Publication: Human Resources for Mental Health Service Delivery in Viet Nam: Toward Achieving Universal Health Coverage
Loading...
Files in English
1,685 downloads
Date
2024-05-30
ISSN
Published
2024-05-30
Author(s)
Editor(s)
Abstract
"Human Resources for Mental Health Service Delivery in Viet Nam" provides an overview of the country’s current state of and challenges to mental health service delivery. The framework of the report is composed of four interconnected domains: health care, social services, education and mental health literacy, and informal care systems. The organizational structure, significant achievements, critical gaps, and problems in mental health service delivery at the institutional and community levels are highlighted in terms of public demand, availability, accessibility, and quality of service.
The report uses new empirical data from surveys, workshops, and group discussions with key stakeholders. It describes the mental health workforce in Viet Nam and analyzes critical issues, including the shortage of professionals (psychiatrists, mental health nurses, psychologists, psychotherapists, social workers, occupational therapists, and others). Given the need to develop all levels of mental health care, the report addresses the uneven distribution of the provision of service between levels of health care institutions and rural and urban regions, competency mismatches, job satisfaction, recruitment, and challenges to the retention of mental health workers. The report also examines the need for mental health education and training at the institutional and structured program levels, as well as the supply constraints to the future development of the mental health workforce.
The interdisciplinary team of authors emphasizes the urgent need for Viet Nam to strengthen its human resources for mental health service delivery toward achieving universal health coverage, including all mental disorders. The report’s evidence-based recommendations include multisectoral workforce planning; transformation of education and training; coordination, integration, and retention of the available workforce; improvement of the workforce governance framework; and strengthened mental health financing.
Link to Data Set
Citation
“Le, Sang Minh; Hahn, Eric; Tran, Tu Anh; Mavituna, Selin; Ta, Tam Minh Thi. 2024. Human Resources for Mental Health Service Delivery in Viet Nam: Toward Achieving Universal Health Coverage. International Development in Focus. © World Bank. http://hdl.handle.net/10986/41623 License: CC BY 3.0 IGO.”
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Outlining the Scope for Public Sector Involvement in Mental Health(World Bank, Washington, DC, 2002-08)The paper documents the large and increasingly important contribution made by mental disorders to the global burden of disease. Disease burden does not provide sufficient justification for public intervention (understood as financing, provision, mandates, regulation or information) in the field of mental health. While there exists cost-effective interventions for some mental health disorders, the existence of such interventions, on their own, does not provide a sufficient basis for public intervention. The popular burden of disease and cost-effectiveness arguments therefore provide a weak foundation upon which to build a case for public intervention - and, a fortiori, for World Bank support to such intervention - in the field of mental health. This paper applies an algorithm for decision-making borrowed from Musgrove (1999) that orders the main criteria for public intervention to the field of mental health. The locus for reform efforts in the field is defined by the gap between the existing and the desirable features of mental health financing and provision.Publication Mental Health in Afghanistan : Burden, Challenges and the Way Forward(World Bank, Washington, DC, 2011-08)Afghanistan has been in internal and external strife for more than thirty years. Prolonged conflict and civil war have left millions dead, thousands with disabilities and massive internal and external population displacement. The situation has contributed negatively to every aspect of the country and society as the majority of the population has been traumatized by constant conflict, natural disasters, and the difficult Taliban years. There is ample evidence that these calamities have contributed to an increase in mental health problems and has been further complicated by growing level of drug abuse. As Afghanistan rebuilds itself, it is critical to understand the challenges and develop workable solutions. The paucity of high quality data on mental health problems and the lack of qualified human resources have hampered the development of cost-effective strategies and interventions to address the growing challenge of mental health in the country. There are few mental health facilities, and these facilities are scattered across the country with limited capacity and low levels of coverage. In addition, the population continues to face the main stressors with ongoing conflict in various parts of the country. To address mental health issues on a larger scale, this paper recommends public awareness-raising campaigns as a foremost prerequisite. It also proposes to draw on existing resources efficiently. Achieving the aforementioned objectives require political support by the Government of Afghanistan along with technical and financial support of the development partners. This will allow necessary expansion of mental health services and will build the capacity of mental health clinicians and public health experts in the country.Publication Mental Health Patterns and Consequences : Results from Survey Data in Five Developing Countries(World Bank, Washington, DC, 2008-01)The social and economic consequences of poor mental health in the developing world are presumed to be significant, yet are largely under-researched. The authors argue that mental health modules can be meaningfully added to multi-purpose household surveys in developing countries, and used to investigate this relationship. Data from nationally representative surveys in Bosnia and Herzegovina, Indonesia, and Mexico, along with special surveys from India and Tonga, show similar patterns of association between mental health and socioeconomic characteristics across countries. Individuals who are older, female, widowed, and report poor physical health are more likely to report worse mental health outcomes. Individuals living with others with poor mental health are also significantly more likely to report worse mental health themselves. In contrast, there is little observed relationship between mental health and poverty or education, common measures of socio-economic status. The results instead suggest that economic and multi-dimensional shocks such as illness or crisis can have a greater impact on mental health than overall levels of poverty. This may have important implications for social protection policy. The