Title:
Relating Factors to the Enrollment and the Use of Health Insurance for Antiretroviral Therapy in Vietnam
Authors:
Phuong, Le Mai
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
vi, 34
Language:
En
Subject:
Health and Poverty
Keywords:
HIV, health insurance for people living with HIV, related factors, Vietnam
Abstract:
Background: As Vietnam has became a middle income country and tend to decrease of international funding sources for HIV globally, the international aid funding for HIV in Vietnam has been reduced recently and will be ended of 2017. The Government directed that ART program will be based on national health insurance funds and people living with HIV need to use health insurance for continuous using ART. However, there was a number of people living with HIV who still do not use health insurance for ART or even do not have health insurance themselves. Objective: To identify related factors to the enrollment and the use of health insurance for ART in Vietnam. Method: This study is a narrative literature review of published studies and researches, grey and white literature on health insurance for HIV treatment in Vietnam. The conceptual framework is developed based on the study’s objectives when relating factors are analyzed from the perspective of user, provider and socio-economic and cultural factors. Findings: Both developed and developing countries have identified requirements for the provision of health insurance to PLHIV. Health insurance paid by public sector was largely financed for HIV and AIDS care-related. In Vietnam, the coverage of health insurance among general population was much higher than those among PLHIV. Main factors related to the enrollment and the use of HI for ART were identified from both user perspective and provider perspective. Also, socio-economic and political were considered whether they affected to those factors above. Conclusions and Recommendations: The study has explored factors contributing to the enrollment, enrollment in and the use of health insurance of patient on ART from user and provider perspectives. Advocacy and the completeness HIV service facilities for implementing HI should be considered to increase the enrollment and use of HI among PLHIV. By using community- and individual-based approach, the policy makers will create relevant solutions. Some recommendations for better promotion of patient on ART to enroll and use their health insurance are given.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Vietnam
Region:
Southeast Asia
Training:
Master in International Health
Category:
Research
Right:
@ 2017 Phuong
Document type:
Thesis/dissertation
File:
707bZpO8x7_20180412152052978.pdf