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Analyzing Geospatial Data to Efficiently Expand Coverage of TB testing by GeneXpert in Vietnam

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1. Introduction1

Infectious and chronic lung diseases account for a large share of the burden of morbidity and mortality in Vietnam, including 8.7 percent of total disability-adjusted life years (DALYs) and nearly 12 percent of all deaths in 2017.2 Among all diseases, tuberculosis (TB) ranks tenth in terms of the number of deaths caused and twelfth in terms of the total years of life lost3. Multidrug-resistant TB (MDR-TB) is on the rise; in 2018, it was estimated that there were 8,600 cases in the country.4 Vietnam aims to eliminate TB by 20305 but still faces many challenges in accurately and rapidly diagnosing people with TB. Case detection is quite weak: in 2018, the health system detected 102,171 cases of TB out of an estimated 174,000 cases.6 In the same year, 3,187 cases of laboratory confirmed MDR- and XDR-TB were detected. Only 20 percent of tuberculosis cases were tested with rapid diagnostics at the time of diagnosis. Treatment is also not sufficiently effective: Among TB cases registered for care in 2017, the treatment success rate was 92 percent (including new and relapsed cases) and in 2018 the case fatality rate was estimated at 7.6 percent7. Lack of capacity for differential diagnosis, particularly between acute respiratory infections and TB, likely contributes to delays in treatment. Testing of presumptive cases of TB using GeneXpert, included to detect MDR-TB strains, is a cornerstone of the Vietnam Ministry of Health’s (MOH) strategy to eliminate TB. The GeneXpert test, which is performed by a GeneXpert machine, is a molecular test that diagnoses TB by detecting the presence of TB bacteria and tests for resistance to the drug Rifampicin. This procedure uses unprocessed sputum samples, produces results within two hours (which is substantially faster than drug susceptibility testing), and requires no additional technical equipment, which makes it especially suitable in contexts with limited laboratory capacity.8 Per the MOH’s strategy documents, Vietnam aims to test all presumptive cases of TB with GeneXpert by 2020, by increasing the testing capacity at district levels.9 The MOH’s TB program has and intends to continue to mobilize external financing, both loans and grants, from development partners (including the Global Fund and the World Bank) to procure a sufficient number of GeneXpert machines and cartridges to reach these goals. With TB diagnostics, including GeneXpert testing, having recently been included in the social health insurance benefit

1 This analysis was undertaken by a team from the World Bank (Caryn Bredenkamp, Sarah Bales), Burnet Institute (Sherrie Kelly, Christian Kuschel, Cliff Kerr, Azfar Hussain, Maria del Mar Quiroga), and the United States Centers for Disease Control (Alyssa Finlay). The authors would also like to thank the officials of the TB Program of the Ministry of Health of Vietnam for their advice on the assumptions and data underlying this analysis, including Dr Nguyen Viet Nhung and Dr Nguyen Van Hung. Generous funding from the Government of Japan through the Policy and Human Resource Development (PHRD) Trust Fund Program for Universal Health Coverage is gratefully acknowledged.

2 Institute for Health Metrics Network (IHME). Vietnam GBD Results Tool. Seattle, WA: IHME, University of Washington, 2018. www.ghsx.healthdata.org/gbd-results-tool. Data downloaded February 4, 2019. 3 Institute for Health Metrics Network (IHME). 2018. Vietnam profile. Seattle, WA: IHME, University of Washington. www.healthdata.org/vietnam. Accessed November 28, 2019. 4 World Health Organization (WHO). 2019. Tuberculosis Country Profile - Vietnam. https://extranet.who.int/sree/Reports?op=Replet&name=/WHO_HQ_Reports/G2/PROD/EXT/TBCountryProfile&ISO2=VN &outtype=pdf. Accessed December 4, 2019. 5 Prime Ministerial Decision No. 374/QD-TTg (dated 17 March 2014) approving the National Strategy on Tuberculosis Prevention and Control to the Year 2020 with a Vision to 2030. 6 TB estimates in this paragraph are from WHO. 2019. Global Tuberculosis Report 2019. Annex 2. Vietnam Country Profile. 7 Ibid. 8 https://www.who.int/tb/laboratory/xpert_faqs.pdf 9 Communication with Dr Nguyen Viet Nhung, Director of the MOH’s TB program 1 2 package, policies are now in place to cover the recurrent costs associated with GeneXpert testing, but actual reimbursement is not yet taking place. To ensure that resources used to purchase GeneXpert machines are put to their most efficient use, especially considering the substantial cost of this equipment, the placement of future machines should be such that it maximizes the share of the unmet need for TB testing that is addressed by the investment. Optimization of GeneXpert placement in Vietnam was previously carried out on a smaller scale, for 13 provinces, to inform the placement of 35 GeneXpert machines that will be purchased as part of a new World Bank-financed project (loan)10, 11. This study extends that analysis to the national level, including all of Vietnam’s provinces. The objective of this national-level analysis is to provide guidance to the Government of Vietnam and its development partners in deciding where future GeneXpert machines should be located to best achieve Vietnam’s goal of testing all presumptive TB cases by GeneXpert.

2. Methods

The approach is to conduct an optimization analysis to estimate where to deploy new GeneXpert machines to best meet the demand for TB diagnostic testing across all districts in Vietnam. The solution depends on the geographical distribution of district-level health facilities to which GeneXpert machines can be allocated, the geographical distribution of TB diagnostic testing needs across all districts in Vietnam, the population’s ability to travel to health facilities to obtain a TB test, and the testing capacity of GeneXpert machines in the various facilities. The data and modelling approach are described below.

2.1 Data

Geographical distribution of health facilities potentially eligible for GeneXpert machines The potential district-level locations for new GeneXpert machines were identified using an unpublished health facility database12 which includes information on geographical location (GPS coordinates) and type of facility (e.g. hospital, district health center). Almost all districts have a district health center, which is generally combined with a district hospital, but in some localities is a separate facility. Vietnam has 711 districts, of which 12 districts are islands and have been excluded for that reason, leaving 699 districts. Of these remaining 699 districts, 121 districts already have facilities with one or more GeneXpert machine(s) and are therefore not eligible for a new machine.

However, the existing GeneXpert capacity in these districts was considered in the optimization, as these facilities could perform more tests without requiring new machines. This would in turn reduce the need for new equipment in nearby districts. As such, the capacity of facilities with one or more existing GeneXpert machine(s) was first

10 World Bank. 2019. Vietnam - Investing and Innovating for Grassroots Health Service Delivery Project (English). Washington, D.C.: World Bank Group. http://documents.worldbank.org/curated/en/104811561255248757/Vietnam- Investing-and-Innovating-for-Grassroots-Health-Service-Delivery-Project 11 World Bank and Burnet Institute. 2019. Optimizing GeneXpert deployment in 13 provinces of Vietnam. (Unpublished manuscript). 12 The first version of this database was compiled by the World Health Organization in 2016 as part of their technical assistance to the Ministry of Health. The World Bank subsequently updated this database in 2019, as part of its technical assistance to the Ministry of Health, including expanding its scope (in terms of number of facilities and data fields) and verifying previous entries. 2 3 maximized (up to a maximum of 2,592 test per year; see subsection ‘TB diagnostic testing capacity of existing and new GeneXpert machines‘ below, within section 2.1), thus reducing the need for new GeneXpert machines in nearby districts.

The remaining 578 districts with no GeneXpert machine at any facility were considered eligible to receive one new GeneXpert machine per district. In each of the 578 eligible districts, a single candidate facility, generally the district health center, was prioritized to receive one new GeneXpert machine per district in priority order ( Figure 1).

Figure 1: Location of health facilities in Vietnam. Figure 2: Estimated need for GeneXpert TB diagnostic Black dots indicate the 125 facilities with existing testing by district used to inform this analysis. GeneXpert machines. Red dots indicate the 578 candidate facilities for prioritizing allocation of new GeneXpert machines.

Geographical distribution of the need of diagnostic TB testing Information is needed to estimate the number of TB tests that must be performed in each district in order to find all individuals with TB who are still undiagnosed in each district. This estimate has many parts to it: First, for each of the 578 districts which have candidate facilities to potentially receive a new GeneXpert machine, the following information was used to estimate the number of individuals who are still undiagnosed in each district: • Location of the districts, obtained from the Database of Global Administrative Areas (GADM)13; 14 • Population size, defined as 푁푖 people in district 푖, obtained from the 2014 Intercensal Population Survey estimates, with corrections made to address district splits, merges, and renaming that has subsequently taken place (and has been recorded in various legal documents);

13 GADM. GADM maps. www.gadm.org 14 General Statistics Office. Intercensal Population and Housing Survey (1 April 2014) database. 3 4

• TB detection rates for 2018, 푟푖, from the Vietnam National Tuberculosis Control Program (NTP) at the National Lung Hospital under the Ministry of Health, with provincial detection rates applied equally to every district within each province;

• Estimated patient diagnostic rate (PDR) for adults aged 15 years and older, 푝푖 with regional rates applied equally to every district within each region15; 푑 • Estimated number of individuals diagnosed with TB in 2018 in each district 푁푖 = 푁푖 ⋅ 푟푖; 푢 푢 푁푖 1− 푝푖 • Estimated number of individuals with TB who are still undiagnosed in each district 푁푖 from 푑 = 푁푖 푝푖 (assumes that the proportion of people diagnosed and undiagnosed with TB remained equal to the last reported PDR).

Second, the number of tests required per positive TB diagnosis was estimated. It was calculated by the NTP, using the 2017 TB prevalence survey as a baseline with corrections applied to account for improvements in detection through the use of GeneXpert testing. This resulted in an estimated 푐 = 22 GeneXpert tests required to detect one positive case of TB.

Finally, the TB diagnostic testing demand (i.e. number of tests required) for each district was estimated as: 퐷푖 = 푢 푐 ⋅ 푁푖 . The geographic distribution of the demand for TB testing is shown in Figure 2.

Accessibility of health facilities (i.e. travel time) The share of the need for TB testing that can be met depends also on the ability of people in need of TB testing to travel to facilities, considering the road network and infrastructure. The time to travel from each district to each health facility was estimated by taking the (geographic) centroid of each district and using Open Source Routing Machine (OSRM)16, 17 to calculate the driving time between the centroid of the district and the health facility’s GPS coordinates. OSRM estimates the best route and travel time between locations given the road network assuming an average speed. These driving times gave an indication of the relative accessibility of health facilities.

