HRD IN RESPOND TO HRD IN RESPOND TO AIDS, TB, MALARIA AND AIDS, TB, MALARIA AND
MDGs MDGs IN VIETNAMIN VIETNAM
VIETNAM: GENERAL INFORMATION,2005VIETNAM: GENERAL INFORMATION,2005
Area:Area: 332 000 km2332 000 km2
Pop:Pop: 82 millions82 millions
GDP: GDP: 560 US$ 560 US$
LEB:LEB: 71.3 yrs71.3 yrs
Total fertility rate: 2.3Total fertility rate: 2.3
IMR:IMR: 18/1000 lbs18/1000 lbs
MMR: 85/100,000 lbsMMR: 85/100,000 lbs
To achieve Millennium Development Goals, To achieve Millennium Development Goals, HIV/AIDS, Tuberculosis and Malaria are HIV/AIDS, Tuberculosis and Malaria are priorities health problempriorities health problem
GENERAL INFORMATION ( cont.)GENERAL INFORMATION ( cont.)
HIV/AIDS PREVELENCEHIV/AIDS PREVELENCE
43,410
6,484
59,200
8,793
76,180
11,659
90,380
14,428
104,111
17,289
0
20,000
40,000
60,000
80,000
100,000
120,000
2001 2002 2003 2004 2005
HIVAIDS
Resource: Vietnam Health Statistics, 2005
TB PREVELENCETB PREVELENCE
92,841
95,912
92,654
99,162
95,970
89,00090,00091,00092,00093,00094,00095,00096,00097,00098,00099,000
100,000
2001 2002 2003 2004 2005
Resource: Vietnam Health Statistics, 2005
- Morbidity rate: 192/100,000 - Mortality rate: 26/100.000
MALARIA MORBILITY RATE MALARIA MORBILITY RATE PER 100.000 POPULATIONSPER 100.000 POPULATIONS
327.6
232.7203.5
156.8
119.4
0
50
100
150
200
250
300
350
2001 2002 2003 2004 2005
Resource: Vietnam Health Statistics, 2005
MALARIA MORTALITY RATEMALARIA MORTALITY RATE
0.12
0.06 0.06
0.030.02
0
0.02
0.04
0.06
0.08
0.1
0.12
2001 2002 2003 2004 2005
Resource: Vietnam Health Statistics, 2005
NATIONAL OBJECTIVES FOR NATIONAL OBJECTIVES FOR HIV/AIDS; TB, MALARIA TO 2010HIV/AIDS; TB, MALARIA TO 2010
HIV/AIDSHIV/AIDS TBTB MALARIAMALARIA
- - To reduceTo reduce number people umber people living with living with HIV/AIDS: <0.3%HIV/AIDS: <0.3%
- To establish the - To establish the center for center for prevention and prevention and control of control of HIV/AIDS at all HIV/AIDS at all provinces (64)provinces (64)
--To reduce TB Morbidity rate and Mortality rate
- To establish TB hospital (Morbidity rate: > 120/100,000)
-Morbidity rate per 100,000: 80-Mortality rate per 100,000 : 0.015- Combine Malaria control center with preventive center if less than 100 new cases/100,000.
SYSTEM OF HIV, TB AND SYSTEM OF HIV, TB AND MALARIAMALARIA
MINISTRY OF HEALTH
PROVINCIAL HEALTH OFFICE
DISTRICT 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 Center-District Hospital
Commune Health Center : Direct management
: Provide technical
HUMAN RESOURCE FOR HEALTHHUMAN RESOURCE FOR HEALTH
HRH from 2001-2005HRH from 2001-2005
229,887234,354
241,498244,987
259,583
215,000
220,000
225,000
230,000
235,000
240,000
245,000
250,000
255,000
260,000
2001 2002 2003 2004 2005
Resource: Vietnam Health Statistics, 2005
MANPOWER DISTRIBUTION BY MANPOWER DISTRIBUTION BY LEVELLEVEL
31,668
214,283
13,632
0
50,000
100,000
150,000
200,000
250,000
Central level Local level Other sector
CATEGORIES OF HRH IN VIETNAMCATEGORIES OF HRH IN VIETNAMCategoriesCategories NumberNumber %%
Medical doctor Medical doctor 48,21548,215 19,7 19,7 Pharmacists Pharmacists 6,3606,360 2,6 2,6 Assistant doctorsAssistant doctors 48,05948,059 19,6 19,6 Bachelor of nursingBachelor of nursing 660660 0,2 0,2 Second degree medical Second degree medical technicianstechnicians
8,7718,771 3,6 3,6
Assistant pharmacistsAssistant pharmacists 8,7718,771 3,6 3,6 Second degree nursesSecond degree nurses 35,61735,617 14,5 14,5 MidwivesMidwives 14,88914,889 6,1 6,1 Elementary nursesElementary nurses 13,25713,257 5,4 5,4 Elementary midwivesElementary midwives 2,7212,721 1,1 1,1 Lab. techniciansLab. technicians 992992 0,4 0,4 Traditional medicine Traditional medicine practitionerspractitioners
293293 0,1 0,1
Elementary pharmacistsElementary pharmacists 8,2988,298 3,3 3,3 OthersOthers 31,79131,791 12,9 12,9 TotalTotal 244,987244,987 100 100
DOCTORDOCTOR27,8
21,920,2
18,016,4
14,011,5
9,9
6,8 6,1 5,6
2,91,3
0,0
5,0
10,0
15,0
20,0
25,0
30,0
5.6 doctors/10,000 pop. It is lower than Asian countries5.6 doctors/10,000 pop. It is lower than Asian countries
21,8
14,5 14,5
11,310,2 10
7,8 7,5 6,9 6,9 6,7 6,2
3,4
0,75 0,450
5
10
15
20
25
PHARMACISTPHARMACIST
Vietnam needs more than Vietnam needs more than 2.000 pharm.in order to 2.000 pharm.in order to
achieve 1 pharm./10,0000 achieve 1 pharm./10,0000 pop.)pop.)
