Process of developing Five-year Health Plan (2011 – 2015) Department of Planning & Finance (DPF)/MOH

Introduction Vietnam is entering the cycle of developing 10- year Socio-economic Development Strategy and 5-year socio-economic development plan The Government Office has required MOH: To report on 10-year health strategy (2001 – 2010) implementation To develop proposal on 10-year health strategy (2011 – 2020); and To develop proposal on 5-year Health plan (2011 – 2015)

Process of developing 5-year Health Plan (2011 – 2015) 20-year Health Strategic Vision 10-year health strategy 5-year health plan Annual health plan MTEF JARH

Outline of 5-year ( ) health plan structure and contents Part I: Review of the implementation of the 5 year plan ( ) Part II: Development orientation (5-year plan): Part III: Development viewpoint Part IV: Objectives (hierarchy) Overall objective (for the whole period) Building Block 1: Service delivery General objectives Specific objectives Building Block 2: Health human resource Building Block 3: Health information Building Block 4: Medical bio-products, vaccines and technology Building Block 5: Finance Building Block 6: State management Part V: Implementing measures (by building blocks) Part VI: Budgets by building blocks and by units/localities Part VII: Annexes

Outline of 5-year ( ) health plan structure and contents (Cont.) Development orientations (5-year plan): Foundation: Health Strategy to 2020 with a vision to 2030 Socio-economic development Plan and Socio-economic development Strategy …

Outline of 5-year ( ) health plan structure and contents (Cont.) Development orientations (5-year plan): More empowerment and decentralization (non- productive units with income); Ensuring income generation for non-productive staff, promoting talent; Improving professional capacity, management capacity, quality of services and sense of responsibility, medical ethics; Openness and transparency in financial management

Outline of 5-year ( ) health plan structure and contents (Cont.) Development viewpoint (5-year plan) Public health care system takes the lead role, ensure the orientation of equity, efficiency, development and social security. The State increases investment, development of public hospitals, innovating operational and financial mechanism of PHs for a dynamic, efficient performance. Promoting social mobilization, building and setting up new joint-stock, join-venture hospitals, private clinics and hospitals

Outline of 5-year ( ) health plan structure and contents (Cont.) Development viewpoint (5-year plan) Resolution No. 46-NQ/TW dated 23/02/2005 of the CPV Politburo (Session IX) on Peoples health care & protection in the new situation; Politburos Conclusions Nos 42; 43; 44 Resolution No. 18/2008/NQ-QH12 on enhancing implementation of policies, legislation for social mobilization to improve quality in peoples health care Increasing proportion of State budget health spending higher than that in average State budget general spending; Restructuring budget allocation: Priority given to mountainous, disadvantaged areas, Preventive medicine, grassroots health care service, IEC in health, population, FP, Food hygiene and safety, Priority given to development investment for upgrading and elaborating public health care system and ensuring social security

Outline of 5-year ( ) health plan structure and contents (Cont.) Development viewpoint (5-year plan) Innovation in financial mechanism in public health care units, full cost calculation for health services Following the roadmap of universal HI, Public finance resource (State budget and HI) is the main source, accounting for a high proportion in social spending for health

System objectives in 5-year health plan ( ) (Cont.) Goal: To develop the Vietnamese health system in the socialist-oriented market mechanism, ensuring the equity, efficiency and developing health care services at a level which is the same as other countries in the region, ensuring the quality health care access for all people, reducing epidemic disease morbidity and mortality rate, containing the outbreaks of big epidemics, promoting health, increasing life expectancy, and developing the generation. This goal is translated into big objectives (general objectives), and then specific objectives by 6 key areas of the sector

System objectives in 5-year health plan ( ) (Cont.) Building Block 1: Service delivery General objective 1.1: To adjust and upgrade the health care service delivery system Specific objective 1.1.1: To Improve health care service delivery at central, regional, provincial, and district hospitals Specific objective 1.1.2: Specific objective … General objective 1.2: To strengthen the preventive medicine network Specific objective 1.2.1: To control and avert communicable disease and new emerging epidemics. Specific objective …

System objectives in 5-year health plan ( ) (Cont.) Building Block 2: Health human resource General objective 2.1 Specific objective Specific objective General objective 2.2 … Building Block 3: Health Information... Building Block 4: Medical bio-products, vaccines and technology … Building Block 5: Finance … Building Block 6: State management …

Plan implementing measures during Building Block 1: Health care service delivery Measures for management, administrative reforms, etc....(cn b sung) Building Block 2: Health human resource Increasing number of trainees, application of need-based training for mountainous, remote areas Building Block 3: Information

Plan implementing measures during Building Block 4: Medical bio-products, vaccines and technology Improving management of safe and rational use of drugs ; Shaping the unified organization for analysis of drugs, food stuff, vaccines, and medical bio- products. Measures for technology development

Plan implementing measures during Building Block 5: Finance Government continue s to invest in health with higher rates than the GDP growth rate; prioritizing preventive health, public health system for policy privilege beneficiaries Implementing efficiently projects supporting public/community health system financed by government bond and ODA Financial mechanism reform Other measures for social mobilization Building Block 6: State management and Public administration Review, revise and develop policies relating to state management in health Measures to boost international cooperation

Budget estimates By areas By units/localities Annexes

Process of developing 5-year health plan and EC support The European Commission has agreed to support implementation of Milestones 3, 7 and 8 in SOI Milestone 3: Guidance on provision of budget support to be approved by late Sept Milestone 8: Logical framework for 5-Year Plan proposal and effectiveness monitoring framework to be adopted by late Oct Milestone 7: Budget estimate framework for 5-year pal to be finalize by late June 2010

Schedule Quarter IV/2009: Plan outline; consultation process with stakeholders, international and local experts Setting priorities Identifying the major measures Quarter I/2010: Consolidation of the units/localities (proposed) plans Organizing consultation workshops Finalizing the plan Submitting for approval before May Circulating within June 2010 (served as basic for the 2011 plan

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