It is necessary to continue to increase investment and enhance the primary health care role of grassroots healthcare

Grassroots healthcare must play a role in continuous and comprehensive health care for people – this is the goal of the health sector by 2030.

Information at the Workshop on the development orientation of grassroots healthcare in the new situation, taking place on March 27 organized by the Ministry of Health and the World Bank, Standing Deputy Minister of Health Do Xuan Tuyen stated, The Party, National Assembly and Government have issued many decisions to continuously consolidate, perfect and improve the effectiveness of grassroots healthcare operations

In particular, on January 22, 2002, the IX Party Central Committee Secretariat issued Directive No. 06-CT/TW on consolidating and perfecting the grassroots medical network . This is an important directive document of the Party with specific content on grassroots health, requiring Party committees at all levels, all levels of government, sectors and organizations to thoroughly grasp and realize the special importance of the network. Grassroots healthcare network, pay attention to leadership and direction in consolidating and perfecting the grassroots healthcare network.

Grassroots healthcare makes an important contribution to primary health care for the people
After 20 years of implementing Directive No. 06-CT/TW, grassroots health work has achieved important results. The grassroots medical network nationwide is gradually being strengthened in terms of facilities, equipment, and human resources; Primary health care has been strengthened, many dangerous epidemics have been controlled and repelled, non-communicable disease prevention and management, and people’s health management have been initially implemented at the commune level; The quality of grassroots medical services is gradually improved, making an important contribution to improving the people’s health status.

Clarifying the role of grassroots healthcare in people’s health care, Associate Professor, Dr. Phan Le Thu Hang – Deputy Director of the Department of Planning and Finance, Ministry of Health said that in the past 20 years, the average life expectancy The average of Vietnamese people has increased from 71.3 to 73.6; The mortality rate of children under 1 year old per 1,000 live births decreases from 26 (2002) to 12.1 (2022); For children from 1-5 years old, decreased from 35 to 18.9; The rate of malnourished children under 5 years old (weight/age) decreases from 30.1 (in 2002) to 10.8 (in 2022); maternal mortality ratio per 100,000 live births reduces from 85 (2002) to 46 (2022);

The proportion of children under 1 year old fully vaccinated increased from 89.7 (in 2002) to 95 in 2022… At the same time, the proportion of medical stations with doctors nationwide has increased rapidly. , by 2022, nearly 88% of medical stations will have working doctors.

The rate of health insurance coverage increases rapidly from 16.5% in 2002 to 92.04% in 2022, spending on basic health care accounts for about 32% of total medical examination and treatment expenses covered by health insurance. The basic health service package for grassroots health was issued in 2017 with 76 services, 241 drugs and is currently being researched and expanded; The number of medical examinations and treatments covered by health insurance at local health facilities reached 75% of the entire health system (district: 58%, commune 17%); At the same time, the number of services is increasing, examining and treating traditional medicine, taking care of the health of mothers, children, and the elderly… Initial steps in managing non-communicable diseases and managing people’s health at the commune health facility. .

“The essential health service coverage index of basic health care reached 70/100 points, higher than the Southeast Asia average (61 points) and the global average (67 points); Service quality has gradually improved. “According to the 2021 PAPI report, 54.04% of respondents are satisfied with the services of the district public hospital” – Associate Professor, Dr. Phan Le Thu Hang added.

Assessing the role of grassroots healthcare in the health care of the Vietnamese people, Mr. Christophe Lemiere – Director of the World Bank’s Human Development Department said: There have been advances in system development. The basic health system in Vietnam is expressed through the universal health coverage index. Vietnam’s universal health coverage index currently ranks high in the world.

“Almost every month, colleagues in this field around the world ask me about Vietnam’s experience in this field. However, we can also strengthen Vietnam’s health system further to reduce spending. People’s pockets for health care decrease by 30%. To achieve this goal, it is necessary to invest more in basic health care and have new policies, including ensuring funding for basic health care. The Bank is willing to accompany Vietnam and participate in supporting to the maximum extent possible” – Mr. Christophe Lemiere said.

It is necessary to continue to increase investment and enhance the primary health care role of grassroots healthcare
At the seminar, Deputy Minister Do Xuan Tuyen also stated clearly that, besides the results achieved, the implementation of Directive No. 06-CT/TW and Conclusion No. 126-TB/TW still have shortcomings, The limitations are: Providing medical services at the grassroots level only focuses heavily on treating sick people, not paying enough attention to disease prevention, health improvement, early disease detection and disease management. .

The organization of the grassroots health system has not been stable in recent times. Service provision capacity is limited and operational efficiency is low. The financial mechanism for grassroots healthcare is not appropriate. Medicines and medical equipment for grassroots healthcare do not meet the needs of medical examination and treatment…

Compared to the time the Secretariat issued Directive No. 06-CT/TW, along with the country’s socio-economic changes and development, the need to care for and improve people’s health is increasingly high and diverse, the health system is facing many challenges such as rapid population aging, changing disease patterns with an increase in non-communicable diseases and unpredictable developments of a number of new and changing epidemics. climate, industrialization, urbanization.

Faced with that situation, the Secretariat assigned the Party Committee of the Ministry of Health to preside over the preparation of a project to develop a ” Directive on the development of grassroots healthcare in the new situation “, to submit to the Secretariat in May 2023. .

Recently, the Party Committee of the Ministry of Health has developed an outline, compiled a report and received opinions from ministries, branches, localities and a number of former leaders of the Ministry of Health and experienced experts. on basic health to complete the third draft of project documents.

Opinions at the workshop will be absorbed by the Ministry of Health to develop a project “Directive on grassroots health development in the new situation”, submitted to the Secretariat in May 2023.

Dallas Ullrich

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