1. ELDERLY CARE IN VIETNAM: CURRENT NEEDS AND DEVELOPMENT ORIENTTIONS
A presentation at
ASIA VISION 21 CONFERENCE
Harvard University Asia Centre, 1-3 May 2013
ELDERLY CARE IN VIETNAM:
CURRENT NEEDS AND DEVELOPMENT ORIENTTIONS
Prof. Nguyen Duc Hinh, MD, PhD – Hanoi Medical University President
Le Van Hoi, MD, MSc, PhD – EVIPNet Vietnam Coordinator

2. GENERAL CHARACTERISTICS%
Increasing rapidly;
Currently 10% of population (85 M);
Majority living in rural areas, where more are disadvantaged;
Less physical & emotional support from family members;
More rely on family rather than social sources of economic support;
Fig Proportion of people aged 60+

3. Fig. 3 - RLE by wealth quintiles
ELDERLY HEALTH STATUS
Fig %CI of EQ-5D index
Fig. 3 - RLE by wealth quintiles
Improves but decreases in the most disadvantaged groups;
Varies substantially according to socioeconomic factors;
Inequalities in health are wider over time; 3

4. Fig. 4 - Distribution of elderly by ADL index
NEED OF CARE
Fig. 4 - Distribution of elderly by ADL index
Unmet need of daily care;
More demanded in disadvantaged groups;
Gap between needs and affordability of care is large; 4

5. NEED OF CARE
MT: mobile team; DC: day care centre; NC: Nursing centre
1: free of charge; 2: less than cost; 3: full cost
Fig Willingness to use care services
Fig Willingness to pay care services
Community-based care will be used and partly paid for by elderly and family if it is provided by government and associations;
Additional supports are needed for accessing enough care;
Family is still a main source of care supports, but there is a trend of expansion of care from families to a social network; 5

6. DEVELOPMENT ORIENTATIONS
A social network for community-based long-term elderly care should be developed;
The determinants of elderly health and need of care should be addressed by appropriate social and health policies;
Building capacity for health professional and informal caregivers is necessary;
Additional support for the most vulnerable elderly groups is essential;
Development of community-based models of elderly care is should be encouraged; 6

7. EVIPNet Vietnam Office
Room 613, 6th Floor, A1-Buidling, Hanoi Medical University, 01, Ton That Tung, Dong Da, Hanoi
Phone/Fax: ;
Project for Improving access to and use of research results for developing health policies and models of community-based care for older people in Vietnam
THANK YOU !