Discussing in groups about the Investment Policy of the National Target Program on Health Care, Population and Development for the period 2026 - 2035, National Assembly delegates from the Hanoi Delegation highly appreciated the set goals, which closely followed the orientation in Resolution 72-NQ/TW of the Politburo on a number of breakthrough solutions to strengthen the protection, care and improvement of people's health. In particular, focusing on grassroots health care, prioritizing disadvantaged areas, associated with digital transformation and managing people's health according to the life cycle.
Ensure balanced resources from the start
National Assembly delegate Tran Thi Nhi Ha said that the draft sets very high targets, in the context that Vietnam's healthcare is facing many challenges from rapid population aging, low birth rate, gender imbalance at birth, non-communicable diseases, malnutrition, and obesity are also increasing, while the grassroots healthcare workforce is both lacking, weak, and not uniform, and the gap in access to healthcare services between urban and rural areas is still very large.
Scene of the discussion session of the Hanoi National Assembly Delegation. Photo: Nhu Y
Commenting on specific targets, the female delegate stated that the draft set a target of "90% of communes, wards and special zones meeting the National Criteria for Commune Health by 2030 and 95% by 2035". Currently, many provinces and cities with large local budgets have achieved this target, even Hanoi and Ho Chi Minh City have reached over 95%, while many localities are only at 70, 80%. Therefore, it is recommended that the National Criteria for Commune Health need to be changed to suit the new model of commune health stations and that the health stations are public service units.
In addition to the target of implementing prevention, management and treatment of some non-communicable diseases in full accordance with the guided process to reach 100% by 2030 and maintain until 2035, delegate Nhi Ha said that this target is very high, exceeding the average in the region and countries with similar average income levels.
"Successfully implementing this goal requires a very systematic investment of resources and policies to ensure human resources at the commune level. It is necessary to synchronously deploy Electronic Health Records associated with VneID in all localities" - delegate Tran Thi Nhi Ha emphasized.
In addition, delegates said that the principle of allocating the central budget to support program implementation is not specific and should be added to the draft immediately, in which difficult areas are given priority for investment levels 1.3-1.5 times higher according to the reality of each locality.
In addition, delegate Nhi Ha recommended urgently completing the entire draft document, including fundamental analysis and clear quantification of each indicator; comparison with international standards; clearly defining requirements on human resources, finance, and facilities; and ensuring the balance of resources from the beginning, avoiding the need for adjustments after promulgation.
National Assembly delegate Tran Thi Nhi Ha speaks during the discussion. Photo: Nhu Y
Ensure that all people have access to basic health services at reasonable costs.
Participating in the discussion, National Assembly delegate - Venerable Thich Bao Nghiem emphasized the proposal that the program identifies the core goals of increasing healthy life expectancy, reducing the burden of preventable diseases; ensuring that all people, especially vulnerable groups, have access to basic health services at reasonable costs; narrowing health disparities between regions; and developing a basic health system as the foundation for health care throughout the life cycle.
Delegates suggested giving strong priority to primary health care and preventive medicine. Upgrading commune health stations, standardizing human resources, equipment, and essential medicines; increasing capacity for epidemiological surveillance, nutrition, vaccination, and management of non-communicable diseases in the community.
Develop a universal health care ecosystem, focusing on children, pregnant women, the elderly, people with disabilities, ethnic minorities and disadvantaged areas. Ensure "no one is left behind".
Accelerating digital transformation in healthcare, building a unified national electronic health record, connecting hospitals - insurance - local authorities; applying artificial intelligence in forecasting, warning of epidemics and managing public health...
Delegate Most Venerable Thich Bao Nghiem. Photo: Nhu Y
Venerable Thich Bao Nghiem recommended the need to design a flexible financial mechanism, avoid spreading, prioritize difficult areas; diversify resources but strictly control socialization to avoid commercialization of basic healthcare; attach responsibility to local leaders; allow localities to be more proactive in investment, bidding, and purchasing mechanisms for medical equipment, ensuring transparency, efficiency, and no formality.
Along with that, there is a special mechanism for grassroots health human resources such as: priority recruitment, training, treatment, housing support, allowances for disadvantaged areas. Increase decentralization, empower localities with accountability, and ensure substantive inter-sectoral coordination.
Health care and disease prevention must be given top priority.
Speaking at the discussion session, General Secretary To Lam emphasized that the goals of the health program until 2030 need to be clearly set, and primary health care and disease prevention must be given top priority.
Scene of the discussion session. Photo: Nhu Y
Accordingly, we are currently focusing mainly on medical examination and treatment, focusing on "firefighting" because of poor prevention and the development of infectious diseases, but have not yet gone into the main nature of health care. Therefore, we must go into each existing field, have synchronous solutions, and implement them step by step so that in the next 5 years, we must eliminate infectious diseases such as tuberculosis, hepatitis, malaria, dengue fever...
Besides, regarding non-communicable diseases, according to the General Secretary, Vietnam has many cases of non-communicable diseases, which the health sector alone cannot solve because the causes of these diseases are environmental pollution, air pollution, unhygienic eating and drinking... Therefore, the National Target Program must pay attention to solving this problem, with the participation of the whole society.
"If food safety and hygiene are not ensured, no matter how many hospitals are built or how many doctors are trained, it will not be enough to solve the problem," the General Secretary emphasized.
Source: https://kinhtedothi.vn/xac-dinh-muc-tieu-cot-loi-la-nang-cao-tuoi-tho-khoe-manh-giam-ganh-nang-benh-tat.918434.html
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