DOCSLIB.ORG

Medicine Prices and Pricing Policies in Vietnam

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Medicine Prices and Pricing Policies in Vietnam MEDICINE PRICES AND PRICING POLICIES IN VIETNAM Tuan Anh Nguyen A thesis submitted in fulfillment of the requirements for the degree of Doctor of Philosophy School of Public Health & Community Medicine Faculty of Medicine, University of New South Wales, Australia April 2011 THE UNIVERSITY OF NEW SOUTH WALES Thesis/Dissertation Sheet Surname or Family name: Nguyen First name: Tuan Anh Other name/s: Abbreviation for degree as given in the University calendar: PhD School: Public Health and Community Medicine Faculty: Medicine Title: Medicine prices and pricing policies in Vietnam Abstract 350 words maximum: Availability of affordable medicines is one precondition to realizing the fundamental human right of access to essential healthcare. Although Vietnam is progressing well with several health-related targets of the Millennium Development Goals being achieved ahead of time, attaining equitable access to affordable medicines remains problematic. In this thesis, a mixed-method approach was adopted in the analysis of medicine prices and polices. The literature was reviewed, followed by an analysis of Vietnam’s pharmaceutical market and legislation. A quantitative study of medicine prices, and a qualitative study on how and why high, unaffordable prices occurred, were conducted. The findings were synthesized to form policy recommendations. The studies demonstrated that medicine prices in Vietnam were unreasonably high. Adjusted for Purchasing Power Parity in 2005, prices in the public sector were 46.58 times the international reference price for innovator-brand medicines and 11.41 times for the lowest-priced generic equivalents. Monopoly of supply was an important cause of high innovator-brand prices. More complex, intrinsic features of Vietnam’s healthcare system were also reported by key stakeholders as driving up prices. Economic survival pressures, in an imperfectly competitive market, were said to force both pharmaceutical companies and prescribers to be inextricably linked financially. Ethics and personal values however did influence prescribers’ behaviour and their response to corrupt procedures. Overall, intractable, systemic features contributing to high prices included unrealistic low salaries for prescribers, poor economies of scale in domestic production, inefficiencies in the local distribution network, malfunctioning pricing policies and a general lack of transparency and accountability in administrative procedures. A range of policy measures and changes are required to improve access to medicines in Vietnam. Short- term recommendations include amendments to pharmaceutical policies, with better enforcement of current regulations. Medium-term measures include the public health insurance system taking an active role in price setting, pooling procurement through a national tendering procurement system and reform of the domestic market through rationalization with appropriate capital and technological investment to achieve improved efficiencies and economies of scale. Longer-term goals include health system improvements to address poor governance, low remuneration of prescribers, with additional measures to limit the scope for corrupt practices. Declaration relating to disposition of project thesis/dissertation I hereby grant to the University of New South Wales or its agents the right to archive and to make available my thesis or dissertation in whole or in part in the University libraries in all forms of media, now or here after known, subject to the provisions of the Copyright Act 1968. I retain all property rights, such as patent rights. I also retain the right to use in future works (such as articles or books) all or part of this thesis or dissertation. I also authorise University Microfilms to use the 350-word abstract of my thesis in Dissertation Abstracts International (this is applicable to doctoral theses only). ...........................………................. .......................………………..... ……………………...…….… Signature Witness Date The University recognises that there may be exceptional circumstances requiring restrictions on copying or conditions on use. Requests for restriction for a period of up to 2 years must be made in writing. Requests for a longer period of restriction may be considered in exceptional circumstances and require the approval of the Dean of Graduate Research. FOR OFFICE USE ONLY Date of completion of requirements for Award: THIS SHEET IS TO BE GLUED TO THE INSIDE FRONT COVER OF THE THESIS ORIGINALITY STATEMENT ‘I hereby declare that this submission is my own work and to the best of my knowledge it contains no materials previously published or written by another person, or substantial proportions of material which have been accepted for the award of any other degree or diploma at UNSW or any other educational institution, except where due acknowledgement is made in the thesis. Any contribution made to the research by others, with whom I have worked at UNSW or elsewhere, is explicitly acknowledged in the thesis. I also declare that the intellectual content of this thesis is the product of my own work, except to the extent that assistance from others in the project's design and conception or in style, presentation and linguistic expression is acknowledged.’ Signed.................................................................................... Date....................................................................................... COPYRIGHT STATEMENT ‘I hereby grant the University of New South Wales or its agents the right to archive and to make available my thesis or dissertation in whole or part in the University libraries in all forms of media, now or here after known, subject to the provisions of the Copyright Act 1968. I retain all proprietary rights, such as patent rights. I also retain the right to use in future works (such as articles or books) all or part of this thesis or dissertation. I also authorise University Microfilms to use the 350 word abstract of my thesis in Dissertation Abstract International (this is applicable to doctoral theses only). I have either used no substantial portions of copyright material in my thesis or I have obtained permission to use copyright material; where permission has not been granted I have applied/will apply for a partial restriction of the digital copy of my thesis or dissertation.' Signed ……………………………………………........................... Date ……………………………………………........................... AUTHENTICITY STATEMENT ‘I certify that the Library deposit digital copy is a direct equivalent of the final officially approved version of my thesis. No emendation of content has occurred and if there are any minor variations in formatting, they are the result of the conversion to digital format.’ Signed ……………………………………………........................... Date ……………………… …………………………………….. ii DEDICATION This thesis is dedicated to my parents, Dinh Thiem Nguyen and Thi Lien Doan, for nurturing me and teaching me to care about others. iii iv ACKNOWLEDGEMENTS I would like to thank the Ministry of Education and Training of Vietnam, Vietnam government for awarding me a PhD scholarship to study in Australia. I would also like to acknowledge the Vietnam team who conducted the survey of medicine prices and availability, and the Ministry of Health of Vietnam for giving me permission to use the survey data in this thesis. I am grateful to all members of the Drug Price Management Division, Drug Administration of Vietnam for sharing their views as well as their cooperation and support when I conducted fieldwork in Vietnam. My project also rests on the cooperation, generosity and courage of the sixty study participants who gave their time and shared their valuable opinions and sensitive information in the interviews. I owe a debt of gratitude to my supervisor, Associate Professor Rosemary Knight. Without her mentorship, support, and depth of knowledge, this thesis would not have been completed. Her calm, insights, compassion and elegant language were central to the conceptualisation, design, analysis and reporting of this thesis, as was her vision and ability to approach problems from a global perspective. My co-supervisors, Associate Professor Andrea Mant and Dr. Quang Minh Cao were patient, thoughtful and encouraging. Their critical comments and feedback were invaluable along every step of this project. Their practical and consistent support has kept me going to the end of my PhD journey. Dr. Husna Razee was my qualitative co-supervisor, whose experience and knowledge in qualitative research greatly contributed to the qualitative study for this thesis. My special thanks go to Dr. Geoffrey Brooks for sharing his excellent knowledge of economics and Australian pharmaceutical policy and practice, and for taking me under his wing as my second father. His critical feedback greatly improved the quality of this thesis. Support was also received from Dr. Pat Bazeley who assisted me in developing the qualitative coding schemes, steered me through the perils of NVIVO and mixed methods research and fed me from her research farm. v I am grateful to Mr. Martin Auton (Global project officer - Pricing, Health Action International Global) and Ms. Alexandra Cameron (Coordinator medicine pricing project, WHO) for their cross-analysis of the survey data and for giving me valuable comments on the quantitative study for this thesis. Great thanks are also due to Mr. Wayne Critchley (Former Executive Director, Patented Medicine Prices Review Board Government of Canada) for providing critical feedback
Load more

Recommended publications
  • Cesifo WORLD ECONOMIC SURVEY
