In spite of the heavy consequences of the war and great socio economic difficulties, Vietnam’s health establishment has been able to provide a comprehensive and effective health service. Because of serious budgetary constraints, health care in Vietnam was developed along the following between the State and the people.During the war years an axtensive medicare network was built in the rural an urban areas on the basis of equality in access to health care with due attention being given to primary health care. This network functioned efficiently in prevention, diagnosis and treatment for both modern and traditional medicine, in the production and distribution of medicines in training and scientific research and in the even distribution of duly trained medical personnel and an adequate number of specialized personnel.The benefits of this system have been significant. Vietnam which has the lowest per capita income in the world (US$200) yet has thanks to this system, a health care situation that is better than in most other low-income countries. Based upon the 12 basic criteria of health care, Vietnam ranks 68th in the world, staying well above 63 other countries. Today, financial constraints, poor networks of information, collaboration and management, and outdated equipment threaten the future development of this system. However, the Vietnamese Government continues to implement its firm policy that primary health care and preventive medicine must enjoy the highest priority, and that people’s is the most valuable asset for developing the economy improving living conditions, eliminating poverty and achieving the objective of a prosperous nation. The National Assembly has adopted the Law on people’s health care which provides for partial payment of hospital fees and for an increase in the budgetary health allocation. Health care is being “socialized” so that the financial contribution by the people, provinces, economic and social organizations would become as is the reality today, an important contribution to primary health care. In addition, international assistance is being regarded as an important resource for the improvement of Vietnam’s health care programmers.
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