Health Equity and Financial Protection in Vietnam

This report analyzes equity and financial protection in the health sector of Vietnam. In particular, it examines inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the...

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Bibliographic Details
Main Author:	World Bank
Format:	Report
Language:	English en_US
Published:	Washington, DC 2017
Subjects:	ABILITY TO PAY ACUTE RESPIRATORY INFECTION AGED ANGINA ANGINA PECTORIS ANTENATAL CARE ARI ARTHRITIS ASTHMA BCG BLOOD TESTS BREAST CANCER BURDEN OF DISEASE CATASTROPHIC EXPENDITURE CERVICAL CANCER CHILD HEALTH CHILDHOOD ILLNESS CLINICS CONTRACEPTION COST OF CARE COST OF SERVICES COUGHING COUNSELING DEATHS DELIVERY SYSTEM DEPRESSION DIABETES DIARRHEA DRUGS EMPLOYMENT FAMILIES FEE-FOR-SERVICE FEVER FINANCIAL CONSEQUENCES FINANCIAL CONTRIBUTIONS FINANCIAL IMPACT FINANCIAL PROTECTION HEALTH BEHAVIOR HEALTH CARE HEALTH CARE DELIVERY HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE PROVIDER HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCE HEALTH FINANCING HEALTH FINANCING SYSTEM HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURANCE CONTRIBUTIONS HEALTH INSURANCE COVERAGE HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH INTERVENTIONS HEALTH ORGANIZATION HEALTH OUTCOME INDICATORS HEALTH OUTCOMES HEALTH POLICIES HEALTH SECTOR HEALTH SERVICES HEALTH SPENDING HEALTH SPENDING INCREASES HEALTH STATUS HEALTH SURVEILLANCE HEALTH SURVEYS HEALTH SYSTEM HEALTH SYSTEMS HEALTHCARE HIV HIV POSITIVE HOSPITAL ADMISSIONS HOSPITAL BEDS HOSPITAL CARE HOSPITAL INPATIENT HOSPITAL OUTPATIENT SERVICES HOSPITAL SERVICES HOSPITALS HOUSEHOLD EXPENDITURE ILLNESS IMMUNIZATION INCIDENCE ANALYSIS INCOME INCOME COUNTRIES INCOME GROUPS INEQUALITIES IN HEALTH CARE INFANT MORTALITY INFANT MORTALITY RATE INPATIENT ADMISSION INPATIENT ADMISSIONS INPATIENT CARE INPATIENT TREATMENT INSURANCE CONTRIBUTIONS INSURANCE COVERAGE INSURANCE PREMIUM INSURANCE PREMIUMS INTERNATIONAL COMPARISONS LIVING STANDARDS LOW INCOME LOW-INCOME COUNTRIES MALARIA MATERNAL AND CHILD HEALTH MEASLES MEDICAL CARE MEDICAL SUPPLIES MEDICAL TREATMENT MORTALITY MOSQUITO NET NATIONAL HEALTH NUTRITION OBESITY ORAL REHYDRATION ORAL REHYDRATION SALTS OUTPATIENT CARE OUTPATIENT SERVICES PAP SMEAR PATIENTS PAYMENTS FOR HEALTH CARE PHYSICAL ACTIVITY PHYSICIANS POCKET PAYMENTS POISONING POLIO PREGNANT WOMEN PREVALENCE PREVENTIVE CARE PRIMARY HEALTH CARE PRIVATE CLINICS PRIVATE HOSPITALS PRIVATE INSURANCE PRIVATE SECTOR PROVIDER PAYMENT PUBLIC HEALTH PUBLIC PROVIDERS PUBLIC SECTOR QUALITY OF CARE RISK FACTORS SCHOOL HEALTH SCHOOL HEALTH CARE SCREENING SEXUAL INTERCOURSE SHARE OF HEALTH SPENDING SMOKING SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL SECURITY SUSTAINABLE DEVELOPMENT SYMPTOMS TB TOBACCO PRODUCTS TRADITIONAL MEDICINE TUBERCULOSIS UNDER-FIVE MORTALITY VIOLENCE VISITS WORKERS
Online Access:	http://documents.worldbank.org/curated/en/583531468317989733/Vietnam-Health-equity-and-financial-protection-report http://hdl.handle.net/10986/27155

Description
Summary:	This report analyzes equity and financial protection in the health sector of Vietnam. In particular, it examines inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the progressivity of health care financing. Data are drawn from the 1992-93 and 1997-98 Vietnam living standards survey, the 2002, 2004, 2006, and 2008 Vietnam household and living standards survey, the 2002 Vietnam demographic and health survey, the 2002 Vietnam world health survey, the 2006 Vietnam multiple indicator cluster survey and the 2006 Vietnam national health accounts. All analyses are conducted using original survey data and employ the health modules of the ADePT software. Overall, health care financing in Vietnam in 2006 was fairly progressive, i.e. the better-off spent a larger fraction of their consumption on health care than the poor. The financing sources that contribute to the overall progressivity of health care finance are general taxation, which finances 27 per cent of domestic spending on health, and out-of-pocket payments, which finance 55 per cent of spending. The most progressive source of health finance is actually Social Health Insurance (SHI) contributions, which is unsurprising given that they are paid largely by formal sector workers who are among the better-off; however, SHI contributions finance just 13 per cent of health spending. Voluntary insurance is mildly regressive, but this finances an even smaller share of total health spending.

Health Equity and Financial Protection in Vietnam

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