HRD IN RESPOND TO AIDS, TB, MALARIA AND MDGs IN VIETNAM.

HRD IN RESPOND TO AIDS, TB, MALARIA AND MDGs IN VIETNAM

VIETNAM: GENERAL INFORMATION,2005Area:332 000 km2Pop:82 millionsGDP: 560 US$ LEB:71.3 yrsTotal fertility rate: 2.3IMR:18/1000 lbsMMR: 85/100,000 lbs

GENERAL INFORMATION ( cont.) To achieve Millennium Development Goals, HIV/AIDS, Tuberculosis and Malaria are priorities health problem

HIV/AIDS PREVELENCEResource: Vietnam Health Statistics, 2005

TB PREVELENCEResource: Vietnam Health Statistics, 2005 - Morbidity rate: 192/100,000 - Mortality rate: 26/100.000

MALARIA MORBILITY RATE PER 100.000 POPULATIONSResource: Vietnam Health Statistics, 2005

MALARIA MORTALITY RATEResource: Vietnam Health Statistics, 2005

NATIONAL OBJECTIVES FOR HIV/AIDS; TB, MALARIA TO 2010

SYSTEM OF HIV, TB AND MALARIAMINISTRY OF HEALTHPROVINCIAL HEALTH OFFICEDISTRICT HEALTH OFFICE

- NIHE/ Communicable disease hospital- TB Hospital- Malaria Institute

- Provincial HIV Control Center/ GPH- Provincial TB Control Center/PTBH- Provincial Malaria Control center/GPH

District Preventive CenterDistrict Hospital

Commune Health Center : Direct management: Provide technical

HUMAN RESOURCE FOR HEALTH

HRH from 2001-2005Resource: Vietnam Health Statistics, 2005

MANPOWER DISTRIBUTION BY LEVEL

CATEGORIES OF HRH IN VIETNAM

DOCTOR5.6 doctors/10,000 pop. It is lower than Asian countries

Chart1

27.8

21.9

20.2

18

16.4

14

11.5

9.9

6.8

6.1

5.6

2.9

1.3

BS/10.000 dn

Sheet1

NcBS/10.000 dnDn s nm 1999 (triu)

Mongolia27.82.6

New Zealand21.93.8

Nht Bn20.2126.5

Hn Quc18.046.5

Trung Quc16.41,273.6

Singapore14.03.5

Philippines11.574.5

Brunei9.90.3

Malaysia6.821.8

Lo6.15.3

Vit Nam5.678.7

Thi Lan2.960.8

Indonesia1.3209.3

Sheet1

BS/10.000 dn

Sheet2

Sheet3

PHARMACISTVietnam needs more than 2.000 pharm.in order to achieve 1 pharm./10,0000 pop.)0.76 Pharm./10.000 pop. It is the lowest in comparison with Asian countries

Chart2

21.8

14.5

14.5

11.3

10.2

10

7.8

7.5

6.9

6.9

6.7

6.2

3.4

0.75

0.45

DS/10.000 dn

Sheet1

NcBS/10.000 dnDn s nm 1999 (triu)

Mongolia27.82.6

New Zealand21.93.8

Nht Bn20.2126.5

Hn Quc18.046.5

Trung Quc16.41,273.6

Singapore14.03.5

Philippines11.574.5

Brunei9.90.3

Malaysia6.821.8

Lo6.15.3

Vit Nam5.678.7

Thi Lan2.960.8

Indonesia1.3209.3

NcDS/10.000 dn

Monaco21.8

B14.5

Phn Lan14.5

TBNha11.3

10.2

Php10

Ai-len7.8

BNha7.5

Luxbourg6.9

Hy Lp6.9

Thy in6.7

Thy S6.2

Pakistan3.4

Vit Nam0.75

Sri Lanka0.45

Sheet1

BS/10.000 dn

Sheet2

DS/10.000 dn

Sheet3

NURSE/DOCTOR

Chart3

5.6

4.1

3.9

3.7

2.8

2.3

1.8

1.5

1.3

1

0.8

Y t/Bs

Sheet1

NcBS/10.000 dnDn s nm 1999 (triu)

Mongolia27.82.6

New Zealand21.93.8

Nht Bn20.2126.5

Hn Quc18.046.5

Trung Quc16.41,273.6

Singapore14.03.5

Philippines11.574.5

Brunei9.90.3

Malaysia6.821.8

Lo6.15.3

Vit Nam5.678.7

Thi Lan2.960.8

Indonesia1.3209.3

NcDS/10.000 dn

Monaco21.8

B14.5

Phn Lan14.5

TBNha11.3

10.2

Php10

Ai-len7.8

BNha7.5

Luxbourg6.9

Hy Lp6.9

Thy in6.7

Thy S6.2

Pakistan3.4

Vit Nam0.75

Sri Lanka0.45

NcY t/Bs

Indonesia5.6

Thi Lan4.1

Philippines3.9

Malaysia3.7

Singapore2.8

Campuchia2.3

Hn Quc1.8

Myanmar1.5

Vit Nam1.3

Nepal1

Trung Quc0.8

Sheet1

BS/10.000 dn

Sheet2

DS/10.000 dn

Sheet3

Y t/Bs

NATIONAL OBJECTIVES FOR HRH to 2010 and 2020

HUMAN RESOURCE FOR HIV/AIDSCentral level:- HIV/AIDS Control and Prevention Department, MOH (2005) with 40 staffs;4 institutions with 550 staffsProvincial level: Provincial HIV/AIDS ControlCenters (43/64 provinces): 435 specialized; 752 not specialized)District level: 1,646 (388 specialized; 1,258 not specialized)Commune level: 11,284HR in local level is less specialized and qualified

HUMAN RESOURCE FOR TBAt central TB hospital: 3 TB hospitals with 750 staffsAt provincial TB hospital: 29 hospital with 3234 staffs Shortage of health workers. At local level: not specializedDifficulty of recruit

HRH IN MALARIAAt Central level: 430 persons( 3 Malaria and Parasitic Institute)At provincial level: 1,130 in Provincial Malaria Control Center (26 provinces)/ Malaria division in Provincial Preventive Center (38 provinces)District level: 4 persons/ district preventive centerCommune: 1 person/ commune health center

CHALLENGES

The Health system has been reorganized: Set up HIV/AIDS Preventive and Control Center in the all provinces (64 provinces) Increasing number of HIV/AIDS, and TBShortage of health workers Increasing workloadHealth workers at local level not specialized, qualifiedMal- distribution/ Inner Brain drain/ from rural to urbanTraining models do not match the changing of pattern of diseasesPoor management and supervision HRInvestment for health is still limited.

ACTIONSReorganization health care systemIncreasing capacity of health training institutionsInnovation of education and training programUpgrading technical capabilities for local health facilities; providing the continuous training for health workersPolicy on HRD in remote areas: training for local people for specific locality according to their needs and requirementIncentives for health workers to serve in rural areasHR information systemInvestment more for health

MALARIA PREVALENCEResource: Vietnam Health Statistics, 2005