    CESifo, a joint initiative of the University of Munich’s Center for Economic Studies and the Ifo Institute for Economic Research CESifo WORLD ECONOMIC SURVEY VOLUME 4, NO. 1 FEBRUARY 2005 WORLD ECONOMIC CLIMATE World Economic Climate is softening ECONOMIC EXPECTATIONS Current economic situation and economic expactations have been downgraded somewhat INFLATION No pick-up expected in 2005 INTEREST RATES Trend of rising interest rates is expected to slow down CURRENCIES US dollar seen as clearly undervalued SPECIAL TOPIC Increased international co-operation on the protection of intellectual property rights required With the support of www.cesifo.de/wes All time series presented in this document plus additional series for about 80 countries may be ordered from the Ifo Institute. For further information please contact Mrs. Stallhofer ([email protected]) For further information apply to: Anna Stangl, e-mail [email protected] (Responsible for statistical processing and analysis) Dr. Gernot Nerb, e-mail [email protected] (Head of Industry Branch Research) CESifo World Economic Survey ISSN 1613-6012 A quarterly publication on the world economic climate Publisher and distributor: Ifo Institute for Economic Research Poschingerstr. 5, D-81679 Munich, Germany Telephone ++49 89 9224-0, Telefax ++49 89 9224-1463, e-mail [email protected] Annual subscription rate: €40.00 Editor: Dr. Gernot Nerb, e-mail [email protected] Reproduction permitted only if source is stated and copy is sent to the Ifo Institute February 2005 Ifo World Economic Survey Regions I World economy: Economy
    [Show full text]
  • Assessing Opportunities and Threats in Kazakhstan's Wild Liquorice Root Trade
    April 2021 SWEET DREAMS ASSESSING OPPORTUNITIES AND THREATS IN KAZAKHSTAN’S WILD LIQUORICE ROOT TRADE Nadejda Gemedzhieva, Artyom Khrokov, Elise Heral, Anastasiya Timoshyna JOINT REPORT ABOUT US TRAFFIC is a leading non-governmental organisation working globally on trade in wild animals and plants in the context of both biodiversity conservation and sustainable development. Reproduction of material appearing in this report requires written permission from the publisher. The designations of geographical entities in this publication, and the presentation of the material, do not imply the expression of any opinion ACKNOWLEDGEMENTS whatsoever on the part of TRAFFIC or its supporting This report was completed under a project implemented between organisations concerning the legal status of any country, territory, or area, or of its authorities, 2019-2022 by TRAFFIC and the Association for the Conservation of or concerning the delimitation of its frontiers or Biodiversity of Kazakhstan (ACBK), under the support of the Keidanren boundaries. Nature Conservation Fund (KNCF). Complementary funds were also gratefully received from Aktionsgemeinschaft Artenschutz (AGA) e.V. Lead author The project aims to reduce unsustainable commercial harvest, which Nadejda Gemedzhieva poses a threat to biodiversity conservation, and to scale up successful sustainable wild liquorice root production from which local people and Published by: nature benefit. We extend our thanks to KNCF for their support. TRAFFIC International, Cambridge, United Kingdom. During the course of this study, many individuals contributed their time, SUGGESTED CITATION expertise, original research and professional advice and the authors Gemedzhieva, N., Khrokov, A., Heral. E., Timoshyna, would like to thank the staff of the following institutions: Forestry A.
    [Show full text]
  • Sergey Abashin Institute of Ethnology and Anthropology of the Russian Academy of Sciences (Moscow) [email protected]
    Sergey Abashin Institute of Ethnology and Anthropology of the Russian Academy of Sciences (Moscow) [email protected] Cultural Processes and Transcultural Influences In Contemporary Central Asia Issues addressed and the aims of the text What is this text about? What are the goals of its author? Some preliminary explanations may help shape the expectations of the reader and prevent possible disappointment. My main purpose is to give a three-dimensional overview of the state of cultural affairs in Central Asian societies after the states in the region achieved independence and to describe the main current tendencies defining local cultural processes and transcultural influences in the long term. I am interested in such themes as: culture and the changing political landscape; the institutional environment for culture; culture and education; culture and language; culture and ethnic minorities; culture and religion; the cultural marketplace; culture and business; culture and globalisation. My questions: how is the Soviet experience of "cultural construction” used and transformed in the modern nation-states of Central Asia? what restrictions on cultural production are imposed by the political situation and economic possibilities of these countries? how do the processes of isolationism and globalisation interact? what changes are being wrought by the islamisation of these societies? what is the future potential of secular, European-style, culture? who are the main players in the region’s cultural space? These questions might seem too general, but without considering and judging them, any attempt to understand the essence of events in narrower fields of cultural life is, surely, doomed to failure. In an “analytical note”, a number of general recommendations for the work of international organisations in the cultural sphere of Central Asia are presented.
