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Special Assistance for Project Formation for Provincial and Regional Hospital Development Project (Phase Ii) in the Socialist Republic of Viet Nam

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Special Assistance for Project Formation for Provincial and Regional Hospital Development Project (Phase Ii) in the Socialist Republic of Viet Nam THE SOCIALIST REPUBLIC OF VIET NAM MINISTRY OF HEALTH SPECIAL ASSISTANCE FOR PROJECT FORMATION FOR PROVINCIAL AND REGIONAL HOSPITAL DEVELOPMENT PROJECT (PHASE II) IN THE SOCIALIST REPUBLIC OF VIET NAM FINAL REPORT JANUARY 2011 JAPAN INTERNATIONAL COOPERATION AGENCY (JICA) SYSTEM SCIENCE CONSULTANTS INC. SA2 CR(5) 11-002 THE SOCIALIST REPUBLIC OF VIET NAM MINISTRY OF HEALTH SPECIAL ASSISTANCE FOR PROJECT FORMATION FOR PROVINCIAL AND REGIONAL HOSPITAL DEVELOPMENT PROJECT (PHASE II) IN THE SOCIALIST REPUBLIC OF VIET NAM FINAL REPORT JANUARY 2011 JAPAN INTERNATIONAL COOPERATION AGENCY (JICA) SYSTEM SCIENCE CONSULTANTS INC. 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Introduction ..................................................................................................................................... 1 1.1 Background of SAPROF ............................................................................................................. 1 1.2 General outline of the study ........................................................................................................ 2 1.3 Implementation of the study ....................................................................................................... 2 1.4 Composition and assignment of the study team .......................................................................... 4 2. Health sector in Vietnam ................................................................................................................ 5 2.1 Socio-economic conditions and health expenditure .................................................................... 5 2.2 Current situation in health sector ................................................................................................ 6 2.3 General policies, strategies and development plans in health sector........................................... 9 2.4 Policies and plans on individual issues in health sector ............................................................ 13 2.5 Monitoring and evaluation standards for medical institutions .................................................. 25 2.6 Activities of donors in health sector .......................................................................................... 26 3. Health sector in candidate provinces ........................................................................................... 31 3.1 Major indicators in health sector of candidate Provinces.......................................................... 31 3.2 Profile of each candidate hospital ............................................................................................. 41 3.3 Hospital management ................................................................................................................ 86 4. Evaluation of Phase I Project and lessons learnt ....................................................................... 97 4.1 Current situation, finding and lessons of Phase I Project .......................................................... 97 4.2 Midterm evaluation of Phase I Project ...................................................................................... 98 4.3 Lessons for the Phase II Project .............................................................................................. 104 5. Planning framework for Phase II Project ................................................................................. 107 5.1 Objective and approach of provincial hospital improvement ................................................. 107 5.2 Selection of hospitals for Phase II Project .............................................................................. 111 5.3 Overview and improvement strategy of each hospital ............................................................ 113 5.4 Scope of Phase II Project and expected role of the Vietnamese side ...................................... 120 6. Formulation of Phase II project................................................................................................. 123 6.1 Project component for improvement of selected hospitals ..................................................... 123 6.2 Major equipment and training for each hospital ..................................................................... 126 7. Cost estimation for Phase II Project .......................................................................................... 129 8. Financial and economic analysis of Phase II Project ............................................................... 131 8.1 Financial analysis of the project .............................................................................................. 131 8.2 Economic analysis of the project ............................................................................................ 133 9. Implementation plan ................................................................................................................... 137 9.1 Project implementation scheme .............................................................................................. 137 9.2 Procurement plan .................................................................................................................... 139 9.3 Monitoring and evaluation of the project ...............................................................................
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