Umenai T, Hamada A, Takeuchi M
Department of International Health Policy and Planning, Graduate School of International Health, University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo 113-0033 Japan.
Asia Pac J Public Health. 2000;12(1):50-2. doi: 10.1177/101053950001200111.
This report sheds new light on the development of a community health fund through the implementation of a community essential drug project, and its impact on the improvement of primary health care at the community level. The experience of community drug funds in Vietnam, supported by a strong government commitment, in which full delegation of authority on the management of drugs and finances is given to the community along with a measure for tax exemptions for drug fund revenues, provides a significant example of an autonomous community with active participation of people and effective resource mobilization, that is leading to the improvement of community health.
本报告通过实施社区基本药物项目,为社区卫生基金的发展及其对社区层面初级卫生保健改善的影响提供了新的视角。在越南,社区药物基金的经验得到了政府的坚定支持,在该经验中,药物和财务管理的全部权力下放给社区,并对药物基金收入给予免税措施,这为一个人民积极参与且有效调动资源的自治社区提供了重要范例,进而推动了社区卫生的改善。