Presentation on theme: "MEDICAL SITUATION IN VIETNAM"— Presentation transcript:
1MEDICAL SITUATION IN VIETNAM NGO QUY CHAUMD, Ph.D, Assoc.ProfDeputy Director Bach Mai HospitalHanoi - Vietnam
2Vietnam Red river delta region North east region North west region North central coast regionSouth central coast regionCentral highlands regionNorth east south regionMekong river delta region
3Population, social and economic environment indicator 20061Population (‘000)In which: Female (‘000)Female rateUrban Pop. (‘000)% of urban population84 155,850.8%27.122Population density (pers./km2)2543Population grow rate1.264GDP (Billion VND)5Total state budget for health (Billion VND)6% Health budget in GDP2.547% Health budget in State budget expenditure8.398Health budget per capita (1000 VND)293.4Source: Health statistics yearbook 2006 – Ministry of Health
4Medical problem before 1990 Medical system has downgradedMaterial reduceHealth expenditure was limitedFew number of medical station in rural area, absence medical station in some commune.Health worker distribute unequale.g. Central highland region: 2.7 Health worker/ communeRed river delta region: 5 Health worker/ communeKnowledge of health worker in rural area was low.Policy in favor for health worker was unconsidered.Ratio of bed in use: 30 – 40%
5Consequences Diseases (malaria cause 300 person died in 1991-1992) Patient seem to belittle medical system in local and concentrate in citiesHealth worker only interested in working in provinces and citiesThe quality of primary care was restricted
6Government policy to improve rural medical system Medical insurance policy (1992)Hospital fees (1989)Ordinance to practice private medicine and pharmacy (1993)National ordinance about pharmacyDecision to improve medicine in rural area (1994)Use State budget to support health worker in rural areaImprovement medical infrastructure and medical equipment, especially in rural areaIncrease budget for health
9Health achievementMedical system in rural area are improve both quantity and qualityThe whole country has: commune health centerAll commune has health centerHealth worker is increasing in number and qualityMedical equipment is innovativePrimary care is improving
10State health budget by years Unit: billion VNDNoIndicator20052006Health expenditure1Development investment2Treatment & Preventive3Scientific research47.6160.544Training295.32336.575Management83.70121.896Others6.0711.82Source: Health statistics yearbook 2006 – Ministry of Health
11Percentage of health insurance participation of population are increasing. (%) Source: Health statistics yearbook 2006 – Ministry of Health
12Beds in health facilities by years 1986 – 2006 (No. of beds per inhabitants)Source: Health statistics yearbook 2006 – Ministry of Health
14Drug expenditure per capita Source: Health statistics yearbook 2006 – Ministry of Health
15State health budget by category 2006 Source: Health statistics yearbook 2006 – Ministry of Health
16Health facilities & beds by level 2006 NoIndicatorFacilitiesBedsTotal (government section)1334331976841Central level37138202Local levelIn which: Provincial levelDistrict levelCommunal level125853941443107481773997486456522460133Other branches8116465Source: Health statistics yearbook 2006 – Ministry of Health
17Health personnel by provincial, district, communal level NoCategoriesTotalCommune levelDistrict levelProvincial levelPhar. Bussiness & Production51.15867.34383.69319.1711Medical PhDs and higher1482Medical master sciences1.9912511.7403Pharm. PhDs64Pharm. Master sciences8276695Medical doctor38.4806.57414.04917.630227Pharmacists4.2095381.2942.375High degree nurses544844608High degree medical technicians665178486Uni. Degree midwives218116414310Assistant doctors46.86424.50715.0127.3452nd degree medical technicians7.1771692.7174.29112Assistant pharmacists9.6527192.8922.8263.215132nd degree pharm. Technicians796139172478142nd degree nurse36.2574.99611.37219.874152nd degree midwives16.1246.8665.4463.81216Elementary nurses10.0644.5413.0432.46917Elementary midwives2.0251.47040215318Element med. Technician7023533033619Traditional medicine practitioners184457520Elementary pharmacists7.4328729219644.67521Other bachelor degrees5.5911.0063.3481.23722Other 2nd degree level7.1812.4183.4201.32123Others24.9733216.41012.6395.603Source: Health statistics yearbook 2006 – Ministry of Health
18No. CHC have midwives, assiss… Health situation at communal level 2006CHC: Commune Health CenterNoRegionNo. of CHC have M. doctor% CHC have M. doctorNo. CHC have midwives, assiss…% CHC reach benchmarkNo. of comm have CHCTotal7.08110.19110.6831Red river delta region1.78179,22.14356,32.2392North east region1.21158,11.93735,22.0783North west region14523,74743,15804North central coast region1.08759,91.72940,01.8035South central coast region45653,282219,78446Central highlands region35952,661518,36457North east south region84083,598149,19938Mekong river delta region1.20278,01.49043,31.501Source: Health statistics yearbook 2006 – Ministry of Health
19Pharmaceutical production and trading NoCategory20052006Grow rate (%)1Drug supply systemTrading company68080017,6Direct drug import and export company798912,7Foreign drug supplier27032018,5Drug retailer37.50041.50010,72Drug production systemDrug production company1741782,3Drug visa number12.34914.09714,23To stabilize drug pricesConsumption price index (%)8,86,6-21,4Pharmaceutical medical price index (%)4,94,3-12,2Source: Health statistics yearbook 2006 – Ministry of Health
20Doppler Ultrasonic system Equipment up to 31/12/2006NoRegionMRICT. ScannerX-RAYDoppler Ultrasonic systemEndoscopyAmbulanceTotal5611.3351.4213371.1691Red river delta region11256306692382North east region10183204532013North west region2833294North central coast region1391308119South central coast region3942406Central highlands region6873780North east south region20333322138232Mekong river delta region28931156230Note: Including equipment of government health facilities belong management locals.Source: Health statistics yearbook 2006 – Ministry of Health
21Health 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 educationEncourage investment in traditional medicineUpgrade medical infrastructure and equipments
23Healthcare Informatics in Vietnam Ministry of Health started to develop LAN and WAN networks in hospital and schools of medicineCurrently deploying successful applications and software packages in hospital and medicine schoolsSome 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 TechnologyGrowing collaboration between Vietnamese researchers and international scientists, engineers and practitioners
24Healthcare Informatics in Vietnam Telemedicine recently use in VietnamOnly have in few Central HospitalRemote medicine is not yet common technical in VietnamVideo Conference System is use to exchange medical information, experience and to hold a consultationMostly between Central hospitals or with foreign hospitals
25Healthcare Informatics in Vietnam Lack of equipmentsNetwork infrastructure is not adequate to the demandLack of technical staff in manage and use equipmentsInvestment in remote medicine is still unappreciatedManager still not recognize telemedicine are very meaningful for training and researches in order to reduce expense and bring benefit to doctors and patients
26BMH 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.
27BMH telemedicine equipments VIDAR Digitizer machine, using this device we can scan X ray and CT scanner film with high quality images.
28BMH telemedicine equipments COOLSCOPE- NIKONCoolscope 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.
29VPN ROUTERBeside 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
30By 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.