    [Show full text]
  • Robert F. Turner Papers, 1958-1975
    http://oac.cdlib.org/findaid/ark:/13030/tf9199p04b No online items Register of the Robert F. Turner Papers, 1958-1975 Hoover Institution Archives 434 Galvez Mall Stanford University Stanford, CA, 94305-6010 (650) 723-3563 [email protected] © 1999 Register of the Robert F. Turner 74040 1 Papers, 1958-1975 Title: Robert F. Turner Papers Date (inclusive): 1958-1975 Collection Number: 74040 Contributing Institution: Hoover Institution Archives Language of Material: English Physical Description: 52 manuscript boxes, 1 oversize box, 1 card file box, 17 envelopes, 1 album box, 1 phonotape cassette, 1 phonorecord(25.2 linear feet) Abstract: Correspondence, writings, reports, speeches, press releases, clippings, printed matter, sound recordings, photographs, and memorabilia, relating to political, social and cultural conditions in Vietnam and to the Vietnamese War Creator: Turner, Robert F. Access Collection open for research. The Hoover Institution Archives only allows access to copies of audiovisual items. To listen to sound recordings or to view videos or films during your visit, please contact the Archives at least two working days before your arrival. We will then advise you of the accessibility of the material you wish to see or hear. Please note that not all audiovisual material is immediately accessible. Publication Rights For copyright status, please contact the Hoover Institution Archives. Preferred Citation [Identification of item], Robert F. Turner Papers, [Box no.], Hoover Institution Archives. Acquisition Information Acquired by the Hoover Institution Archives in 1974. Accruals Materials may have been added to the collection since this finding aid was prepared. To determine if this has occurred, find the collection in Stanford University's online catalog at http://searchworks.stanford.edu/ .
    [Show full text]
  • Prevention of Perinatal HBV Transmission
    PreventionPrevention ofof perinatalperinatal HBVHBV transmission:transmission: EvaluationEvaluation ofof programsprograms andand successsuccess storiesstories fromfrom CentralCentral AsiaAsia andand KazakhstanKazakhstan Michael O. Favorov MD, Ph.D., D.Sc. Ludmila Mosina MD CDC Central Asia Office Division of Viral Hepatitis, NCID, Centers for Disease Control and Prevention Key Elements in Developing a Program to Prevent HBV Transmission Define epidemiology of disease Quantify disease burden Develop a comprehensive prevention strategy Identify resources to implement program Define epidemiology of disease and quantify disease burden ReportedReported AcuteAcute ViralViral HepatitisHepatitis IncidenceIncidence RateRate inin CentralCentral AsiaAsia byby Country,Country, 19871987--20052005 1600 Kazakhstan 1400 Kyrgyzstan p 1200 e Tajikistan r 1000 Turkmenistan 1 0 Uzbekistan 0 800 0 600 0 0 400 200 0 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 8 8 8 9 9 9 9 9 9 9 9 9 9 00 Year 2 EtiologyEtiology ofof acuteacute viralviral hepatitishepatitis inin KazakhstanKazakhstan,, 20042004 non A-C HВV - 0,9% 15,5% HDV - 0,1% HСV - 2,5% HЕV- 0,02% HАV - 81,0% AcuteAcute ViralViral HepatitisHepatitis SentinelSentinel SurveillanceSurveillance Sites,Sites, KyrgyzstanKyrgyzstan 20002000 Total Total CCaasesses repor reportedted – –20,42220,422 SentinelSentinel S Sitesites CaseCasess – –11,178,178 (5.8%) (5.8%) 20012001 Total Total casescases repor reportedted – –111,3981,398 SentinelSentinel S Sitesites CaseCasess – –679679 (5.9%) (5.9%) Jaundice EtiologyEtiology ofof
