Vietnam : Learning from Smart Reforms on the Road to Universal Health Coverage

Universal Health Coverage is a powerful framework for a nation aiming to protect their population against health risks. However, countries face multiple challenges in implementing, achieving and sustaining UHC strategies. Sharing and learning from diverse country experiences may enable to foster global and country progress toward that goal. The study seeks to contribute to the global effort of sharing potentially useful lessons to address policy concerns on the design and implementation of UHC strategies in LMICs. Vietnam is one of the LMICs that have taken relatively quick and effective actions to expand health coverage and improve financial protection in the last two decades. The country study, first, takes stock of UHC progress in Vietnam, examining both the breadth and the depth of health coverage and assessing financial protection and equity outputs (chapter one). Chapter two includes an in-depth analysis of some of the major success strategies and policy actions that the country took to expand health coverage and financial protection for all, including for the poor. Chapter three focuses on some of the UHC-related challenges that the country faces in pursuing expansion and sustaining UHC. Vietnam s experience suggests that, moving toward greater UHC outputs, the system must be constantly adjusted, and that UHC strategies must be adaptive, those used in the past to cover the formal sector and the poor may turn out inadequate to reach the uninsured in the informal sector.

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Bibliographic Details
Main Authors: Barroy, Helene, Jarawan, Eva, Bales, Sarah
Language:English
en_US
Published: World Bank Group, Washington, DC 2014-08
Subjects:ABILITY TO PAY, ACCESS TO HEALTH CARE, ACCESS TO HEALTH SERVICES, ACCESS TO SERVICES, ADMINISTRATIVE COSTS, AGING, ANTENATAL CARE, ARTIFICIAL LIMBS, BASIC HEALTH CARE, BLOOD PRESSURE, BLOOD TESTS, BUDGET LAW, CANCER, CAPITATION, CAPITATION PAYMENT, CAPITATION SYSTEM, CATASTROPHIC HEALTH EXPENDITURE, CATASTROPHIC HEALTH SPENDING, CENTRAL BUDGET, CHILD HEALTH, CHILD HEALTH SERVICES, CITIZENS, CLEAN WATER, CLINICAL LABORATORY, CLINICAL PRACTICE, COMMUNICABLE DISEASES, CONTRIBUTION RATE, CONTRIBUTION RATES, COST CONTROL, COST SHARING, COST-EFFECTIVENESS, COSTS OF CARE, CURATIVE HEALTH CARE, DEBT, DELIVERY SYSTEM, DEMAND FOR SERVICES, DENTAL CARE, DEVELOPING COUNTRIES, DEVELOPMENT PLANS, DIABETES, DIALYSIS, DISABILITIES, DISADVANTAGED GROUPS, DISEASE CONTROL, DRUG LIST, DRUGS, EARLY DETECTION, ECONOMIC GROWTH, EMERGENCY SERVICES, EMPLOYMENT, ENTITLEMENT, EPIDEMICS, EXPENDITURES, FAMILIES, FAMILY PLANNING, FEE FOR SERVICE, FEE SCHEDULE, FINANCIAL INCENTIVES, FINANCIAL PROTECTION, FINANCIAL RESOURCES, FINANCIAL RISK, FOOD SAFETY, GLOBAL EFFORT, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE COVERAGE, HEALTH CARE FINANCING, HEALTH CARE PROVIDER, HEALTH CARE SERVICES, HEALTH CARE SYSTEM, HEALTH CARE SYSTEMS, HEALTH CENTERS, HEALTH COVERAGE, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH FINANCING, HEALTH FINANCING SYSTEM, HEALTH INSURANCE, HEALTH INSURANCE FUNDS, HEALTH INSURANCE PROGRAM, HEALTH INSURANCE SCHEME, HEALTH ORGANIZATION, HEALTH OUTCOMES, HEALTH POLICY, HEALTH PROFESSIONALS, HEALTH PROMOTION, HEALTH PURCHASER, HEALTH REFORMS, HEALTH RISKS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH SPENDING SHARE, HEALTH STRATEGY, HEALTH SYSTEM, HEALTH SYSTEM PERFORMANCE, HEALTH SYSTEM REFORM, HEALTH SYSTEMS, HEALTH WORKERS, HEALTH WORKFORCE, HEALTHCARE, HEALTHCARE SYSTEM, HEARING AIDS, HEPATITIS B, HIV/AIDS, HOSPITAL AUTONOMY, HOSPITAL SERVICES, HOSPITALS, HOUSEHOLD EXPENDITURE, HUMAN RESOURCES, HYPERTENSION, IMMUNIZATION, INCIDENCE ANALYSIS, INCOME, INCOME COUNTRIES, INCOME ELASTICITY, INCOME GROUPS, INDUCED DEMAND, INFANT, INFANT MORTALITY, INFECTIOUS DISEASE CONTROL, INFECTIOUS DISEASES, INFORMAL PAYMENTS, INFORMAL SECTOR, INJURIES, INPATIENT ADMISSION, INPATIENT