By Dao, Huong Lan; Fuenzalida-Puelma, Hernán L.; Hurt, Kari L.; Somanathan, Aparnaa; Tandon, Ajay
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Additional resources for Moving toward universal coverage of social health insurance in Vietnam : assessment and options
Problems usually encountered with providing health insurance for the informal sector, such as low enrollment rates, difficulties in assessing income and collecting payments, and adverse selection are likely to persist. Thus, strategies are needed to enroll the informal sector, as well as other hard-to-reach groups such as the near-poor more quickly and cost-effectively. General Revenue Financing to Subsidize Enrollment Expanding coverage, particularly for the near-poor and informal sector, will require significant additional general revenue financing.
4 shows, the density for physicians and nurses has increased more rapidly in rural and remote areas, in particular the Northern Midlands and mountainous regions compared to Hanoi (World Bank 2013). Despite these efforts, the quality and distribution of health services pose significant challenges for the achievement of UC. One major challenge is that primary care services—commune health stations (CHS) and district hospitals— are underfinanced, lacking in key inputs, and of poor quality as a result.
2 Red River delta Central highlands Mekong River delta Hanoi 08 20 09 20 10 20 11 07 20 06 20 05 20 04 20 20 02 20 20 03 20 04 20 05 20 06 20 07 20 08 20 09 20 10 20 11 02 20 20 Northern midlands and mountain areas Northern central area and central coastal area 03 0 0 National average Source: World Bank 2013. 5 Distribution of Health Professionals at the Commune Level 100 80 Percent 60 40 20 0 Red River Northeast Northwest Northern delta central coast CHS with a doctor South central coast Central Southeast highlands Mekong delta CHS with an assistant doctor (ped, GYOBS) or midwife Source: World Bank 2013.