HRD IN RESPOND TO AIDS, TB, MALARIA AND MDGs IN VIETNAM

VIETNAM: GENERAL INFORMATION,2005 Area: km2 Pop:82 millions GDP: 560 US$ LEB:71.3 yrs Total fertility rate: 2.3 IMR:18/1000 lbs MMR: 85/100,000 lbs

To achieve Millennium Development Goals, HIV/AIDS, Tuberculosis and Malaria are priorities health problem To achieve Millennium Development Goals, HIV/AIDS, Tuberculosis and Malaria are priorities health problem GENERAL INFORMATION ( cont.) GENERAL INFORMATION ( cont.)

HIV/AIDS PREVELENCE Resource: Vietnam Health Statistics, 2005

TB PREVELENCE Resource: Vietnam Health Statistics, Morbidity rate: 192/100,000 - Mortality rate: 26/

MALARIA MORBILITY RATE PER POPULATIONS Resource: Vietnam Health Statistics, 2005

MALARIA MORTALITY RATE Resource: Vietnam Health Statistics, 2005

NATIONAL OBJECTIVES FOR HIV/AIDS; TB, MALARIA TO 2010 HIV/AIDSTBMALARIA - To reduce umber people living with HIV/AIDS: <0.3% - To reduce number people living with HIV/AIDS: <0.3% - To establish the center for prevention and control of HIV/AIDS at all provinces (64) - -To reduce TB Morbidity rate and Mortality rate - To establish TB hospital (Morbidity rate: > 120/100,000) -Morbidity rate per 100,000: 80 -Mortality rate per 100,000 : Combine Malaria control center with preventive center if less than 100 new cases/100,000.

SYSTEM OF HIV, TB AND MALARIA MINISTRY OF HEALTH PROVINCIAL HEALTH OFFICE DISTRICT HEALTH OFFICE - NIHE/ Communicable disease hospital - TB Hospital - Malaria Institute - Provincial HIV Control Center/ GPH - Provincial TB Control Center/PTBH - Provincial Malaria Control center/GPH -District Preventive Center -District Hospital Commune Health Center : Direct management : Provide technical

HUMAN RESOURCE FOR HEALTH

HRH from Resource: Vietnam Health Statistics, 2005

MANPOWER DISTRIBUTION BY LEVEL

CATEGORIES OF HRH IN VIETNAM CategoriesNumber% Medical doctor 48,215 48,21519,7 Pharmacists6,3602,6 Assistant doctors 48,05919,6 Bachelor of nursing 6600,2 Second degree medical technicians 8,7713,6 Assistant pharmacists 8,7713,6 Second degree nurses 35,61714,5 Midwives14,8896,1 Elementary nurses 13,2575,4 Elementary midwives 2,7211,1 Lab. technicians 9920,4 Traditional medicine practitioners 2930,1 Elementary pharmacists 8,2983,3 Others31,79112,9 Total244,987100

DOCTOR 5.6 doctors/10,000 pop. It is lower than Asian countries

PHARMACIST Vietnam needs more than pharm.in order to achieve 1 pharm./10,0000 pop.) 0.76 Pharm./ pop. It is the lowest in comparison with Asian countries

NURSE/DOCTOR

NATIONAL OBJECTIVES FOR HRH to 2010 and 2020 Targets Ratio doctor/ nurses 3,54-5 Ratio doctor/ 10,000 inhabitants 78 Ratio pharmacist / 10,000 inhabitants

HUMAN RESOURCE FOR HIV/AIDS  Central level:- HIV/AIDS Control and Prevention Department, MOH (2005) with 40 staffs;4 institutions with 550 staffs  Provincial level: Provincial HIV/AIDS Control  Centers (43/64 provinces): 435 specialized; 752 not specialized)  District level: 1,646 (388 specialized; 1,258 not specialized)  Commune level: 11,284  HR in local level is less specialized and qualified

HUMAN RESOURCE FOR TB At central TB hospital: 3 TB hospitals with 750 staffs At central TB hospital: 3 TB hospitals with 750 staffs At provincial TB hospital: 29 hospital with 3234 staffs At provincial TB hospital: 29 hospital with 3234 staffs Shortage of health workers. Shortage of health workers. At local level: not specialized At local level: not specialized Difficulty of recruit Difficulty of recruit

HRH IN MALARIA At Central level: 430 persons( 3 Malaria and Parasitic Institute) At Central level: 430 persons( 3 Malaria and Parasitic Institute) At provincial level: 1,130 in Provincial Malaria Control Center (26 provinces)/ Malaria division in Provincial Preventive Center (38 provinces) At provincial level: 1,130 in Provincial Malaria Control Center (26 provinces)/ Malaria division in Provincial Preventive Center (38 provinces) District level: 4 persons/ district preventive center District level: 4 persons/ district preventive center Commune: 1 person/ commune health center Commune: 1 person/ commune health center

CHALLENGES The Health system has been reorganized: Set up HIV/AIDS Preventive and Control Center in the all provinces (64 provinces) The Health system has been reorganized: Set up HIV/AIDS Preventive and Control Center in the all provinces (64 provinces) Increasing number of HIV/AIDS, and TB Increasing number of HIV/AIDS, and TB Shortage of health workers Shortage of health workers Increasing workload Increasing workload Health workers at local level not specialized, qualified Health workers at local level not specialized, qualified Mal- distribution/ Inner Brain drain/ from rural to urban Mal- distribution/ Inner Brain drain/ from rural to urban Training models do not match the changing of pattern of diseases Training models do not match the changing of pattern of diseases Poor management and supervision HR Poor management and supervision HR Investment for health is still limited. Investment for health is still limited.

ACTIONS  Reorganization health care system  Increasing capacity of health training institutions  Innovation of education and training program   Upgrading technical capabilities for local health facilities; providing the continuous training for health workers  Policy on HRD in remote areas: training for local people for specific locality according to their needs and requirement  Incentives for health workers to serve in rural areas  HR information system  Investment more for health

MALARIA PREVALENCE Resource: Vietnam Health Statistics, 2005