authors also find significant associations between poor mental health and lowered labor force participation (especially for women) and higher frequency visits to health centers, suggesting that poor mental health can have significant economic consequences for households and the health system. Finally, the paper discusses how measures of mental health are distinct from general subjective welfare measures such as happiness and indicate useful directions of future research.Publication Mental Health(Washington, DC, 2003-10)The response on why to address mental health, lies on the fact that neuropsychiatric disorders account for an eleven percent of the global burden of disease; that four, of the top ten causes of disability were due to mental disorders; and, that depression is projected to rank second among neurological disorders. Thus, the catastrophic costs of mental disorders for individuals, and families can tip them into poverty, and it is emphasized that poor people are more likely to have symptoms of mental disease. And, while myths about the causes of mental illness abound, it is now known that these are caused by an interaction of social, genetic, traumatic, and infectious factors. As a starting point, the note indicates that an increased awareness on the causes, prevention, and interventions of mental disorders should be promoted, as should increasing numbers of health workers, and providers in such areas. It is also suggested that demand for mental, and neurological services needs to be voiced, through health education programs to combat the stigma, and raise awareness of what mental disorders really are.Publication HIV/AIDS and Mental Health(World Bank, Washington, DC, 2005-01)Mental and neurological disorders have an intertwined relationship with HIV, yet are often overlooked when AIDS interventions are planned and implemented. Cognitive disorders, substance abuse, and disorders of personality can influence behavior in ways that lead to greater risk of HIV infection. Conversely, HIV/AIDS itself can lead to psychological conditions due to circumstances surrounding the disease, and psychiatric conditions resulting from HIV-related neurological changes. Such disorders can adversely influence the progression of the disease, lead to noncompliance with prescribed medical treatment, and increase the likelihood that people living with HIV/AIDS (PLWHA) will act in high-risk ways. Since the World Bank is the largest long-term investor in the prevention and mitigation of HIV/AIDS in developing countries, it has an important role to play in mental health interventions related to the HIV/AIDS pandemic. The main purpose of this document is to increase knowledge of the relationship between HIV/AIDS and mental health and highlight the need for psychosocial support for PLWHA. The document begins with a description of the global AIDS pandemic, addresses psychosocial risks for infection, then discusses the socio-economic impact of HIV/AIDS. This is followed by a description of the neuro-psychiatric and psychological disorders associated with HIV/AIDS and the social and economic implications of failing to address these disorders. Next, current World Bank AIDS initiatives are considered, and opportunities and challenges for including mental health and psychosocial interventions in AIDS programming are explored. The document concludes with recommendations for future initiatives aimed at meeting the mental health and psychosocial needs of PLWHA.
Users also downloaded
Showing related downloaded files
Publication The Container Port Performance Index 2023(Washington, DC: World Bank, 2024-07-18)The Container Port Performance Index (CPPI) measures the time container ships spend in port, making it an important point of reference for stakeholders in the global economy. These stakeholders include port authorities and operators, national governments, supranational organizations, development agencies, and other public and private players in trade and logistics. The index highlights where vessel time in container ports could be improved. Streamlining these processes would benefit all parties involved, including shipping lines, national governments, and consumers. This fourth edition of the CPPI relies on data from 405 container ports with at least 24 container ship port calls in the calendar year 2023. As in earlier editions of the CPPI, the ranking employs two different methodological approaches: an administrative (technical) approach and a statistical approach (using matrix factorization). Combining these two approaches ensures that the overall ranking of container ports reflects actual port performance as closely as possible while also being statistically robust. The CPPI methodology assesses the sequential steps of a container ship port call. ‘Total port hours’ refers to the total time elapsed from the moment a ship arrives at the port until the vessel leaves the berth after completing its cargo operations. The CPPI uses time as an indicator because time is very important to shipping lines, ports, and the entire logistics chain. However, time, as captured by the CPPI, is not the only way to measure port efficiency, so it does not tell the entire story of a port’s performance. Factors that can influence the time vessels spend in ports can be location-specific and under the port’s control (endogenous) or external and beyond the control of the port (exogenous). The CPPI measures time spent in container ports, strictly based on quantitative data only, which do not reveal the underlying factors or root causes of extended port times. A detailed port-specific diagnostic would be required to assess the contribution of underlying factors to the time a vessel spends in port. A very low ranking or a significant change in ranking may warrant special attention, for which the World Bank generally recommends a detailed diagnostic.Publication Global Economic Prospects, January 2025(Washington, DC: World Bank, 2025-01-16)Global growth is expected to hold steady at 2.7 percent in 2025-26. However, the global economy appears to be settling at a low growth rate that will be insufficient to foster sustained economic development—with the possibility of further headwinds from heightened policy uncertainty and adverse trade policy shifts, geopolitical tensions, persistent inflation, and climate-related natural disasters. Against this backdrop, emerging market and developing economies are set to enter the second quarter of the twenty-first century with per capita incomes on a trajectory that implies substantially slower catch-up toward advanced-economy living standards than they previously experienced. Without course corrections, most low-income countries are unlikely to graduate to middle-income status by the middle of the century. Policy action at both global and national levels is needed to foster a more favorable external environment, enhance macroeconomic stability, reduce structural constraints, address the effects of climate