Chapter

Vietnam: Efficient, Equity-Oriented Financial Strategies for Health

PHAM MANH HUNG, TRUONG VIET DZUNG, GÖRAN DAHLGREN and TRAN TUAN

in Challenging Inequities in Health

Published in print July 2001 | ISBN: 9780195137408
Published online September 2009 | e-ISBN: 9780199863983 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780195137408.003.0020
Vietnam: Efficient, Equity-Oriented Financial Strategies for Health

Show Summary Details

Preview

This chapter provides a unique look at policymakers' commitment to equity in health in the face of multiple political and economic pressures. The Vietnamese have had a traditional focus on equity, early on creating an impressive health infrastructure that extended throughout the country. Vietnam's overall health performance in terms of life expectancy is remarkably high given its level of economic development. In 1989, however, the legislature implemented Doi Moi (meaning change to the new), resulting in privatization of trade and social services (including health), and the opening up of markets. Cuts in public spending and introduction of user fees for public services were part of this prescription. Faced with these challenges, the chapter presents policymakers' approaches to developing a health financing system that would be both equitable and efficient.

Keywords: Vietnam; health financing; equity; efficiency; political pressures; economic pressures; Doi Moi

Chapter.  6416 words.  Illustrated.

Subjects: Public Health and Epidemiology

Full text: subscription required

How to subscribe Recommend to my Librarian

Buy this work at Oxford University Press »

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.