HOSPITAL, INPATIENT HOSPITAL SERVICES, INSURANCE PACKAGE, INSURANCE PREMIUMS, INSURANCE SCHEMES, INTEGRATION, LAWS, LEPROSY, LIVE BIRTHS, LIVING STANDARDS, LONG-TERM CARE, MEDICAL CARE, MEDICAL CARE COSTS, MEDICAL COSTS, MEDICAL DOCTORS, MEDICAL EDUCATION, MEDICAL EQUIPMENT, MEDICAL EXAMINATION, MEDICAL GOODS, MEDICAL SERVICES, MEDICAL TECHNOLOGIES, MEDICAL TRAINING, MEDICINES, MENTAL ILLNESS, MINISTRY OF HEALTH, MORBIDITY, MORTALITY, NATIONAL DEVELOPMENT, NATIONAL HEALTH, NATIONAL HEALTH INSURANCE, NATIONAL POLICIES, NURSES, NURSING, NUTRITION, OUTPATIENT SERVICES, PATIENT, PATIENT DEMAND, PATIENTS, PEDIATRICS, PHARMACISTS, PHYSICIAN, PHYSICIANS, POLICY PROCESS, POLICY RESEARCH, POPULATION GROUPS, PREVENTIVE CARE, PREVENTIVE HEALTH CARE, PRIMARY CARE, PRIVATE SECTOR, PRIVATE SERVICES, PRIVATE SPENDING, PROGRESS, PROSTITUTION, PROVIDER PAYMENT, PUBLIC EXPENDITURE, PUBLIC HEALTH, PUBLIC HEALTH PROGRAMS, PUBLIC HEALTH SPENDING, PUBLIC HOSPITAL, PUBLIC HOSPITALS, PUBLIC POLICY, PUBLIC SECTOR, PUBLIC SPENDING, PURCHASER-PROVIDER SPLIT, QUALITY OF CARE, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, REFERRALS, REHABILITATION, REPRODUCTIVE HEALTH, RESOURCE ALLOCATION, RISK ADJUSTMENT, SCREENING, SMOKING, SOCIAL AFFAIRS, SOCIAL HEALTH INSURANCE, SOCIAL INSURANCE, SOCIAL MOBILIZATION, SOCIAL SECURITY, SOCIAL SECURITY BENEFITS, SOCIAL WELFARE, SUSTAINABLE DEVELOPMENT, TUBERCULOSIS, UNDER-FIVE MORTALITY, UNIVERSAL HEALTH INSURANCE COVERAGE, USE OF HEALTH SERVICES, VACCINATION, VISITS, WORKERS, WORLD HEALTH ORGANIZATION,
Online Access:http://documents.worldbank.org/curated/en/2014/08/20285736/vietnam-learning-smart-reforms-road-universal-health-coverage
https://hdl.handle.net/10986/20739
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countrycode US
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databasecode dig-okr
tag biblioteca
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libraryname Biblioteca del Banco Mundial
language English
en_US
topic ABILITY TO PAY
ACCESS TO HEALTH CARE
ACCESS TO HEALTH SERVICES
ACCESS TO SERVICES
ADMINISTRATIVE COSTS
AGING
ANTENATAL CARE
ARTIFICIAL LIMBS
BASIC HEALTH CARE
BLOOD PRESSURE
BLOOD TESTS
BUDGET LAW
CANCER
CAPITATION
CAPITATION PAYMENT
CAPITATION SYSTEM
CATASTROPHIC HEALTH EXPENDITURE
CATASTROPHIC HEALTH SPENDING
CENTRAL BUDGET
CHILD HEALTH
CHILD HEALTH SERVICES
CITIZENS
CLEAN WATER
CLINICAL LABORATORY
CLINICAL PRACTICE
COMMUNICABLE DISEASES
CONTRIBUTION RATE
CONTRIBUTION RATES
COST CONTROL
COST SHARING
COST-EFFECTIVENESS
COSTS OF CARE
CURATIVE HEALTH CARE
DEBT
DELIVERY SYSTEM
DEMAND FOR SERVICES
DENTAL CARE
DEVELOPING COUNTRIES
DEVELOPMENT PLANS
DIABETES
DIALYSIS
DISABILITIES
DISADVANTAGED GROUPS
DISEASE CONTROL
DRUG LIST
DRUGS
EARLY DETECTION
ECONOMIC GROWTH
EMERGENCY SERVICES
EMPLOYMENT
ENTITLEMENT
EPIDEMICS
EXPENDITURES
FAMILIES
FAMILY PLANNING
FEE FOR SERVICE
FEE SCHEDULE
FINANCIAL INCENTIVES
FINANCIAL PROTECTION
FINANCIAL RESOURCES
FINANCIAL RISK
FOOD SAFETY
GLOBAL EFFORT
HEALTH CARE
HEALTH CARE COSTS
HEALTH CARE COVERAGE
HEALTH CARE FINANCING
HEALTH CARE PROVIDER
HEALTH CARE SERVICES
HEALTH CARE SYSTEM
HEALTH CARE SYSTEMS
HEALTH CENTERS
HEALTH COVERAGE
HEALTH EXPENDITURE
HEALTH EXPENDITURES
HEALTH FACILITIES
HEALTH FINANCING
HEALTH FINANCING SYSTEM
HEALTH INSURANCE
HEALTH INSURANCE FUNDS
HEALTH INSURANCE PROGRAM
HEALTH INSURANCE SCHEME
HEALTH ORGANIZATION
HEALTH OUTCOMES
HEALTH POLICY
HEALTH PROFESSIONALS
HEALTH PROMOTION
HEALTH PURCHASER
HEALTH REFORMS
HEALTH RISKS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE DELIVERY
HEALTH SERVICES
HEALTH SPECIALIST
HEALTH SPENDING SHARE
HEALTH STRATEGY
HEALTH SYSTEM
HEALTH SYSTEM PERFORMANCE
HEALTH SYSTEM REFORM
HEALTH SYSTEMS
HEALTH WORKERS
HEALTH WORKFORCE
HEALTHCARE
HEALTHCARE SYSTEM
HEARING AIDS
HEPATITIS B
HIV/AIDS
HOSPITAL AUTONOMY
HOSPITAL SERVICES
HOSPITALS
HOUSEHOLD EXPENDITURE
HUMAN RESOURCES
HYPERTENSION
IMMUNIZATION
INCIDENCE ANALYSIS
INCOME
INCOME COUNTRIES
INCOME ELASTICITY
INCOME GROUPS
INDUCED DEMAND