change, and thus accelerate long-term growth and development.Publication Digital Health Assessment Toolkit Guide(World Bank, Washington, DC, 2021-11-01)The advancement of technology and the exponential growth of data are providing the opportunity to Low Income Countries and Lower Middle-Income Countries to leapfrog and improve quality of care, decision making, the efficient use of resources, while reducing costs and burden of diseases. Recognizing the promise and potential of digital systems, technologies, and data to support the redesign of PHC and solve pernicious healthcare challenges in countries, digital health assessments intend to be an input and the first step towards the digital journey and to plan and prioritize what a country's health system of the future would look like. As expressed in the WHO’s Global Digital Health Strategy, approved by WHO member states in 2021, ‘Digital health should be an integral part of health priorities and benefit people in a way that is ethical, safe, secure, reliable, equitable and sustainable. It should be developed with principles of transparency, accessibility, scalability, replicability, interoperability, privacy, security and confidentiality.’Publication Digital Progress and Trends Report 2023(Washington, DC: World Bank, 2024-03-05)Digitalization is the transformational opportunity of our time. The digital sector has become a powerhouse of innovation, economic growth, and job creation. Value added in the IT services sector grew at 8 percent annually during 2000–22, nearly twice as fast as the global economy. Employment growth in IT services reached 7 percent annually, six times higher than total employment growth. The diffusion and adoption of digital technologies are just as critical as their invention. Digital uptake has accelerated since the COVID-19 pandemic, with 1.5 billion new internet users added from 2018 to 2022. The share of firms investing in digital solutions around the world has more than doubled from 2020 to 2022. Low-income countries, vulnerable populations, and small firms, however, have been falling behind, while transformative digital innovations such as artificial intelligence (AI) have been accelerating in higher-income countries. Although more than 90 percent of the population in high-income countries was online in 2022, only one in four people in low-income countries used the internet, and the speed of their connection was typically only a small fraction of that in wealthier countries. As businesses in technologically advanced countries integrate generative AI into their products and services, less than half of the businesses in many low- and middle-income countries have an internet connection. The growing digital divide is exacerbating the poverty and productivity gaps between richer and poorer economies. The Digital Progress and Trends Report series will track global digitalization progress and highlight policy trends, debates, and implications for low- and middle-income countries. The series adds to the global efforts to study the progress and trends of digitalization in two main ways: · By compiling, curating, and analyzing data from diverse sources to present a comprehensive picture of digitalization in low- and middle-income countries, including in-depth analyses on understudied topics. · By developing insights on policy opportunities, challenges, and debates and reflecting the perspectives of various stakeholders and the World Bank’s operational experiences. This report, the first in the series, aims to inform evidence-based policy making and motivate action among internal and external audiences and stakeholders. The report will bring global attention to high-performing countries that have valuable experience to share as well as to areas where efforts will need to be redoubled.Publication World Development Report 2014(Washington, DC, 2013-10-06)The past 25 years have witnessed unprecedented changes around the world—many of them for the better. Across the continents, many countries have embarked on a path of international integration, economic reform, technological modernization, and democratic participation. As a result, economies that had been stagnant for decades are growing, people whose families had suffered deprivation for generations are escaping poverty, and hundreds of millions are enjoying the benefits of improved living standards and scientific and cultural sharing across nations. As the world changes, a host of opportunities arise constantly. With them, however, appear old and new risks, from the possibility of job loss and disease to the potential for social unrest and environmental damage. If ignored, these risks can turn into crises that reverse hard-won gains and endanger the social and economic reforms that produced these gains. The World Development Report 2014 (WDR 2014), Risk and Opportunity: Managing Risk for Development, contends that the solution is not to reject change in order to avoid risk but to prepare for the opportunities and risks that change entails. Managing risks responsibly and effectively has the potential to bring about security and a means of progress for people in developing countries and beyond. Although individuals’ own efforts, initiative, and responsibility are essential for managing risk, their success will be limited without a supportive social environment—especially when risks are large or systemic in nature. The WDR 2014 argues that people can successfully confront risks that are beyond their means by sharing their risk management with others. This can be done through naturally occurring social and economic systems that enable people to overcome the obstacles that individuals and groups face, including lack of resources and information, cognitive and behavioral failures, missing markets and public goods, and social externalities and exclusion. These systems—from the household and the community to the state and the international community—have the potential to support people’s risk management in different yet complementary ways. The Report focuses on some of the most pressing questions policy makers are asking. What role should the state take in helping people manage risks? When should this role consist of direct interventions, and when should it consist of providing an enabling environment? How can governments improve their own risk management, and what happens when they fail or lack capacity, as in many fragile and conflict-affected states? Through what mechanisms can risk management be mainstreamed into the development agenda? And how can collective action failures to manage systemic risks be addressed, especially those with irreversible consequences? The WDR 2014 provides policy makers with insights and recommendations to address these difficult questions. It should serve to guide the dialogue, operations, and contributions from key development actors—from civil society and national governments to the donor community and international development organizations.