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MEDICAL SITUATION IN VIETNAM

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Presentation on theme: "MEDICAL SITUATION IN VIETNAM"— Presentation transcript:

1 MEDICAL SITUATION IN VIETNAM
NGO QUY CHAU MD, Ph.D, Assoc.Prof Deputy Director Bach Mai Hospital Hanoi - Vietnam

2 Vietnam Red river delta region North east region North west region
North central coast region South central coast region Central highlands region North east south region Mekong river delta region

3 Population, social and economic environment indicator
2006 1 Population (‘000) In which: Female (‘000) Female rate Urban Pop. (‘000) % of urban population 84 155,8 50.8% 27.12 2 Population density (pers./km2) 254 3 Population grow rate 1.26 4 GDP (Billion VND) 5 Total state budget for health (Billion VND) 6 % Health budget in GDP 2.54 7 % Health budget in State budget expenditure 8.39 8 Health budget per capita (1000 VND) 293.4 Source: Health statistics yearbook 2006 – Ministry of Health

4 Medical problem before 1990
Medical system has downgraded Material reduce Health expenditure was limited Few number of medical station in rural area, absence medical station in some commune. Health worker distribute unequal e.g. Central highland region: 2.7 Health worker/ commune Red river delta region: 5 Health worker/ commune Knowledge of health worker in rural area was low. Policy in favor for health worker was unconsidered. Ratio of bed in use: 30 – 40%

5 Consequences Diseases (malaria cause 300 person died in 1991-1992)
Patient seem to belittle medical system in local and concentrate in cities Health worker only interested in working in provinces and cities The quality of primary care was restricted

6 Government policy to improve rural medical system
Medical insurance policy (1992) Hospital fees (1989) Ordinance to practice private medicine and pharmacy (1993) National ordinance about pharmacy Decision to improve medicine in rural area (1994) Use State budget to support health worker in rural area Improvement medical infrastructure and medical equipment, especially in rural area Increase budget for health

7 Infrastructure in a medical station

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9 Health achievement Medical system in rural area are improve both quantity and quality The whole country has: commune health center All commune has health center Health worker is increasing in number and quality Medical equipment is innovative Primary care is improving

10 State health budget by years
Unit: billion VND No Indicator 2005 2006 Health expenditure 1 Development investment 2 Treatment & Preventive 3 Scientific research 47.61 60.54 4 Training 295.32 336.57 5 Management 83.70 121.89 6 Others 6.07 11.82 Source: Health statistics yearbook 2006 – Ministry of Health

11 Percentage of health insurance participation of population are increasing. (%)
Source: Health statistics yearbook 2006 – Ministry of Health

12 Beds in health facilities by years 1986 – 2006
(No. of beds per inhabitants) Source: Health statistics yearbook 2006 – Ministry of Health

13 Health personnel by years

14 Drug expenditure per capita
Source: Health statistics yearbook 2006 – Ministry of Health

15 State health budget by category 2006
Source: Health statistics yearbook 2006 – Ministry of Health

16 Health facilities & beds by level 2006
No Indicator Facilities Beds Total (government section) 133433 197684 1 Central level 37 13820 2 Local level In which: Provincial level District level Communal level 12585 394 1443 10748 177399 74864 56522 46013 3 Other branches 811 6465 Source: Health statistics yearbook 2006 – Ministry of Health

17 Health personnel by provincial, district, communal level
No Categories Total Commune level District level Provincial level Phar. Bussiness & Production 51.158 67.343 83.693 19.171 1 Medical PhDs and higher 148 2 Medical master sciences 1.991 251 1.740 3 Pharm. PhDs 6 4 Pharm. Master sciences 82 7 66 9 5 Medical doctor 38.480 6.574 14.049 17.630 227 Pharmacists 4.209 538 1.294 2.375 High degree nurses 544 84 460 8 High degree medical technicians 665 178 486 Uni. Degree midwives 218 11 64 143 10 Assistant doctors 46.864 24.507 15.012 7.345 2nd degree medical technicians 7.177 169 2.717 4.291 12 Assistant pharmacists 9.652 719 2.892 2.826 3.215 13 2nd degree pharm. Technicians 796 139 172 478 14 2nd degree nurse 36.257 4.996 11.372 19.874 15 2nd degree midwives 16.124 6.866 5.446 3.812 16 Elementary nurses 10.064 4.541 3.043 2.469 17 Elementary midwives 2.025 1.470 402 153 18 Element med. Technician 702 35 330 336 19 Traditional medicine practitioners 184 45 75 20 Elementary pharmacists 7.432 872 921 964 4.675 21 Other bachelor degrees 5.591 1.006 3.348 1.237 22 Other 2nd degree level 7.181 2.418 3.420 1.321 23 Others 24.973 321 6.410 12.639 5.603 Source: Health statistics yearbook 2006 – Ministry of Health