    [Show full text]
  • Đổi Mới Hệ Thống Y Tế Việt Nam: Thành Tựu Và Thách Thức
    NATIONAL SCIENTIFIC CONFERENCE ON PUBLIC HEALTH “PUBLIC HEALTH IN VIETNAM: CURRENT SITUATION AND FUTURE PERSPECTIVES” PUBLIC HEALTH IN VIETNAM: ACHIEVEMENTS AND CHALLENGES Prof. Nguyen Cong Khan Department of Nutrition and Food Safety - HSPH Department of Science, Technology and Training - MoH HDI Human development Index (HDI) 0.622 0.629 0.632 0.635 0.638 0.598 0.604 0.611 0.617 0.563 0.473 0.476 1985 1990 2000 2005 2006 2007 2008 2009 2010 2011 2012 2013 Source: UNDP 2014 Basis health indicators Results Target 2015 (MDG & 2011-2015 plan of the MoH) Life expectancy, 2013 (1) 75.6 74 IMR 2014, (2) 16.21 14.8 U5MR, 2014 (2) 19.7 19.3 Maternal mortality, 2009 (3) 69 58.3 Under nutrition among children under 5, 2013 (4) 15.3 15 Fully vaccinated children, 2013 (4) 91.4 90 Doctor/ 10000 population, 2013 (4) 7.5 8 Beds/population, 2013 (4) 24.2 23 Commune health station with doctor, 2013 (4) 76.9 80 Health insurance coverage, 2013 (4) 68.5 70 (1) WHO 2014; (2) GSO 2014; (3) GSO, 2009; (4) MoH 2014 Health outcomes Life expectancy at birth, total (years) 75.6 75.3 75.5 75.0 75.2 74.8 74.9 74.5 74.6 74.1 74.3 73.9 73.6 73.4 73.1 72.8 72.5 72.1 71.8 71.5 71.2 70.8 70.5 70.2 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 WHO, 2014 Health outcome Mortality rate, infant (per 1,000 live births) Mortality rate, under-5 (per 1,000 live births) 52.6 50.5 48.2 46.0 43.8 41.7 39.7 37.7 36.0 34.3 32.8 37.6 31.5 36.4 30.3 35.1 29.1 33.8 28.0 32.5 27.1 26.1 31.2 25.2 24.5 30.0 24.0 23.6
    [Show full text]
  • New Technologies for Human Development in Kazakhstan National Human Development Report - 2006
    New technologies for human development in Kazakhstan National human development report - 2006 EXECUTIVE SUMMARY for the development of human potential and the current status of technological development in Kazakhstan. Present-day development trends The purpose of create the need for a new approach to Technologies as a tool for social and economy is human defining the purpose of development and human development the economy. The traditional definition development The first chapter looks at human aiming to ensure a states the main purpose of an economy is to meet growing human needs with development as an end, to which human decent life finite resources. Today, recognizing the development factors such as economic important role of human development, growth, education, healthcare and go- this definition should be changed to say: od environment are the means: new “The purpose of an economy is human technologies are regarded as a tool for the development aiming to ensure a decent development of human potential. life”. Human development is understood Thus, innovations improve productivity, to be the continuous expansion of profits and people’s income and ensure human opportunities to enjoy or have access to better quality goods and a choice of political, economic, social, services. New technologies have a positive spiritual and cultural participation. A effect on human and social health by decent life implies broad-based access reducing deaths and increasing births and to high-quality education, healthcare, life expectancy. The introduction of new social schemes, healthy food, extensive technologies in education is vital to the participation in society and other benefits competitiveness of national human capital.
