Lhss Vietnam Consultancy

2 weeks ago


Hà Nội, Vietnam Abt Global Full time

Beneficiaries

The beneficiary organization is the Ministry of Health of Vietnam.
- Contracting Authority

The representatives of Abt Global, as the primary implementer of the Local Health System Sustainability Project (LHSS) Vietnam Activity, will sign the contract for this consultancy.
- Background and Context of the Assignment

**Background**

The global United States Agency for International Development (USAID) LHSS Project helps low
- and middle-income countries transition to sustainable, self-funded health financing systems that support high-performing overall health systems. The Activity in Vietnam works with the Government of Vietnam (GVN) to advance greater local ownership of HIV and TB prevention and control. Led by Abt Global, the four-year activity supports Vietnam in increasing its domestic financing for HIV and TB services in the context of declining donor funding, using government resources more efficiently, and assuming local ownership of HIV and TB prevention and control activities. Specific objectives are: (1) Support the GVN to strengthen its public financial management systems for the public health sector and find greater efficiencies in social health insurance (SHI); (2) Increase the availability and improve the efficiency of domestic financing of HIV prevention and treatment services; (3) Strengthen the capacity of Vietnam’s supply chain management system; and (4) Integrate TB services into SHI.

**Context**

The GVN has put a national program on developing pharmaceutical industry and domestic production of herbal ingredients in place to guide Vietnam’s pharmaceutical industry development and local production by 2030 with a vision towards 2045. [1] This program outlines the country’s goal of establishing a domestic pharmaceutical industry elevated to WHO level 4 classification. [2] As a result, the program set out specific development goals until 2030 in which local production shall make up 80% of domestic usage and 70% of market value. It envisions the locally produced drugs to not only meet the local demand but also help enhance the export value and remarkably participate in the global supply chain.

This development program was based on the three principles/viewpoints as following:

- **Prioritizing domestic pharmaceutical production**: Implement policies and incentives to promote the development of the pharmaceutical industry, particularly the domestic production of raw materials for medicines, in accordance with legal frameworks.
- **Attracting investment in pharmaceutical industry**: Focus on attracting both domestic and foreign investment, particularly in the development of innovative, high-tech generic drugs, specialty treatments, vaccines, biosimilars, and other high-value pharmaceutical products. The state will also prioritize investment in scientific research and the production of new, high-quality medicines, including national-brand herbal medicines.
- **Leveraging domestic medicinal plant resources**: Capitalize on the potential of local medicinal plants, especially rare, endemic, and economically valuable species, to support the growth of the pharmaceutical industry.

With the aims to ensure a sustainable pharmaceutical industry and ensure an effective drug supply chain system to address the domestic demand and international market participation, the GVN shall focus on various solution groups including: (1) Enhancing policy environment; (2) Investment and improvement of market competitiveness capabilities, (3) Science and Technology, human resources and training, (4) Medicine and herbal ingredient market monitoring (5) International cooperation and integration, and (6) Information and Communication.

The national program shall be the foundation for the governmental related agencies such as Ministry of Health, Ministry of Planning and Investment,enterprises and other related entities in the pharmaceutical industry to have a clearer vision to mobilize their internal resources for planning the development plan, contributing to the overall targets of the national program and strategy.

As of May 2024, 282 drug manufacturers in Vietnam met Good Manufacturing Practice (GMP) standards, meaning that they are eligible and capable of manufacturing all dosage forms, e.g., tablets, capsules, and other forms. However, to date, Vietnam enterprises who produce ARVs have been relying on external sources from countries like India, China, Pakistan, and Bangladesh to procure the materials required to manufacture the drugs. Importantly, domestic produced ARVs have just addressed around 10% of treatment needs while the remaining relies on imported ARVs. While the demand for ARV is stable and increases across the year, the country is approaching 2030 with the goal of producing more drugs locally. Therefore, in line with targets for the broader pharmaceutical industry, the country requires a specific plan to promote local production of ARV drugs in Vietnam.

Since 2020, LHSS Vietnam has support


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