Center for Health Market Innovations (CHMI)

Programs

Overview

Implementing organization: 
Handicap International Viet Nam
Implementation Partner(s): 
Departments of Health of Da Nang Khanh Hoa, Phu Yen provinces, Rehabiliation Hospitals of Bac Giang, Son La, Ha Tinh, Thai Binh, Lao Cai provinces, General Hospital of Thanh Hoa province
Legal Status: 
Year Launched: 
2006
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%, 20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Donor
Additional Source(s) of Funding: 
Government

Scale

Number of Clients Served: 
>1,500 patients in the North and >1,000 patients in the South
Number of Facilities Operated/Networked: 
9
Upscaling: 
The project started from one department in 2006. Up to present, it expands to 9 facilities in the whole country.
Summary: 

The Health Equity Fund project gives financial support to poor patients with spinal cord injuries to help them access rehabilitation care.

Program goals/rationale: 

During the period of Spinal Cord Injury project implementation, the project recorded that not all patients got reimbursement from social insurance or any third payer. More than half of patients, mostly coming from poor provinces, had to cover their own hospital fees, or to leave the rehabilitation centers before receiving their full treatment.

Therefore, "Equity Fund" was set up with aim to ensure equity in accessing good quality rehabilitation care amongst poor, disabled people and prevent Spinal Cord Injury (SCI) victims from falling into poverty and indebtedness by having to face too expensive hospital expenditures.

Key program components: 

The implemented scheme provides beneficiaries with a partial coverage of 30%, 50% or 70% of the total hospital costs. The appropriate level of financial support is assessed for each individual upon admission and is based on the results of a socioeconomic questionnaire. This information is crosschecked within a multidisciplinary approach. Eligible patients are those identified as “poor” or “vulnerable” and especially those who do not have insurance cards or compensation for labor accidents.

Funds are used to pay for bed fees, medicines, lab tests, examinations and care for unavoidable complications. It is important to mention that the fund is generated by a hospital policy that ensures the 15% contribution of the unit to making up the total fund. This participation of the hospital is the most essential way in showing that public health services in Vietnam have the potential to allow accessible health care for all.

Besides financial support, Equity Fund Project also provides upgrading training for medical staff, social workers in fund raising, counseling and project management skills.

“Living values” training was held for spinal cord injuries patients to create the chances for patients to be better prepared in psychology for the life after discharge when reintegrating into the society.

With the introduction of such a system, the huge financial burden that hospital costs represent for poor patients and their household is alleviated. Hence, patients can stop worrying about money shortages. They can afford to stay longer at the hospital and so are able to complete both the rehabilitation and psychosocial recovery process.

Program history: 

Launched in March 2006 at the Ho Chi Minh City Hospital for Rehabilitation and Professional Diseases, the project continues to expand to other rehabilitation hospitals/departments in the country.

PreviewAttachmentSize
Handicap International Viet Nam_HIVN annual 07[1].pdf2.27 MB
Handicap International Viet Nam 090721 Annual Report 2008 Final[1].pdf2.9 MB

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