This technical assessment was aimed at reviewing the implementation of the Health Insurance Law in Viet Nam with focus on marginalized groups including children under six, the poor and the near-poor and ethnic minority groups.
Overall, Viet Nam has made considerable progress in improving economic and social well-being such as reducing the absolute poverty rate and attaining rapid and sustained economic growth. Epidemiologically, Viet Nam has been experiencing a transition to that of a developing country with an increased prevalence of non-communicable diseases. Financially, key expenditures on health have been increasing. Specifically, total health expenditure as a percentage share of Gross Domestic Product (GDP) increased slightly from 4.9% in 1998 to 6.4% in 2008, mainly as a result of increases in government and social security expenditures on health. The poor and children under six have been considered vulnerable groups in health financing policies in general, and in health insurance, in particular.
The set of provincial profiles was developed to facilitate the sub-national planning and programming process by UNICEF and the Government of Viet Nam for the next Country Programme cycle 2012-2016. It contains a total of eight statistical profiles representing the eight provinces that, after an extensive analytical selection process, were identified as representing the sub-national geographical focus for the coming five years, notably: Dien Bien, Kon Tum, Ninh Thuan, Dong Thap, An Giang, Ho Chi Minh City, Gia Lai and Lao Cai.
Each profile contains key demographic and socio-economic data by province, a provincial map with districts and its relative position on the map of Vietnam, a box on key emerging issues by province, as well as a column on national averages for comparison purposes. The main data source used is the 2009 Census, and efforts were made to disaggregate data in keeping with the equity focus. In addition to informing the sub-national planning and programming processes, the statistical profiles double as a baseline for monitoring purposes and as a fundraising tool for the next country programme cycle.
The eight focal provinces were selected based on a number of criteria, the most important of which being the depth and number of deprivations among children in a given province. Deprivation is measured based on a number of key social indicators (reflected in the profiles), including child mortality; stunting; net enrolment; and use of safe drinking water and sanitation, among others. Other considerations include: continuity and existing partnerships with provincial authorities, UNICEF and counterpart capacity, presence of partners, UNICEF added value, and regional balance.
Assessment of nutrition status, food consumption and monitoring of related factors are worldwide paid attention. The progress or problems existing in health-nutrition through nutritional and health indicators recommended by WHO, UNICEF, FAO should be monitored for the purpose of developing early interventions and effective prevention strategies. In Asia, there are still many challenges threaten the nutritional health status of people in some countries. Meanwhile, many countries - including Vietnam - have achieved remarkable success in hunger - poverty reduction and reduce the of malnourished prevalence in children.
Heading into the next decade, the conduction of General Nutrition Survey (GNS) every 10 years is required for the purpose to assess the current nutritional situation and to analysis correlative factors and identify the risk factors. The survey results were used as an evidence bases for development of Action Plan for Nutrition in new period 2011-2020. The objective of this GNS is to assess nutritional status, household food consumption and other nutrition related issues in Vietnamese people, particularly children under 5 years old. This survey has been implemented in 512 randomly selected communes of 432 districts in 64 provinces (the administrative boundaries of provinces and cities in Vietnam before 2008). The data collection method mainly consists of interviewing, anthropometric measurement, 24-hours dietary recall and basic information of the health centres at communal, district and provincial levels. The provincial survey teams were responsible for the data collection and data checking before transferring to NIN for data cleaning and entering. Data analyzed by using Stata 11 with cluster sampling survey correction with the assistance of an international data analysis expert. The anthropometric indicators of children were analyzed based on WHO 2007 standard reference.
Child injuries remain a growing public health problem and injuries are now acknowledged as one of the leading contributors to the global burden of disease. The evidence suggests that the burden of injury on children is unequal, with the greatest burden amongst the poor and in developing and middle income countries, compared with high income countries. These countries are where most of the world’s children live. In these countries children are exposed to considerable risk from hazards in all environments.
Page 7 of 13
TOM (Tikkun Olam Makers) is an international non-profit organization using design and technology to address neglected problems. The TOM event is an intersection between challenges and technical solutions. Participants with different backgrounds and expertise gather together for a 72-hour “makeathon” and build a product to help someone in need. TOM focuses on inclusive designs with a reasonable price for people with disabilities. In Hebrew, Tikkun Olam means changing the world; and this is TOM’s mission. (See more information about TOM at www.tomglobal.org) Dead
In 2016, the United States Consulate General in Ho Chi Minh City, the Embassy of the State of Israel, UNICEF, Disability Research and Capacity Development (DRD), FABLAB Saigon, and other partners from academia and the private sector will co-organize the TOM event in Ho Chi Minh City. This is a unique opportunity for children with disabilities and families to present their challenges, as well as share ideas of products that would help to reduce their challenges. Based on these ideas, technical teams will develop innovative solutions during a 72-hour “makeathon” to help children have a better life.
10 December 2015 - Amid large-scale atrocities and widespread abuses across the world, Human Rights Day should rally more concerted global action to promote the timeless principles that we have collectively pledged to uphold.
In a year that marks the 70th anniversary of the United Nations, we can draw inspiration from the history of the modern human rights movement, which emerged from the Second World War.
At that time, President Franklin D. Roosevelt of the United States identified four basic freedoms as the birthright of all people: freedom of expression, freedom of worship, freedom from want and freedom from fear. His wife, Eleanor Roosevelt, joined forces at the United Nations with human rights champions from around the world to enshrine these freedoms in the Universal Declaration of Human Rights.
9 December 2015 - Global attitudes towards corruption have changed dramatically. Where once bribery, corruption and illicit financial flows were often considered part of the cost of doing business, today corruption is widely -- and rightly -- understood as criminal and corrosive. The new 2030 Agenda for Sustainable Development, our plan to end poverty and ensure lives of dignity for all, recognizes the need to fight corruption in all its aspects and calls for significant reductions in illicit financial flows as well as for the recovery of stolen assets.
Corruption has disastrous impacts on development when funds that should be devoted to schools, health clinics and other vital public services are instead diverted into the hands of criminals or dishonest officials.
1 December 2015 - This year, we mark World AIDS Day with new hope. I applaud the staunch advocacy of activists. I commend the persistent efforts of health workers. And I pay tribute to the principled stance of human rights defenders and the courage of all those who have joined forces to fight for global progress against the disease.
World leaders have unanimously committed to ending the AIDS epidemic by 2030 as part of the Sustainable Development Goals adopted in September. This commitment reflects the power of solidarity to forge, from a destructive disease, one of the most inclusive movements in modern history.
25 November 2015 - The atrocity crimes being committed against women and girls in conflict zones, along with the domestic abuse found in all countries, are grave threats to progress.
I am deeply concerned about the plight of women and girls living in conditions of armed conflict, who suffer various forms of violence, sexual assault, sexual slavery and trafficking. Violent extremists are perverting religious teachings to justify the mass subjugation and abuse of women. These are not random acts of violence, or the incidental fallout of war, but rather systematic efforts to deny women's freedoms and control their bodies. As the world strives to counter and prevent violence extremism, the protection and empowerment of women and girls must be a key consideration.