Transcript Document

NATIONAL TB CONTROL OF VIETNAM
Exploring financing options
National strategic plan
• PILLAR 1: High quality comprehensive TB care, prevention
Objective 1: Universal access to high quality comprehensive diagnosis of TB with optimal use of existing
and new diagnostic techniques in public and private health services
Objective 2: Universal access for the people in need to high quality comprehensive prevention and
treatment of latent, drug susceptible and drug resistant TB, with optimal use of existing and new drugs
and regimens in public and private health services
• PILLAR 2: Bold policies and supporting systems
Objective 3: Policy development, advocacy and management to ensure sufficient domestic and
international financial and human resources with adequate working conditions, supportive polices and
regulatory frameworks, adequate infrastructure and management for TB control
 Mechanism to explore financing options
• PILLAR 3: M&E, surveillance and research
Objective 4: Sustain and promote M&E of NTP performance, surveillance of the TB epidemic and
monitoring and evaluation of new and applied interventions for TB control
Under each pillar interventions have been formulated with a description of the current situation and the
strategic approach.
PILLAR 2. Bold policies and supporting
system-Rational
• Lack of essential resources to maintain operations
(finance, human resource, etc)
• Knowledge of population on TB is limited; TB still
encounters discrimination and stigma
• The participation of civil society and authorities is not
strong enough.
• A number of policies and regimen related to health in
general and TB Control in particular have not been fully
implemented, affecting TB control activities.
PILLAR 2. Bold policies and supporting
system-Aims
• Achieving strong political commitment of the central
government and provincial authorities
• Increasing knowledge of people on TB,TB/ HIV, MDR-TB
and Pediatric TB.
• Mobilize maximum participation of ministries, sectors
and social and political organizations, unions,
communities, TB patients in TB control activities through
the establishment and operation of VSTP
PILLAR 2. Bold policies and supporting
system-Target to explore financing options
• On advocacy
•
•
•
•
The basic operations : Government (incl. First-Line Drugs )
The Vietnam Health Insurance: medical care for TB patients
Ensuring the remuneration policy, risk payment for TB Staffs fully enforced.
Circulars and guidelines of the Ministry of Health: strictly enforced.
• On communication
•
•
•
•
100% of TB staffs trained in direct communication skills to TB patients in 2016.
100% of pupils grade 5 nationwide exactly know symptoms of TB in 2018
100% of TB patients are counseled and communicated on TB prior to treatment
At least 95% of population in urban areas, 85% of people in rural area and 75% of
people in remote area exactly knowing the symptoms of TB, where to get diagnosis and
treatment,..
• Reduce the rate of TB patients being guilty of TB or hiding their disease below 10%
• On social mobilization
• Consolidating and strengthening VSTP organization at central level
• Establish VSTP at 100% of provinces in 2018 and operate effectively
• The potential partners: Ministry of Education and Training, Red Cross Union, Vietnam
Women Union, and Police Ministry will participate in a specific activity of NTP from
2014 onwards.
• Each year at least raise 1-2 large domestic enterprises to participate in funding for NTP
PILLAR 2. Bold policies and supporting
system-Activities
• Engage national and international stakeholders (technical agencies,
donors and corporate sector) through a strengthened VSTP (WS,
meeting, capacity building, MIS, evaluation of effectiveness)
• Policy development with the relevant ministries and the parliament
for adequate legislation and law enforcement (esp re TB and M/XDR
TB notification, infection control, protection of anti TB drugs etc.)
• Coordination, program supervision and management
BUDGET REQUIRED
Cod
Activities
e
Year 1
2015
Year 2
2016
Year 3
2017
Year 4
2018
Year 5
2019
Year 6
2020
Total 6 years
2
Obj. 1/Pl1
4,106,869
8,905,283
9,863,031
9,989,140
9,841,607
9,823,750
52,529,680
3
Obj. 2/PL1
27,175,269
24,605,170
26,150,040
27,430,918
28,033,018
26,612,907
160,007,322
1
Obj 3
/PILLAR 2
8,176,199
7,884,917
8,021,874
8,021,874
8,257,740
8,282,557
48,645,161
4
Obj.4/PL3
984,378
1,221,543
819,502
595,107
840,667
724,062
5,185,259
19,512,232
21,589,960
23,761,119
23,761,119
23,761,119
23,761,119
136,146,668
State budget
6,000,000
6,500,000
7,000,000
7,000,000
7,000,000
7,000,000
40,500,000
Provincial
contribution
20,207,189
22,495,013
24,465,266
24,465,266
24,465,266
24,465,266
140,563,266
112,338,435
119,739,751
126,882,461
101,263,424
102,199,417
100,669,661
663,093,149
Salaries
Other donors
TOTAL
GF (NFM): 2014-2017
US$
1
Total funding allocation
33,7
2
Incentive funding
20,1
3
Total (confirmed)
53,8
GAP
(>200)
THANK YOU !