INFANT
INFANT MORTALITY
INFECTIOUS DISEASE CONTROL
INFECTIOUS DISEASES
INFORMAL PAYMENTS
INFORMAL SECTOR
INJURIES
INPATIENT ADMISSION
INPATIENT HOSPITAL
INPATIENT HOSPITAL SERVICES
INSURANCE PACKAGE
INSURANCE PREMIUMS
INSURANCE SCHEMES
INTEGRATION
LAWS
LEPROSY
LIVE BIRTHS
LIVING STANDARDS
LONG-TERM CARE
MEDICAL CARE
MEDICAL CARE COSTS
MEDICAL COSTS
MEDICAL DOCTORS
MEDICAL EDUCATION
MEDICAL EQUIPMENT
MEDICAL EXAMINATION
MEDICAL GOODS
MEDICAL SERVICES
MEDICAL TECHNOLOGIES
MEDICAL TRAINING
MEDICINES
MENTAL ILLNESS
MINISTRY OF HEALTH
MORBIDITY
MORTALITY
NATIONAL DEVELOPMENT
NATIONAL HEALTH
NATIONAL HEALTH INSURANCE
NATIONAL POLICIES
NURSES
NURSING
NUTRITION
OUTPATIENT SERVICES
PATIENT
PATIENT DEMAND
PATIENTS
PEDIATRICS
PHARMACISTS
PHYSICIAN
PHYSICIANS
POLICY PROCESS
POLICY RESEARCH
POPULATION GROUPS
PREVENTIVE CARE
PREVENTIVE HEALTH CARE
PRIMARY CARE
PRIVATE SECTOR
PRIVATE SERVICES
PRIVATE SPENDING
PROGRESS
PROSTITUTION
PROVIDER PAYMENT
PUBLIC EXPENDITURE
PUBLIC HEALTH
PUBLIC HEALTH PROGRAMS
PUBLIC HEALTH SPENDING
PUBLIC HOSPITAL
PUBLIC HOSPITALS
PUBLIC POLICY
PUBLIC SECTOR
PUBLIC SPENDING
PURCHASER-PROVIDER SPLIT
QUALITY OF CARE
QUALITY OF HEALTH
QUALITY OF HEALTH CARE
REFERRALS
REHABILITATION
REPRODUCTIVE HEALTH
RESOURCE ALLOCATION
RISK ADJUSTMENT
SCREENING
SMOKING
SOCIAL AFFAIRS
SOCIAL HEALTH INSURANCE
SOCIAL INSURANCE
SOCIAL MOBILIZATION
SOCIAL SECURITY
SOCIAL SECURITY BENEFITS
SOCIAL WELFARE
SUSTAINABLE DEVELOPMENT
TUBERCULOSIS
UNDER-FIVE MORTALITY
UNIVERSAL HEALTH INSURANCE COVERAGE
USE OF HEALTH SERVICES
VACCINATION
VISITS
WORKERS
WORLD HEALTH ORGANIZATION
ABILITY TO PAY
ACCESS TO HEALTH CARE
ACCESS TO HEALTH SERVICES
ACCESS TO SERVICES
ADMINISTRATIVE COSTS
AGING
ANTENATAL CARE
ARTIFICIAL LIMBS
BASIC HEALTH CARE
BLOOD PRESSURE
BLOOD TESTS
BUDGET LAW
CANCER
CAPITATION
CAPITATION PAYMENT
CAPITATION SYSTEM
CATASTROPHIC HEALTH EXPENDITURE
CATASTROPHIC HEALTH SPENDING
CENTRAL BUDGET
CHILD HEALTH
CHILD HEALTH SERVICES
CITIZENS
CLEAN WATER
CLINICAL LABORATORY
CLINICAL PRACTICE
COMMUNICABLE DISEASES
CONTRIBUTION RATE
CONTRIBUTION RATES
COST CONTROL
COST SHARING
COST-EFFECTIVENESS
COSTS OF CARE
CURATIVE HEALTH CARE
DEBT
DELIVERY SYSTEM
DEMAND FOR SERVICES
DENTAL CARE
DEVELOPING COUNTRIES
DEVELOPMENT PLANS
DIABETES
DIALYSIS
DISABILITIES
DISADVANTAGED GROUPS
DISEASE CONTROL
DRUG LIST
DRUGS
EARLY DETECTION
ECONOMIC GROWTH
EMERGENCY SERVICES
EMPLOYMENT
ENTITLEMENT
EPIDEMICS
EXPENDITURES
FAMILIES
FAMILY PLANNING
FEE FOR SERVICE
FEE SCHEDULE
FINANCIAL INCENTIVES
FINANCIAL PROTECTION
FINANCIAL RESOURCES
FINANCIAL RISK
FOOD SAFETY
GLOBAL EFFORT
HEALTH CARE
HEALTH CARE COSTS
HEALTH CARE COVERAGE
HEALTH CARE FINANCING
HEALTH CARE PROVIDER
HEALTH CARE SERVICES
HEALTH CARE SYSTEM
HEALTH CARE SYSTEMS
HEALTH CENTERS
HEALTH COVERAGE
HEALTH EXPENDITURE
HEALTH EXPENDITURES
HEALTH FACILITIES
HEALTH FINANCING
HEALTH FINANCING SYSTEM
HEALTH INSURANCE
HEALTH INSURANCE FUNDS
HEALTH INSURANCE PROGRAM
HEALTH INSURANCE SCHEME
HEALTH ORGANIZATION
HEALTH OUTCOMES
HEALTH POLICY
HEALTH PROFESSIONALS
HEALTH PROMOTION
HEALTH PURCHASER
HEALTH REFORMS
HEALTH RISKS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE DELIVERY
HEALTH SERVICES
HEALTH SPECIALIST
HEALTH SPENDING SHARE
HEALTH STRATEGY
HEALTH SYSTEM
HEALTH SYSTEM PERFORMANCE
HEALTH SYSTEM REFORM
HEALTH SYSTEMS
HEALTH WORKERS
HEALTH WORKFORCE
HEALTHCARE
HEALTHCARE SYSTEM
HEARING AIDS
HEPATITIS B
HIV/AIDS
HOSPITAL AUTONOMY
HOSPITAL SERVICES
HOSPITALS
HOUSEHOLD EXPENDITURE
HUMAN RESOURCES
HYPERTENSION
IMMUNIZATION
INCIDENCE ANALYSIS
INCOME
INCOME COUNTRIES
INCOME ELASTICITY
INCOME GROUPS
INDUCED DEMAND
INFANT
INFANT MORTALITY
INFECTIOUS DISEASE CONTROL
INFECTIOUS DISEASES
INFORMAL PAYMENTS
INFORMAL SECTOR
INJURIES
INPATIENT ADMISSION
INPATIENT HOSPITAL
INPATIENT HOSPITAL SERVICES
INSURANCE PACKAGE
INSURANCE PREMIUMS
INSURANCE SCHEMES
INTEGRATION
LAWS
LEPROSY
LIVE BIRTHS
LIVING STANDARDS
LONG-TERM CARE
MEDICAL CARE
MEDICAL CARE COSTS
MEDICAL COSTS
MEDICAL DOCTORS
MEDICAL EDUCATION
MEDICAL EQUIPMENT
MEDICAL EXAMINATION
