Public healthcare goes long way after “Doi Moi”

12/02/2016
A doctor provides check-up for a patient at Nam Nhoong commune's medical station in Que Phong district, central Nghe An province. (Photo: VNA)  

Hanoi (VNA) – Vietnam’s healthcare has gone a long way since the “Doi Moi” (Renewal) Process 30 years ago with improved service quality and equality.

The mortality rate of children aged under one fell from 44.4 per 1,000 in 1990 to 15.2 per 1,000 in 2014, while the under-five mortality rate dropped more than half over the past two decades, from 58 per 1,000 in 1990 to 22.9 per 1,000 in 2014.

The maternal death rate fell two-thirds from 233 per 100,000 live births in 1990 to 60 per 100,000 births in 2014.

The country’s HIV infection rate has been reduced to below 0.3 percent as targeted by the National Target Programme on HIV/AIDS Prevention and Control from 2004 – 2010, while outbreaks of SARS, A/H5N1 and dengue fever have been contained.

The network of communal healthcare units has been expanded with over 11,500 commune-based medical stations spreading from deltas to border and far-flung areas throughout the nation. The network has been recognised as a successful example for other countries to follow.

Vietnam is now home to approximately 13,440 public healthcare establishments, 75 sanatoriums and more than 1,000 general and antenatal clinics.

Hospitals have continued to apply information technology in management while advanced medical techniques, such as organ transplants, endoscopy, IVF, heart surgery and surgery to separate conjoined twins have also become more common.

Vietnam, one of the few vaccine producers in the world, has been certified by the World Health Organisation (WHO) as a country with a fully-equipped national regulatory authority (NRA) that ensures the safety and efficacy of vaccines produced and used.

The country made remarkable progress in 2015, particularly in efforts to curb overcrowding at major hospitals, Health Minister Nguyen Thi Kim Tien said.

Tien took K Hospital, National Endocrinology Hospital and Cho Ray Hospital as examples, saying that patients no longer have to share beds.

Some hospitals even have hotel-standard accommodation facilities, she added.

The Ministry of Health has worked hard to accelerate administrative reforms and develop satellite hospitals to provide quality treatment for more people.

The initial satellite hospital project has brought good results, alleviating the overload at major hospitals. At present, there are 46 satellite hospitals throughout Vietnam linked to city hospitals where satellite staff are trained and given technical updates.

However, existing problems still challenge the sector, notably health access disparities between rural and urban areas, the aging population, deadly epidemics and climate change-related diseases, along with a lack of medical facilities and personnel at local levels.

The ministry plans to further reduce treatment times and improve health workers’ attitudes towards patients to increase patient satisfaction in 2016, while home visits by family doctors, a new service in Vietnam, will be expanded across the nation.

International cooperation will also be intensified for the increased use of advanced medical technologies in hospitals.-VNA
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All comments [ 10 ]


Deck Hero14 12/2/16 22:11

Vietnam has made impressive progress toward improving the health status of the population, with progress that equals or surpasses that of many neighboring countries. Life expectancy in Vietnam is 72.8 years (70.2 for men and 75.6 for women), a level that is considerably higher than that in many countries with similar levels of GDP per capita.

Gentle Moon 12/2/16 22:11

As compared to the situation before August 1945, Vietnam now has increased the number of health care units by 17.7 times (13,092/741), the number of licensed nurses and doctors by 156.9 times (94,100/600).

MaskOf Zero 12/2/16 22:14

Vietnam will complete all MDGs!

LawrenceSamuels 12/2/16 22:15

From 1990 to 2009, the infant mortality rate fell from 44.4% to 16.0%, the under-five mortality rate dropped from 58.0% to 24.5%, and the maternal mortality ratio declined from 233 to 69 maternal deaths per 100,000 live births.

Love Peace 12/2/16 22:16

Public healthcare system plays the leading role in healthcare and is divided into 3 levels: central, provincial and local (including district, commune and hamlet). In addition to public healthcare system, Viet Nam has also developed a private healthcare network.

John Smith 12/2/16 22:17

There are now 74 private hospitals with 5,600 beds and over 30,000 private clinics.

Pack Cassiopian 12/2/16 22:18

According to the World Bank, "Viet Nam's achievements in healthcare are widely recognizable. Mortality rate of children under 1 and 5 years old is at the same level as those higher income countries. Viet Nam's healthcare service reaches to commune/ward level which enables a wide coverage of preventive intervention and access to basic intervention of a majority of the population".

yobro yobro 12/2/16 22:19

Viet Nam is a typical example in UNFPA's development program over 30 years.

Only Solidar 12/2/16 22:20

Health care programs have gained positive results with vaccination universalized throughout the country and with the budget increasing all the time.

Jane smartnic 12/2/16 22:23

Vietnam is also experiencing a rapidly ageing population. It is therefore critical to have an in-depth understanding about quality of life and associated factors among elderly groups.

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