THLfC TRANG CAC N G U O N VIEN TRQ- NU'O'C NGOAl CHO LINH VyCY T^ GIAI DOAN 2005 - 2011
Tran Thj Gi^ng Huang*
Vg Hpfp tdc Quoc te, Bp Yte
TOM TAT
Trong hon hai th§p ky qua, y ik Id mk trong nh&ng ITnh vyc nh|n dugc nhi^u quan tdm vd ho trg cua cdc nhd tdi trg qu6c t l . Vi§n trg nudc ngodi cho ITnh vuc y tk da bu d i p vdo nguon ngfin sdch cua nhd nudc chi cho ITnh vyc y \k vi d6ng g6p tich cgc vdo cOng tdc chdm s6c vd bdo v§ sue khde nhSn dfin Vi#c ddnh gid thyc trgng vi$n trg nudc ngodi trong ITnh vyc y ik Id mOt nhu cku hki SLFC cin thilt nhdm myc dfch gitip cho cdc nhd hogch djnh chlnh sdch vd cdc co quan tilp nhdn vi$n trg si> dung mOt cdch t6i uu nhit nguin lyc qui bdu ndy. Nghidn cuu ndy tdp trung vdo phdn tich thyc trgng cdc nguin vln vi0n trg ddnh cho ngdnh y t l til' cdc nguin khdc nhau vdi cdc Myc tifeu: (i) Mo td thyc trgng vd (ii) Phdn tich xu hudng biln dpng cdc nguin vi§n trg trong ITnh vyc y l l giai dogn tu 2005- 2011. D6J tugng vd phoong phdp nghien cuu: M6 ta cdt ngang, si> dgng s l li$u v l cdc dy dn vien trg do cdc nhd tdi trg cung d p , cd 269 dy dn vi$n trg cho ngdnh y t l tu cdc nguin khdc nhau trong giai dogn 2005-2011, nh|p bdng phin mim Microsoft Excel 2007 vd phdn tich bing phin mim SPSS 16,0. Kit qud. l i n g s l hogt d^ng thyc hi§n Id 269 dy dn/hogt dOng trong giai dogn 2005 - 2011 vdi ting kmh phi gin 2,38 ty USD. vln vi^n trg khflng hodn lgi chilm 54%, von vay 30,7% co xu hudng tdng len, ITnh vyc dugc dlu tu nhilu nhll Id YTDP vdi 30% ting kmh phf, Irong dfl dlu tu vao h§ thing YTDP Id 31 %. Cdc T l chirc Phi chinh phu cfl so lugng hogt d^ng nhilu nhit vfl'l 47,6% vd kinh phi chilm 17,4% Bfl Y te quan 1^ 83 du dn vdi ting kinh phi 1.39 ty USD chilm 58,3%, cap dfl dugc tdp trung 16'n nhat Id tuyin tinh vfli 45% s l hoat dflng vd 46,7% kmh phi Kit ludn Ty Ifl kinh phi vien trg khflng hodn Igi gidm di, loai hinh vln vay vd hln hgp ngdy cdng tang ISn Bfl Y t l tryc tilp qugn ly 58,3% kmh phi, cac dy dn va hogt dflng tdp tmng chu yeu o' tuyin tinh LTnh vyc ducc cac nhd tdi tro' quan tdm nhgt lg YTDP. Logi hinh vign trg cfl sy thay doi, hinh thirc vln vay vd hon hgp ngdy cdng tang len, vifln trg khong hodn Igt ngdy cdng giam vd gia tang hinh thuc hgp tdc, chuyen grao ky thuat Tie khoa: Vi^n try nu'^c ngodi, logi hinh vifln trg; nhd tdi trg.
