Trends in, projections of, and inequalities in non-communicable disease management indicators in Vietnam 2010–2030 and progress toward universal health coverage: A Bayesian analysis at national and sub-national levels

Nguyen, Phuong; Gilmour, Stuart; Le, Phuong Mai; Nguyen, Hoa L.; Dao, Thi Minh An; Tran, Bao Quoc; Hoang, Minh Van; Nguyen, Huy Van

doi:10.1016/j.eclinm.2022.101550

Cited by 11 publications

(14 citation statements)

References 37 publications

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“…101 Vietnam despite scoring higher than China and USA on NCD sub-index is projected to miss the 2030 targets across most of NCD risk management and health service indicators. 101 , 102 This evidence substantiates the argument that most of the world’s population are not covered by essential NCD services. The significant under coverage of NCD services, coupled with the rapidly aging population could potentially deter the achievement of NCD-specific targets under SDG and require sustained efforts.…”

Section: Resultsmentioning

confidence: 52%

Achieving Universal Health Coverage in Low- and Middle-Income Countries: Challenges for Policy Post-Pandemic and Beyond

Kodali¹

2023

RMHP

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Background Achieving universal health coverage (UHC) is critical for ensuring equity, improving health, and protecting households from financial catastrophe. The COVID-19 pandemic derailed the progress made across primary health targets. This article aims to review the policy challenges to achieve UHC in a post-pandemic world. Methods A narrative review of 118 peer reviewed and grey literature was conducted. A total of 77 published articles were identified using an electronic search in PubMed and Scopus and a bibliographic search of relevant literature. Another 41 Reports, websites, blogs, news articles, and data were manually sourced from international agencies (WHO, World Bank, IMF, FAO, etc.), government agencies, and non-government organizations. Findings The challenges were identified and discussed under five broad findings: i) weak public health care systems ii) challenges to building resilient health systems, iii) health care financing and financial risk protection, iv) epidemiological and demographic challenges, and v) governance and leadership. Conclusion LMICs in Africa and South Asia face significant challenges to achieving UHC by 2030. As countries recover from the pandemic’s aftermath, significant investments and innovations are needed to ensure progress toward UHC. Efficient resource mobilization through internal accruals, international cooperation, and resource sharing is needed.

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Section: Resultsmentioning

confidence: 52%

Achieving Universal Health Coverage in Low- and Middle-Income Countries: Challenges for Policy Post-Pandemic and Beyond

Kodali¹

2023

RMHP

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“…However, the growing incidence of esophageal adenocarcinoma is believed to be related to the reduction in H. pylori infection, which plays a protective role in the presence of gastroesophageal reflux disease and Barrett’s esophagus [ 57 , 58 ]. Thus, further investigations are required to summarize lessons learned for other low- and middle-income countries regarding health policies toward universal health coverage (e.g., improving communicable and noncommunicable disease management) to achieve better cancer control outcomes [ 59 , 60 ].…”

Section: Discussionmentioning

confidence: 99%

Long-Term Projections of Cancer Incidence and Mortality in Japan and Decomposition Analysis of Changes in Cancer Burden, 2020–2054: An Empirical Validation Approach

Nguyen

Saito

Katanoda³

2022

Cancers

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Purpose: The aim of this study was to project new cancer cases/deaths forward to 2054, and decompose changes in cancer cases/deaths to assess the impact of demographic transitions on cancer burden. Methods: We collected data on cancer cases/deaths up to 2019, empirically validated the projection performance of multiple statistical models, and selected optimal models by applying time series cross-validation. Results: We showed an increasing number of new cancer cases but decreasing number of cancer deaths in both genders, with a large burden attributed to population aging. We observed the increasing incidence rates in most cancer sites but reducing rates in some infection-associated cancers, including stomach and liver cancers. Colorectal and lung cancers were projected to remain as leading cancer burdens of both incidence and mortality in Japan over 2020–2054, while prostate and female breast cancers would be the leading incidence burdens among men and women, respectively. Conclusions: Findings from decomposition analysis require more supportive interventions for reducing mortality and improving the quality of life of Japanese elders. We emphasize the important role of governments and policymakers in reforming policies for controlling cancer risk factors, including oncogenic infections. The rapid increase and continued presence of those cancer burdens associated with modifiable risk factors warrant greater efforts in cancer control programs, specifically in enhancing cancer screening and controlling cancer risk factors in Japan.