18 No. CHC have midwives, assiss…
Health situation at communal level 2006 CHC: Commune Health Center No Region No. of CHC have M. doctor % CHC have M. doctor No. CHC have midwives, assiss… % CHC reach benchmark No. of comm have CHC Total 7.081 10.191 10.683 1 Red river delta region 1.781 79,2 2.143 56,3 2.239 2 North east region 1.211 58,1 1.937 35,2 2.078 3 North west region 145 23,7 474 3,1 580 4 North central coast region 1.087 59,9 1.729 40,0 1.803 5 South central coast region 456 53,2 822 19,7 844 6 Central highlands region 359 52,6 615 18,3 645 7 North east south region 840 83,5 981 49,1 993 8 Mekong river delta region 1.202 78,0 1.490 43,3 1.501 Source: Health statistics yearbook 2006 – Ministry of Health

19 Pharmaceutical production and trading
No Category 2005 2006 Grow rate (%) 1 Drug supply system Trading company 680 800 17,6 Direct drug import and export company 79 89 12,7 Foreign drug supplier 270 320 18,5 Drug retailer 37.500 41.500 10,7 2 Drug production system Drug production company 174 178 2,3 Drug visa number 12.349 14.097 14,2 3 To stabilize drug prices Consumption price index (%) 8,8 6,6 -21,4 Pharmaceutical medical price index (%) 4,9 4,3 -12,2 Source: Health statistics yearbook 2006 – Ministry of Health

20 Doppler Ultrasonic system
Equipment up to 31/12/2006 No Region MRI CT. Scanner X-RAY Doppler Ultrasonic system Endoscopy Ambulance Total 5 61 1.335 1.421 337 1.169 1 Red river delta region 11 256 306 69 238 2 North east region 10 183 204 53 201 3 North west region 28 33 29 4 North central coast region 139 130 8 119 South central coast region 39 42 40 6 Central highlands region 68 73 7 80 North east south region 20 333 322 138 232 Mekong river delta region 289 311 56 230 Note: Including equipment of government health facilities belong management locals. Source: Health statistics yearbook 2006 – Ministry of Health

21 Health proposal for consideration
Central hospitals are overloaded cause patients still do not have confidence in local medical system. Improve primary care, quality and convenient of rural medical system. Renew content and programme education Encourage investment in traditional medicine Upgrade medical infrastructure and equipments

22 Traditional medicine

23 Healthcare Informatics in Vietnam
Ministry of Health started to develop LAN and WAN networks in hospital and schools of medicine Currently deploying successful applications and software packages in hospital and medicine schools Some leading research projects, such as Teleradiology, have recently been carried out by the Institute of Information Technology and the National Center for Natural Science and Technology Growing collaboration between Vietnamese researchers and international scientists, engineers and practitioners

24 Healthcare Informatics in Vietnam
Telemedicine recently use in Vietnam Only have in few Central Hospital Remote medicine is not yet common technical in Vietnam Video Conference System is use to exchange medical information, experience and to hold a consultation Mostly between Central hospitals or with foreign hospitals

25 Healthcare Informatics in Vietnam
Lack of equipments Network infrastructure is not adequate to the demand Lack of technical staff in manage and use equipments Investment in remote medicine is still unappreciated Manager still not recognize telemedicine are very meaningful for training and researches in order to reduce expense and bring benefit to doctors and patients

26 BMH telemedicine equipments
Video communication device IPELA - SONY with high video and high speed network connection. This is a multi point videoconferencing device with H.323 protocol.

27 BMH telemedicine equipments
VIDAR Digitizer machine, using this device we can scan X ray and CT scanner film with high quality images.

28 BMH telemedicine equipments
COOLSCOPE- NIKON Coolscope is a microscope can be connected to the system by an IP address. It provides high solution pathological image and transfer them through the network.

29 VPN ROUTER Beside our system has some extra devices: switch, VPN router, transducer, projector etc. Network line is fiber cable with 2 Mbps bandwidth suitable the medical conference. DATASOLUTION BOX

30 By using the telemedicine system, we have organized different international medical conferences between BMH, International Medical Center of Japan, Sydney university, National Taiwan University Hospital, Medicine & Pharmacy University of HoChiMinh city.

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33 Thank you for your attention!


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