The accessibility function for the proportion of people in district 푖 who can access facility 푗, depending on travel time indicator 푡푖푗 as given by OSRM, is as follows:

1 푖푓 0 ≤ 푡 < 5 min

0.9 푖푓 5 ≤ 푡 < 10 min

0.7 푖푓 10 ≤ 푡 < 30 min 푓(푡) = 0.2 푖푓 30 ≤ 푡 < 60 min

0.1 푖푓 60 ≤ 푡 < 90 min

{ 0 푖푓 푡 ≥ 90 min

15 Hoa, N. B., D. N. Sy, N. V. Nhung, E. W. Tiemersma, M. W. Borgdorff and F. G. Cobelens. 2010. “National survey of tuberculosis prevalence in Viet Nam” Bulletin of the World Health Organization, pp. 241-320. 16 Open Source Routing Machine. www.project-osrm.org 17 Luxen. D. and C. Vetter. “Real-time routing with OpenStreetMap data”. Proceesings of the of 19th ACM SIGSPATIAL International Conference on Advances in Geographic Information Systems, Nov 1-4, 2011, Chicago, Illinois. 4 5

Depending on travel time 푡푖푗 from district 푖 to facility 푗, only 푓(푡푖푗) ⋅ 퐷푖 of the district’s demand 퐷푖 can be met by facility 푗.

TB diagnostic testing capacity of existing and new GeneXpert machines GeneXpert machines are seldom able to be used at their maximum technical capacity because machine capacity in practice also depends on the capacity of facilities and their staff to effectively use and maintain GeneXpert machines, how many machines each facility could feasibly operate, and the testing sensitivity of machines when placed in a certain health facility given the operations of that facility.

For existing machines, the diagnostic testing capacity of existing machines, both at maximum capacity and in practice (actual use), is based on a recent report by Nguyen et al.18

For new machines, it is assumed that they will be GeneXpert IV machines19. The GeneXpert IV machine contains four modules which can each be run an average of three times per day for approximately 270 days per year, i.e. 5 days per week for 6 hours per day20. This number was then discounted by 20% to account for module failure rate, repair time, insufficiency in cartridge supply, etc. Therefore, the maximum testing capacity 훼 of each new GeneXpert machine was set to 훼 = 4 ⋅ 3 ⋅ 270 ⋅ 0.8 = 2,592 tests per year. To account for GeneXpert machines being used only at a proportion of their full capacity, the maximum testing capacity 훼 is scaled by a factor 훽 ∈ [0,1]: 훽 = 1 if GeneXpert machines operate at their theoretical maximum capacity and 훽 < 1if GeneXpert machines operate below maximum capacity. Based on the collected data, it is possible to determine the actual average capacity as observed in practice before running the optimization. This derived value of 훽 is then used for all machines throughout the optimization.

2.2 Optimization analysis

We modelled the GeneXpert allocation problem as a linear integer optimization problem that used the data described above to calculate the optimal allocation of 푀 GeneXpert machines that will maximize the total satisfied demand for diagnostic TB testing.

Decision variables

• 풎풋 binary value which indicates if health facility 푗 has a new GeneXpert machine assigned to it or not

• 풏풊풋 non-negative number of TB tests from district 푖 that are performed in health facility 푗 per year Objective function

Maximize the total number of performed tests per year:

max ∑ 풏풊풋 푖,푗

18 T. Nguyen, “Xpert testing activity 2017-2018”, 2018 National TB Testing Workshop, Da Nang, Vietnam. 19 Cepheid. 2019. “Cepheid | GeneXpert IV”. https://www.cepheid.com/us/cepheid-solutions/systems/genexpert- systems/genexpert-iv 20 N. Hung, MOH TB program lab director, 2018 5 6

Constraints

1. The number of TB tests performed in each health facility 푗 is below maximum capacity:

∑ 풏풊풋 ≤ 훼 ⋅ 훽 풎풋 ∀푗 푖

2. The number of TB tests for each district 푖 are below its estimated TB testing need:

∑ 풏풊풋 ≤ 퐷푖 ∀푖 푗

3. The number of GeneXpert machines to be newly allocated is equal the total number of machines available 푀:

∑ 풎풋 = 푀 푗

4. The proportion of the TB testing need that can be satisfied in district 푖 does not exceed the number of TB tests all health facilities can provide to district 푖:

∑ 풏풊풋 ≤ 푓(푡푖푗) ⋅ 퐷푖 ∀푖, ∀푘

푗|훿푘−1<푡푖푗≤훿푘

We conducted this optimization analysis with a ‘Gurobi 8’ algorithm21 in Python 3.722.

2.3 Caveats and data limitations

Because district-level population estimates were used to inform the model, the distances between people needing to be tested and health facilities were calculated from the geographic centroid of each district. An alternative would have been to generate commune-level population estimates by distributing the district population to each commune according to the commune’s population share from the 2009 census. However, due to splitting, merging, and renaming of communes since 2009, it was not possible to map the 2009 census population sizes to the 2019 communes. New, up-to-date commune-level estimates will be available following the completion of the 2019 census data processing.

There were an additional 5,647 TB cases detected at central hospitals. As these cases may have been hard to detect or may have been XDR-TB cases with the province of origin unknown, it was not possible to assign these cases to a given province. As such they have been excluded from this assessment of need for GeneXpert testing and as a result the need for GeneXpert testing in Vietnam may have been slightly underestimated in this study.

21 Gurobi Optimization. www.gurobi.com 22 Python Software Foundation. “Python.org” www.python.org 6 7

In addition, the optimization results are sensitive to assumptions made about the willingness of people to travel to a health facility given the travel time and the capacity of new GeneXpert machines (both maximum and likely actual). The analysis is also sensitive to the assumption that individuals will travel to the nearest district-level facility with a GeneXpert machine in order to be tested. It may be the case that individuals travel to the most convenient or preferred facility – which may be at the commune-level or district-level – and then their sputum samples are sent to the district-facility through a network of sputum referral and testing (as has been implemented in some locations of Vietnam23). This alternative practice was not modelled. However, it could be modelled using an accessibility function analogous to the one used in this study, providing better accessibility between commune-level and district-level health facilities.

3. Findings

3.1 TB testing capacity of existing GeneXpert machines

Figure 3: Percentage of GeneXpert TB testing need met by district with the current distribution of GeneXpert machines in Vietnam.

The number of tests performed across Vietnam in 2018 with existing GeneXpert machines amounts to 1.3% of the total estimated need for TB diagnostic tests. According to current utilization rates, existing GeneXpert machines are being used substantially below their maximum capacity. We speculate that the low utilization results are due to low testing cartridge stocks and limited trained human resources, leading to rationing testing to detecting MDR-TB in TB-positive cases rather than implementing the protocols calling for widespread

23 https://www.msh.org/news-events/stories/vietnam-better-tb-specimen-referral-system-improves-mdr-tb-diagnostic- accuracy 7 8

GeneXpert testing for all presumed TB cases. Also, some existing machines are not yet being used at all because they were only recently acquired.

It is estimated that if existing machines were used at their maximum testing capacity, then the current number and distribution of GeneXpert equipment could meet up to 30% of the total TB diagnostic testing demand in Vietnam. Figure 3 shows the share of the total TB testing demand in each district that is met, if current machines are utilized at their current and maximum capacity, respectively.

3.2 Optimal allocation of new GeneXpert machines

With the current number of machines only able to meet 30% of the estimated need for TB diagnostic testing, even if operated at maximum capacity, new machines are needed and, in the interests of efficiency and access, should be optimally allocated.

There are 175 existing GeneXpert machines located in 125 health facilities in 121 districts across Vietnam. For this analysis, it is assumed that these existing machines cannot be moved. The capacity utilization of these existing machines was first maximized (to a maximum of 2,592 tests which were assumed could be performed per machine per year) such that the additional tests could be conducted using machines not operating at maximum capacity, before successively allocating any new machines. Of the remaining 587 non-island districts without a GeneXpert machine at any facility in the district, it is assumed that only one new machine per eligible district would be allocated to each of the single health facilities prioritized in each eligible district. The optimization generated a list of candidate facilities in order of prioritization for new GeneXpert investments as shown in Table 1 of the Annex.

If GeneXpert units are invested in order of priority, the number of additional tests that could be performed per machine would follow the curve in Figure 4. The x-axis shows the number of GeneXpert units added to the health system in order of decreasing priority of candidate facilities (one facility per district that doesn’t already have any facility with a GeneXpert machine in that district) as determined by this optimization exercise. The y-axis shows the additional total TB tests that could be performed per machine (one data point per machine), which decline as more machines are put in place in priority order to satisfy demand, leading to surplus capacity. The plateau at the top left shows that the first 136 new machines are expected to achieve near maximal capacity (2,592 tests per year) of annual tests per year above 2,500. For the next 63 machines, the additional TB tests that are estimated to be performed falls off sharply with the number of extra annual tests dropping from 2,500 to 2,000 tests per year per machine. For the next 304 machines added, the total additional annual tests that are anticipated to be performed decline from 2,000 to 500 tests per year. After the 502nd GeneXpert unit, total additional tests per unit per year are expected to fall below 500 tests per year.

8 9

facility

Additionaltests TB per additional GeneXpert suppliedadditionalGeneXpert

Figure 4: Additional TB tests per additional GeneXpert-supplied facility that can be performed annually by placing a machine in each facility in order of priority.

The results of allocating different theoretical number of machines – 200, 300, 400 and 500 – according to this prioritized ranking of facilities, and with the assumption that they will operate at maximal capacity 훽 = 1, are illustrated in Error! Reference source not found.. These allocations yield a 48%, 66%, 79% and 81% coverage of the estimated need for TB testing, respectively.

Figure 5: Optimal allocation of 200, 300, 400, and 500 machines across Vietnam if existing machines were operated at maximal capacity. Existing machines are represented by red triangles. New machines by orange dots.

However, as discussed in section 3.1 and shown Figure 3, current average utilization rates of the existing GeneXpert machines are at only 23% of their maximum capacity, with 103,146 tests being conducted per year

9 10 across Vietnam as opposed to the estimated 455,420 tests per year that should be possible with the current distribution of GeneXpert equipment under our maximum capacity assumptions.