    [Show full text]
  • Mid Term Evaluation Report
    MID TERM EVALUATION REPORT UNODC Project AD/RER/00/E29 Precursor Control in Central Asia Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan Report of Evaluator Steve Alm M.Sc. Special Analyst 31 October – 25 November 2005 UNITED NATIONS OFFICE ON DRUGS AND CRIME Vienna 1 CONTENTS Page LIST OF ACRONYMS 3 EXECUTIVE SUMMARY 4 I. INTRODUCTION 8 1.1. Background and Context 8 1.2. Purpose and Objective of the Evaluation 10 1.3. Executing Modality / Management Arrangements 10 1.4. Scope of the Evaluation 11 1.5. Evaluation Methodology 12 2. ANALYSIS AND MAJOR FINDINGS 2.1. Overall performance assessment (Appropriateness, Relevance, 13 Effectiveness, Efficiency) 2.2. Attainment of Objectives 16 2.3. Achievement of Programme/Project Results and outputs 17 2.4. Implementation (Operational Plan, Monitoring and Backstopping) 17 2.5. Institutional and Management Arrangements 18 3. OUTCOMES, IMPACTS and SUSTAINABILITY 18 3.1. Outcomes 18 3.2. Impact 19 3.3. Sustainability 20 4. LESSONS LEARNED AND BEST PRACTICES 20 4.1. Lessons Learned 20 4.2. Best Practices 21 4.3. Constraints 22 5. RECOMMENDATIONS 22 5.1. Issues resolved during evaluation 24 5.2. Actions/decisions recommended 24 6. OVERALL CONCLUSIONS 25 ANNEXES A. Terms of reference B. Organizations and places visited and persons met C. Activities Table D. Table of removed objectives and activities 2 ACRONYMS DCA Drug Control Agency DLO Drug Liaison Officer FANC Foreign Anti-Narcotics Community INCB International Narcotics Control Board NDS National Data System ROCA Regional Office
    [Show full text]
  • Digital Health Entrepreneurship in Vietnam SYSTEMS, STAKEHOLDERS, and OPPORTUNITIES
    2020 MIT Legatum Center for Development and Entrepreneurship Working Paper Series: #1 Digital Health Entrepreneurship in Vietnam SYSTEMS, STAKEHOLDERS, AND OPPORTUNITIES NOURHAN SHAABAN Table of Content ABBREVIATIONS ....................................................................................................................... 1 PREFACE ...................................................................................................................................... 2 2. CONTEXT & PROBLEM ....................................................................................................... 5 3. OPPORTUNITY ....................................................................................................................... 8 3.1 Vietnam Has a Strong Digital Foundation ........................................................................ 8 3.2 Vietnam Has a Thriving Startup Ecosystem .................................................................... 8 3.3 Opportunity: The Case for Digital Health Entrepreneurship ........................................ 9 4. KEY QUESTIONS.................................................................................................................. 11 5. METHODOLOGY ................................................................................................................. 11 6. HEALTHCARE ENTREPRENEURSHIP IN VIETNAM ................................................. 11 7. STAKEHOLDERS ................................................................................................................
    [Show full text]
  • Pdf 527.57 K
    International Journal of Political Science ISSN: 2228-6217 Vol.7, No 4, Winter 2017, (pp.1-21) The Impact of the Shanghai Cooperation Organization on Central Asia’s Security Hedayat Allah Nobar Turkaman1, Fatemeh Hashemi2, Mohammadreza Dehshiri3* 1Department of International Relations, South Tehran Branch, Islamic Azad University, Tehran, Iran 2 2Department of International Relations, South Tehran Branch, Islamic Azad University, Tehran, Iran 3 Department of International Relations, School of International Relations (SIR), Tehran, Iran Received: 22 Nov 2016 ; Accepted: 20 Oct 2017 Abstract: This paper tries to address the impact of the Shanghai Cooperation Organization on Central Asian security. This organization was established on April 26, 1996 to settle security and territo- rial disputes between China and Russia and Central Asian countries (other than Uzbekistan and Turkmenistan). After the accession of Uzbekistan to this assembly, the level of the organization was promoted, and its geographic scope has been expanded in the following years by the mem- bership of new countries. Although significant changes have been made and economic issues have been raised in the process of developments in this regional security cooperation, this or- ganization has paid attention to security-military disputes and problems. The main question of the paper is how does the Shanghai Cooperation Organization play a role in the Central Asia’s security? This paper fully addresses the impact of the Shanghai Cooperation Organization on Central Asia, and the effects of this organization on the security and stability of Central Asia with the settlement of regional conflicts, such as fighting against terrorism, separatism and ex- tremism, drug and arms trade, organizational crimes, concerns about insecurity and domestic instability, and in particular the occurrence of color revolutions in countries and confronting with American influence and unilateralism.