L DAT VAN DE va phong phu. gom cac nguon vien trg khong Trong ban hai thap ky qua, ke tu khi thuc hoan lai tir chinh phii cac nudc, cac to chuc hien duang loi doi ngoai ciia Dang va Nha nudc quoc te va nguon von vay uu dai tu cac to chuc ta la ma rpng quan he hgp tac vdi cac nuoc tren tien te quoc te (WB, ADB) va cac nudc [4].
th6 gldl, da phuang hoa, da dang hoa quan he Hang nam, Nha nuac dau tu khoang 7% - 8%
hgp tac quoc 16 vdi cac nudc, cac to chuc quoc ngan sach cho cac hoat dgng su nghiep y te te, cac to chuc phi chinh phii nuac ngoai, y te [3.4], Trong boi canh hien nay khi nhu cau la mgt trong nhiing ITnh vuc nhan dugc nhieu kham chira benh va cham sdc siic khde nhan quan tam va ho trg cua cac nha tai trg quoc le. dan ngay mgt lang, vai nguon ngan sach nha Vien trg nudc ngoai cho Iinh vyrc y te da bu d^p nudc con han hep, nganh y tk gap nhieu kho vao nguon ngan sach con han h?p cua nha nudc khan thach thiic thi ngudn vien trg nudc ngoai chl cho ITnh vuc y tc va dong gop tich cue vao cho nganh y le co y nghia rat Ion va ddng mgl cong tac cham sdc va bao ve sire khoe nhan dan vai tro quan trong. Viec mo la thuc trang vien [I] Cac hinh thirc vien trg cung het sue da dang ti-gnudc ngoai trong ITnh vuc y le la mgt nhu
* Ten tac gia: Tran Thi Giang Huang Ngay nhan bai: 24/1/2013 Dja chi: Bp Y16, Ha Npi Ngay giii phan bien: 28/1/2013 Email: [email protected] Ngay dang bai: 28/4/2013 128 Tap chi Y hoc dir phong, Tap XXIII, so 2 (137)
cau het sire can thiet nhSm myc dich gidp cho cac nha hoach dinh chinh sach vk cac ca quan tiSp nhan vien ti-g sir dung mgt cdch l6i uu nh§l nguon luc qui bau nay. Nghien eiiu nay lap hung vao phan tich thyc trang cac nguon von vifn trg danh cho nganh y le tu cac ngudn khac nhau vdi cac myc tieu sau:
1- Mo ta Ihuc ti'ong va phan tich xu hudng bi6n dgng cac nguon vi?n trg trong ITnh v\rc y le giai doantii2005-201l.
2- Phan tich xu hudng bi6n dgng cac ngudn vi6n ti-g trong ITnh v\rc y 16 giai do^n tir 2005 - 2011.
IL P H I / O N G P H A P NGHlfiN ClTU 2.L Dja diem nghien ciru
Vu Hgp tac quoc te, Bg Y te.
2.2. Doi tuong v^ cong cii nghiSn cuu Ddi tugng nghien cuu bao gom: So lieu cac du an/boat dgng do cac doi tac phal trien trong Nhom doi lac y le cung cap va Vu HTQT long hgp va thong k6 trong thdi gian tir 1/1/2005 den
31/12/2011.
2.3. Phuong ph^p nghien cihi
2.4. Thilt ke nghien cuu: Nghien cim mo ta cat ngang
2.5. C& mau vk c^ch ch^n mau:
Toan bp cac so lipu ve cac dy an vien trg trong ci nuac con ho^t dgng trong giai doan tii I/I/2005 d6n 31/12/201 i dugc chgn dua vao nghien ciiu vdi tdng so 269 du an.
2.6. PhiTtfng phdp thu thap thdng tin Bi6u mau c6 san dugc phal lri6n ve timg du an, dugc giri cho cac doi lac, sau thdi gian 2 thang, thong tin dugc thu Ihap va tong hgp ve Vu HTQT, Bg Y tk.
2.7. Phinmg phdp phan tich va xir ly so lifu:
So lieu duge nhap bang chuong trinh Mi- crosoft Excel 2003 va xii ly bang phan mem SPSS 16.0 for windows.