MEDICAL GOODS
MEDICAL SERVICES
MEDICAL TECHNOLOGIES
MEDICAL TRAINING
MEDICINES
MENTAL ILLNESS
MINISTRY OF HEALTH
MORBIDITY
MORTALITY
NATIONAL DEVELOPMENT
NATIONAL HEALTH
NATIONAL HEALTH INSURANCE
NATIONAL POLICIES
NURSES
NURSING
NUTRITION
OUTPATIENT SERVICES
PATIENT
PATIENT DEMAND
PATIENTS
PEDIATRICS
PHARMACISTS
PHYSICIAN
PHYSICIANS
POLICY PROCESS
POLICY RESEARCH
POPULATION GROUPS
PREVENTIVE CARE
PREVENTIVE HEALTH CARE
PRIMARY CARE
PRIVATE SECTOR
PRIVATE SERVICES
PRIVATE SPENDING
PROGRESS
PROSTITUTION
PROVIDER PAYMENT
PUBLIC EXPENDITURE
PUBLIC HEALTH
PUBLIC HEALTH PROGRAMS
PUBLIC HEALTH SPENDING
PUBLIC HOSPITAL
PUBLIC HOSPITALS
PUBLIC POLICY
PUBLIC SECTOR
PUBLIC SPENDING
PURCHASER-PROVIDER SPLIT
QUALITY OF CARE
QUALITY OF HEALTH
QUALITY OF HEALTH CARE
REFERRALS
REHABILITATION
REPRODUCTIVE HEALTH
RESOURCE ALLOCATION
RISK ADJUSTMENT
SCREENING
SMOKING
SOCIAL AFFAIRS
SOCIAL HEALTH INSURANCE
SOCIAL INSURANCE
SOCIAL MOBILIZATION
SOCIAL SECURITY
SOCIAL SECURITY BENEFITS
SOCIAL WELFARE
SUSTAINABLE DEVELOPMENT
TUBERCULOSIS
UNDER-FIVE MORTALITY
UNIVERSAL HEALTH INSURANCE COVERAGE
USE OF HEALTH SERVICES
VACCINATION
VISITS
WORKERS
WORLD HEALTH ORGANIZATION
spellingShingle ABILITY TO PAY
ACCESS TO HEALTH CARE
ACCESS TO HEALTH SERVICES
ACCESS TO SERVICES
ADMINISTRATIVE COSTS
AGING
ANTENATAL CARE
ARTIFICIAL LIMBS
BASIC HEALTH CARE
BLOOD PRESSURE
BLOOD TESTS
BUDGET LAW
CANCER
CAPITATION
CAPITATION PAYMENT
CAPITATION SYSTEM
CATASTROPHIC HEALTH EXPENDITURE
CATASTROPHIC HEALTH SPENDING
CENTRAL BUDGET
CHILD HEALTH
CHILD HEALTH SERVICES
CITIZENS
CLEAN WATER
CLINICAL LABORATORY
CLINICAL PRACTICE
COMMUNICABLE DISEASES
CONTRIBUTION RATE
CONTRIBUTION RATES
COST CONTROL
COST SHARING
COST-EFFECTIVENESS
COSTS OF CARE
CURATIVE HEALTH CARE
DEBT
DELIVERY SYSTEM
DEMAND FOR SERVICES
DENTAL CARE
DEVELOPING COUNTRIES
DEVELOPMENT PLANS
DIABETES
DIALYSIS
DISABILITIES
DISADVANTAGED GROUPS
DISEASE CONTROL
DRUG LIST
DRUGS
EARLY DETECTION
ECONOMIC GROWTH
EMERGENCY SERVICES
EMPLOYMENT
ENTITLEMENT
EPIDEMICS
EXPENDITURES
FAMILIES
FAMILY PLANNING
FEE FOR SERVICE
FEE SCHEDULE
FINANCIAL INCENTIVES
FINANCIAL PROTECTION
FINANCIAL RESOURCES
FINANCIAL RISK
FOOD SAFETY
GLOBAL EFFORT
HEALTH CARE
HEALTH CARE COSTS
HEALTH CARE COVERAGE
HEALTH CARE FINANCING
HEALTH CARE PROVIDER
HEALTH CARE SERVICES
HEALTH CARE SYSTEM
HEALTH CARE SYSTEMS
HEALTH CENTERS
HEALTH COVERAGE
HEALTH EXPENDITURE
HEALTH EXPENDITURES
HEALTH FACILITIES
HEALTH FINANCING
HEALTH FINANCING SYSTEM
HEALTH INSURANCE
HEALTH INSURANCE FUNDS
HEALTH INSURANCE PROGRAM
HEALTH INSURANCE SCHEME
HEALTH ORGANIZATION
HEALTH OUTCOMES
HEALTH POLICY
HEALTH PROFESSIONALS
HEALTH PROMOTION
HEALTH PURCHASER
HEALTH REFORMS
HEALTH RISKS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE DELIVERY
HEALTH SERVICES
HEALTH SPECIALIST
HEALTH SPENDING SHARE
HEALTH STRATEGY
HEALTH SYSTEM
HEALTH SYSTEM PERFORMANCE
HEALTH SYSTEM REFORM
HEALTH SYSTEMS
HEALTH WORKERS
HEALTH WORKFORCE
HEALTHCARE
HEALTHCARE SYSTEM
HEARING AIDS
HEPATITIS B
HIV/AIDS
HOSPITAL AUTONOMY
HOSPITAL SERVICES
HOSPITALS
HOUSEHOLD EXPENDITURE
HUMAN RESOURCES
HYPERTENSION
IMMUNIZATION
INCIDENCE ANALYSIS
INCOME
INCOME COUNTRIES
INCOME ELASTICITY
INCOME GROUPS
INDUCED DEMAND
INFANT
INFANT MORTALITY
INFECTIOUS DISEASE CONTROL
INFECTIOUS DISEASES
INFORMAL PAYMENTS
INFORMAL SECTOR
INJURIES
INPATIENT ADMISSION
INPATIENT HOSPITAL
INPATIENT HOSPITAL SERVICES
INSURANCE PACKAGE
INSURANCE PREMIUMS
INSURANCE SCHEMES
INTEGRATION
LAWS
LEPROSY
LIVE BIRTHS
LIVING STANDARDS
LONG-TERM CARE
MEDICAL CARE
MEDICAL CARE COSTS
MEDICAL COSTS
MEDICAL DOCTORS
MEDICAL EDUCATION
MEDICAL EQUIPMENT
MEDICAL EXAMINATION
MEDICAL GOODS
MEDICAL SERVICES
MEDICAL TECHNOLOGIES
MEDICAL TRAINING
MEDICINES
MENTAL ILLNESS
MINISTRY OF HEALTH
MORBIDITY
MORTALITY
NATIONAL DEVELOPMENT
NATIONAL HEALTH
NATIONAL HEALTH INSURANCE
NATIONAL POLICIES
NURSES
NURSING
NUTRITION
OUTPATIENT SERVICES
PATIENT
PATIENT DEMAND
PATIENTS
PEDIATRICS
PHARMACISTS
PHYSICIAN
PHYSICIANS
POLICY PROCESS
POLICY RESEARCH
POPULATION GROUPS
PREVENTIVE CARE
