1. Measuring results - Experiences from Vietnam
November 2016

2. Vietnam: At a glance Total Population: 93.4 million
Ethnic minority: 15%
Land size: ¾ are mountains
Poverty:
- National: 15%
- In mountainous areas: 30-55%
Literacy:
National: 95-98%
Ethnic minority: 80%
Health care system: state owned

3. Limitations and challenges of the National M&E system for MNCH

4. Examples
A 5 year National maternal and newborn care programme had a list of indicators but had no specific M&E plan or no tool/method for data collection (e.g. % of mothers know at least 3 danger signs)
Tools and system are available (Maternal death surveillance) but there was limited training, poor monitoring and supervision
Technology: a software was developed for data management but out of date (not a web based design) and only 35 provinces could use this software among 63 provinces

5. Examples
Quality of data: the figures reported from the regular health information system were still in favour of “high achievement” (far lower or higher than the figures from surveys).
Example:
Neonatal mortality: MOH: 3.29‰; MICS5: 11.95‰;
% of birth attended by trained health staff:
regular report: >60%; Survey in the same communes: 14%
Challenges: motivation of the staff and payment method; a syndrome of “proud achievement”

6. How do we measure?

7. Model 1
Method: Community score card to measure the quality of care from the user’s perspective
Strategies: Using people’s voices and people’s representative (People’s council)

8. Health sector People District People’s Council Monitor
Improve access
Improve quality
Reduce risks
Provincial People’s Council
Health sector
District People’s Council
Monitor
District People’s Committee
Voice/Accountability
People
Monitor
Feedback

9. Model 2
Method: Client exit interview to measure the satisfaction of clients
Strategies: Using technology (mobile devices) to get un-biased feedback from the users

10. Model 3 (GAC-funded project at design phase)
Method: Measuring access and utilization of prenatal, delivery and postnatal care using a M&E system
Strategies: Develop an app to be used on mobile phone which could support the village health workers to manage information related to the pregnant women in their villages.

11. Commune and district health centers
Data management
Home visit
Village health worker
Group education
Commune and district health centers

12. How to influence policy?
Develop model, testing and sharing with the network (Reproductive health affinity group) and with MOH
Involve MOH at the start of the model development
Empower and use voices of civil society to advocate for change