HL K E T QUA
S.L So lirgng cac nha tai trg tham gia vao nghien cihi
Bdng 1. Phdn loai danh sdch cdc nhd tdi trg tham gia vao nghien cu>u
Nhom nhd tai trg*
CSc Ngan hang phat tnen
CSc To chu'C song phirang
CSc to ChLFC Phi Chfnh phu nuoc ngoai
CSc to chu'C Lign hgp qu6c Tong
So lirang nha tai 'U9
3 13
11
3 30
Ty l# %
10,0
43,3
36.7
10,0 100,0
So diF Sn/ hoat dong
29 79
128
33 269
Ty le%
12,3 100,0 So nha lai trg tham gia nghi6n cuu la 30 td
chiic trong do so nha tai trg nhi6u nhdt la cac Id chiic song phuang, diing thii hai la cac to chiic Phi chinh phu tuy nhien so lugng hoat dgng cua cac to chirc Phi chinh phu nudc ngoai co so lugng hoat dgng nhieu nhat vdi 128 ho^t dpng chiem gSn 50% tong hoat dpng.
3.1 Phan bd kmh phi vifn trgr theo cdc nhd tai trg
Tong so 269 du an vien trg dau tu cho y 16 tii 2005 d6n 2011 tirong duong 2.379.442.633 USD trong do WB va ADB la hai nha lai p-g ldn nhat cho nganh y le vdi long kinh phi ehiem 42
% trong long so, WB chiem ban % long kinh phi eho nganh y t6 (26,1 %). AP diing thii 3 ti'ong s6 cac nha lai trg cho ITnh vuc y le (Hinh I).
Tap chi Y hoc du phong, Tap XXIII, s6 2 (137) 129
Illlll-
Hlnh 1. Ting ldnh phi vi^n try theo l<y Ii4t cua cSc nhS tSi tr?' 3.3. Phan bo kinh phi theo co quan qudn ly v i f n trg-
BSng 2. PhSn b6 Itinh phi vi^n tri?' theo co' quan quSn l)f vi#n trp' Co'quanquSnlyvi#ntr()' ^*''5^*„"g''°'' Ty i? % Tong kinh phi Ty If % B9Yt4
UBND Tinh Vien nghi&n ci>u Bp ngSnh khSc CSc to chuc chinh tri xa hQi Chira xSc i^nh Tong
83 42 11 9 4 120 269
30,9 15,9 4.2 3.4 1,5 45,5 100,0
1 393 628.944 113.091 518 11.788.600 182.837.051
5.287.176 674.809.343 2.379.442.633
58,6 5,0 0.5 8.0 0.2 29,5 100.0 Co quan quan ly vien trg a day chi co quan (chiem 58,6% ngudn von). Dieu nay cho thay quan Iy true li6p nguon v6n Iheo each nhin ciia r&ng co Iugng Idn cac hoat dgng cua cac doi tac doi lac phal trien. Theo Bang 1, Bp Y l6 chi khong do Bg Y le quan ly ma do cac co quan quan ly 83 du an vai long kinh phi 1,39 ty USD khac quan ly.
3.4. Phan bo kinh phi vi^n trg theo cap A^ thuc hi^n
Bang 3. Phan b6 so Ivgng va kinh phi ho^t dgng theo cap do Cap dp thirc
ToSn qu6c Trung uang Tinh Huypn Cpng dong Tong
hipn So dir an/ho^t dpng 76 47 120
6 20 269
T y i p % 28,3 17,5 44.6 2,2 7,4 100,0
Ting kinh phi 673.414.517 289 897.369 1.063 117.275
145.623.185 106.855.287 2.379.442.633
T J I # % 29,5 12,7 46,7 6,4 4,7 100,0
130 Tap chi Y hoc du phong, Tap XXIII, s6 2 (137)
Bang tien cho thay co ldi ghn Vi so dv an vdi uong chi6m 42,2%. Dieu nay cho IhSy viec di6u Vl tong kinh phi cac ho^t dgng thuc hi?n d cSp phdi vien ti-g a cap tinh la dieu can lhi6l d6 nang linh, cac boat dgng d cap quoc gia va trung cao hieu qua vicn trg.