PREVENTIVE HEALTH CARE
PRIMARY CARE
PRIVATE SECTOR
PRIVATE SERVICES
PRIVATE SPENDING
PROGRESS
PROSTITUTION
PROVIDER PAYMENT
PUBLIC EXPENDITURE
PUBLIC HEALTH
PUBLIC HEALTH PROGRAMS
PUBLIC HEALTH SPENDING
PUBLIC HOSPITAL
PUBLIC HOSPITALS
PUBLIC POLICY
PUBLIC SECTOR
PUBLIC SPENDING
PURCHASER-PROVIDER SPLIT
QUALITY OF CARE
QUALITY OF HEALTH
QUALITY OF HEALTH CARE
REFERRALS
REHABILITATION
REPRODUCTIVE HEALTH
RESOURCE ALLOCATION
RISK ADJUSTMENT
SCREENING
SMOKING
SOCIAL AFFAIRS
SOCIAL HEALTH INSURANCE
SOCIAL INSURANCE
SOCIAL MOBILIZATION
SOCIAL SECURITY
SOCIAL SECURITY BENEFITS
SOCIAL WELFARE
SUSTAINABLE DEVELOPMENT
TUBERCULOSIS
UNDER-FIVE MORTALITY
UNIVERSAL HEALTH INSURANCE COVERAGE
USE OF HEALTH SERVICES
VACCINATION
VISITS
WORKERS
WORLD HEALTH ORGANIZATION
ABILITY TO PAY
ACCESS TO HEALTH CARE
ACCESS TO HEALTH SERVICES
ACCESS TO SERVICES
ADMINISTRATIVE COSTS
AGING
ANTENATAL CARE
ARTIFICIAL LIMBS
BASIC HEALTH CARE
BLOOD PRESSURE
BLOOD TESTS
BUDGET LAW
CANCER
CAPITATION
CAPITATION PAYMENT
CAPITATION SYSTEM
CATASTROPHIC HEALTH EXPENDITURE
CATASTROPHIC HEALTH SPENDING
CENTRAL BUDGET
CHILD HEALTH
CHILD HEALTH SERVICES
CITIZENS
CLEAN WATER
CLINICAL LABORATORY
CLINICAL PRACTICE
COMMUNICABLE DISEASES
CONTRIBUTION RATE
CONTRIBUTION RATES
COST CONTROL
COST SHARING
COST-EFFECTIVENESS
COSTS OF CARE
CURATIVE HEALTH CARE
DEBT
DELIVERY SYSTEM
DEMAND FOR SERVICES
DENTAL CARE
DEVELOPING COUNTRIES
DEVELOPMENT PLANS
DIABETES
DIALYSIS
DISABILITIES
DISADVANTAGED GROUPS
DISEASE CONTROL
DRUG LIST
DRUGS
EARLY DETECTION
ECONOMIC GROWTH
EMERGENCY SERVICES
EMPLOYMENT
ENTITLEMENT
EPIDEMICS
EXPENDITURES
FAMILIES
FAMILY PLANNING
FEE FOR SERVICE
FEE SCHEDULE
FINANCIAL INCENTIVES
FINANCIAL PROTECTION
FINANCIAL RESOURCES
FINANCIAL RISK
FOOD SAFETY
GLOBAL EFFORT
HEALTH CARE
HEALTH CARE COSTS
HEALTH CARE COVERAGE
HEALTH CARE FINANCING
HEALTH CARE PROVIDER
HEALTH CARE SERVICES
HEALTH CARE SYSTEM
HEALTH CARE SYSTEMS
HEALTH CENTERS
HEALTH COVERAGE
HEALTH EXPENDITURE
HEALTH EXPENDITURES
HEALTH FACILITIES
HEALTH FINANCING
HEALTH FINANCING SYSTEM
HEALTH INSURANCE
HEALTH INSURANCE FUNDS
HEALTH INSURANCE PROGRAM
HEALTH INSURANCE SCHEME
HEALTH ORGANIZATION
HEALTH OUTCOMES
HEALTH POLICY
HEALTH PROFESSIONALS
HEALTH PROMOTION
HEALTH PURCHASER
HEALTH REFORMS
HEALTH RISKS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE DELIVERY
HEALTH SERVICES
HEALTH SPECIALIST
HEALTH SPENDING SHARE
HEALTH STRATEGY
HEALTH SYSTEM
HEALTH SYSTEM PERFORMANCE
HEALTH SYSTEM REFORM
HEALTH SYSTEMS
HEALTH WORKERS
HEALTH WORKFORCE
HEALTHCARE
HEALTHCARE SYSTEM
HEARING AIDS
HEPATITIS B
HIV/AIDS
HOSPITAL AUTONOMY
HOSPITAL SERVICES
HOSPITALS
HOUSEHOLD EXPENDITURE
HUMAN RESOURCES
HYPERTENSION
IMMUNIZATION
INCIDENCE ANALYSIS
INCOME
INCOME COUNTRIES
INCOME ELASTICITY
INCOME GROUPS
INDUCED DEMAND
INFANT
INFANT MORTALITY
INFECTIOUS DISEASE CONTROL
INFECTIOUS DISEASES
INFORMAL PAYMENTS
INFORMAL SECTOR
INJURIES
INPATIENT ADMISSION
INPATIENT HOSPITAL
INPATIENT HOSPITAL SERVICES
INSURANCE PACKAGE
INSURANCE PREMIUMS
INSURANCE SCHEMES
INTEGRATION
LAWS
LEPROSY
LIVE BIRTHS
LIVING STANDARDS
LONG-TERM CARE
MEDICAL CARE
MEDICAL CARE COSTS
MEDICAL COSTS
MEDICAL DOCTORS
MEDICAL EDUCATION
MEDICAL EQUIPMENT
MEDICAL EXAMINATION
MEDICAL GOODS
MEDICAL SERVICES
MEDICAL TECHNOLOGIES
MEDICAL TRAINING
MEDICINES
MENTAL ILLNESS
MINISTRY OF HEALTH
MORBIDITY
MORTALITY
NATIONAL DEVELOPMENT
NATIONAL HEALTH
NATIONAL HEALTH INSURANCE
NATIONAL POLICIES
NURSES
NURSING
NUTRITION
OUTPATIENT SERVICES
PATIENT
PATIENT DEMAND
PATIENTS
PEDIATRICS
PHARMACISTS
PHYSICIAN
PHYSICIANS
POLICY PROCESS
POLICY RESEARCH
POPULATION GROUPS
PREVENTIVE CARE
PREVENTIVE HEALTH CARE
PRIMARY CARE
PRIVATE SECTOR
PRIVATE SERVICES
PRIVATE SPENDING
PROGRESS
PROSTITUTION
PROVIDER PAYMENT
PUBLIC EXPENDITURE
PUBLIC HEALTH
PUBLIC HEALTH PROGRAMS
PUBLIC HEALTH SPENDING
PUBLIC HOSPITAL
PUBLIC HOSPITALS
PUBLIC POLICY
PUBLIC SECTOR
PUBLIC SPENDING
PURCHASER-PROVIDER SPLIT
QUALITY OF CARE
QUALITY OF HEALTH
QUALITY OF HEALTH CARE
REFERRALS
REHABILITATION
REPRODUCTIVE HEALTH