To account for this, the above computation was repeated with reduced utilization (훽 = 0.23). The results, shown in Figure 6, starkly illustrate how the difference between an optimal allocation of machines and a random allocation of machines changes when machines are assumed to be operated only at current utilization rates as opposed to maximum utilization rates. At maximum capacity, the optimal allocation outperforms the random allocation, regardless of how many machines are allocated. However, at current capacity, there was only a marginal difference between the optimal and random allocations.

This suggests that, unless the rate of use of existing and new GeneXpert machines for TB diagnostic testing is substantially increased, there is little benefit to optimizing the allocation of the machines: overall testing will increase by deploying new machines to any district which does not have a GeneXpert machine. This is because very few machines would reach their full capacity.

Figure 6: Potential TB diagnostic testing as a percentage of the estimated demand, for a random (orange) and optimal (green) allocation of GeneXpert machines. Solid curves represent the potential testing if equipment can be used at maximum capacity. Dashed curves represent the current average utilization rates applied to all new and existing machines.

4. Conclusion and recommendations

This analysis shows that, when machines are used at full capacity, geographically optimizing the location of additional GeneXpert machines results in a substantially higher share of TB testing need being met than would otherwise be the case. Geographical optimization, thus, results in a more efficient investment decision by getting more value-for-money out of each GeneXpert machine purchased.

Given the decision to purchase a specific number of new machines, the analysis provides guidance on where such machines should be placed. Machines should be placed in the priority order shown in Table 1 in the Annex. While

10 11 the model optimized the placement of machines (given a particular number of new machines to be placed) rather than the number of machines needed, the drop-off in the number of tests performed per new machines also provides some guidance in thinking about how many machines should be purchased. Within the optimization, the capacity of the 125 facilities that already have a GeneXpert machine was maximized to a total of 2,592 tests per machine per year, with the number of additional tests recommended for new GeneXpert machine allocation remaining above 2,500 for 136 additional machines. Beyond the 304th new machine, the modeled capacity to conduct extra TB tests falls below 500 each year.

However, at current rates of utilization, there is little difference in the share of TB testing need that is met when new machines are allocated optimally than when they are allocated randomly. Therefore, to fully realize the benefits of investing in new GeneXpert machines (and the optimization of their placement), the utilization (capacity) of both existing and new machines should be increased.

Increasing the utilization (capacity) of GeneXpert machines will, in turn, require complementary investments and interventions. First, interventions are needed to improve case-finding. This includes additional training of health workers to improve their skills and activities related to case-finding and referral, as well as interventions to stimulate the demand for testing, e.g. enhanced awareness campaigns. Second, on the supply-side, it needs to be ensured that sufficient cartridges are available, that warranties are purchased for new machines, that there is reliable internet connectivity (for results to be uploaded and stored in national electronic TB registries), and that workers that trained in the operation of the GeneXpert machines are available at facilities. Effective implementation of policies that allow recurrent expenditures associated with GeneXpert testing to be fully covered by social health insurance will help to ensure the funding needed for this. Taken together, these demand- side and supply-side measures will help to reduce the large gap between current and potential diagnostic testing levels, regardless of how many new GeneXpert machines are purchased.

This analysis is not without its limitations. Data and methodological limitations were discussed in detail in section 2.3. One limitation is that travel time had to be calculated using the distance from the geographic centroid of each district to the health facility since only district-level population estimates were available. Also, the various assumptions made by the model – including about people’s willingness to travel various distances to facilities, the maximum and actual testing capacity of new machines, and that people (rather than sputum samples) will be referred for GeneXpert testing – may not in fact, hold in practice.

It could also be argued that by choosing an optimization function that focuses on the unmet need for TB testing, the analysis ignores the many other types of diseases and clinical conditions24 that can be diagnosed using a GeneXpert machine (if those disease-specific cartridges were supplied) and for which the geographical distribution may be different from TB. If these other diseases and conditions were taken into consideration, then the optimal placement of GeneXpert might be different. However, right now, in government health facilities, TB is the only disease for which GeneXpert testing is currently mandated (and financed) and, therefore, optimization for this single disease seems appropriate.

As Vietnam seeks to makes progress towards its goal of having all presumptive TB cases tested by GeneXpert at the district level, the need for TB testing will increase substantially. Geographic optimization of the placement of new machines will help to ensure that resources are used more efficiently. Therefore, it is recommended that the placement of new GeneXpert machines follow the prioritization that emerges from this study. However, for the benefits of optimization of the placement of new machines to be beneficial, increasing the utilization capacity of both new and existing machines closer to the maximum is needed. In this regard, it is further recommended that any new GeneXpert machines, whether financed by government or by donors, be accompanied by a budget

24 https://www.cepheid.com/us/ cepheid-solutions/clinical-ivd-tests/critical-infectious-diseases 11 12 allocation to enable complementary activities needed for this – both on the demand-side (case-finding) and on the supply-side – be implemented. Any bottlenecks to effective implementation of policies allowing recurrent expenditures for testing to be covered by social health insurance will also need to be addressed.

12 Annex 1 Table 1: Ranked prioritization of 578 health facilities eligible to be allocated a new GeneXpert machine to maximize TB testing rates.

Priority order Facility name Province District Extra Tests 1 Trung tâm y tế Bình Tân Vĩnh Long Bình Tân 2,592 2 Trung tâm y tế quận Tân Bình (CS2-YTDP) Thành phố Hồ Chí Minh Tân Bình 2,592 3 Trung tâm y tế Củ Chi (CS2-YTDP) Thành phố Hồ Chí Minh Củ Chi 2,592 4 Trung tâm y tế Dĩ An Bình Dương Dĩ An 2,592 5 Trung tâm y tế Chợ Mới An Giang Chợ Mới 2,592 5 Trung tâm y tế Chợ Mới (cs2) Bắc Kạn Chợ Mới 2,592 6 Trung tâm y te Thủy Nguyên Hải Phong Thuỷ Nguyên 2,592 7 Trung tâm y tế Hiệp Hòa (cs2) Bắc Giang Hiệp Hòa 2,592 8 Trung tâm y tế Lục Nam (Co so 2-YTDP) Bắc Giang Lục Nam 2,592 9 Trung tâm y tế quận Thanh Khê (bv) Đà Nẵng Thanh Khê 2,592 10 Trung tâm kiếm soát bệnh tật Cần Thơ (CS1-YTDP + TTGDSK) Cần Thơ Ninh Kiều 2,592 11 Trung tâm y tế Châu Phú (BV) An Giang Châu Phú 2,592 12 Trung tâm y tế Lạng Giang (cs2) Bắc Giang Lạng Giang 2,592 12 Trung tâm y tế Tân Yên Bắc Giang Lạng Giang 2,592 13 Trung tâm y tế quận 11 (CS2-YTDP) Thành phố Hồ Chí Minh Quận 11 2,592 14 Trung tâm kiểm soát bệnh tật Nghệ An (cs1) Nghe An Vinh 2,592 15 Trung tâm y tế Thành phố Vũng Tàu Bà Rịa - Vung Tàu Vũng Tàu 2,592 16 Trung tâm y tế Hàm Thuận Bắc Bình Thuận Hàm Thuận Bắc 2,592 17 Trung tâm y tế Hoàng Mai (bv) Nghe An Hoàng Mai 2,592 18 Trung tâm kiểm soát bệnh tật Quảng Ngãi Quang Ngãi Quảng Ngãi 2,592 19 Trung tâm y tế Đông Anh Hà Nội Đông Anh 2,592 20 Trung tâm y tế Việt Yên (cs2) Bắc Giang Việt Yên 2,592 21 Trung tâm y tế Phú Tân Cà Mau Phú Tân 2,592 22 Trung tâm y tế Hải Hậu Nam Định Hải Hậu 2,592 23 Trung tâm y tế quận Sơn Trà (BV) Đà Nẵng Sơn Trà 2,592 24 Trung tâm y tế Bến Cát Bình Dương Bến Cát 2,592 25 Trung tâm y tế Diễn Châu Nghe An Diễn Châu 2,592 26 Trung tâm y tế quận 3 (CS2-YTDP) Thành phố Hồ Chí Minh Quận 3 2,592 27 Trung tâm y tế Điện Bàn Quang Nam Điện Bàn 2,592 1

Priority order Facility name Province District Extra Tests 28 Trung tâm y tế quận Lê Chân (YTDP ) Hải Phong Lê Chân 2,592 29 Trung tâm y tế Yên Thành Nghe An Yên Thành 2,592 30 Trung tâm y tế Tân Uyên Bình Dương Tân Uyên 2,592 30 Trung tâm y tế Tân Uyên (bv) Lai Châu Tân Uyên 2,592 31 Trung tâm y tế quận 4 - CS2 (HIV, MMT, Bệnh lao) Thành phố Hồ Chí Minh Quận 4 2,592 31 Trung tâm y tế Cai Lây Tiền Giang Cai Lậy 2,592 32 Trung tâm y tế Trảng Bom (bv) Đồng Nai Trảng Bom 2,592 33 Trung tâm y tế Quỳnh Lưu Nghe An Quỳnh Lưu 2,592 34 Trung tâm y tế An Phú (BV) An Giang An Phú 2,592 35 Trung tâm y tế Cái Bè (BV) Tiền Giang Cái Bè 2,592 36 Trung tâm kiểm soát bệnh tật Ninh Thuận (cs1) Ninh Thuận Phan Rang-Tháp Chàm 2,592 37 Trung tâm y tế Sóc Sơn Hà Nội Sóc Sơn 2,592 37 Trung tâm kiểm soát bệnh tật Kiên Giang Kiên Giang Rạch Giá 2,592 37 Trung tâm y tế quận Hòa Vang (BV) Đà Nẵng Hòa Vang 2,592 38 Trung tâm y tế Chương Mỹ Hà Nội Chương Mỹ 2,592 39 Trung tâm y tế Tân Châu An Giang Tân Châu 2,592 39 Trung tâm y tế Tân Châu (bv) Tây Ninh Tân Châu 2,592 40 Trung tâm y tế Thăng Bình (bv) Quang Nam Thăng Bình 2,592 41 Trung tâm y tế Châu Thành Hậu Giang Châu Thành 2,592 42 Trung tâm y tế Hưng Hà Thai Binh Hưng Hà 2,592 43 Trung tâm y tế Thái Thụy Thai Binh Thái Thụy 2,592 44 Trung tâm y tế Yên Dũng (cs2) Bắc Giang Yên Dũng 2,592 45 Trung tâm y tế Đức Linh Bình Thuận Đức Linh 2,592 46 TTYT Đông Triều (bv) Quang Ninh Đông Triều 2,592 47 Trung tâm y tế Giồng Riềng (bv) Kiên Giang Giồng Riềng 2,592 48 Trung tâm y tế Hoài Nhơn (cs2) Binh Định Hoài Nhơn 2,592 49 Trung tâm y tế Hoằng Hóa Thanh Hóa Hoằng Hóa 2,592 50 Trung tâm y tế Tĩnh Gia Thanh Hóa Tĩnh Gia 2,592 51 Trung tâm y tế Thanh Chương Nghe An Thanh Chương 2,592 52 Trung tâm y tế Phú Vang (bv) Thừa Thiên Huế Phú Vang 2,592 53 Trung tâm y tế Cần Giuộc Long An Cần Giuộc 2,592 1 2

