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Health insurance for the poor : initial impacts of Vietnam's health care fund for the poor
 
Author:Wagstaff, Adam; Collection Title:Impact Evaluation Series ; no. 11Policy, Research Working Paper ; no. WPS 4134
Country:Vietnam; Date Stored:2007/02/05
Document Date:2007/02/01Document Type:Policy Research Working Paper
SubTopics:Housing & Human Habitats; Health Monitoring & Evaluation; Health Systems Development & Reform; Health Economics & Finance; Health LawLanguage:English
Region:East Asia and PacificReport Number:WPS4134
Volume No:1 of 1  

Summary: Vietnam's Health Care Fund for the Poor (HCFP) uses government revenues to finance health care for the poor, ethnic minorities living in selected mountainous provinces designated as difficult, and all households living in communes officially designated as highly disadvantaged. The program, which started in 2003, did not as of 2004 include all these groups, but those who were included (about 15 percent of the population) were disproportionately poor. Estimates of the program's impact-obtained using single differences and propensity score matching on a trimmed sample-suggest that HCFP has substantially increased service utilization, especially in-patient care, and has reduced the risk of catastrophic spending. It has not, however, reduced average out-of-pocket spending, and appears to have had negligible impacts on utilization among the poorest decile.

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