After 20 years of deployment of the primary health care activity, Vietnam's health sector has obtained many important achievements in 10 contents of the primary health care in which the local health network played an important role. This paper introduced the role of the local health network (from village (hamlet) to district level) in the activities of primary health care, concurrently evaluated the situation and recommended the solutions for consolidation of the local health network to meet the requirement of the primary health care in the next time.
Community Networks ; Delivery of Health Care

During 1996-2000, the health sector setup and developed 5 major groups of solution to strengthen the people health protection and care and obtained many achievements. This paper introduced some major achievement, difficulties and shortcomings as well as challenges currently. From which, the health sector developed an uniform policies and solutions including investment and distribution of human resource, enhancement of the preventive medicine, strengthening of the people health and consultation, implementation of decree No 90 of Vietnam government on the orientation and solution for socialization of education, cultural and health activities
Health ; Delivery of Health Care

The health inspection should continuous renew and strengthen its quality and efficacy to contribute to implement successfully the strategy of people health protection and care in the period of 2001-2010, including content and subjects, method of inspection and discipline.
Delivery of Health Care ; Quality Assurance, Health Care

All human activity, including health care activity are strictly corelated with the relation between individual and social community. This relation must be harmonised in resfect of the equality. It is the criterion to appreciate the superiosity of any healthcare service. In our system health education and the organization must be paralelly conducted
Delivery of Health Care ; Health ; Health Systems Plans

When coming a innovative period, we mentioned directly the issues of health economics and health care finance, but this approach just only generalized that not enough thoroughness to overcome many challenges from dark side of market economy. If these issues weren’t paid attention, Vietnamese public health could be inconsiderable, arbitrary, and lack of method and thriftiness
Delivery of Health Care ; Vietnam ; Professional Practice ; Politics

The health service system planning and implementing is as important as working out the plan of campaign. It's necessary to appreciate and improve this work if we really want to develop Vietnam health service system in the right and methodical direction, and in global integration. In the short term, we should learn about and have a firm grasp on health indices and targets of UN Millennium Development Goals, their roles in sustainable development. On this foundation, it's necessary to consider adding or cutting some indices in order to reflect comprehensively and completely the truth face of healthcare system in Vietnam
Delivery of Health Care ; Health Services ; Indicators and Reagents

When confronted with situation of rapid development of HIV/AIDS pandemic, there was a solution called 'harm reduction' for decrease the transmission of HIV. This article explained why we have to do this solution, and introduce the contents of solution: to educate and exchange experiences through peer education; provide HIV voluntary counseling and test, help HIV/AIDS infected people being aware of their situation and received useful advice; guide them using safe syringe; prevent STDs by using condom; introduce and use heroine-replacement drugs. Finally, authors also mentioned advantages of using 'harm reduction' solution
HIV ; Acquired Immunodeficiency Syndrome ; Disease Outbreaks

After 10 years of implementation the 4th resolution of the Party Centre Committee, session VII, the Health sector had received many significant results. The health care system had established throughout the country, especially the grass roat health care level from stood at "the abyss of collapsing" to little by little recoverd and gradually developed. Otherwise, the Health sector remained some issues, such as the price of medical services was not calculated; The financial resources of the hospitals was not substainable and always in deficiciency in this conditions, it was said that it should changed from the form that the State had supplied the finances for the health care units to the forms of subsidy to the users by buying health insurance or health services
Delivery of Health Care ; Hospitals, Public ; Materials Management, Hospital

The conception of health care or health services socialization was the first mentioned in the resolution of the fourth conference held by the seventh Party Central Committee. In the last twelve years, we reached many achievements in order to translate the policy of health services socialization into reality: People have many improvements in terms of self-defense consciousness and health care. There are many new organizational forms: health insurance, charity fund, health care fund for the poor. Besides public health establishments, there are many private health establishments with various economic forms. However, the socialization of health services has many limits: the contrary of market mechanism put new pressures on health sector. On the other hand, health establishments lack of budget to pay essential health services
Health Services ; Socialization

To evaluate user fee the situation of, in 2001, at the Khammouane provincial hospital Lao PDR by a cross study. 109 in-patients and 204 out- patients were interviewed and, 20 groups of health staffs were discussed and the information (2001) on statistic, finances and exemptions in the hospital office were analyzed. The results showed that: With the minus government budget, the very low fees and many free services, the quality of the health service is not progressive and it is very difficult to apply the exemptions. The rate of using the patients' bed is very low because both the rich and poor patients don't like to take health care in this hospital. When the patients come to hospital, all of them prepare enough money to pay because they don't know who will be exemption. If they can't get enough money, they don't come yet. Both the patients and health staffs accepted the low user fees but the providers need to raise the quality of health services and apply better the exemptions. The very low fees and many free services in the hospital aren't the suitable solution to help the poor patients can take health care when the another sources can't supply sufficiently for these services.
Hospitals ; Health Services