Priority order Facility name Province District Extra Tests 53 Trung tâm y tế Cần Đước (bv) Long An Cần Đước 2,592 54 Trung tâm y tế Quỳnh Phụ Thai Binh Quỳnh Phụ 2,592 55 Trung tâm y tế Hòa Thành (bv) Tây Ninh Hòa Thành 2,592 56 Trung tâm y tế Vĩnh Bảo Hải Phong Vĩnh Bảo 2,592 57 Trung tâm y tế Thọ Xuân Thanh Hóa Thọ Xuân 2,592 58 Trung tâm y tế Xuân Lộc (bv) Đồng Nai Xuân Lộc 2,592 59 Trung tâm y tế Gò Dầu (bv) Tây Ninh Gò Dầu 2,592 60 Trung tâm y tế Nam Trực (bv) Nam Định Nam Trực 2,592 61 Trung tâm y tế An Dương Hải Phong An Dương 2,592 61 Trung tâm y tế Diên Khánh Khánh Hoa Diên Khánh 2,592 62 Trung tâm y tế Bố Trạch Quang Binh Bố Trạch 2,592 62 Trung tâm y tế Bắc Bình Bình Thuận Bắc Bình 2,592 63 Trung tâm y tế Giao Thủy (bv) Nam Định Giao Thủy 2,592 64 Trung tâm y tế Lấp Vò (BV) Đồng Tháp Lấp Vò 2,592 65 Trung tâm y tế quận Ngô Quyền Hải Phong Ngô Quyền 2,592 66 Trung tâm y tế quận Long Biên Hà Nội Long Biên 2,592 67 Trung tâm y tế Ba Vì Hà Nội Ba Vì 2,592 68 Trung tâm y tế Vũ Thư Thai Binh Vũ Thư 2,592 69 Trung tâm y tế quận Cẩm Lệ (bv) Đà Nẵng Cẩm Lệ 2,592 70 Trung tâm y tế Phù Cát Binh Định Phù Cát 2,592 71 Trung tâm y tế Châu Thành Sóc Trăng Châu Thành (ST) 2,592 72 Trung tâm y tế Châu Thành (bv) (in Long An) Long An Châu Thành (LA) 2,592 73 Trung tâm y tế Vạn Ninh(CS2) Khánh Hoa Vạn Ninh 2,592 74 Trung tâm Y te Kiến Xương Thai Binh Kiến Xương 2,592 74 Trung tâm y tế quận Bắc Từ Liêm Hà Nội Bắc Từ Liêm 2,592 75 Trung tâm y tế Long Thành Đồng Nai Long Thành 2,592 76 Trung tâm y tế Triệu Sơn Thanh Hóa Triệu Sơn 2,592 77 Trung tâm y tế Nghĩa Hưng (cs2-YTDP??) Nam Định Nghĩa Hưng 2,592 78 Trung tâm y tế Tiền Hải Thai Binh Tiền Hải 2,592 78 Trung tâm kiểm soát bệnh tật Tây Ninh (cs1) Tây Ninh Tây Ninh 2,592 79 Trung tâm y tế Đại Lộc Quang Nam Đại Lộc 2,592 2 3

Priority order Facility name Province District Extra Tests 80 Trung tâm y tế Tuy Phước Binh Định Tuy Phước 2,592 81 Trung tâm y tế Trực Ninh (bv) Nam Định Trực Ninh 2,592 82 Trung tâm y tế Định Quán Đồng Nai Định Quán 2,592 83 Trung tâm y tế quận 2 (CS1-YTDP) Thành phố Hồ Chí Minh Quận 2 2,592 84 Trung tâm y tế Bến Lức (bv) Long An Bến Lức 2,592 84 Trung tâm y tế thành phố Cam Ranh Khánh Hoa Cam Ranh 2,592 84 Trung tâm y tế Gia Lâm Hà Nội Gia Lâm 2,592 85 Trung tâm y tế Hữu Lũng (bv) Lạng Sơn Hữu Lũng 2,592 86 Trung tâm y tế Đô Lương Nghe An Đô Lương 2,592 87 Trung tâm y tế La Gi Bình Thuận La Gi 2,592 88 Trung tâm y tế Nhơn Trạch (bv) Đồng Nai Nhơn Trạch 2,592 89 Trung tâm y tế Tri Tôn An Giang Tri Tôn 2,592 90 Trung tâm y tế Lai Vung (CS2-YTDP) Đồng Tháp Lai Vung 2,592 91 Trung tâm y tế Núi Thành Quang Nam Núi Thành 2,592 92 TTYT Quảng Yên (bv) Quang Ninh Quảng Yên 2,592 93 Trung tâm y tế Phú Mỹ Bà Rịa - Vung Tàu Phù Mỹ 2,592 93 Trung tâm y tế Phù Mỹ Binh Định Phù Mỹ 2,592 94 Trung tâm y tế Xuân Trường (bv) Nam Định Xuân Trường 2,592 95 Trung tâm y tế Thường Tín Hà Nội Thường Tín 2,592 96 Trung tâm y tế Lý Nhân (bv) Hà Nam Lý Nhân 2,592 97 Trung tâm y tế Tiên Lãng Hải Phong Tiên Lãng 2,592 98 Trung tâm y tế Ô Môn Cần Thơ Ô Môn 2,592 99 Trung tâm y tế Nguyễn Văn Thủ Vũng Liêm (CS2-YTDP) Vĩnh Long Vũng Liêm 2,592 100 Trung tâm y tế Nông Cống Thanh Hóa Nông Cống 2,592 101 Trung tâm y tế Tánh Linh (bv) Bình Thuận Tánh Linh 2,592 102 Trung tâm y tế Nhà Bè (CS2-YTDP) Thành phố Hồ Chí Minh Nhà Bè 2,592 103 Trung tâm y tế Hòn Đất Kiên Giang Hòn Đất 2,592 104 Trung tâm y tế Thanh Bình (bv) Đồng Tháp Thanh Bình 2,592 105 Trung tâm y tế Hàm Thuận Nam (bv) Bình Thuận Hàm Thuận Nam 2,592 106 Trung tâm y tế Châu Thành (bv) (in Dong Thap) Dong Thap Châu Thành 2,592 107 Trung tâm y tế Tam Binh (cs2) Vĩnh Long Tam Bình 2,592 3 4

Priority order Facility name Province District Extra Tests 108 Trung tâm y tế Kim Sơn Ninh Binh Kim Sơn 2,592 109 Trung tâm y tế Yên Thế Bắc Giang Yên Thế 2,592 110 Trung tâm y tế Khoái Châu (CS2) Hưng Yen Khoái Châu 2,587 111 Trung tâm y tế dự phòng Đức Phổ; Quang Ngãi Đức Phổ 2,575 112 Trung tâm y tế TX Chí Linh (bv) Hải Dương Chí Linh 2,574 112 Trung tâm y tế Cờ Đỏ Cần Thơ Cờ Đỏ 2,574 113 Trung tâm y tế Tịnh Biên (BV) An Giang Tịnh Biên 2,557 114 Trung tâm y tế Kinh Môn (bv) Hải Dương Kinh Môn 2,551 115 Trung tâm y tế Hậu Lộc Thanh Hóa Hậu Lộc 2,532 116 Trung tâm y tế Hoài Đức Hà Nội Hoài Đức 2,530 117 Trung tâm y tế Kiến Thụy Hải Phong Kiến Thuỵ 2,526 118 Trung tâm y tế Thới Lai (cs2 separate location) Cần Thơ Thới Lai 2,522 119 Trung tâm y tế Trần Văn Thời Cà Mau Trần Văn Thời 2,506 120 Trung tâm y tế Mê Linh Hà Nội Mê Linh 2,500 121 Trung tâm y tế Dương Minh Châu (bv) Tây Ninh Dương Minh Châu 2,496 122 Trung tâm y tế Duy Xuyên (bv) Quang Nam Duy Xuyên 2,487 123 Trung tâm y tế Lệ Thủy Quang Binh Lệ Thủy 2,481 124 Trung tâm y tế Phú Lộc Thừa Thiên Huế Phú Lộc 2,471 125 Trung tâm y tế Đại Từ Thai Nguyen Đại Từ 2,461 126 Trung tâm y tế Cam Lâm (bv) Khánh Hoa Cam Lâm 2,449 127 Trung tâm y tế Thanh Hà (bv) Hải Dương Thanh Hà 2,441 128 Trung tâm y tế Tứ Kỳ (bv) Hải Dương Tứ Kỳ 2,437 129 Trung tâm y tế Yên Định Thanh Hóa Yên Định 2,435 130 Trung tâm y tế Đầm Dơi Cà Mau Đầm Dơi 2,434 131 Trung tâm kiểm soát bệnh tật Vĩnh Long (cs1) Vĩnh Long Vĩnh Long 2,421 132 Trung tâm y tế Tháp Mười Đồng Tháp Tháp Mười 2,407 132 Trung tâm y tế Dầu Tiếng Bình Dương Dầu Tiếng 2,407 133 Trung tâm y tế Kế Sách Sóc Trăng Kế Sách 2,400 134 Trung tâm y tế Thành phố Uông Bí Quang Ninh Uông Bí 2,380 135 Trung tâm y tế Thiệu Hóa Thanh Hóa Thiệu Hóa 2,367 136 Trung tâm y tế Mỹ Xuyên Sóc Trăng Mỹ Xuyên 2,364 4 5

