Vietnam Investment and Finance for TB

1
Vietnam Investment and Finance for TB

• A presentation by Mr. Ho Minh Chien
• Director, Department of Labour and Socio-Cultural
  Affairs
• Ministry of Planning and Investment - Vietnam

2
Achievements 1997-2002

• 1995 TB a national priority
• 1996 National TB Development Plan
• 1999 100 DOTS coverage achieved
• 1997-2002 532,703 TB cases detected
• Target 70 Achieved 82
• 1997-2001 260,698 positive cases treated
• Target 85 Achieved 92

3
Reasons for Success

• High political commitment
• Extensive basic health care network
• Effective resource mobilisation
• Strong partnership with
• Medical Committee Netherlands Vietnam
• KNCV TB foundation,
• Government of The Netherlands,
• WB, WHO, CDC and GFATM

4
Continuity of financing and drug supply

• Spend US 15 million
• Cost per case diagnosed 28 US
• Cost per case cured 30 US
• WB 51 Mainly drugs
• Netherlands and NGOs 26 Program coordination
  and TA
• Government 23 Staff and facilities

5
Challenges

• Urgent need to mobilize resources for 2006 -2010
  plan period, as
• ? WB support ends March 2005
• ? Dutch support ends December 2005,
• while
• HIV epidemic halts decline of TB and
• Health sector development policies may change
  focus

6
Sustainable financing

• Needed 2006 -2010 US 30 million
• 6 average annual growth GDP last decade
• Current per capita spending for TB 0.3 US or
  0.85 of overall government per capita
  expenditure on health
• Consider increase of government investment in TB
  control and coverage by health insurance

7
Considerations

• Continuation of support needed in view of
• Increasing number of cases (HIV)
• Implementation of DOTS plus
• Further development of diagnostic facilities
• Consolidation of the DOTS program
• Maintenance of reserves stocks of drugs