by: Samauel S. Lieberman, Adam Wagstaff
Vietnam’s successes in the health sector are remarkable.
Between 2000 and 2005, Vietnam achieved reductions in mortality rates
for all ages, while some of its neighbors saw little change or even
increases. To date, its infant and under-five mortality rates are
comparable to those of countries with substantially higher per capita
According to the data assembled in Health Financing and Delivery
in Vietnam, the country continues to perform strongly in the
sector, but its health care system is facing new challenges, as do
those of other countries. By international standards, for example, a
large percentage of Vietnamese households make out-of-pocket health
care payments that exceed a reasonable fraction of their income. The
country has been expanding the breadth of health insurance coverage,
but questions remain on how to further expand coverage, how to decrease
health care costs, and how to increase the overall quality of care.
Health Financing and Delivery in Vietnam reviews the
country’s successes and the challenges it faces, and suggests
some options for further reforming the country’s health system.
These include the issue of stewardship—what different parts of
government (for example, the Health Ministry and the health insurer)
should be doing at each level of government, and what different levels
of government (for example, the central government and the provincial
government) ought to be doing. Health Financing and Delivery in
Vietnam will be of interest to readers working in the areas of
public health and social analysis and policy.
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