RESOURCE ALLOCATION
RISK ADJUSTMENT
SCREENING
SMOKING
SOCIAL AFFAIRS
SOCIAL HEALTH INSURANCE
SOCIAL INSURANCE
SOCIAL MOBILIZATION
SOCIAL SECURITY
SOCIAL SECURITY BENEFITS
SOCIAL WELFARE
SUSTAINABLE DEVELOPMENT
TUBERCULOSIS
UNDER-FIVE MORTALITY
UNIVERSAL HEALTH INSURANCE COVERAGE
USE OF HEALTH SERVICES
VACCINATION
VISITS
WORKERS
WORLD HEALTH ORGANIZATION
Barroy, Helene
Jarawan, Eva
Bales, Sarah
Vietnam : Learning from Smart Reforms on the Road to Universal Health Coverage
description Universal Health Coverage is a powerful framework for a nation aiming to protect their population against health risks. However, countries face multiple challenges in implementing, achieving and sustaining UHC strategies. Sharing and learning from diverse country experiences may enable to foster global and country progress toward that goal. The study seeks to contribute to the global effort of sharing potentially useful lessons to address policy concerns on the design and implementation of UHC strategies in LMICs. Vietnam is one of the LMICs that have taken relatively quick and effective actions to expand health coverage and improve financial protection in the last two decades. The country study, first, takes stock of UHC progress in Vietnam, examining both the breadth and the depth of health coverage and assessing financial protection and equity outputs (chapter one). Chapter two includes an in-depth analysis of some of the major success strategies and policy actions that the country took to expand health coverage and financial protection for all, including for the poor. Chapter three focuses on some of the UHC-related challenges that the country faces in pursuing expansion and sustaining UHC. Vietnam s experience suggests that, moving toward greater UHC outputs, the system must be constantly adjusted, and that UHC strategies must be adaptive, those used in the past to cover the formal sector and the poor may turn out inadequate to reach the uninsured in the informal sector.
topic_facet ABILITY TO PAY
ACCESS TO HEALTH CARE
ACCESS TO HEALTH SERVICES
ACCESS TO SERVICES
ADMINISTRATIVE COSTS
AGING
ANTENATAL CARE
ARTIFICIAL LIMBS
BASIC HEALTH CARE
BLOOD PRESSURE
BLOOD TESTS
BUDGET LAW
CANCER
CAPITATION
CAPITATION PAYMENT
CAPITATION SYSTEM
CATASTROPHIC HEALTH EXPENDITURE
CATASTROPHIC HEALTH SPENDING
CENTRAL BUDGET
CHILD HEALTH
CHILD HEALTH SERVICES
CITIZENS
CLEAN WATER
CLINICAL LABORATORY
CLINICAL PRACTICE
COMMUNICABLE DISEASES
CONTRIBUTION RATE
CONTRIBUTION RATES
COST CONTROL
COST SHARING
COST-EFFECTIVENESS
COSTS OF CARE
CURATIVE HEALTH CARE
DEBT
DELIVERY SYSTEM
DEMAND FOR SERVICES
DENTAL CARE
DEVELOPING COUNTRIES
DEVELOPMENT PLANS
DIABETES
DIALYSIS
DISABILITIES
DISADVANTAGED GROUPS
DISEASE CONTROL
DRUG LIST
DRUGS
EARLY DETECTION
ECONOMIC GROWTH
EMERGENCY SERVICES
EMPLOYMENT
ENTITLEMENT
EPIDEMICS
EXPENDITURES
FAMILIES
FAMILY PLANNING
FEE FOR SERVICE
FEE SCHEDULE
FINANCIAL INCENTIVES
FINANCIAL PROTECTION
FINANCIAL RESOURCES
FINANCIAL RISK
FOOD SAFETY
GLOBAL EFFORT
HEALTH CARE
HEALTH CARE COSTS
HEALTH CARE COVERAGE
HEALTH CARE FINANCING
HEALTH CARE PROVIDER
HEALTH CARE SERVICES
HEALTH CARE SYSTEM
HEALTH CARE SYSTEMS
HEALTH CENTERS
HEALTH COVERAGE
HEALTH EXPENDITURE
HEALTH EXPENDITURES
HEALTH FACILITIES
HEALTH FINANCING
HEALTH FINANCING SYSTEM
HEALTH INSURANCE
HEALTH INSURANCE FUNDS
HEALTH INSURANCE PROGRAM
HEALTH INSURANCE SCHEME
HEALTH ORGANIZATION
HEALTH OUTCOMES
HEALTH POLICY
HEALTH PROFESSIONALS
HEALTH PROMOTION
HEALTH PURCHASER
HEALTH REFORMS
HEALTH RISKS
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE DELIVERY
HEALTH SERVICES
HEALTH SPECIALIST
HEALTH SPENDING SHARE
HEALTH STRATEGY
HEALTH SYSTEM
HEALTH SYSTEM PERFORMANCE
HEALTH SYSTEM REFORM
HEALTH SYSTEMS
HEALTH WORKERS
HEALTH WORKFORCE
HEALTHCARE
HEALTHCARE SYSTEM
HEARING AIDS
HEPATITIS B
HIV/AIDS
HOSPITAL AUTONOMY
HOSPITAL SERVICES
HOSPITALS
HOUSEHOLD EXPENDITURE
HUMAN RESOURCES
HYPERTENSION
IMMUNIZATION
INCIDENCE ANALYSIS
INCOME
INCOME COUNTRIES
INCOME ELASTICITY
INCOME GROUPS
INDUCED DEMAND
INFANT
