SOCIALIST REPUBLIC OF

VIET NAM
SOCIALIST REPUBLIC OF
VIET NAM
 GEOGRAPHICAL FEATURES

 Location: Southeast Asia

 Country size:331,688 kilometers square
+ More than 40% Mountains
+ 40%- 42% Tropical forests
+ 16%-22% Forested land
 Independent: September 2, 1945
 Government: Socialist republic
 Population
+ 87.4 million (2007)
+ 54 ethnics. Mainly Kinh and others minorities are The
Muong,Khmer Krom, H’mong, Dao, Tay,Thai, and
Nung…
 GEOGRAPHICAL (CONT.)
- Administrative divisions
+ 64 provinces
+ 659 Districts
+ 10.732 Communes and Villages
- Languages
+ Mainly Vietnamese
+ Others Nom, Tay, Muong, Nung, H’mong
- Religion:
+ Buddhism 85%
+ Christianity 8%
+ Cao daism 3%
+ Other 4%
- Currency: dong
+1$=16.800 dong
+1 bath = 518 dong
 GEOGRAPHICAL FEATURES

 Literacy: ( 2007)
+ Total population 93,7%
+ Male 96,5%
+ Female 91,2%
 HEALTH STATUS ( 2007)

 Population:
+ Growth rate : 1%
 Fertility

+ Total fertility rate ( births per women): 1.9

+ Births( in thousands) : 1.4
 HEALTH STATUS
 Life expectancy at birth (year) 2006: 72
+ Male : 69
+Female:75
 Mortality:(2005)

+ Infant mortality rate : 24

+ Under 5 yrs mortality rate( per thousands births) : 33
+ Maternal mortality rate: 80
+ Crude death rate ( per thousands pop.) :6
+ Death( in thousands) : 528
 Waterborne infectious diseases, 2001-2005
Year 2001 2002 2003 2004 2005 total

Cholera Cases 15 317 343 62 0 737

Death 0 0 0 0 0 0
Typhoid Cases 9.796 7.090 5.946 4.237 4.565 31.634
Death 3 3 2 1 1 10

Bacillary Cases 50.995 45.715 43.732 43.146 42.780 226.368

Dysentery
Death 7 4 6 1 0 18
Diarrhea Cases 1.093.864 1.062.440 972.463 894.800 898.753 4.922.320

Death 21 14 10 17 0 62
 ORGANIZATION STRUCTURE
OF VIETNAM HEALTH SECTOR
The network operates at four levels:
 The ministry

 Provincial Hospitals and health services

 District health centre and district health

referral centers for some commune health

stations
 Commune health stations (CHSs)

Village health workers (VHWs)

 ORGANIZATIONAL STRUTURE
Government
HEALTH SECTOR
Ministry of Med./phar.
Health Central Schools &
Research Production
general & medical
institute health service
specialized technical
s provision sector
hospital secondary
schools

Health
services City/ secondar production &
Preventi provincial & y health
ve health regional med./pha service
facilities general r. provision
hospital schools units

District Training class

health Preventi Clinical & for health District
centre ve health laboratory workers at pharmaci
teams facilities grassroots es
levels Communa
Clinics in l drug
Regional clinics
offices store &
& matinity
factories & private
home
schools pharmaci
es
Street/ Village health
communal workers
health
centre
 GDP Year
90
SITUATION & TREND OF PHCrate(%)
80
70
60
Demographic
2001 6.90
50 Economic
40 Determinants
pop. Million
30
20
Determinants2002 7.08
10
0
1979 1989 1999 2005
2003 7.34
Factor Related to lifestyle Determinants of Health 2004 7.80

Clean 2005 8.43

us
tat
Factors Related to Safety water and a tio
n S
c
In daily life and Work Envir. E du

Sanitation
 PHC ACTIVITIES

Household Perspective

HC network Health service Hospital network

Prevent Medicine
 PCH ACTIVITIES(CONT.)
Dengue
fever Malnutrition
SARS & Avian
TB control
control control influenza
Malaria
control Prevent medicine Diabetes
control
Vaccines HIV/AIDS
Leprosy control control
HEALTH IMPLICATION FROM
PHC
Resources Phama.
sector H insurance

Med. Factor &

Equipment Development Technology
HC sector

Edu. Communicate
H financing
Structure of H financing Cont.
sources, 2003 3%

Househould
22% Other non-state
H insurance
State budget
Over

5% 55%

15%
 Cont.
IEC-Information, Education
and Communication
Prevent.
Epidemic Water&
Promotion
Sanitation

Nutrition Program
immunization
IEC

Essential Maternal&
Drugs child
Hospt.
Treatment
network
CONCLUSION-RECOMMENDATION

In a broad sense, the health status of

Vietnamese people improved noticeably and
comprehensively during the 2000-2006 period.
Many disease have been effectively controlled and
prevalence has decrease. The health system has
been consolidated and has expanded toward
achieving the parallel goals of equity, efficiency,
and development, meeting the growing heath care
needs of the population in term of both quality and
quantity.
CONCLUSION-RECOMMENDATION
 Communicable diseases, malnutrition and parasites
are declining in contract with the increasing of non-
communicable diseases
 Substantial disparities in health between regions and
population
 Safe water and sanitation not yes assured
 Rapid changes in lifestyle lead to increase threats to
health ( alcohol, smoking, drug user, unsafe sex…)
 Consolidate and develop the public and private health
network and other sectors to strengthen PHC
THANK YOU