Priority order Facility name Province District Extra Tests 137 Trung tâm y tế Long Mỹ Hậu Giang Long Mỹ 2,363 137 Trung tâm y tế Long Mỹ Hậu Giang Long Mỹ 2,363 138 Trung tâm y tế Tân Phú (bv) Đồng Nai Tân Phú 2,355 139 Trung tâm y tế Trà Ôn (cs2) Vĩnh Long Trà Ôn 2,337 140 Trung tâm y tế Nam Đàn (bv) Nghe An Nam Đàn 2,333 141 Trung tâm y tế Triệu Phong (bv) Quang Trị Triệu Phong 2,325 142 Trung tâm y tế Tân Hiệp (bv) Kiên Giang Tân Hiệp 2,321 143 Trung tâm y tế Nho Quan Ninh Binh Nho Quan 2,311 144 Trung tâm y tế Châu Đức Bà Rịa - Vung Tàu Châu Đức 2,292 145 Trung tâm y tế Mộ Đức (bv) Quang Ngãi Mộ Đức 2,286 146 Trung tâm y tế Chợ Gạo Tiền Giang Chợ Gạo 2,273 147 Trung tâm y tế Thạch Thất Hà Nội Thạch Thất 2,270 148 Trung tâm y tế Phú Xuyên Hà Nội Phú Xuyên 2,265 149 Trung tâm y tế Tân Biên (bv) Tây Ninh Tân Biên 2,256 150 Trung tâm y tế Ninh Giang (CS2-YTDP) Hải Dương Ninh Giang 2,244 151 Trung tâm y tế Ứng Hoa Hà Nội Ứng Hòa 2,237 152 Trung tâm y tế Phổ Yên (bv) Thai Nguyen Phổ Yên 2,225 153 Trung tâm y tế Gò Quao (BV) Kiên Giang Gò Quao 2,212 154 Trung tâm y tế Trà Cú (bv) Trà Vinh Trà Cú 2,211 155 Trung tâm y tế Vụ Bản (cs2) Nam Định Vụ Bản 2,195 156 Trung tâm y tế Gia Lộc (bv) Hải Dương Gia Lộc 2,169 157 Trung tâm y tế Yên Khánh (bv) Ninh Binh Yên Khánh 2,158 158 Trung tâm y tế Xuyên Mộc (bv) Bà Rịa - Vung Tàu Xuyên Mộc 2,154 159 Trung tâm y tế Thanh Oai Hà Nội Thanh Oai 2,146 160 Trung tâm y tế Mỹ Đức Hà Nội Mỹ Đức 2,139 161 Trung tâm y tế quận Ngũ Hành Sơn (BV) Đà Nẵng Ngũ Hành Sơn 2,134 161 Trung tâm y tế Thạch Thành Thanh Hóa Thạch Thành 2,124 162 Trung tâm y tế Cẩm Mỹ (bv) Đồng Nai Cẩm Mỹ 2,121 163 Trung tâm y tế dự phòng Kỳ Anh Ha Tinh Kỳ Anh 2,118 163 Trung tâm y tế Kỳ Anh Ha Tinh Kỳ Anh 2,118 164 Trung tâm y tế Hương Trà(bv) Thừa Thiên Huế Hương Trà 2,114 5 6

Priority order Facility name Province District Extra Tests 165 Trung tâm y tế Hải Lăng (bv) Quang Trị Hải Lăng 2,110 166 Trung tâm y tế Phú Bình Thai Nguyen Phú Bình 2,106 167 TTYT Bình Lục (bv) Hà Nam Bình Lục 2,093 168 Trung tâm y tế Cẩm Giàng (bv) Hải Dương Cẩm Giàng 2,082 169 Trung tâm y tế Phong Điền Cần Thơ Phong Điền 2,075 169 Trung tâm y tế Phong Điền (bv) Thừa Thiên Huế Phong Điền 2,075 170 Trung tâm y tế Quan Hải An (CS2-YTDP) Hải Phong Hải An 2,069 171 Trung tâm y tế Quốc Oai Hà Nội Quốc Oai 2,057 172 Trung tâm y tế Tây Sơn (CS2) Binh Định Tây Sơn 2,054 173 Trung tâm y tế Nga Sơn Thanh Hóa Nga Sơn 2,043 174 Trung tâm y tế Phúc Thọ Hà Nội Phúc Thọ 2,031 175 Trung tâm y tế Đông Hải (cs2) Bạc Liêu Đông Hải 2,020 176 Trung tâm y tế Trần Đề Sóc Trăng Trần Đề 2,014 177 Trung tâm y tế Giồng Trôm (cs2) Bến Tre Giồng Trôm 2,008 178 Trung tâm y tế Tân Kỳ (bv) Nghe An Tân Kỳ 2,003 179 Trung tâm y tế Tuy An (bv) Phú Yên Tuy An 1,998 180 Trung tâm y tế Lộc Bình (bv) Lạng Sơn Lộc Bình 1,997 180 Trung tâm y tế An Biên (bv) Kiên Giang An Biên 1,987 181 TTYT Thành phố Móng Cái (bv) Quang Ninh Móng Cái 1,986 182 Trung tâm y tế Ninh Hải (bv) Ninh Thuận Ninh Hải 1,985 183 Trung tâm y tế Châu Thành (bv) Tiền Giang Châu Thành (TG) 1,979 184 Trung tâm y tế Vĩnh Cửu (bv) Đồng Nai Vĩnh Cửu 1,976 185 Trung tâm y tế Kim Thành (bv) Hải Dương Kim Thành 1,975 186 Trung tâm y tế Thanh Miện (bv) Hải Dương Thanh Miện 1,971 187 Trung tâm y tế Hướng Hoá (bv) Quang Trị Hướng Hóa 1,960 188 Trung tâm y tế Long Khánh Đồng Nai Long Khánh 1,951 189 Trung tâm y tế Yên Mỹ Hưng Yen Yên Mỹ 1,942 190 Trung tâm y tế An Minh (bv) Kiên Giang An Minh 1,930 191 Trung tâm y tế Giá Rai (cs2) Bạc Liêu Giá Rai 1,926 192 Trung tâm y tế Krông Păk Đắk Lắk Krông Pắc 1,924 193 Trung tâm y tế Phú Giáo Bình Dương Phú Giáo 1,920 6 7

Priority order Facility name Province District Extra Tests 194 Trung tâm kiểm soát bệnh tật Phú Thọ (cs1) Phu Tho Việt Trì 1,910 194 Trung tâm y tế Tây Hòa (bv) Phú Yên Tây Hoà 1,910 195 Trung tâm y tế Hàm Tân (cs2) Bình Thuận Hàm Tân 1,909 196 Trung tâm y tế Nghĩa Đàn (bv) Nghe An Nghĩa Đàn 1,906 197 Trung tâm y tế Chi Lăng (bv) Lạng Sơn Chi Lăng 1,903 198 Trung tâm y tế Cao Lộc Lạng Sơn Cao Lộc 1,901 199 Trung tâm y tế Từ Son (cs2) Bắc Ninh Từ Sơn 1,895 200 Trung tâm y tế Sơn Động (cs2) Bắc Giang Sơn Động 1,891 201 Trung tâm y tế Đông Hòa (bv) Phú Yên Đông Hòa 1,889 202 Trung tâm y tế quận Cái Răng Cần Thơ Cái Răng 1,876 203 Trung tâm y tế Gia Viễn (bv) Ninh Binh Gia Viễn 1,867 204 Trung tâm y tế Hương Thủy(bv) Thừa Thiên Huế Hương Thủy 1,862 205 TTYT Kim Bảng (bv) Hà Nam Kim Bảng 1,860 206 Trung tâm y tế Tam Nông (bv) Phu Tho Tam Nông 1,855 206 Trung tâm y tế Tam Nông (bv) Phu Tho Tam Nông 1,855 207 Trung tâm y tế Yên Phong (cs2) Bắc Ninh Yên Phong 1,847 207 Trung tâm y tế Quảng Trạch Quang Binh Quảng Trạch 1,847 208 Trung tâm y tế Quỳ Hợp (bv) Nghe An Quỳ Hợp 1,844 209 Trung tâm y tế Gò Công Đông (cơ sở 2-YTDP tại Xã Tân Hòa) Tiền Giang Gò Công Đông 1,836 210 TTYT Duy Tiên (CS2) Hà Nam Duy Tiên 1,832 211 Trung tâm y tế thành phố Sa Đéc Đồng Tháp Sa Đéc 1,830 212 Trung tâm y tế Cái Nước Cà Mau Cái Nước 1,828 213 Trung tâm y tế Đan Phượng Hà Nội Đan Phượng 1,825 214 Trung tâm y tế Ân Thi Hưng Yen Ân Thi 1,813 215 Trung tâm y tế Thuận Thành (cs2) Bắc Ninh Thuận Thành 1,812 216 Trung tâm y tế Nam Sách (bv) Hải Dương Nam Sách 1,809 217 Trung tâm y tế Gio Linh (bv) Quang Trị Gio Linh 1,795 218 Trung tâm y tế Thới Binh Cà Mau Thới Bình 1,794 219 TTYT Thanh Liêm (bv) Hà Nam Thanh Liêm 1,792 220 Trung tâm y tế Huyện Yên Mô (cs2) Ninh Binh Yên Mô 1,791 221 Trung tâm y tế Càng Long (CS2 -YTDP) Trà Vinh Càng Long 1,769 7 8