INFANT MORTALITY
INFECTIOUS DISEASE CONTROL
INFECTIOUS DISEASES
INFORMAL PAYMENTS
INFORMAL SECTOR
INJURIES
INPATIENT ADMISSION
INPATIENT HOSPITAL
INPATIENT HOSPITAL SERVICES
INSURANCE PACKAGE
INSURANCE PREMIUMS
INSURANCE SCHEMES
INTEGRATION
LAWS
LEPROSY
LIVE BIRTHS
LIVING STANDARDS
LONG-TERM CARE
MEDICAL CARE
MEDICAL CARE COSTS
MEDICAL COSTS
MEDICAL DOCTORS
MEDICAL EDUCATION
MEDICAL EQUIPMENT
MEDICAL EXAMINATION
MEDICAL GOODS
MEDICAL SERVICES
MEDICAL TECHNOLOGIES
MEDICAL TRAINING
MEDICINES
MENTAL ILLNESS
MINISTRY OF HEALTH
MORBIDITY
MORTALITY
NATIONAL DEVELOPMENT
NATIONAL HEALTH
NATIONAL HEALTH INSURANCE
NATIONAL POLICIES
NURSES
NURSING
NUTRITION
OUTPATIENT SERVICES
PATIENT
PATIENT DEMAND
PATIENTS
PEDIATRICS
PHARMACISTS
PHYSICIAN
PHYSICIANS
POLICY PROCESS
POLICY RESEARCH
POPULATION GROUPS
PREVENTIVE CARE
PREVENTIVE HEALTH CARE
PRIMARY CARE
PRIVATE SECTOR
PRIVATE SERVICES
PRIVATE SPENDING
PROGRESS
PROSTITUTION
PROVIDER PAYMENT
PUBLIC EXPENDITURE
PUBLIC HEALTH
PUBLIC HEALTH PROGRAMS
PUBLIC HEALTH SPENDING
PUBLIC HOSPITAL
PUBLIC HOSPITALS
PUBLIC POLICY
PUBLIC SECTOR
PUBLIC SPENDING
PURCHASER-PROVIDER SPLIT
QUALITY OF CARE
QUALITY OF HEALTH
QUALITY OF HEALTH CARE
REFERRALS
REHABILITATION
REPRODUCTIVE HEALTH
RESOURCE ALLOCATION
RISK ADJUSTMENT
SCREENING
SMOKING
SOCIAL AFFAIRS
SOCIAL HEALTH INSURANCE
SOCIAL INSURANCE
SOCIAL MOBILIZATION
SOCIAL SECURITY
SOCIAL SECURITY BENEFITS
SOCIAL WELFARE
SUSTAINABLE DEVELOPMENT
TUBERCULOSIS
UNDER-FIVE MORTALITY
UNIVERSAL HEALTH INSURANCE COVERAGE
USE OF HEALTH SERVICES
VACCINATION
VISITS
WORKERS
WORLD HEALTH ORGANIZATION
author Barroy, Helene
Jarawan, Eva
Bales, Sarah
author_facet Barroy, Helene
Jarawan, Eva
Bales, Sarah
author_sort Barroy, Helene
title Vietnam : Learning from Smart Reforms on the Road to Universal Health Coverage
title_short Vietnam : Learning from Smart Reforms on the Road to Universal Health Coverage
title_full Vietnam : Learning from Smart Reforms on the Road to Universal Health Coverage
title_fullStr Vietnam : Learning from Smart Reforms on the Road to Universal Health Coverage
title_full_unstemmed Vietnam : Learning from Smart Reforms on the Road to Universal Health Coverage
title_sort vietnam : learning from smart reforms on the road to universal health coverage
publisher World Bank Group, Washington, DC
publishDate 2014-08
url http://documents.worldbank.org/curated/en/2014/08/20285736/vietnam-learning-smart-reforms-road-universal-health-coverage
https://hdl.handle.net/10986/20739
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spelling dig-okr-10986207392024-08-08T13:43:32Z Vietnam : Learning from Smart Reforms on the Road to Universal Health Coverage Barroy, Helene Jarawan, Eva Bales, Sarah ABILITY TO PAY ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCESS TO SERVICES ADMINISTRATIVE COSTS AGING ANTENATAL CARE ARTIFICIAL LIMBS BASIC HEALTH CARE BLOOD PRESSURE BLOOD TESTS BUDGET LAW CANCER CAPITATION CAPITATION PAYMENT CAPITATION SYSTEM CATASTROPHIC HEALTH EXPENDITURE CATASTROPHIC HEALTH SPENDING CENTRAL BUDGET CHILD HEALTH CHILD HEALTH SERVICES CITIZENS CLEAN WATER CLINICAL LABORATORY CLINICAL PRACTICE COMMUNICABLE DISEASES CONTRIBUTION RATE CONTRIBUTION RATES COST CONTROL COST SHARING COST-EFFECTIVENESS COSTS OF CARE CURATIVE HEALTH CARE DEBT DELIVERY SYSTEM DEMAND FOR SERVICES DENTAL CARE DEVELOPING COUNTRIES DEVELOPMENT PLANS DIABETES DIALYSIS DISABILITIES DISADVANTAGED GROUPS DISEASE CONTROL DRUG LIST DRUGS EARLY DETECTION ECONOMIC GROWTH EMERGENCY SERVICES EMPLOYMENT ENTITLEMENT EPIDEMICS EXPENDITURES FAMILIES FAMILY PLANNING FEE FOR SERVICE FEE SCHEDULE FINANCIAL INCENTIVES FINANCIAL PROTECTION FINANCIAL RESOURCES FINANCIAL RISK FOOD SAFETY GLOBAL EFFORT HEALTH CARE HEALTH CARE COSTS HEALTH CARE COVERAGE HEALTH CARE FINANCING HEALTH CARE PROVIDER HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE SYSTEMS HEALTH CENTERS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING SYSTEM HEALTH INSURANCE HEALTH INSURANCE FUNDS HEALTH INSURANCE PROGRAM HEALTH INSURANCE