0.76 Pharm./10.000 pop. It is the lowest in comparison with Asian 0.76 Pharm./10.000 pop. It is the lowest in comparison with Asian countriescountries
5,6
4,13,9
3,7
2,8
2,3
1,81,5 1,3
10,8
0
1
2
3
4
5
6
NURSE/DOCTORNURSE/DOCTOR
NATIONAL OBJECTIVES FOR HRH to NATIONAL OBJECTIVES FOR HRH to 2010 and 20202010 and 2020
TargetsTargets 20102010 20220200
Ratio doctor/ nursesRatio doctor/ nurses 3,53,5 4-54-5
Ratio doctor/ 10,000 inhabitants Ratio doctor/ 10,000 inhabitants 77 88
Ratio pharmacist / 10,000 inhabitants Ratio pharmacist / 10,000 inhabitants 11 2-2-2.52.5
HUMAN RESOURCE FOR HIV/AIDSHUMAN RESOURCE FOR HIV/AIDS
Central level:- HIV/AIDS Control and Prevention Central level:- HIV/AIDS Control and Prevention Department, MOH (2005) with 40 staffs;4 Department, MOH (2005) with 40 staffs;4 institutions with 550 staffsinstitutions with 550 staffs
Provincial level: Provincial HIV/AIDS ControlProvincial level: Provincial HIV/AIDS Control Centers (43/64 provinces): 435 specialized; 752 Centers (43/64 provinces): 435 specialized; 752
not specialized)not specialized) District level: 1,646 (388 specialized; 1,258 not District level: 1,646 (388 specialized; 1,258 not
specialized)specialized) Commune level: 11,284Commune level: 11,284 HR in local level is less specialized and qualifiedHR in local level is less specialized and qualified
HUMAN RESOURCE FOR TBHUMAN RESOURCE FOR TB
At central TB hospital: 3 TB At central TB hospital: 3 TB hospitals with 750 staffshospitals with 750 staffs
At provincial TB hospital: 29 hospital At provincial TB hospital: 29 hospital with 3234 staffs with 3234 staffs
Shortage of health workers. Shortage of health workers. At local level: not specializedAt local level: not specialized Difficulty of recruitDifficulty of recruit
HRH IN MALARIAHRH IN MALARIA
At Central level: 430 persons( 3 Malaria and At Central level: 430 persons( 3 Malaria and Parasitic Institute)Parasitic Institute)
At provincial level: 1,130 in Provincial Malaria At provincial level: 1,130 in Provincial Malaria Control Center (26 provinces)/ Malaria division in Control Center (26 provinces)/ Malaria division in Provincial Preventive Center (38 provinces)Provincial Preventive Center (38 provinces)
District level: 4 persons/ district preventive District level: 4 persons/ district preventive centercenter
Commune: 1 person/ commune health centerCommune: 1 person/ commune health center
CHALLENGESCHALLENGES
The Health system has been reorganized: Set up HIV/AIDS The Health system has been reorganized: Set up HIV/AIDS Preventive and Control Center in the all provinces (64 Preventive and Control Center in the all provinces (64 provinces) provinces)
Increasing number of HIV/AIDS, and TBIncreasing number of HIV/AIDS, and TB Shortage of health workers Shortage of health workers Increasing workloadIncreasing workload Health workers at local level not specialized, qualifiedHealth workers at local level not specialized, qualified Mal- distribution/ Inner Brain drain/ from rural to urbanMal- distribution/ Inner Brain drain/ from rural to urban Training models do not match the changing of pattern of Training models do not match the changing of pattern of
diseasesdiseases Poor management and supervision HRPoor management and supervision HR Investment for health is still limited.Investment for health is still limited.
ACTIONSACTIONS Reorganization health care systemReorganization health care system Increasing capacity of health training institutionsIncreasing capacity of health training institutions Innovation of education and training programInnovation of education and training program Upgrading technical capabilities for local health
facilities; providing the continuous training for health workers
Policy on HRD in remote areas: training for local Policy on HRD in remote areas: training for local people for specific locality according to their needs people for specific locality according to their needs and requirementand requirement
Incentives for health workers to serve in rural Incentives for health workers to serve in rural areasareas
HR information systemHR information system Investment more for healthInvestment more for health
MALARIA PREVALENCEMALARIA PREVALENCE
Resource: Vietnam Health Statistics, 2005
257,793
185,529164,706
128,622
99,276
0
50,000
100,000
150,000
200,000
250,000
300,000
2001 2002 2003 2004 2005