3.5. PhSn bo ldnh phi vifn trg theo nhdm cac nhd tdi trg
Bdng 4. Phdn bo so lygng vd kinh phi ho^t dgng theo nhdm nha tai trg
Nhom nhd tdi trg Tong kinh phi (USD) Ty l# %
CSc Ngdn hdng phal tnen
CdcTd chLPC song phu'ong
Cac to chi>c Phi chlnh phCi nude ngodi
Cdc to chirc LiSn hgp qu6c
Tong
1.168.148.039 739 648 087 413,428.808 58 217.699 2 379 442 633
49,1 31.1 17,4 2,4 100.0 Kinh phi vien irg tir cac ngan hang phat trien
chiem ty Ie ngudn von cao nhSl la 1.168.148.039 trieu USD, chi6m 49,1%, dung tbu 2 la tii cac To chiic song phuang (chiem 31,1 %) va thii 3 la tir cac To chiic Phi chinh phu nudc ngoai chi6m
(17,4%), cudi ciing la cac To chiic Lien hgp quoc. Tuy nhien so lugng cac boat dgng do cac To chiic Phi chinh phu nuac ngoai thuc hien chi6m ti 16 gin 50% trong tdng s6 hoat dgng.
3.6. Phan bo kinh plii vien trg theo tinh chat vien trg
130,7%
^
3,6%
si r ^?
r •
H^s^^
54,0%
' Khong hoan lai
• VonVOV Hon hop
• Khac
Hinh 2. Phan bo kinh phi ODA theo tinh chit vi#n trg
Ngudn vien ti-gkhonghoanlaila 1.279.971.434 30,7%) va loai hinh hon hgp (vien trg khdng USD, chi6m 54% tdng kinh phi ODA, li6p theo hoan lai va vdn vay) va chiem 11,8%, ngoai ra do la ngudn v6n vay (726.999.950, chi6m con cac hinh thuc khac (3,6%).
Tap chi Y hoc du phong, Tap XXIII, so 2(137) 131
3.7. Phan bo kinh phi v i f n t r g theo cdc ITnh vi^c chii chot
Bdng 5. Phdn bd s^ lygng vd kinh phf ho^t d$ng theo cdc linh vijrc chO ch6t Cdc iTnh v^c chinh
Y t^ dv ph6ng Khdm chO-a b$nh vd Chinh sdch y t4 vd
ddo t^o Ddn s6 - KHHGD Y t4 cu st) Tong
So d ^ dn/ ho^t dfng
111 54 49 34 21 269
Ty i« % 41,3 20,1 18.2 12.6 7.8 100,0
Tfing kinh phf 724.408.768 671.554.796 508.052.606 188.160.525 287 265.938 2.379.442.633
Ty i$ % 30,4 28,2 21,4 7,9 12,1 100,0 Phan bo so lugng hoal dgng va kinh phi vgc siic khoe sinh san, DS-KHHGD chiem 7,9%.
vi?n Irg danh cho ITnh vuc y le du phong chiem LTnh vyc chmh sach y leva dao lao chiem 21,4%.
ty 1? ldn nhat 30,4%, ti6p theo la ITnh vuc kham
chiia b?nh chi6m 28,2%. Kinh phi vi?n trg cho 3.8. Phan bo kinh phi vifn trgf cho cdc ITnh Chinh sach y te va dao lao chiem 21,4%. LTnh vuc Y te dir phdng
31,2%
H H • H '"'"^
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iiii'i iniaii: n-MR Dudl .ATTP
Hinh 3. Phan bo kinh phi vien trg cho cdc ITnh vy« Y te dy phong Trong ITnh vuc y 16 du phong, ngudn vien trg (11,4%), Phong chdng Lao (10,0%).
phan bo chii y6u vao cac ITnh vijrc sau: Hd trg h?
thdng YTDP (31,2%), Phong chong HIV/AIDS 3.9. Phan bo so liryng vd kinh phi cua cdc (22,9%), Phong chdng cac benh nhi$l dai (14%), dy dn vifn trff vao ITnh vuc Khdm chua Phong chong cac benh truydn nhilm mai ndi bfnh va dieu tri
III..
