Exploring financing options

NATIONAL TB CONTROL OF VIETNAM

National strategic plan

• PILLAR 1: High quality comprehensive TB care, prevention Objective 1: Universal access to high quality comprehensive diagnosis of TB with optimal use of existing and new diagnostic techniques in public and private health servicesObjective 2: Universal access for the people in need to high quality comprehensive prevention and treatment of latent, drug susceptible and drug resistant TB, with optimal use of existing and new drugs and regimens in public and private health services

• PILLAR 2: Bold policies and supporting systemsObjective 3: Policy development, advocacy and management to ensure sufficient domestic and international financial and human resources with adequate working conditions, supportive polices and regulatory frameworks, adequate infrastructure and management for TB control

Mechanism to explore financing options

• PILLAR 3: M&E, surveillance and researchObjective 4: Sustain and promote M&E of NTP performance, surveillance of the TB epidemic and monitoring and evaluation of new and applied interventions for TB control Under each pillar interventions have been formulated with a description of the current situation and the strategic approach.

PILLAR 2. Bold policies and supporting system-Rational

• Lack of essential resources to maintain operations (finance, human resource, etc)

• Knowledge of population on TB is limited; TB still encounters discrimination and stigma

• The participation of civil society and authorities is not strong enough.

• A number of policies and regimen related to health in general and TB Control in particular have not been fully implemented, affecting TB control activities.

PILLAR 2. Bold policies and supporting system-Aims

• Achieving strong political commitment of the central government and provincial authorities

• Increasing knowledge of people on TB,TB/ HIV, MDR-TB and Pediatric TB.

• Mobilize maximum participation of ministries, sectors and social and political organizations, unions, communities, TB patients in TB control activities through the establishment and operation of VSTP

PILLAR 2. Bold policies and supporting system-Target to explore financing options

• On advocacy• The basic operations : Government (incl. First-Line Drugs )• The Vietnam Health Insurance: medical care for TB patients• Ensuring the remuneration policy, risk payment for TB Staffs fully enforced.• Circulars and guidelines of the Ministry of Health: strictly enforced.

• On communication• 100% of TB staffs trained in direct communication skills to TB patients in 2016.• 100% of pupils grade 5 nationwide exactly know symptoms of TB in 2018• 100% of TB patients are counseled and communicated on TB prior to treatment• At least 95% of population in urban areas, 85% of people in rural area and 75% of people in

remote area exactly knowing the symptoms of TB, where to get diagnosis and treatment,..• Reduce the rate of TB patients being guilty of TB or hiding their disease below 10%

• On social mobilization• Consolidating and strengthening VSTP organization at central level • Establish VSTP at 100% of provinces in 2018 and operate effectively• The potential partners: Ministry of Education and Training, Red Cross Union, Vietnam

Women Union, and Police Ministry will participate in a specific activity of NTP from 2014 onwards.

• Each year at least raise 1-2 large domestic enterprises to participate in funding for NTP

PILLAR 2. Bold policies and supporting system-Activities

• Engage national and international stakeholders (technical agencies, donors and corporate sector) through a strengthened VSTP (WS, meeting, capacity building, MIS, evaluation of effectiveness)

• Policy development with the relevant ministries and the parliament for adequate legislation and law enforcement (esp re TB and M/XDR TB notification, infection control, protection of anti TB drugs etc.)

• Coordination, program supervision and management

BUDGET REQUIRED

Code

ActivitiesYear 1

2015Year 2

2016Year 3

2017Year 4

2018Year 5

2019Year 6

2020Total 6 years

2 Obj. 1/Pl1 4,106,869 8,905,283 9,863,031 9,989,140 9,841,607 9,823,750 52,529,680

3 Obj. 2/PL1 27,175,269 24,605,170 26,150,040 27,430,918 28,033,018 26,612,907 160,007,322

1Obj 3/PILLAR 2

8,176,199 7,884,917 8,021,874 8,021,874 8,257,740 8,282,557 48,645,161

4 Obj.4/PL3 984,378 1,221,543 819,502 595,107 840,667 724,062 5,185,259

  Salaries 19,512,232 21,589,960 23,761,119 23,761,119 23,761,119 23,761,119 136,146,668

  State budget 6,000,000 6,500,000 7,000,000 7,000,000 7,000,000 7,000,000 40,500,000

 Provincial contribution

20,207,189 22,495,013 24,465,266 24,465,266 24,465,266 24,465,266 140,563,266

Other donors

TOTAL 112,338,435 119,739,751 126,882,461 101,263,424 102,199,417 100,669,661 663,093,149

GF (NFM): 2014-2017 US$

1 Total funding allocation                     33,7

2 Incentive funding                     20,1

3 Total (confirmed)                    53,8

GAP(>200)

THANK YOU !