HFG’s overarching goal in Vietnam is to ensure the sustainability of HIV and AIDS services by supporting the country’s health financing activities. In a country of 93 million, an estimated 250,000 people are living with HIV(PLHIV) and about 100,000 are on antiretroviral treatment, according to Vietnam’s Ministry of Health (June 2015).
With donor funding expected to decline, it is critical for the Government of Vietnam to identify viable solutions for sustaining HIV and AIDS prevention, care, and treatment services. As acknowledged by the government and many stakeholders, Social Health Insurance (SHI) is the most appropriate long-term vehicle for Vietnam to take on the direct financial burden from HIV and AIDS programs.
HFG support to Vietnam follows a “blueprint for transition” that revolves around four priorities:
- Increased enrollment of PLHIV in SHI;
- Integration of single-function HIV outpatient clinics (OPCs);
- Financial sustainability for patients, providers, and the health insurance fund; and
- Increased domestic resource mobilization for procurement.
To achieve these objectives, HFG:
- Supports the Vietnam Administration of HIV and AIDS Control (VAAC), Department of Health Insurance, and Vietnam Social Security (VSS) in the integration of OPCs for eligibility for reimbursement by the health insurance fund.
- Provides technical assistance for the effective and meaningful inclusion of HIV services in the benefits packages paid by health insurance;
- Supports the government in ensuring effective and efficient domestic procurement and financing of ARV drugs and other commodities; and
- Supplies evidence-based data and strategic information to support key advocacy objectives towards increased domestic resource mobilization for HIV in Vietnam.
HFG works with partners vested in strengthening the financing of the health system in Vietnam. Partners include: Vietnam’s Ministry of Health, Vietnam Social Security, USAID/Vietnam and other USAID-funded projects, the Social Affairs committee of the National Assembly, the Office of Government, the Health Strategy and Policy Institute, UNAIDS, WHO, and the World Bank.
Announcements and Successes
- Video: HFG Project in Vietnam
- Interview: Building Equity, Sustainability into Vietnam’s HIV and AIDS Programs
- Sustaining Vietnam’s HIV and AIDS Programs
- Vietnam: Quantifying Needs and Resources for HIV and AIDS
- Vietnam: Transitioning HIV/AIDS Systems from Donors to National Government
- The health and economic benefits of investing in HIV prevention: a review of global evidence to inform policy dialogue in Vietnam
- Actuarial Analysis Related to Development of Vietnam’s Social Health Insurance Benefit Package
- Vietnam 2013 General Health Accounts and Disease Expenditures with Sub-Analysis of 2013 HIV/AIDS Expenditure
- Vietnam 2013 General Health Accounts and Disease Expenditures with Sub-Analysis of 2013 HIV/AIDS Expenditure (Vietnamese)
- Options for Developing a Collective Payment System and Co-payment Mechanism for Antiretrovirals using the Vietnamese Health Insurance Fund
- Design and Implementation Options for a Central Procurement Unit and ARV Financing in Vietnam
- Financing Options for Antiretroviral Procurement
- Model to Estimate Health Insurance Liability for Treatment of HIV/AIDS in Vietnam (2015-2020): Background, Methods, and Results
- Roadmap to Develop and Implement the Basic Health Service Package Paid by Health Insurance in Vietnam
- Sustaining HIV/AIDS Treatment Services: Estimating the Health Insurance Liability for Treatment of HIV/AIDS in Vietnam (2015-2020)
- Options for Integrating Procurement and Supply Chain Systems for ARVs, Methadone, and anti-Tuberculosis Drugs in Vietnam