Hinh 4. Phan bo so iu^ng va kinh phi ciJa cac aif dn vien tra vdo rinh vvi\: Khdm chCra benh
132 Tap chi Y hoc du phong, Tap XXIII, s6 2 (137)
Hinh 4 cho thay trong giai doan 2005-2011, ca sd v?t chat (11,1 %), dang chu y Id mgt so du ngudn vien trg cho linh vuc Khdm chiia b^nh tgp dn quan tam tdi van d6 xu ly ch4l thai benh vien tmng vao hd trg mua sSm Trang thiet hi Y te cua WB va JICA vdi quy mo rpng va ngudn kinh (27,5%), Ho d'a cdc dich vy (26,6%), xay d\mg phi ldn (22,4%).
3.10. Phan bo kinh phi theo tinh chat vi|n trg qua cdc nam
38.1%
0.0% . 200S-2007
Wi3X3%
5 1 3 - - -
2008-3003
^ 30,0%
, . - 13,4%
2010-2011
-*-KhonBh
— K h a c 0.1II I J I
vll hon hop
Hinh 5. Ty 1$ phan tram kinh phi vi^n t r g qua mgt so nam Hinh 5 cho lhay giai doan gan day nguon
vien trg khong hoan lai giam di va thay vao do la cac khoan vay va hon hgp vay va vien trg khong hoan Iai lang 16n, ddng thdi xual hien hinh thiic vien trg dang ho trg khac (hd trg ky lhu|t) chiem ty trgng dang k6.
IV. BAN L U ^ N
4.1. Phan bd kinh phi vifn trg theo nhom nba tai trg:
Cac nha tai trg chinh trong ITnh vuc y te dung dau la Ngan hang the gidi ti6p sau d6 la Ngan hang phal trien chau A. Nhin tong quan cac Ngan hang la nguon cung cap vien trg ldn nhat cho Imh vuc y le. Kel qua tdng hgp nay hoan loan phu hgp voi so lieu v6 ty trgng vien trg cua nha tai trg lan cho Chinh phu Vi6t Nam noi chung trong thdi gian qua do Bg K6 hoach va dau tir tong hgp [2, 3]. Tuy nhien dieu dang ndi la kinh phi ciia eac nha tai trg phi chinh phii chiem ty trgng kha cao.
4.2, Phan b6 kinh phi vifn trg theo co* quan quan ly vien trg
Tinh tir 2005 d6n nay, long so von lai Irg cho Iinh virc y t6 la 2,38 ty USD, trong do Bg Y16 chi quan Iy gan 1/3 s6 hoal dgng va 58,6%
ngu6n kinh phi, thap hon con s6 72,4% trong nghien cuu v6 ODA giai doan 1991-2007 ciia
Tran Thj Giang Huong [8], dieu nay cang cho lhay cac du an trong ITnh vuc y le khong chi bd hep trong Bg Y le ma con co su tham gia ciia nhifiu dan vi, ca quan lien quan dac biet vol cac hoat dgng cua cac To chuc Phi chinh phii tai dia phuong- Theo mpt danh gia ve thuc trang tinh hinh quan Iy vien trg cho ITnh vuc y te do Bg Y t6 phoi hgp vol SIDA (Thuy Di6n) tiln hanh nam 2005 cho thdy so lieu ODA ma Bg Y te nim mai chi chi6m khoang 70% long tri gia vien trg y te trong ca nudc [1].
4.3. Phan bo kinh phi vien trg theo cac cap do thyc hi6n
0 cap do tinh so Iugng du an va nguon von g4n 50% tdng so. Tong kinh phi cac du an thue hien cap do tuyen trung uang 12,7% trong khi my6n dia phuang 57,8% kinh phi. Di6u nay cho thay cac du an da so tap trung tai myen tinh.