Priority order Facility name Province District Extra Tests 222 Trung tâm y tế Mỏ Cày Nam Bến Tre Mỏ Cày Nam 1,756 223 Trung tâm y tế Thủ Thừa (CS2-YTDP) Long An Thủ Thừa 1,754 224 Trung tâm y tế dự phòng Sơn Tịnh Quang Ngãi Sơn Tịnh 1,732 225 Trung tâm y tế quận Tây Hồ Hà Nội Tây Hồ 1,731 226 Trung tâm y tế Mang Thít (cs2) Vĩnh Long Mang Thít 1,717 227 Trung tâm y tế Hưng Nguyên (bv) Nghe An Hưng Nguyên 1,710 227 Trung tâm y tế Quế Võ (cs2) Bắc Ninh Quế Võ 1,710 228 Trung tâm y tế Long Phú Sóc Trăng Long Phú 1,703 229 Trung tâm y tế Phú Hòa (bv) Phú Yên Phú Hoà 1,702 230 Trung tâm y tế Bắc Sơn (bv) Lạng Sơn Bắc Sơn 1,699 231 Trung tâm y tế Đồng Hỷ (bv) Thai Nguyen Đồng Hỷ 1,696 232 Trung tâm y tế Bàu Bàng Bình Dương Bàu Bàng 1,685 (prevention only, but new hospital started construction in 2018) 233 Trung tâm y tế Bình Giang (bv) Hải Dương Bình Giang 1,683 233 Trung tâm y tế Phước Long (cs2) Bạc Liêu Phước Long 1,683 233 Trung tâm y tế Phước Long Bình Phước Phước Long 1,683 234 Trung tâm y tế Quế Sơn (bv) Quang Nam Quế Sơn 1,676 235 Trung tâm y tế Hà Trung Thanh Hóa Hà Trung 1,657 236 Trung tâm y tế Văn Lam Hưng Yen Văn Lâm 1,656 237 Trung tâm y tế Cầu Ngang Trà Vinh Cầu Ngang 1,634 238 Trung tâm y tế Gò Công Tây (bv) Tiền Giang Gò Công Tây 1,628 239 Trung tâm y tế Phú Lương (bv) Thai Nguyen Phú Lương 1,625 240 Trung tâm y tế dự phòng Cẩm Xuyên Ha Tinh Cẩm Xuyên 1,624 241 Trung tâm y tế Tân Hồng (bv) Đồng Tháp Tân Hồng 1,620 242 Trung tâm y tế Mỹ Tú Sóc Trăng Mỹ Tú 1,619 243 Trung tâm y tế Nghĩa Hành (bv) Quang Ngãi Nghĩa Hành 1,618 244 Trung tâm y tế Sông Cầu (bv) Phú Yên Sông Cầu 1,612 244 Trung tâm y tế Ninh Sơn Ninh Thuận Ninh Sơn 1,612 245 Trung tâm y tế Đức Trọng Lâm Đồng Đức Trọng 1,605 246 Trung tâm y tế Cư M'gar Đắk Lắk Cư M'gar 1,605 247 Trung tâm y tế Sơn Tây Quang Ngãi Sơn Tây 1,597 8 9

Priority order Facility name Province District Extra Tests 247 Trung tâm y tế Sơn Tây Hà Nội Sơn Tây 1,597 248 Trung tâm y tế Kim Động (CS2) Hưng Yen Kim Động 1,596 249 Trung tâm y tế Tiên Du (cs2) Bắc Ninh Tiên Du 1,580 250 Trung tâm y tế Bình Đại (cs2) Bến Tre Bình Đại 1,579 250 Trung tâm y tế Anh Sơn (Bv) Nghe An Anh Sơn 1,579 251 Trung tâm y tế Phú Ninh (bv) Quang Nam Phú Ninh 1,576 251 Trung tâm y tế Châu Thành A Hậu Giang Châu Thành A 1,576 251 Trung tâm y tế Châu Thành (CS2) An Giang Châu Thành (AG) 1,576 252 Trung tâm y tế Cẩm Thủy Thanh Hóa Cẩm Thủy 1,566 253 Trung tâm y tế Cần Giờ (CS2-YTDP) Thành phố Hồ Chí Minh Cần Giờ 1,563 254 Trung tâm y tế Quảng Ninh Quang Binh Quảng Ninh 1,561 255 Trung tâm y tế Quảng Điền (bv) Thừa Thiên Huế Quảng Điền 1,535 256 Trung tâm y tế Thạnh Phú (cs2) Bến Tre Thạnh Phú 1,532 257 Trung tâm y tế Binh Minh (cs2) Vĩnh Long Bình Minh 1,530 258 Trung tâm y tế Tràng Định (bv) Lạng Sơn Tràng Định 1,527 259 Trung tâm y tế Thạch Hà Ha Tinh Thạch Hà 1,525 260 Trung tâm y tế Bắc Quang Hà Giang Bắc Quang 1,521 261 Trung tâm kiểm soát bệnh tật Bà Rịa - Vũng Tàu (TTYTDP) Bà Rịa - Vung Tàu Bà Rịa 1,514 262 Trung tâm y tế Bá Thước Thanh Hóa Bá Thước 1,510 263 Trung tâm y tế dự phòng Can Lộc Ha Tinh Can Lộc 1,499 264 Trung tâm y tế Bến Cầu (bv) Tây Ninh Bến Cầu 1,497 265 Trung tâm y tế Vị Thủy Hậu Giang Vị Thuỷ 1,496 266 Trung tâm y tế Lạc Sơn (bv) Hòa Bình Lạc Sơn 1,491 267 Trung tâm y tế Tân Thạnh (bv) Long An Tân Thạnh 1,489 268 Trung tâm y tế Hồng Dân Bạc Liêu Hồng Dân 1,481 269 Trung tâm y tế Bù Đăng Bình Phước Bù Đăng 1,470 270 Trung tâm y tế Di Linh Lâm Đồng Di Linh 1,461 271 Trung tâm y tế Vĩnh Thuận Kiên Giang Vĩnh Thuận 1,460 272 Trung tam Kiểm soát bệnh tật Bến Tre (combined 4 units) Bến Tre Bến Tre 1,453 273 Trung tâm y tế Văn Giang Hưng Yen Văn Giang 1,430 274 Trung tâm y tế Vị Xuyên Hà Giang Vị Xuyên 1,415 9 10

Priority order Facility name Province District Extra Tests 275 Trung tâm y tế TP Bảo Lộc Lâm Đồng Bảo Lộc 1,410 276 Trung tâm y tế Tiên Phước (bv) Quang Nam Tiên Phước 1,401 277 Trung tâm y tế Ea Kar Đắk Lắk Ea Kar 1,398 278 Trung tâm y tế Vĩnh Lợi (CS2-YTDP) Bạc Liêu Vĩnh Lợi 1,397 279 Trung tam y tế Hoài Ân Binh Định Hoài Ân 1,396 280 Trung tâm y tế Văn Quan Lạng Sơn Văn Quan 1,381 281 Trung tâm y tế Tuyên Hóa Quang Binh Tuyên Hóa 1,373 282 Trung tâm y tế Mỹ Hào Hưng Yen Mỹ Hào 1,372 283 Trung tâm y tế U Minh Cà Mau U Minh 1,359 284 Trung tâm y tế Tiểu Cần Trà Vinh Tiểu Cần 1,348 285 Trung tâm y tế Bình Gia (bv) Lạng Sơn Bình Gia 1,345 286 Trung tâm y tế Cầu Kè (bv) Trà Vinh Cầu Kè 1,344 287 Trung tâm y tế Định Hóa Thai Nguyen Định Hóa 1,339 288 Trung tâm y tế dự phòng Hương Sơn Ha Tinh Hương Sơn 1,324 289 Trung tâm y tế Lâm Hà Lâm Đồng Lâm Hà 1,319 290 Trung tâm y tế Như Thanh Thanh Hóa Như Thanh 1,318 291 Trung tâm y tế Chợ Lách (cs2) Bến Tre Chợ Lách 1,316 292 Trung tâm y tế Mỏ Cày Bắc Bến Tre Mỏ Cày Bắc 1,315 293 Trung tâm y tế Kiên Lương (bv) Kiên Giang Kiên Lương 1,310 294 Trung tâm y tế Thạnh Trị Sóc Trăng Thạnh Trị 1,301 295 Trung tâm y tế Thường Xuân Thanh Hóa Thường Xuân 1,289 296 Trung tâm y tế Thành phố Trà Vinh (CS1) Trà Vinh Trà Vinh 1,288 297 Trung tâm y tế Văn Lãng (bv) Lạng Sơn Văn Lãng 1,274 298 Trung tâm y tế Cẩm Khê (bv) Phu Tho Cẩm Khê 1,260 299 Trung tâm y tế Duyên Hải (bv) Trà Vinh Duyên Hải 1,259 300 Trung tâm y tế Bắc Tân Uyên Bình Dương Bắc Tân Uyên 1,257 301 Trung tâm y tế Thuận Nam (bv) Ninh Thuận Thuận Nam 1,255 302 Trung tâm y tế Sơn Hà Quang Ngãi Sơn Hà 1,247 303 Trung tâm y tế Vĩnh Lộc Thanh Hóa Vĩnh Lộc 1,243 304 Trung tâm y tế Gò Công Tiền Giang Gò Công 1,227 305 Trung tâm y tế Sơn Dương Tuyên Quang Sơn Dương 1,216 10 11

Priority order Facility name Province District Extra Tests 306 Trung tâm y tế Ngã Năm Sóc Trăng Ngã Năm 1,211 307 Trung tâm y tế Tiên Lữ (CS2) Hưng Yen Tiên Lữ 1,207 308 Trung tâm y tế Ea H'Leo Đắk Lắk Ea H'leo 1,190 308 Trung tâm y tế Lương Tài (cs2) Bắc Ninh Lương Tài 1,190 309 Trung tâm y tế Kim Bôi Hòa Bình Kim Bôi 1,188 310 Trung tâm y tế dự phòng Đức Thọ Ha Tinh Đức Thọ 1,183 310 Trung tâm y tế Tân Trụ Long An Tân Trụ 1,183 311 Trung tâm y te Mỹ Lộc (Bv) Nam Định Mỹ Lộc 1,178 312 Trung tâm y tế Thanh Sơn (bv) Phu Tho Thanh Sơn 1,172 313 Trung tâm y tế Đức Huệ (bv) Long An Đức Huệ 1,166 314 Trung tâm y tế dự phòng Hương Khê Ha Tinh Hương Khê 1,165 315 Trung tâm y tế Yên Minh Hà Giang Yên Minh 1,158 316 Trung tâm y tế Krông Năng Đắk Lắk Krông Năng 1,155 317 Trung tâm y tế Đông Sơn Thanh Hóa Đông Sơn 1,146 318 TTYT Hải Hà (bv) Quang Ninh Hải Hà 1,145 319 Trung tâm y tế U Minh Thượng Kiên Giang U Minh Thượng 1,131 320 Trung tâm y tế dự phòng Nghi Xuân Ha Tinh Nghi Xuân 1,130 321 Trung tâm y tế Gia Bình (cs2) Bắc Ninh Gia Bình 1,116 322 Trung tâm y tế Đất Đỏ Bà Rịa - Vung Tàu Đất Đỏ 1,110 323 Trung tâm y tế Phù Cừ Hưng Yen Phù Cừ 1,103 324 Trung tâm y tế Cam Lộ (bv) Quang Trị Cam Lộ 1,100 325 Trung tâm y tế Thanh Ba (bv) Phu Tho Thanh Ba 1,091 326 Trung tâm y tế Tương Dương (bv) Nghe An Tương Dương 1,089 327 Trung tâm y tế Hoa Lư Ninh Binh Hoa Lư 1,069 328 Trung tâm y tế Mèo Vạc Hà Giang Mèo Vạc 1,068 329 Trung tâm y tế Thạnh Hóa (bv) Long An Thạnh Hóa 1,054 329 Trung tâm y tế Thuận Châu Sơn La Thuận Châu 1,054 330 Trung tâm y tế Đoan Hùng (bv) Phu Tho Đoan Hùng 1,045 330 Trung tâm y tế Hạ Hoà (bv) Phu Tho Hạ Hoà 1,045 331 Trung tâm y tế Chư Sê (bv) Gia Lai Chư Sê 1,042 332 TTYT Hoành Bồ (bv) Quang Ninh Hoành Bồ 1,039 11 12

