 Hue 130,433,756 48,353,316 178,787,072 1.91% 52.47% 9 Da Nang 90,568,694 65,775,941 156,344,635 1.67% 54.13% 10 Binh Dinh 66,585,130 86,793,191 153,378,321 1.64% 55.77% National total cost of drug 4,232,484,083 5,146,401,156 9,378,885,239 US$ 468 M 100.00% WHO Country Office for Viet Nam

8 Current Issues that need attention
Inefficient procurement systems that impacts on medicines expenditures Fig 7. Price variation of winning bid prices across hospitals for Gliclalazide, 80 mg Source: Analysis of hospital procurement data, 2009, WCO Vietnam WHO Country Office for Viet Nam

9 Strategic response and directions …by the Government
Socio Economic Development Plan Pharmaceutical law Local production policy Drug price control National Medicines Policy Essential Medicines List 5 Good Practices Program WHO Country Office for Viet Nam

10 Strategic response and directions: The new generation
Guiding principles: Policy coherence: Action beyond the health sector National-local : Oversight and guidance rather than just regulations and control Evidence: appreciation and relevance into decision making Donors: from ‘my fund, my system’ to ‘our fund, our system’ WHO Country Office for Viet Nam

11 Strategic response and directions: The new generation
WHO Country Office for Viet Nam

12 Remaining Challenges: Where are we stuck?
1. Policy coherence: NMP envisaged to bring about policy coherence in pharmaceuticals 2. Operational reforms: neglected partly but have direct impact into access and inequalities Procurement inefficiencies and medicines utilization in hospital 3. Coordination across agencies and donors 4. Drug Price Control Policies WHO Country Office for Viet Nam

13 WHO Country Office for Viet Nam
thank you WHO Country Office for Viet Nam


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