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Vietnam s successes in the health sector are remarkable. Between
2000 and 2005, Vietnam achieved reductions in mortality rates for
all ages, while some of its neighbors saw little change or even
increases. To date, its infant and under-five mortality rates are
comparable to those of countries with substantially higher per
capita incomes. According to the data assembled in 'Health
Financing and Delivery in Vietnam', the country continues to
perform strongly in the sector, but its health care system is
facing new challenges, as do those of other countries. By
international standards, for example, a large percentage of
Vietnamese households make out-of-pocket health care payments that
exceed a reasonable fraction of their income. The country has been
expanding the breadth of health insurance coverage, but questions
remain on how to further expand coverage, how to decrease health
care costs, and how to increase the overall quality of care.
'Health Financing and Delivery in Vietnam' reviews the country s
successes and the challenges it faces, and suggests some options
for further reforming the country s health system. These include
the issue of stewardship what different parts of government (for
example, the Health Ministry and the health insurer) should be
doing at each level of government, and what different levels of
government (for example, the central government and the provincial
government) ought to be doing. 'Health Financing and Delivery in
Vietnam' will be of interest to readers working in the areas of
public health and social analysis and policy."
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