The Center for Environment and Health Studies

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The baseline survey of the Local Health Care for Disadvantaged Areas Sector Development Program

Project name The Local Health Care for Disadvantaged Areas Sector Development Program
Project location Phu Tho, Tuyen Quang, Dak Nong, Gia Lai, Quang Nam and Soc Trang
Investor's name Asian Development Bank (ADB)
Bidding package name The baseline survey of the Local Health Care for Disadvantaged Areas Sector Development Program
Eligibility to participate Joint Venture with Health Economics Research and Consulting Center   (HERCC)
Implementation time From 25/4/2022 to 24/12/2022
Project description The Prime Minister issued Official Letter No. 5375/VPCP-QHQT on 25th May, 2017, approving the proposal "Investment Program for the development of grassroots health network in disadvantaged areas" with ODA loan from ADB. The Program will be implemented from 2019 to 2025 in 16 provinces, including: Tuyen Quang, Bac Giang, Phu Tho, Dien Bien, Lai Chau, Nghe An, Ha Tinh, Quang Nam, Phu Yen, Binh Thuan, Kon Tum, Gia Lai, Dak Nong, Binh Phuoc, Soc Trang and Ca Mau.
The general objective of the Program are to strengthen the capacity of the grassroots health care level towards the goal of universal health care coverage, guarantee adequate supplies of primary health care, provide medical examination and treatment for each individual in the areas, deliver health care services comprehensively and continuously, closely coordinate and integrate prevention with treatment, between medical facilities in the region and at higher levels, contribute to the reduction of overload in higher-level hospitals, ensure equity and efficiency in the prevention, treatment and improvement of health for people.
Specific objectives of the Program:
(i) To invest in building, renovate, upgrade infrastructure, provide CHSs with equipment, prioritizing given mountainous, remote, isolated, island, and extremely disavantaged communes so that these CHSs have enough quantity and quality of human resources to operate according to family medicine principles, perform primary health care tasks, manage medical records, monitor, manage and treat some non-communicable and chronic diseases... as guided in Action Program No. 1379/Ctr-BYT dated December 19, 2017 of the MOH on the implementation of the Decision No. 2348/QD-TTg dated December 5, 2016 of the Prime Minister, approving the project on construction and development of grassroots health care in the new situation.
(ii) To strengthen the capacity of CHSs to comprehensively perform primary health care tasks, helping to reduce the workload on higher-level hospitals.
(iii) To renovate financial, human resource and management mechanisms:
- Supporting the development and implementation of policies on renovating the financial mechanism for CHSs in terms of medical examination, treatment, and preventive medicine.
- Improving the quality of medical staff at CHSs and DHCs.
- Strengthening financial, human resource, and general management capacity for grassroots health workers.
Summary of specific work performed by the contractor under the contract
  • To collect and analyze data related to the Program's impact indicators at the baseline survey time.
  • To assess the current status of capacity to provide primary care services according to family medicine principles at health facilities. 
  • To develop a monitoring plan to measure indicators during the implementation of the Program, and develop a framework for evaluating the family medicine scoring model at the grassroot health level.
  • To develop instruction manuals for data collection, M&E, and transfer necessary knowledge and skills to staff who involved in the implementation, M&E of the Program at central and local level.
  • Develop a manual for data collection for supervision, monitoring, evaluation, and transfer necessary knowledge and skills to staff involved in the implementation of monitoring and evaluation of the Program at the local and central level.
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