    [Show full text]
  • Success Factors for Women’S and Children’S Health
    Success Factors for Women’s and Children’s Health VIET NAM Ministry of Health, Viet Nam “Success factors for women’s and children’s health: Viet Nam” is a document of the Ministry of Health, Viet Nam. This report is the result of a collaboration between the Ministry of Health and multiple stakeholders in Viet Nam, supported by the Partnership for Maternal, Newborn and Child Health (PMNCH), the World Health Organization, other H4+ and health and development partners who provided input and review. Success Factors for Women’s and Children’s Health is a three-year multidisciplinary, multi-country series of studies coordinated by PMNCH, WHO, World Bank and the Alliance for Health Policy and Systems Research, working closely with Ministries of Health, academic institutions and other partners. The objective is to understand how some countries accelerated progress to reduce preventable maternal and child deaths. The Success Factors studies include: statistical and econometric analyses of data from 144 low- and middle-income countries (LMICs) over 20 years; Boolean, qualitative comparative analysis (QCA); a literature review; and country-specific reviews in 10 fast-track countries for MDGs 4 and 5a.1, 2 For more details see the Success Factors for Women’s and Children’s health website: available at http://www.who.int/pmnch/successfactors/en/ WHO Library Cataloguing-in-Publication Data Success factors for women’s and children’s health: Vietnam I.World Health Organization. ISBN 978 92 4 150905 3 Subject headings are available from WHO institutional repository © World Health Organization 2015 All rights reserved. Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]).
    [Show full text]
  • Barriers and Facilitators to the Integration of Depression Services in Primary Care in Vietnam: a Mixed Methods Study Jill Murphy1* , Kitty K
    Murphy et al. BMC Health Services Research (2018) 18:641 https://doi.org/10.1186/s12913-018-3416-z RESEARCH ARTICLE Open Access Barriers and facilitators to the integration of depression services in primary care in Vietnam: a mixed methods study Jill Murphy1* , Kitty K. Corbett2, Dang Thuy Linh3, Pham Thi Oanh3 and Vu Cong Nguyen3 Abstract Background: Although the prevalence of depression in Vietnam is on par with global rates, services for depression are limited. The government of Vietnam has prioritized enhancing depression care through primary healthcare (PHC) and efforts are currently underway to test and scale-up psychosocial interventions throughout the country. With these initiatives in progress, it is important to understand implementation factors that might influence the successful integration of depression services into PHC. As the implementers of these new interventions, primary care providers (PHPs) are well placed to provide important insight into implementation factors affecting the integration of depression services into PHC. This mixed-methods study examines factors at the individual, organizational and structural levels that may act as barriers and facilitators to the integration of depression services into PHC in Vietnam from the perspective of PHPs. Methods: Data collection took place in Hanoi, Vietnam in 2014. We conducted semi-structured interviews with PHPs (n = 30) at commune health centres and outpatient clinics in one rural and one urban district of Hanoi. Theoretical thematic analysis was used to analyse interview data. We administered an online survey to PHPs at n = 150 randomly selected communes across Hanoi. N = 226 PHPs responded to the survey. We used descriptive statistics to describe the study variables acting as barriers and facilitators and used a chi-square test of independence to indicate statistically significant (p < .05) associations between study variables and the profession, location and gender of PHPs.
    [Show full text]