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Vietnam - Health equity and financial protection report (English)

This report analyses 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.

Details

  • Author

    Bredenkamp,Caryn, Buisman,Leander Robert, Prencipe,Leah Marie, Wagstaff,Robert Adam Stephen

  • Document Date

    2012/05/18

  • Document Type

    Working Paper

  • Report Number

    71257

  • Volume No

    1

  • Total Volume(s)

    1

  • Country

    Vietnam,

  • Region

    East Asia and Pacific,

  • Disclosure Date

    2012/07/17

  • Disclosure Status

    Disclosed

  • Doc Name

    Vietnam - Health equity and financial protection report

  • Keywords

    inequality in health;government spending;financial protection;maternal and child health;concentration index;outpatient visits;Demographic and Health Survey;data availability;social health insurance;health care utilization;inpatient and outpatient care;Upper Middle Income Countries;average for sub-saharan africa;financial protection in health;government health expenditure;health care financing;hospital outpatient care;fruit and vegetable;degree of inequality;curative care;government expenditure;cost assumption;benefit incidence analysis;primary health care;principal component analysis;adult health outcomes;quality of care;distribution of subsidies;types of service;types of care;gross national income;formal sector worker;acute respiratory infection;health insurance coverage;inpatient care;health behavior;negative value;ill health;purchasing power parity;consumer price index;personal income tax;value added tax;international development assistance;infant mortality rate;sources of fund;incidence of malaria;burden of disease;data on fees;expansion of coverage;hospital inpatient care;hospital outpatient services;information in table;pace of expansion;members of parliament;length of stay;provider payment method;cost of service;per capita basis;gross domestic product;skilled birth attendance;child health indicator;subsidized health insurance;method of contraception;Voluntary Health Insurance;per capita consumption;illness and death;health care finance;depth of poverty;equity in health;public health center;health care payment;inpatient health services;cervical cancer screening;preventive care;health payments;health finance;voluntary counseling;general hospitals;household consumption;private provider;bed occupancy rate;inpatient admission;section show;consumption quintile;public provider;private insurance;household expenditure;Government Facility;general revenues;health facility;Antenatal Care;nonfood spending;hospital level;health module;district hospital;health utilization;health status;household survey;poor household;physical activity;private clinic;positive value;pregnant woman;universal health;coverage rate;financial consequence;benefit-incidence analysis;small fraction;hospital service;survey data;insurance enrollment;affluent areas;medical treatment;breast cancer;higher fee;hospital bed;

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Citation

Bredenkamp,Caryn Buisman,Leander Robert Prencipe,Leah Marie Wagstaff,Robert Adam Stephen

Vietnam - Health equity and financial protection report (English). Health equity and financial protection reports Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/583531468317989733/Vietnam-Health-equity-and-financial-protection-report