Priority order Facility name Province District Extra Tests 333 Trung tâm y tế Con Cuông Nghe An Con Cuông 1,034 334 Trung tâm y tế Ngọc Hiển Cà Mau Ngọc Hiển 1,030 335 Trung tâm y tế Hớn Quản Bình Phước Hớn Quản 1,029 336 Trung tâm y tế Văn Chấn (bv) Yen Bái Văn Chấn 1,024 337 Trung tâm y tế Lương Sơn (bv) Hòa Bình Lương Sơn 1,007 338 Trung tâm y tế Hòa Bình (cs2) Bạc Liêu Hòa Bình 1,006 338 Trung tâm y tế Như Xuân Thanh Hóa Như Xuân 1,006 339 Trung tâm y tế Võ Nhai (bv) Thai Nguyen Võ Nhai 1,003 340 TTYT Tiên Yên (bv) Quang Ninh Tiên Yên 1,001 341 Trung tâm y tế Bảo Thắng Lào Cai Bảo Thắng 998 342 Trung tâm y tế Lâm Thao (bv) Phu Tho Lâm Thao 997 342 Trung tâm y tế quận Dương kinh Hải Phong Dương Kinh 997 343 Trung tâm y tế Quế Phong (bv) Nghe An Quế Phong 988 344 Trung tâm y tế Đồng Văn Hà Giang Đồng Văn 987 345 Trung tâm y tế Chư Prông (bv) Gia Lai Chư Prông 983 346 Trung tâm y tế Đắk Đoa Gia Lai Đăk Đoa 982 347 Trung tâm y tế Vĩnh Hưng (bv) Long An Vĩnh Hưng 975 348 Trung tâm y tế Cư Kuin Đắk Lắk Cư Kuin 965 349 Trung tâm y tế Thái Hòa Nghe An Thái Hoà 964 350 Trung tâm y tế Cù Lao Dung Sóc Trăng Cù Lao Dung 955 350 Trung tâm y tế Đồng Xuân (bv) Phú Yên Đồng Xuân 955 351 Trung tâm y tế Ba Tơ Quang Ngãi Ba Tơ 945 352 Trung tâm y tế Phù Ninh (bv) Phu Tho Phù Ninh 944 353 Trung tâm y tế Tân Hưng (bv) Long An Tân Hưng 937 354 Trung tâm y tế thành phố Đồng Xoài (outpatient kcb only) Bình Phước Đồng Xoài 935 355 Trung tâm y tế Đồng Phú Bình Phước Đồng Phú 934 356 Trung tâm y tế Đakrông (bv) Quang Trị Đa Krông 931 357 Trung tâm y tế dự phòng Lộc Hà Ha Tinh Lộc Hà 926 358 Trung tâm y tế Ngã Bảy Hậu Giang Ngã Bảy 913 359 Trung tâm y tế thành phố Tam Điệp (bv) Ninh Binh Tam Điệp 905 360 Trung tâm y tế Sông Mã Sơn La Sông Mã 901 12 13

Priority order Facility name Province District Extra Tests 361 Trung tâm y tế Đơn Dương Lâm Đồng Đơn Dương 898 362 Trung tâm y tế Sơn Hòa (bv) Phú Yên Sơn Hòa 894 363 Trung tâm y tế Thuận Bắc Ninh Thuận Thuận Bắc 890 364 Trung tâm y tế quận Đồ Sơn Hải Phong Đồ Sơn 889 365 Trung tâm y tế Tân Lạc Hòa Bình Tân Lạc 888 366 Trung tâm y tế Chiêm Hóa Tuyên Quang Chiêm Hóa 881 367 Trung tâm y tế Hoàng Su Phì Hà Giang Hoàng Su Phì 881 368 Trung tâm y tế Năm Căn Cà Mau Năm Căn 879 369 Trung tâm y tế Krông Bông Đắk Lắk Krông Bông 876 370 Trung tâm y tế H.Đắk Mil (bv) Đắk Nông Đắk Mil 872 371 Trung tâm y tế Vĩnh Tường (CS1-bv) Vinh Phuc Vĩnh Tường 867 372 Trung tâm y tế Ia Grai (bv) Gia Lai Ia Grai 864 373 Trung tâm y tế Xín Mần Hà Giang Xín Mần 860 373 Trung tâm y tế Bỉm Sơn Thanh Hóa Bỉm Sơn 860 374 Trung tâm y tế Minh Hóa Quang Binh Minh Hóa 854 375 Trung tâm y tế H.Cư Jút (bv) Đắk Nông Cư Jút 851 375 Trung tâm y tế Đắk Hà (bv) Kon Tum Đắk Hà 851 375 Trung tâm y tế Sầm Sơn Thanh Hóa Sầm Sơn 851 376 Trung tâm y tế Khánh Vĩnh(BV) Khánh Hoa Khánh Vĩnh 849 377 Trung tâm y tế A Lưới Thừa Thiên Huế A Lưới 848 378 Trung tâm y tế Quang Bình Hà Giang Quang Bình 837 379 Trung tâm y tế Văn Yên (bv) Yen Bái Văn Yên 832 380 Trung tâm y tế Kiến Tường Long An Kiến Tường 829 381 Trung tâm y tế Cửa Lò (bv) Nghe An Cửa Lò 827 382 Trung tâm y tế Yên Lập (bv) Phu Tho Yên Lập 827 383 Trung tâm y tế Krông Ana Đắk Lắk Krông A Na 799 384 Trung tâm y tế Văn Bàn Lào Cai Văn Bàn 791 385 Trung tâm y tế thành phố Sông Công Thai Nguyen Sông Công 784 386 Trung tâm y tế Bắc Trà My (bv) Quang Nam Bắc Trà My 780 387 Trung tâm y tế Hiệp Đức (bv) Quang Nam Hiệp Đức 778 388 Trung tâm y tế Hàm Yên Tuyên Quang Hàm Yên 777 13 14

Priority order Facility name Province District Extra Tests 389 Trung tâm y tế Tân Sơn Phu Tho Tân Sơn 770 390 Trung tâm y tế Bảo Yên Lào Cai Bảo Yên 768 391 Trung tâm y tế Tân Phước (bv) Tiền Giang Tân Phước 760 392 Trung tâm y tế Phù Yên Sơn La Phù Yên 755 393 Trung tâm y tế Đầm Hà (bv) Quang Ninh Đầm Hà 748 394 Trung tâm y tế Thanh Thủy (bv) Phu Tho Thanh Thuỷ 746 395 Trung tâm y tế Chơn Thành Bình Phước Chơn Thành 744 395 Trung tâm y tế Sông Hinh (bv) Phú Yên Sông Hinh 744 396 Trung tâm y tế Thành phố Hà Tiên (bv) Kiên Giang Hà Tiên 743 397 Trung tâm y tế H.Đắk RLấp (bv) Đắk Nông Đắk R'Lấp 739 398 Trung tâm y tế Yên Bình (bv) Yen Bái Yên Bình 730 399 Trung tâm y tế Lục Yên (bv) Yen Bái Lục Yên 729 400 Trung tâm y tế Krông Pa (bv) Gia Lai Krông Pa 720 401 Trung tâm y tế Điện Biên (bv) Điện Biên Điện Biên 708 402 Trung tâm y tế Lang Chánh Thanh Hóa Lang Chánh 707 402 Trung tâm y tế Bắc Mê Hà Giang Bắc Mê 707 403 Trung tâm y tế Mộc Châu Sơn La Mộc Châu 704 404 Trung tâm y tế Bát Xát Lào Cai Bát Xát 701 405 Trung tâm y tế Quan Hóa Thanh Hóa Quan Hóa 694 406 Trung tâm y tế Phú Thiện Gia Lai Phú Thiện 688 407 Trung tâm y tế Quản Bạ Hà Giang Quản Bạ 676 408 Trung tâm y tế Lạc Thủy (bv) Hòa Bình Yên Thủy 673 408 Trung tâm y tế Yên Thủy (bv) Hòa Bình Yên Thủy 673 409 Trung tâm y tế Đình Lập (bv) Lạng Sơn Đình Lập 672 410 Trung tâm y tế Yên Lạc (cs2) Vinh Phuc Yên Lạc 667 411 Trung tâm y tế Chư Păh Gia Lai Chư Păh 655 412 Trung tâm y tế M'Drák Đắk Lắk M'Đrắk 653 412 Trung tâm kiểm soát bệnh tật Sơn La (cs1) Sơn La Sơn La 653 413 Trung tâm y tế H.Krông Nô (bv) Đắk Nông Krông Nô 647 414 Trung tâm kiểm soát bệnh tật Tuyên Quang (cs2-BXH) Tuyên Quang Tuyên Quang 643 415 Trung Tâm Y tế Ia H'Drai Kon Tum Ia H' Drai 641 14 15