SCHEME HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROMOTION HEALTH PURCHASER HEALTH REFORMS HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING SHARE HEALTH STRATEGY HEALTH SYSTEM HEALTH SYSTEM PERFORMANCE HEALTH SYSTEM REFORM HEALTH SYSTEMS HEALTH WORKERS HEALTH WORKFORCE HEALTHCARE HEALTHCARE SYSTEM HEARING AIDS HEPATITIS B HIV/AIDS HOSPITAL AUTONOMY HOSPITAL SERVICES HOSPITALS HOUSEHOLD EXPENDITURE HUMAN RESOURCES HYPERTENSION IMMUNIZATION INCIDENCE ANALYSIS INCOME INCOME COUNTRIES INCOME ELASTICITY INCOME GROUPS INDUCED DEMAND INFANT INFANT MORTALITY INFECTIOUS DISEASE CONTROL INFECTIOUS DISEASES INFORMAL PAYMENTS INFORMAL SECTOR INJURIES INPATIENT ADMISSION INPATIENT HOSPITAL INPATIENT HOSPITAL SERVICES INSURANCE PACKAGE INSURANCE PREMIUMS INSURANCE SCHEMES INTEGRATION LAWS LEPROSY LIVE BIRTHS LIVING STANDARDS LONG-TERM CARE MEDICAL CARE MEDICAL CARE COSTS MEDICAL COSTS MEDICAL DOCTORS MEDICAL EDUCATION MEDICAL EQUIPMENT MEDICAL EXAMINATION MEDICAL GOODS MEDICAL SERVICES MEDICAL TECHNOLOGIES MEDICAL TRAINING MEDICINES MENTAL ILLNESS MINISTRY OF HEALTH MORBIDITY MORTALITY NATIONAL DEVELOPMENT NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL POLICIES NURSES NURSING NUTRITION OUTPATIENT SERVICES PATIENT PATIENT DEMAND PATIENTS PEDIATRICS PHARMACISTS PHYSICIAN PHYSICIANS POLICY PROCESS POLICY RESEARCH POPULATION GROUPS PREVENTIVE CARE PREVENTIVE HEALTH CARE PRIMARY CARE PRIVATE SECTOR PRIVATE SERVICES PRIVATE SPENDING PROGRESS PROSTITUTION PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH PROGRAMS PUBLIC HEALTH SPENDING PUBLIC HOSPITAL PUBLIC HOSPITALS PUBLIC POLICY PUBLIC SECTOR PUBLIC SPENDING PURCHASER-PROVIDER SPLIT QUALITY OF CARE QUALITY OF HEALTH QUALITY OF HEALTH CARE REFERRALS REHABILITATION REPRODUCTIVE HEALTH RESOURCE ALLOCATION RISK ADJUSTMENT SCREENING SMOKING SOCIAL AFFAIRS SOCIAL HEALTH INSURANCE SOCIAL INSURANCE SOCIAL MOBILIZATION SOCIAL SECURITY SOCIAL SECURITY BENEFITS SOCIAL WELFARE SUSTAINABLE DEVELOPMENT TUBERCULOSIS UNDER-FIVE MORTALITY UNIVERSAL HEALTH INSURANCE COVERAGE USE OF HEALTH SERVICES VACCINATION VISITS WORKERS WORLD HEALTH ORGANIZATION Universal Health Coverage is a powerful framework for a nation aiming to protect their population against health risks. However, countries face multiple challenges in implementing, achieving and sustaining UHC strategies. Sharing and learning from diverse country experiences may enable to foster global and country progress toward that goal. The study seeks to contribute to the global effort of sharing potentially useful lessons to address policy concerns on the design and implementation of UHC strategies in LMICs. Vietnam is one of the LMICs that have taken relatively quick and effective actions to expand health coverage and improve financial protection in the last two decades. The country study, first, takes stock of UHC progress in Vietnam, examining both the breadth and the depth of health coverage and assessing financial protection and equity outputs (chapter one). Chapter two includes an in-depth analysis of some of the major success strategies and policy actions that the country took to expand health coverage and financial protection for all, including for the poor. Chapter three focuses on some of the UHC-related challenges that the country faces in pursuing expansion and sustaining UHC. Vietnam s experience suggests that, moving toward greater UHC outputs, the system must be constantly adjusted, and that UHC strategies must be adaptive, those used in the past to cover the formal sector and the poor may turn out inadequate to reach the uninsured in the informal sector. 2014-12-16T20:37:52Z 2014-12-16T20:37:52Z 2014-08 http://documents.worldbank.org/curated/en/2014/08/20285736/vietnam-learning-smart-reforms-road-universal-health-coverage https://hdl.handle.net/10986/20739 English en_US Health, nutrition, and population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ application/pdf text/plain World Bank Group, Washington, DC