1. Sustainable Financing of the HIV Response in Vietnam: Integration of Donor Funded Treatment Facilities into Public Health System and the Social Health Insurance (SHI) Scheme
Hien Nguyen T.1; Huong Nguyen T.1; Anh Nguyen T.C.2; Hieu Pham C.1; Ni Le A.1; Lam Dam D.1; Diu Nguyen T.1; Nazzarino Todini1; Nhan Do T.3; Huong Phan T.T.3; Long Duc Vu.3 Theodore M. Hammett1
1USAID/Health Finance and Governance Project, Abt Associates, Hanoi, Vietnam
2USAID, Hanoi, Vietnam 3Vietnam Administration of HIV/AIDS Control, Ministry of Health, Hanoi, Vietnam
For more information, please contact Hien Nguyen at
July 2018

2. OPCs located at Provincial HIV/AIDS center (PAC)
From donor-funded OPCs
How They Are Integrated
To health facilities reimbursed by Social Health Insurance fund
OPCs located at Provincial HIV/AIDS center (PAC)
Health facilities including hospitals, general clinics, HIV/AIDS specialized clinics
PAC is not a curative health facility – not eligible for SHI contracting
External integration: transfer patients to a curative health facilities with SHI reimbursement
Internal integration: restructure themselves into a curative health facility with operational permit by DOH and process SHI contacting
OPCs located at Preventive Medicine Center (PMC)
PMC has not curative function – not eligible for SHI contracting
HIV patient signs for his medication through SHI fund at a district hospital drug counter
OPCs located at Provincial and district hospital
Internal integration: fully integrate into the existing hospital
OPCs operate independently from the hospital

3. OPC Integration Progress
In PEPFAR TA supported provinces
In USAID/HFG supported provinces
Treatment facilities with SHI contracts
Treatment facilities with SHI reimbursement
Baseline = 0
Dec- 2016
47/109 (43%)
24/109 (22%)
Dec-2017
83/115 (72%)
70/115 (61%)
Mar-2018
91/118 (77%)
83/118 (70%)
Sep-2018 (Expected)
100/118 (85%)
95/118 (80%)
– Hoa Binh – Hanoi – Hai Phong – Thai Binh
– Phu Tho – Ninh Binh – Ho Chi Minh City – Dong Nai – Can Tho

4. Next Steps
Complete the integration at the remaining health facilities (mainly PMCs and PACs) in PEPFAR focus provinces assigned by USAID along with support to increase SHI coverages for PLHIV.
Prepare health facilities for the reimbursement of ARV through SHI (SHI coverage for ARV by beginning of 2019, but ARV are still partially funded by donors till 2020).
Full integration will contribute to ensure financial protection for PLHIV through SHI coverage by and help Vietnam achieve the goals.
The 2nd 90% treated with ARV = PLHIV can access to treatment facilities with SHI reimbursement and afford ARV treatment through SHI coverage