4.4. Phan bo kinh phi vien trg theo nhom nhd tdi trg
Diem mai trong nghien cuu nay la da tinh den ngudn vien trg Phi Chinh phii nuoc ngoai trong CO cau cac nguon von vien trg. Dieu nay phan anh trung thuc va day dii ban biic tranh tdng the cua cac nguon vien trg cho y le, qua do cho thdy cac ngudn vien Irg cho y 16 rat da dang va phong phii, phan anh dugc phan nao su phiic tap trong cong lac quan ly va dieu phoi vien trg Tap chi Y hpc du phong, Tap XXIII, s6 2 (137) 133
ma von lau nay vdn coi la chi thugc ve Bg Y16.
Trong boi canh cac nha lai Irg dang riil khdi Vipt Nam, vi?c cac to chttc Phi chinh phii van coi y te la mgl ITnh vgc trgng lam vdi 30%) kinh phi v;i hogt dgng ciia cdc to chirc Phi chinh phii lgp Irung cho y l6 [6] thi day la mgl nguon lai chinh dang k6 cho y le, d§c bi?t Id cho y le cac dja phuang.
4.5. Phan bo kinh phi vi$n trg theo tinh chat vign trg
Theo nghien ciru trudc day, Irong giai doan lir 1991 - 1995, chi c6 mpt hinh thiic vi?n trg duy nhai la vi?n trg khong hoan Iai va hgp tac ky thual, chua co hinh thiic vi?n trg von vay. Trong giai doan tir 1996 - 2000, vi?n Irg khong hoan lai van chiem uu the chinh trong long kinh phi vipn trg. Den giai doan lir 2001 - 2005, ngoai vi?c lang manh ve kinh phi vien trg va cac hinh thuc vi?n Irg cung da dang hon, vdi nhieu du an c6 qui mo ldn, tap trung vao cac viing, mien vdi cac hoal dgng toan dien. Trong k6l qua nghi6n Cliu nay, xuat hien them hinh thiic ho trg ky thuat nam trong cac loai hinh thiic khac, chiem ty trgng dang ke, mac dii it nhung Iai la mgt dau hieu cua sir thay doi ve linh chat vien trg [6].
4.6. Phan bo kinh phi vien t r g theo cac llnh vuc chii chot
Trong giai doan tii 2005-2011, chu y6u lap trung vao Y 16 du phdng va Kham chiia b^nh dieu tri. Trong nghi6n ciiu nay, so lugng va kinh phi du an cho Chinh sach y 16 va dao lao cao hon trong ty le chung cua nghien ciru truac day ve ODA chi 6,3%[9]. Di6u nay cho lhay CO sir chuy6n djch trong cac ITnh vyc uu lien vien trg ndi chung. Cdc nha tai trg lap trung vao viec h6 trg xay dung cac chinh sach nham tao ca che ben vijng han cho sv phat trien y te ciia dia phuang va ciia qudc gia.
Trong ITnh virc Y te du phong cung co sir lhay doi ve cac ITnh vuc uu ti6n dugc vien trg, trudc day tir 1991-2006, Phong chdng HIV/AIDS la ITnh vuc dugc uu tien s6 I thi giai doan 2005-2011, ITnh vyc dugc uu tien la bd trg cho he thdng YTDP, liep theo mai la HIV/AIDS, Phong chdng cac benh nhiet ddi, phong chong Benh Iruyen nhiem mai ndi va
phong chdng Lao, dac bigt cd xudt hi?n them PC b?nh khdng lay nhilm (chi chi6m 0,1%
long kinh phi cho giai doan 1995-2006% len 6,2% giai doan 2005-2011) [8].
Trong ITnh vuc Kham chua bgnh va di6u Uj, nguon von tap trung vao ho trg dau tu TTBYT, Ho trg dich vu BV, xir ly chdt thai BV trong dd xir Iy chdt thai BV Id du dn mdi dugc thyc hien, day ciing la mgt trong nhiing ITnh vyc ma BYT vd ddi tac deu quan tam va hudng ling. Di6u nay cho thay su phoi hgp, dicu phoi hi^u qua vien trg da phat huy tac dgng cu the.
