Center for Health Market Innovations (CHMI)

Programs

Overview

Implementing organization: 
Ministry of Health
Implementation Partner(s): 
Provincial Health Service Departments and District Health Centers
Legal Status: 
Year Launched: 
2008
Stage: 
Pilot/startup stage
Income Level of Target Population: 
Bottom 20%, 20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Government

Scale

Number of Clients Served: 
4,000,000
Number of Facilities Operated/Networked: 
542
Summary: 

According to Decision number 1816 QĐ-BYT dated 26/5/2008, the Vietnamese Ministry of Health (MoH) has undertaken a project to rotate staff between urban and rural areas to continuously narrow the gap in the quality of treatment between localities.

Program goals/rationale: 

Beginning in September 2008, the project aims to improve health care status of the under-served, transfer medical technology and train staff at lower levels of care - especially in mountainous and remote areas - as well as reduce the overload of patients at provincial and central hospitals.

Key program components: 

Under this project, well-trained health professionals from high-quality central hospitals serve a rotation in hospitals located in rural and remote areas to provide better health care for the local people and train local staff. Medical staff from provincial hospitals were also sent to district hospitals.

According to MoH statistics, after the first year of implementation, 64 central hospitals sent 1,846 turns of medical staff to support 191 hospitals and medical units in 62 provinces and cities nation-wide. More than 1,000 medical techniques in 26 specialities were transferred to over 21,500 medical staff at local and district-level hospitals through 418 training courses. About 54,000 patients got check-ups and treatment and 795 patients received surgery from well-trained medical personnel. At the conclusion of the second year in May 2011, a total of 542 hospitals were involved in the project, with about 9,000 turns of medical staff and 4,000 medical transfered techniques. More than 2,000 training courses were carried out for staff at lower levels and about 4 millions patients received examination and 1,600 surgeries were performed by senior staff.

The project has significantly improved the quality of health care services at provincial and district hospitals and lowered the patient load at the central level. The number of patients referred to central hospitals for treatment was reduced by 30 per cent.

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