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“…Some previous studies have examined health equity in Vietnam, mainly focusing on areas such as maternal and child health, and non-communicable diseases. For example, Nguyen et al used Bayesian modelling to analyse trends in equity regarding reproductive, maternal, newborn and child health service coverage in Vietnam from 2000 to 2030, confirming Vietnam’s positive momentum 19. Le et al examined a range of socioeconomic factors contributing to health inequity in relation to non-communicable diseases among elderly people in Vietnam,20 while Baek et al examined the equity impacts of a multicomponent early childhood development intervention in rural Vietnam 21.…”

Section: Introductionmentioning

confidence: 99%

“…For example, Nguyen et al used Bayesian modelling to analyse trends in equity regarding reproductive, maternal, newborn and child health service coverage in Vietnam from 2000 to 2030, confirming Vietnam’s positive momentum. 19 Le et al examined a range of socioeconomic factors contributing to health inequity in relation to non-communicable diseases among elderly people in Vietnam, 20 while Baek et al examined the equity impacts of a multicomponent early childhood development intervention in rural Vietnam. 21 No studies have focused on the development of health equity in Vietnam from the health-system perspective, nor from the perspectives of income/wealth and subnational regions.…”

Section: Introductionmentioning

confidence: 99%

Progress towards health equity in Vietnam: evidence from nationwide official health statistics, 2010-2020

Feng,

Tuan,

Shi

et al. 2024

BMJ Glob Health

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IntroductionOne of the ultimate goals of strengthening the health system is to achieve health equity. Vietnam is considered one of the ‘fast-track countries’ to achieve the health-related Millennium Development Goals, but research on its equity strategies remains inadequate.MethodsUsing Vietnamese official health statistics, we investigated inequity in four dimensions including health resources, service delivery, service utilisation and residents’ health status from the perspectives of income levels, poverty rates and subnational regions. The Slope Index of Inequality, concentration curve/Concentration Index, absolute difference and Theil Index were used.ResultsFour indicators showed ‘pro-poor’ inequality in health resources, including the per capita health budget, per capita health personnel, per capita health personnel at the community level and per capita hospital beds at the community level, while provincial hospital beds showed ‘pro-rich’ inequality. Two health service delivery indicators (delivery of antenatal care ≥3 times and proportion of community health service centres with medical doctors) show ‘pro-rich’ inequality, although two health status indicators, mortality and malnutrition rates for children under five, showed ‘pro-poor’ inequality. The Northern Midlands and Mountain Areas, and the Central Highlands were disadvantaged regarding service delivery and health status. Intraregional differences were the main factors contributing to the inequalities in delivery of antenatal care ≥3 times, provincial hospital beds and percentage of community health centres with medical doctors, with the Red River Delta and the South East region experiencing the greatest inequalities.ConclusionThe overall level of health equity in Vietnam has increased over the past decade, although inequality in health service delivery has hindered progress towards health equity based on income, poverty and subnational regions. Targeted policies need to be introduced to reduce inequities relating to the health workforce and service delivery capacity.

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Trends in, projections of, and inequalities in non-communicable disease management indicators in Vietnam 2010–2030 and progress toward universal health coverage: A Bayesian analysis at national and sub-national levels

Cited by 11 publications

References 37 publications

Achieving Universal Health Coverage in Low- and Middle-Income Countries: Challenges for Policy Post-Pandemic and Beyond

Achieving Universal Health Coverage in Low- and Middle-Income Countries: Challenges for Policy Post-Pandemic and Beyond

Long-Term Projections of Cancer Incidence and Mortality in Japan and Decomposition Analysis of Changes in Cancer Burden, 2020–2054: An Empirical Validation Approach

Progress towards health equity in Vietnam: evidence from nationwide official health statistics, 2010-2020

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