THE CENTRAL COMMITTEE
The Resolution No. 20/NQ-TW dated October 25, 2017 of the Central Committee on enhancement of citizens’ health protection, improvement, and care in new situation
THE 6TH MEETING OF THE 12TH CENTRAL COMMITTEE
ON ENHANCEMENT OF CITIZENS’ HEALTH PROTECTION, IMPROVEMENT, AND CARE IN NEW SITUATION
I-SITUATION AND REASONS
1- After 25 years' implementation of Resolution No. 04-NQ/TW of the 7th Central Committee and policies of the Communist Party, policies, regulations and laws of the State, the citizens’ health protection, improvement and care (hereinafter referred to as citizens’ healthcare) has recorded great achievements, giving important contributions to the building and defending our country.
The system of policies, regulations and laws has improved progressively. The network of heath facilities has been expanding. Physicians and health workers have increased in quantity and developed in quality. The stage budget and social resources invested in citizens’ healthcare has increased gradually. Health financing policies have many renovations; the coverage of health insurance has expanded gradually. Household spending on healthcare services has declined rapidly. The application of information technology has been steadily accelerated.
Preventive healthcare has been strengthened, successfully prevented dangerous infectious diseases from occurrence of epidemics. Factors affecting health such as environment, food, physical training, spiritual life, etc. have been more concerned. The capacity and quality of medical examination and treatment have been improved, reaching the most advanced techniques in the world. The pharmaceutical and medical equipment has progressed. The model of army-civilian medical services has been accelerated and promoted effectively, especially in remote and isolated areas, border and island areas.
Health indicators and life expectancy have improved. Vietnam is seen as a successful model of implementation of the UN Millennium Development Goals by international organizations. Ethics, manners, attitude, professional qualifications of health staff have been focused and enhanced. Many examples of medical doctors devoted to care and treatment of patients are respectful and recognized by the community.
2 - However, the citizens’ healthcare is still limited and inadequate. The quality of living environment, work, nutrition, physical training, spiritual culture, etc. in many areas has not been paid much attention. Many bad behaviors or habits affecting health have not been fundamentally broken.
The healthcare system is still unstable and the operation is not effective, especially in preventive healthcare, grassroots healthcare and primary healthcare. Quality of services, especially at the lower level, does not meet the requirements. Overcrowding in some higher level hospitals has been slowly being reduced. The bad manners of health workers, a number of incidents, and medical problems cause objectionable and disagreeable feeling in the society. The advantages of traditional medicines and pharmacy have not been well promoted.
The roles of regulatory agencies in private healthcare, supply of drugs and medical equipment are still passive and weak. The work of ensuring food hygiene and safety and environmental hygiene are still limited. Pharmaceutical industry and medical equipment has developed slowly. Renovation of the mechanism of operation and management in public health facilities remains confusing. Training, utilization, structure and treatment of health workers are inadequate.
There is a large difference in the health indicators across regions. The rate of stunting is high. Vietnamese stature is slowly improving. The number of healthy life years has not increased correspondingly with longevity.
3- The above-mentioned limitations and shortcomings are due to objective and subjective reasons, the main causes of which are:
- The capacity of implementing resolutions of the Communist Party and laws of the State is still limited. The awareness of roles and positions of citizens’ healthcare is inadequate and simple in some areas and sometime; this work has not been considered as a pillar in the last and sustainable development of the country.
- In perception and actions, basic healthcare and preventive healthcare has not been considered radical and fundamental. Expectation of subsidies and dependence on the State are still high, there is lack of synchronous and suitable mechanism for the people to participate in health insurance and strongly attract non-state resources to invest in health development.
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