Priority order Facility name Province District Extra Tests 415 Trung tâm y tế Sa Thầy Kon Tum Sa Thầy 641 416 Trung tâm y tế Nông Sơn Quang Nam Nông Sơn 634 417 Trung tâm y tế Chư puh (bv) Gia Lai Chư Pưh 629 418 Trung tâm y tế Đức Cơ (bv) Gia Lai Đức Cơ 620 419 Trung tâm y tế Bình Long Bình Phước Bình Long 619 420 Trung tâm y tế Bình Liêu Quang Ninh Bình Liêu 617 421 Trung tâm y tế Ngọc Hồi Kon Tum Ngọc Hồi 616 422 Trung tâm y tế An Khê Gia Lai An Khê 609 423 Trung tâm y tế Duyên Hải Trà Vinh Duyên Hải (Thị xã) 605 424 Trung tâm y tế Kbang (bv) Gia Lai KBang 604 425 Trung tâm y tế Mường La Sơn La Mường La 600 426 Trung tâm y tế Lăk Đắk Lắk Lắk 598 427 Trung Tâm Y tế Ea Súp Đắk Lắk Ea Súp 595 428 Trung tâm y tế Buôn Đôn Đắk Lắk Buôn Đôn 593 429 Trung tâm y tế Mai Châu Hòa Bình Mai Châu 585 430 Trung tâm y tế H.Đắk Song (bv) Đắk Nông Đắk Song 582 431 Trung tâm y tế Đà Bắc (bv) Hòa Bình Đà Bắc 578 432 Trung tâm y tế Krông Búk Đắk Lắk Krông Búk 575 433 Trung tâm y tế Bác Ái Ninh Thuận Bác Ái 573 434 Trung tâm y tế Quảng Trị Quang Trị Quảng Trị 570 435 Trung tâm y tế Bù Đốp (cs2) Bình Phước Bù Đốp 565 [may be closed and integrated into hospital] 436 Trung tâm y tế Trấn Yên (bv) Yen Bái Trấn Yên 561 437 Trung tâm y tế Sìn Hồ (cơ sở 2) Lai Châu Sìn Hồ 560 438 Trung tâm y tế Bắc Hà Lào Cai Bắc Hà 555 439 Trung tâm y tế Trà Bồng Quang Ngãi Trà Bồng 554 439 Trung tâm y tế Quan Sơn Thanh Hóa Quan Sơn 554 440 Trung tâm y tế Mang Yang (bv) Gia Lai Mang Yang 552 441 Trung tâm y tế Mường Khương Lào Cai Mường Khương 548 442 Trung tâm y tế Sa Pa Lào Cai Sa Pa 544 443 Trung tâm y tế Lập Thạch (cs2) Vinh Phuc Lập Thạch 541

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Priority order Facility name Province District Extra Tests 444 Trung tâm y tế Đắk Glei Kon Tum Đắk Glei 540 445 Trung tâm y tế Nam Trà My (bv) Quang Nam Nam Trà My 537 445 Trung tâm y tế Khánh Sơn (CS2) Khánh Hoa Khánh Sơn 537 446 Trung tâm y tế Đắk Tô Kon Tum Đắk Tô 535 447 Trung tâm y tế Mường Lát Thanh Hóa Mường Lát 530 448 Trung tâm y tế Tân Phú Đông Tiền Giang Tân Phú Đông 527 449 Trung tâm y tế Bảo Lâm Lâm Đồng Bảo Lâm 517 449 Trung tâm y tế Bảo Lâm (bv) Cao Bằng Bảo Lâm 517 450 Trung tâm y tế Phong Thổ (bv) Lai Châu Phong Thổ 514 451 Trung tâm y tế Phú Riềng (set up 2015) Bình Phước Phú Riềng 507 452 Trung tâm y tế Bình Xuyên (cs2) Vinh Phuc Bình Xuyên 505 453 Trung tâm y tế Yên Châu Sơn La Yên Châu 492 453 Trung tâm y tế Tuần Giáo(bv) Điện Biên Tuần Giáo 492 454 Trung tâm y tế Đông Giang (bv) Quang Nam Đông Giang 490 455 Trung tâm y tế Chợ Đồn (cs2) Bắc Kạn Chợ Đồn 489 456 Trung tâm y tế Ia Pa (bv) Gia Lai Ia Pa 486 457 Trung tâm y tế Phước Sơn (bv) Quang Nam Phước Sơn 484 458 Trung tâm y tế Hòa An (bv) Cao Bằng Hoà An 483 459 Trung tâm y tế Nam Giang (bv) Quang Nam Nam Giang 476 460 Trung tâm y tế Ba Bể (cs2) Bắc Kạn Ba Bể 471 461 Trung tâm y tế VĨnh Thạnh Cần Thơ Vĩnh Thạnh 462 461 Trung tâm y tế Vĩnh Thạnh (cs2) Binh Định Vĩnh Thạnh 462 462 Trung tâm y tế Cao Phong (bv) Hòa Bình Cao Phong 461 463 Trung tâm y tế Giang Thành Kiên Giang Giang Thành 459 464 Trung tâm y tế Bảo Lạc (bv) Cao Bằng Bảo Lạc 454 465 Trung tâm y tế Than Uyên (bv) Lai Châu Than Uyên 447 466 Trung tâm y tế H.Đắk Glong (bv) Đắk Nông Đăk Glong 445 467 Trung tâm y tế Nam Đông(BV) Thừa Thiên Huế Nam Đông 444 467 Trung tâm y tế Trùng Khánh (bv) Cao Bằng Trùng Khánh 444 468 Trung tâm y tế dự phòng Hồng Lĩnh Ha Tinh Hồng Lĩnh 431 469 Trung tâm y tế Ba Chẽ Quang Ninh Ba Chẽ 424 16 17

Priority order Facility name Province District Extra Tests 470 Trung tâm y tế Kông Chro (bv) Gia Lai Kông Chro 420 470 Trung tâm y tế Đạ Tẻh Lâm Đồng Đạ Tẻh 420 471 Trung tam y tế Vân Canh Binh Định Vân Canh 409 472 Trung tâm y tế Bắc Yên Sơn La Bắc Yên 407 473 Trung tâm y tế An Lão (cs2) Binh Định An Lão 405 473 Trung tâm y tế An Lão Hải Phong An Lão 405 474 Trung tâm y tế Sông Lô (cs2) Vinh Phuc Sông Lô 404 475 Trung tâm y tế H.Tuy Đức (bv) Đắk Nông Tuy Đức 402 476 Trung tâm y tế Quỳnh Nhai Sơn La Quỳnh Nhai 401 477 Trung tâm y tế Đam Rông Lâm Đồng Đam Rông 394 478 Trung tâm y tế Na Rì (cs2) Bắc Kạn Na Rì 383 478 Trung tâm y tế Vân Hồ Sơn La Vân Hồ 383 479 Trung tâm y tế Điện Biên Đông (bv) Điện Biên Điện Biên Đông 381 480 Trung tâm y tế Đak Pơ (bv) Gia Lai Đăk Pơ 377 481 Trung tâm y tế Mù Cang Chải (cs2) Yen Bái Mù Căng Chải 370 482 Trung tâm y tế Tam Đường Lai Châu Tam Đường 367 483 Trung tâm y tế Quảng Uyên (bv) Cao Bằng Quảng Uyên 361 484 Trung tâm y tế Nguyên Bình (bv??) Cao Bằng Nguyên Bình 360 485 Trung tâm y tế Cát Tiên Lâm Đồng Cát Tiên 358 486 Trung tâm y tế Tây Giang (bv) Quang Nam Tây Giang 350 487 Trung tâm y tế Kỳ Sơn (bv) Nghe An Kỳ Sơn 349 487 Trung tâm y tế Kỳ Sơn Hòa Bình Kỳ Sơn 349 488 Trung tâm y tế dự phòng Vũ Quang Ha Tinh Vũ Quang 348 489 Trung tâm y tế Ayun Pa Gia Lai Ayun Pa 342 490 Trung tâm y tế huyên Tây Trà Quang Ngãi Tây Trà 337 491 Trung tâm y tế Si Ma Cai Lào Cai Si Ma Cai 334 492 Trung tâm y tế Pác Nặm (cs2) Bắc Kạn Pác Nặm 325 493 Trung tâm y tế Đạ Huoai Lâm Đồng Đạ Huoai 324 494 Trung tâm y tế Tam Đảo (cs2) Vinh Phuc Tam Đảo 320 495 Trung tâm y tế Bạch Thông (cs2) Bắc Kạn Bạch Thông 318 496 Trung tâm y tế Tủa Chùa(bv) Điện Biên Tủa Chùa 317 17 18

Priority order Facility name Province District Extra Tests 497 Trung tâm y tế Kon Rẫy Kon Tum Kon Rẫy 315 498 Trung tâm y tế Tu Mơ Rông Kon Tum Tu Mơ Rông 311 499 Trung tâm y tế Kon Plông Kon Tum Kon Plông 307 500 Trung tâm y tế Hà Quảng (bv) Cao Bằng Hà Quảng 304 501 Trung tâm y tế Na Hang Tuyên Quang Nà Hang 297 502 Trung tâm y tế Minh Long Quang Ngãi Minh Long 296 503 Trung tâm y tế Mường Tè (bv) Lai Châu Mường Tè 294 503 Trung tâm y tế Mường Lay (bv) Điện Biên Mường Tè 294 504 Trung tâm y tế Ngân Sơn (cs2) Bắc Kạn Ngân Sơn 289 505 Trung tâm y tế Sốp Cộp Sơn La Sốp Cộp 287 506 Trung tâm y tế Thạch An (bv) Cao Bằng Thạch An 279 506 Trung tâm y tế Nậm Pồ (bv) Điện Biên Nậm Pồ 279 507 Trung tâm y tế Mường Ảng (bv) Điện Biên Mường Ảng 275 508 Trung tâm y tế Mường Chà (bv) Điện Biên Mường Chà 264 509 Trung tâm y tế Hạ Lang (bv) Cao Bằng Hạ Lang 229 510 Trung tâm y tế Mường Nhé(Bv) Điện Biên Mường Nhé 213 510 Trung tâm y tế Thông Nông (bv) Cao Bằng Thông Nông 213 511 Trung tâm y tế Phục Hòa (bv) Cao Bằng Phục Hoà 210 512 Trung tâm y tế Lâm Bình Tuyên Quang Lâm Bình 209 513 Trung tâm y tế Trạm Tấu (bv) Yen Bái Trạm Tấu 204 514 Trung tâm y tế Nghĩa Lộ Yen Bái Nghĩa Lộ 201 515 Trung tâm y tế Trà Lĩnh (bv) Cao Bằng Trà Lĩnh 191 516 Trung tâm y tế Lạc Dương Lâm Đồng Lạc Dương 191 517 Trung tâm y tế Nậm Nhùn Lai Châu Nậm Nhùn 175

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