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

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Presentation on theme: "WHO Country Office for Viet Nam Dr Socorro Escalante Technical Officer-Pharmaceuticals Country Office for Vietnam The New Generation of Essential Medicines:"— Presentation transcript:

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

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

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

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

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

6 WHO Country Office for Viet Nam Current Issues that need attention CountryYear of Survey Public Sector Procurement Prices Public Sector Patient Prices Private Sector Patient Prices IBLPGIBLPGIBLPG Viet Nam Philippines Malaysia Mongolia Thailand China, Shanghai Prices of Medicine Table 2. MPR across countries in Asia Source: Data retrieved from WHO/HAI Medicines Prices Database:

7 WHO Country Office for Viet Nam 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 InpatientOutpatientTotal Cost 1Hochiminh910,359,6251,011,622,5661,921,982, % 2Hanoi1,032,747,368553,099,6281,585,846, %37.40% 3Thanh Hoa166,160,826175,511,838341,672, %41.04% 4Nghe An115,906,718167,828,905283,735, %44.07% 5Hai Phong126,717,81586,324,162213,041, %46.34% 6Dong Nai33,094,586171,991,793205,086, %48.53% 7Binh Duong31,231,094159,362,616190,593, %50.56% 8Hue130,433,75648,353,316178,787, %52.47% 9Da Nang90,568,69465,775,941156,344, %54.13% 10Binh Dinh66,585,13086,793,191153,378, %55.77% National total cost of drug 4,232,484,0835,146,401,156 9,378,885,239 US$ 468 M100.00%

8 WHO Country Office for Viet Nam 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

9 WHO Country Office for Viet Nam Strategic response and directions …by the Government 1.Socio Economic Development Plan 2.Pharmaceutical law 3.Local production policy 4.Drug price control 5.National Medicines Policy 6.Essential Medicines List 7.5 Good Practices Program

10 WHO Country Office for Viet Nam 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’

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

12 WHO Country Office for Viet Nam 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

13 WHO Country Office for Viet Nam thank you


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