Health Equity and Financial Protection in Vietnam
This report analyzes equity and financial protection in the health sector of Vietnam. In particular, it examines inequalities in health outcomes, health behavior and health care utilization; benefit incidence analysis; financial protection; and the...
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Language: | English en_US |
Published: |
Washington, DC
2017
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Online Access: | http://documents.worldbank.org/curated/en/583531468317989733/Vietnam-Health-equity-and-financial-protection-report http://hdl.handle.net/10986/27155 |
Summary: | This report analyzes equity and
financial protection in the health sector of Vietnam. In
particular, it examines inequalities in health outcomes,
health behavior and health care utilization; benefit
incidence analysis; financial protection; and the
progressivity of health care financing. Data are drawn from
the 1992-93 and 1997-98 Vietnam living standards survey, the
2002, 2004, 2006, and 2008 Vietnam household and living
standards survey, the 2002 Vietnam demographic and health
survey, the 2002 Vietnam world health survey, the 2006
Vietnam multiple indicator cluster survey and the 2006
Vietnam national health accounts. All analyses are conducted
using original survey data and employ the health modules of
the ADePT software. Overall, health care financing in
Vietnam in 2006 was fairly progressive, i.e. the better-off
spent a larger fraction of their consumption on health care
than the poor. The financing sources that contribute to the
overall progressivity of health care finance are general
taxation, which finances 27 per cent of domestic spending on
health, and out-of-pocket payments, which finance 55 per
cent of spending. The most progressive source of health
finance is actually Social Health Insurance (SHI)
contributions, which is unsurprising given that they are
paid largely by formal sector workers who are among the
better-off; however, SHI contributions finance just 13 per
cent of health spending. Voluntary insurance is mildly
regressive, but this finances an even smaller share of total
health spending. |
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