Vietnam National and Provincial Primary Health Care Scorecards
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World Bank, Washington, DC
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This report aims to provide insights
into how health services are delivered at the grassroots
level to support the expansion of access to quality health
services in Vietnam with a focus on primary health care
(PHC). It intends to identify any challenges in this area
and emphasize the importance of tracking performance and
accountability for the resources spent. The focus of this
report is aligned with the efforts of the ministry of health
(MOH) to strengthen the grassroots health system and, hence,
with the World Bank’s larger engagement in Vietnam on
primary care strengthening. This study used the framework
developed by the PHC performance initiative (PHCPI) to
organize the scorecard based on specific performance domains
and pre-identified core indicators, complemented or adjusted
to the Vietnamese context. The indicators were grouped into
a national scorecard and a provincial scorecard, which was
piloted in two provinces, Bac Giang and Yen Bai. Vietnam has
achieved impressive health gains with the reduction of
under-five mortality (U5M) rate and maternal mortality ratio
(MMR) and an increase in life expectancy; however, it needs
to accelerate progress if it is to meet the health-related
sustainable development goals (SDGs). Vietnam has made
significant achievements in increasing the coverage of many
maternal and child health (MCH) services; however, nutrition
indicators are lagging behind and data are scarce on
coverage of noncommunicable disease (NCD) services.
Palabras clave
PRIMARY HEALTH CARE, HEALTH FACILITY, HEALTH FINANCE, SERVICE DELIVERY, HEALTH OUTCOMES, VITAL SIGNS PROFILE