Luận văn thạc sĩ UEB evaluation of allocation and use of health financing in nam dinh province

UPPSALA UNIVERSITÉT&

UPPSALAIMU UNIVERSITY OF ECONOMICS & BUSINESS UIN1VERSITĨT

VNU-UEB

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EViUATION OF

ALLOCATION

ANB SE OF HEALTH

FINANCING

11 NAM DINH PROVINCE

A u l h o r : Ninh Thi Hoai Thu

Su p erviso r: Dr. Hans Blomkvist

l.ocul Supervisor: I)r. Nguyên Phu Ha

Cíass: MPPM INTAKE 7

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Hanoi, January - 2015

Acknovvledgements

The thesis has been carried out by thc author NinhThiHoai Thu in the ìmevvork o f

the Master’s degree program o f Public Management -U ppsala Jẩversity. It is certain

that the thesis vvould not be fulfill well without the ỉnhusiastic help o f the Svvedish and

Vietnamese instructors and a number o f eders and governmental officials o f institutions

related to the research field.

I am much obliged to Dr. Hans Blomkvist - Uppsala University, Svveden vb has

offered very clearly oriented guides in the process o f my selecting oúcs and launching

research, Dr. Nguyen Phu Ha, leading me in the esarch process, giving me more

knovvledge and helping me resolve liíìcultiesduring the whole process.

I sincerely thank the lectures who were enthusiastic to impart useful navledge ot' the

public management o f the entire course. Thanks for the uport o f the Universitv o f

Economics and Business, o f coordinators and Ttgram managers who have created

tầvorable conditions for the course.

I am gratetul to the leaders and experts o f the Department of Planning n Finance -

Ministry o f Health, thc leaders o f Health Department of Nam )ih province for their

providing materials, answering in interviews and rating íầvorable conditions, which

enables me to perlorm the subịect and cess to data sources.

It is also impossible íor me to tbrget the good feelings and thc support o f

11 c lassmates, friends, colleagues who contributed their ideas, provided 'Ìtirmation to

me during my fulfilling the thesis work.

Y ours faithfully,

3

Abstract

Tite Evaluation o f the allocation and use o f health lìnancing in Nam Dinh province.

l£^e: Pinal assignment tor Mastcr Program in Public Management

Auh >r: NinhThiHoai Thu

Si|e.-visors:

- Dr. Hans Blomkvist - Uppsala University, Sweden

- Dr. Nguyen Phu Ha

Dae when the thesis is presented: 2014 - 12

Ain: The study aimed to evaluate the allocation and use o f íinancial rsnrces o f Nam

Dinh province, iđentiíy the strengths, weaknesses, 0)p)rlunities and threads o f Nam

Dinh province’s health sector in allocation aid Lse addiíional ĩinancial resources,

calculate the expected demand o f e;p:nses and income possibilities and then to propose

solutions to increase rcvmues to meet spcnding needs and manage hcalth financing in

effective

lVehod: Analysis o f documents, in-dcpth interviews and SWOT.

RĩSilt & C onclusions: Health sector oi'N am Dinh province in recent years hismade

remarkable achievements in various íìelds o f healthcare for the ptO'le, Nam Dinh has

íìnished most important output indicators on or ahead oltie expected plan. Plans to

develop health sector closely linked with the 5 yta socio-economic development plan

from 2011 to 2015 and the p»rí)nnance indicators ot' the national health sector.

Hovvever, there is no liik between the plan and the annual budget vvith goals, outcome

and output

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ncicators o f the sector, due to the current Capital expenditure and recurrent

ooenditure is expected to comply with the norms stipulated in Decision [ 51/2006 /

ỌD -TTg o f the Prime Minister, an annual increase o f about 15% til íầils to ensure

adequate ílnancial resources required to minimum pcnding demand o f Nam Dinh

province’s health. Ít inevitably leads to 'ulget deficits, required to cut down on some

spending items, resulting in 01-guaranteed operating costs o f local health. By

necessity of being vãlable with solutions to increase revenue sources, the author has

applied VOT analysis for strengths, vveaknesses, opportunities and challenges of Jan

Dinh province in the management o f health íìnancing, assessment of lbcation situation,

from which calculates the actual spending needs o f the eilth sector and propose

measures to raise revenues tor the health sector

eie.

Based on the calculated demand shorttầll, assess the current íinancial ĩs)urces and

trend analysis o f tìnancial resources can be offset in time to ían Dinh province, the

author makes a number o f recommendations as )lows:

Ó' expenditures for investment and development

- For the local budget: The Province needs to increase investment Cipitals from the

health hudget at least 20% over the previous year, and S)end 30% o f the total

expenditures for invcstmcnt and development from tle local budget for health to

implement The scheme o f upgrading the dstrict hospitals and the regional general

hospital as deíìned in Decision N). 47/2008/Ọ D -TTg o f the Prime Minister.

- The province should spend at least 40% o f lottery revenues (expected líttery source

for investment, upgrade o f infrastructure, social welfare, sich as education, health,

culture and sport is about 50 -70 billion \N D /year) for health, especially for investment

and upgrade o f the povincial general hospital, district hospitals and inter-district

regional g-neral hospitals, preventive health centers and etc.