4.7. Phan bo kinh phi theo tinh chat vifn t r g qua cdc ndm
Qua bieu do c6 the lhay nguon vi?n trg von vay ngay cang tang va di6u ndy da khang dinh va mo rgng them ket qua nghien cuu v6 xu huang ODA [8]. Nguon von vien trg khong hoan lai ndi chung se giam, von vay se tang 16n vd gia tang hinh thiic hgp lac ky thuat.
V. K E T LUAN
- Ty Ie kinh phi vien trg khong hoan lai giam di thay vao do ia the Ioai von vay va hon hgp ngay cang tang len.
- Hau h6t nguon von tir cac ngan hang phal tnen dii rang chi co mgt so it du an, trong khi do, cac to chuc Phi chinh phii nudc ngoai co nhieu hoal dgng hon.
- Bg Y i6 chi qudn ly 83 boat dgng (trong long so 269 hoal dgng dugc thong ke) tuang ducmg long kmh phi 58,6% loan ngudn vdn.
B6n canh d6, 40% s6 hoal dgng dugc thuc hi?n d cap tinh dieu nay cho thay can phai co su quan ly va dieu phoi nguon vien trg hi?u qua han.
- LTnh vuc dugc cac nha tai trg quan tam nhat la YTDP vai kinh phi la 724,4 ti-ieu USD chi6m 41,3% boat dgng va 30,4% kinh phi trong do lap trung Ion nhat vao Ho trg the thong YTDP 31,2% va phong chdng HIV /AIDS 22,9%.
- Tinh chat vien trg co su chuy6n dich, von vay va hon hgp ngay cang tang I6n, vien trg khong hoan lai ngdy cang gidm va gia tang hinh thiic hgp tac, chuyen giao ky thuat.
134 Tap chi Y hoc dtr phong, Tap XXIII, so 2 (137)
T A I L I E U THAM KHAO
1. Bg Y16 - T6 chii-c Y l6 th6 gidi (2005), Bao cao nghi6n cim xay dung ke hoach long the tai chinh y te. Ha Ngi.
2. Bg K6 hoach va D5u hr (2008), Nhin lai 5 nam thu hut va sir dung ODA 6 Viet Nam, HaNgi
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EXTERNAL ASSISTANCE TO THE HEALTH SECTOR FOR THE PERIOD OF 2005- 2011
Tran Thi Giang Huong
Department of Intenational Cooperation, Ministry of Health For more than two decades, health care is
one of the areas receiving much attention and support from intemational donors. Foreign aid to the health sector has partially fullfiled the limited state budget spending on the health sector and actively contributed to the people's health care and protection. The assessment of the slams of foreign aid in the health sector is very necessary to help policy makers and aid receiving agencies optimally utilizing the pre- cious resources. This study focuses on the analysis of status of the foreign aid for the health sector from, different sources with fol- lowing Objectives: (i) Describes the current slams and (ii) Analyses of the Descriptive cross-sectional method, using the matrix of donors' activiles provided by donors, 269 aid projects/activities from various sources during the period 2005-2011 were collected, data input by Microsoft softwareExcel 2007 and analyzed by SPSS 16.0 for Windows. Results;
Total number of activiles performed is 269 projects / activities for the period 2005 - 2011 with a total budget of nearly $ 2.38 billion, the
grant aid accountes for 54%, the loans 30.7%
but tend to increase, the field of preventive medicine receives most attention with 30% of the total funds, in which the issues of preven- tive medicine system comprises 31%. The number of INGOs' activities is high wilh 47.6% and the fund is 17.4% of total. The Ministry of Health manages 83 projects with a total budget of $ 1.39 billion, accounted for 58.3%, the provincial level received the largest concentration with 45% of activities and 46.7%. of the budget.ConcIusion: Grant funds rale decreases while loan categories and the mixed are increasing. The Ministry of Heallh manages only 40% of activiles and 58.3% of funding, the activities take place mainly al provincial level. Most interested area is preventive medicine. Aid modality has changed. Loans and mixed aid modarlity are growing, grant aid is declining and technical assistance and technology transfers are on the rise.
Keywords: Foreign aid, aid mordahty, donors.
Tap chi Y hpc du phong, Tap XXIII, s6 2 (137) 13S
