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FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MOD EL 1 FINANCIAL & SOCIAL SUPPORT – PATIENT WITH SCI IN VIET NAM EQUITY FUND (EF) MODEL Truong Thi Ngoc Anh Project Coordinator 8 th ASCoN, 20-22 NOVEMBER 2009 Katmandu - Nepal
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FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL 1 FINANCIAL & SOCIAL SUPPORT – PATIENT WITH SCI IN VIET NAM EQUITY FUND (EF) MODEL Truong.

Mar 30, 2015

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Page 1: FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL 1 FINANCIAL & SOCIAL SUPPORT – PATIENT WITH SCI IN VIET NAM EQUITY FUND (EF) MODEL Truong.

FINANCIAL SUPPORT- PATIENT WITH SCI IN VIET NAM- EQUITY FUND MODEL

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FINANCIAL & SOCIAL SUPPORT – PATIENT WITH SCI IN VIET NAM

EQUITY FUND (EF) MODEL

Truong Thi Ngoc AnhProject Coordinator

8th ASCoN, 20-22 NOVEMBER 2009

Katmandu - Nepal

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Outline…

General introduction Statistic 2006-2009 Outcomes Challenges

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0.0$ Health care

General introduction

Health accessibility FOR PATIENT with SCI In Viet Nam a few years ago

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Family economy changerapidly after injury:- Longer hospitalization- Surgery cost- Living cost in big city is high- Head of household are malePopulation-80% of patients are poor beforeaccident

Health insurance is very poor

Cont…

No subsidies fromgovernment to people with SCI

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Patient with SCI discharge very early without finishing treatment program

Influence to progression of rehabilitation when patient and family can’t afford to some basic practical needs such as a good diet for pressure sore healing or bowel management

Cont…

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Cont….

To answer, Equity Fund was born 2006 in Spinal Unit of HCM Rehabilitation hospital to help patient with SCI can remain their stay in the hospital until complete their treatment program.

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Patient

Hospital for the Care and Rehabilitation of Professional

Diseases

Association

Equity Fund

Administration

Donors

3- Payment of reduced

fees4-

Compensation

6- Financing from extra services 2-

External financin

g

Ministry of Health

Staff Logistics

5- Op. costs

Reserved fund

7- Savings

1- Subsidi

es

Cont….Financial mechanism

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SCI personIn-charge

Supporting levels30% - 50% - 70%

Poverty identification

During the first 48tiếngFor all SCI patients

Socio – Eco statusHeads of HH, average income,

edu.received, ,insurance

“very poor” – “poor” – “nearly poor” “better off”

Cont….Administrative mechanism

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Supporting package: bed fees, medical care, medicines, devices, physiotherapy and occupational therapy sessions

Coordination board double check data

Equity Fund BeneficiariesSCI Patients identified “Poor / Vulnerable” from the poverty identification

Supporting grants for Supporting grants for the poor SCI patientsthe poor SCI patients

3 supporting levels: 70%, 50%, 30%

Patients with Insurance cards, having support from other parties, having compensation - not eligible for EF supportCapable adjusting support levels provided during hospitalization

Cont….

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Strengthening the financial cooperation

of parties

Insisting the contribution of

partners

Promoting the fundraising strategy

Financing sources

- Promoting equity in medical care

- Enhancing accessibility to rehabilitation care, targeted for the poor

Spinal Unit: monthly contribution with 15% income generated from services and bed fees

Donors: regular contribution for the reserve fund

Cont….

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Statistic 2006-2009 (HCM City and NT-KH-DN Provinces)

273

142

6 19 22 1526

11 417 10

HCM PY DN KH

Number of beneficiaries 2006-2009

2006

2007

2008

2009

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Cont….

97

161

145

142

Poverty Score 2006-2009

Better off

Poor

Nearly poor

Very poor

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Cont….

Financial status

61%

39%

Donation

Support of patient

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Multiplied to 3 provinces KH, DN and PY since May 2007 after implemented successfully in HCM 2006-2007.

Integrated into the hospital structure at the provincial level

Good cooperation with partner at provincial level- target of beneficiaries is more appropriated

Living cost is lower

Outcomes

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Cont…..

Hien oi, Try!!!Nguyen Tan Hien – from Spinal unit of Da Nang Sanatorium. He was a 1st year student of Economical University. On the way home, he fell down when going over a pot-hole and had C6C injury. Now he has the remark “positive A+” in the unit. He plays sport, draws pictures, and many of his masterpieces were highly evaluated and sold.In December 2007, he joined the training of “Skills in accessing and psychological advising for SCI patients” in Nha Trang.He is considered as the potential seed for the position “peer counselor” for Spinal unit Da Nang.

Comprehensive rehabilitation

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Human resource: Third-party cooperation for Human resource: Third-party cooperation for social work: social service-> not sustainable if the social work: social service-> not sustainable if the project closed or no financial support.project closed or no financial support. Time limitation due to combination of work: PT- Time limitation due to combination of work: PT- Social workerSocial worker Not accepted officially from the local authority to Not accepted officially from the local authority to integrate into personnel policy of the hospital. No integrate into personnel policy of the hospital. No salary, not clear job descriptionsalary, not clear job description Considered as a temporary tools when the Considered as a temporary tools when the health insurance system is still not a health insurance system is still not a comprehensive service yet to the whole populationcomprehensive service yet to the whole population

Challenges

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Additional funding needed – donor identification: failed in social worker role

Along with economic development of the country, the health insurance is getting improved and most of people have been covered by the government

=> require an adjustment as well as a new orientation of EF in a new context of Viet Nam (new criteria: food support, wheelchair support, aid-devices, basic home adaptation-> social inclusion oriented.

Challenges

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Thanks for your

attention