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VIETNAM POPULATION AND REPRODUCTIVE HEALTH STRATEGY 2011-2020

VIETNAM POPULATION AND REPRODUCTIVE HEALTH STRATEGY 2011-2020. Introduction Part 1. Review on the implementation of Vietnam Population Strategy and the National Strategy for RH care 2001- 2010 I. Achievements II. Constrains and gaps III.Causes

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VIETNAM POPULATION AND REPRODUCTIVE HEALTH STRATEGY 2011-2020

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  1. VIETNAM POPULATION ANDREPRODUCTIVE HEALTHSTRATEGY 2011-2020

  2. Introduction Part 1. Review on the implementation of Vietnam Population Strategy and the National Strategy for RH care 2001- 2010 I. Achievements II. Constrains and gaps III.Causes Part 2. Population and RH Strategy 2011-2020 I. Socio-economic context II. Population and RH problems in the coming years III. Guiding Principles and Objectives IV. Solutions V. Implementation VI. Vision and projections

  3. Part one Review on the implementation of Vietnam Population Strategy, National Strategy for RH 2001- 2010

  4. I. Achievements 1.The trends of fertility decrease maintained, getting replacing level (TFR=2,1) 2. Population quality improved 3. Reproductive health improved 4. BCC created active changes on Pop-RH awareness, attitudes and behaviors. 5.The RH/FP service network strengthened & developed 6. Several solutions has been implemented with good results

  5. II. Constrains and gaps 1. Several provinces did not get replacing fertility 2. Low population quality 3. Contents and approaches of communication are not quite appropriate 4. Several RH problems did not get appropriate concerns 5. The national population database has not been developed. The quality of population and RH data and information is limited. National compacity of research, analysis and projection on Pop and RH is limited.

  6. III. Causes 1. Causes for achievements - Great concerns of the party and authorities at all levels -Active participation of ministries, agencies and mass organisations, social organisations and Pop,RH fieldworkers -Active implementation of the two strategies -Strong socio-economic, scientific, technological development creating favourable environment -Effective supports by foreign and international organisations.

  7. Part two Vietnam Population and Reproductive Health strategy 2011-2020

  8. III. Causes 2. Causes of constrains -Anyhow at some localities, the party & authorities did not catch the importance, effectiveness of Pop, RH work. -Unsustainability of the organisation system working for Population & FP. -Unadequate investment to Pop and RH work. -Several gaps in management, executing and implementation

  9. I. Socio-economic context • 2010 GDP per head is 1000 USD or more, over the poverty line. • Joining WTO, Vietnam integrated deeper into the international economy, with more expanded cultural exchanges resulting changes of values and life styles. • In 2020 GDP per head will be at medium level. • Vietnam is still a poor country. • Larger gaps between the rich/poor, urban/rural habitants; • Worse polluted environment, more serious impacts of climate changes.

  10. II. Pop-RH problems in 10 coming years • Low population quality. • Challenges in RH: Maternal health, contraceptive supplies, abortion, infertility, RTIs, STD/HIV, Cancers, unmetneeds of specific Pop groups, limited knowledge, attitude and behavior on Pop, RH • Great changes of Pop structures: Fast increase of unbalance sex ratio at birth, increase of No of women 15-49, working Pop, aged Pop, migrants • Big Pop size, high density, sensitive fertility • Un-adequate planning competence, integrating Pop/RH and Dev

  11. III. Guiding principles, Objectives • Guiding principles (1) Pop-RH=important integral part of Dev strategy, a basic factor for human resources development, faster economic growth. (2) The strategy focus on Pop quality, RH improvement, active adjustments of fertilities, Pop structure and distribution. (3) Basic solutions: Education, BCC& active, preventive RH services

  12. III. Guiding principles &Objectives 1. Guiding principles (4) Investment for Pop-RH is for sustainable developmentwith high direct effectiveness to the economy, society and environment;Multiplising resources, among which state budgets are master sources, priorities to the poor, remote, difficult areas. (5) Strengthening the leadership and executive role of the party, management of local authorities at all levels; Mobilizing society’s participation; Improvingthe organization system for Pop-RH

  13. 2. Objectives 2.1. Long-term Objective • To improve Pop quality, RH; to maintain appropriate low fertility, active adjustment to changes of Pop structures, distribution contributing to improvement of human resources, pushing forward industrialisation, modernisation and improvement of people’ living standards.

  14. 2.2. Specific Objectives Option 1 (1) To improve the quality of early-childhood Pop to decrease rates of infant and under 5 mobility, mortalitymalnutrition, child accidents. (2)To improve maternal health to lower 50% maternal mortality, smaller differences among areas. (3) To control the growth rate of unbalance sex ratio at birth by the end of 2020 the ratio is under 115 towards sustainable natural sex ratio at birth. (4) To maintain appropriate low fertility (TFR not under 1,8) and Pop size under 98 million by the end of 2020

  15. 2.2. Specific Objectives (5) To strongly decrease abortion, lower abortion rates to less 25/100 live births by the end of 2020; basically eliminate unsafe abortion. (6) To control secondary infertility; to effectively support to infertile couplesby improvement of accecibility to supporting services to lower half of secondary infertility rates by the end of 2020. (7) To strongly decrease RTIs, STD/HIV; to increase the accessibility to preventive and early control of cancers of reproductive system

  16. 2.2. Specific objectives (8) To improve RH care, sexual health to adolecents, youth and specific Pop groups (males, migrants, disable people...). To meet the needs of gender-based domestic violence victimsand mothers in emergency. • To improve the aged people’s health and role. • To strengthen the national capacity of planning, integrating Pop indicators into planning, policy making at the central and provincial levels appropriately to changes of Pop size, structures, distribution as well as to meet unmet needs of specific Pop groups

  17. IV. SOLUTIONS • Leadership, management and implementation • Education and behavior changed communication • Delivery of quality Pop and RH/FP services • Improvement of legal and policy documentary system • Social mobilisation, multi-sectoral participation, international cooperation • Finance and logistics • Training, scientific research and information

  18. Solutions • Leadership, management and implementation • Education and behavior changed communication • Delivery of quality Pop and RH/FP services • Improvement of legal and policy documentary system • Social mobilisation, multi-sectoral participation, international cooperation • Finance and logistics • Training, scientific research and information

  19. Investment Priorities • To upgrade medical facilities, equipments, intra-structure, especially public health clinics at grass-root level of remote, difficult areas. • Contraceptive supplies • Pre-marriage counseling and health examination, prenatal and new-born screening • Integrated policies and interventions to prevent unbalance sex ratio at birth. • Training and refresh training on management and implementing skills in the field of Pop-RH.

  20. Investment Priorities • Maternal Health Care to lower maternal mortality rates (MDG5), Child Health Care to decrease infant and under 5 child mortality rates (MDG4) • Better quality of RH/FP services • Better RH for working population, migrants • Better care for the aged

  21. Thank you for your attention

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