Vietnam has a notoriously fragmented, scattered and inefficient health care provider market. With more than 50,000 clinics across the country, it is difficult to book appointments or make accurate decisions about which doctors or clinics will best serve the health needs within a specific price range. The Vietnamese start-up, Docosan, provides customers with a single database of clinics filtered by the location and medical need.
Additionally, the app offers prices and reviews and gives customers the ability to book appointments. As a private firm, this startup streamlines health care in Vietnam and makes the health care market accessible to all.
A Notoriously Fragmented and Overextended Market
Before 1990, hospitals operated under a socialist model that discouraged any profit motive. However, after the early 1990 hospital reforms, hospitals began to charge private fees. The result was an improvement in the quality of health care in Vietnam. From 1990 to 2015, life expectancy increased from 71 to 76 and infant mortality decreased from 58 deaths for every 1,000 deaths to 18. In addition, underweight infants decreased from 37% of the population to only 14%.
Nonetheless, serious administrative problems remain. In Vietnam, a total of 1,531 hospitals exist with more than 50,000 clinics. This abundance of providers has resulted in a scrambled system that leads to overextension of resources and administrative capacity. Although an overflow of health care providers exists, the usage is concentrated. For example, private health care providers make up only 6% of all health care facilities while private health care providers provide 60% of outpatient services. Moreover, the private health care providers are almost exclusively located in urban areas. As a study on public hospital governance found, 48% of patients traveled from the provinces to the central providers.
As a result, the system is fragmented and overextended while most patients are concentrated in a minority of providers in the central and provincial hospitals. For instance, bed occupancy rates have reached between 120% and 160% in central hospitals. Three patients per bed is not an uncommon phenomenon.
Hospitals and Clinics
All of this begs the question, why do people choose hospitals much farther away than closer clinics to wait in long lines and receive only a portion of the required care? A part of the explanation can be simply that large national hospitals provide better care with more resources. Yet, a cultural explanation also provides insight into this question. By having an abundance of options and no central database to receive the necessary information to choose which doctor or hospital to receive care from, many Vietnamese rely on the recommendations of friends and families. The Vietnamese health care provider market is overextended and simultaneously concentrated in a select few hospitals. As a result, there are long wait times, resource scarcity in most hospitals and an overall lack of accurate market signals, which create inefficiencies in and of themselves.
Docosan
In other words, a need exists to consolidate the information and make booking appointments more accessible. However, many have responded to meet this need. In collaboration with the Ministry of Information and Communication, the Ministry of Health launched a virtual platform to connect doctors and patients. Moreover, private start-ups like Pharmicity, Buy Med and e-Doctor have variations of a forum like this as each one seeks to streamline healthcare providers.
The Docosan application breaks down its search by both geography and health need. From there, it presents a set of doctors within the parameters for users to compare prices and reviews. Customers also have the opportunity to choose a doctor and set up an appointment. In essence, Docosan is significantly improving the market by centralizing the information, providing user-friendly access to the information and giving customers the ability to book appointments through a service that is free for users.
Although this may sound rudimentary, it is revolutionary. Now, customers no longer need to instinctively head to the large central hospitals with no appointment or idea if the hospital will provide the care they need. Customers can find the appropriate hospital or doctor and book an appointment. Meanwhile, doctors can reach a more extensive customer base while focusing more on patients by handing administrative tasks to Docosan. Beth Ann Lopez, a former Peace Corp and USAID worker who moved to Southeast Asia, founded Docosan in February 2020. As of October 2020, the platform had more than 70 doctors and 2,000 users. However, the numbers expeditiously increased to 50,000 users and more than 300 health care providers by April 2021. Therefore, scaling may be a problem as the number of users increases by 20% to 40% a month.
Looking Ahead
Nevertheless, Docosan received a massive boost in funding to help with this problem of scaling. In April 2021, Docosan received more than $1 million in seed funding that the Taiwanese-based firm, AppWorks, led. Docosan claims this is the largest seed funding for a Vietnamese health tech firm. With this boost, Docosan is looking to increase its specialized care options. This seed funding has brought high expectations. As Lopez, says, “Our long-term goal with Docosan is to transform how people access health care in Vietnam. We want it to be as easy as booking a taxi on an app.” Docosan is setting out to revolutionize health care in Vietnam by simply streamlining the decision process.
– Vincenzo Caporale
Photo: Flickr
4 Organizations Fighting Forced Marriages in India
4 Organizations Fighting Forced Marriages in India
Looking Ahead
Great measures are being taken to stop forced marriages in India. In the coming years, if this progress continues, amazing changes will be made in the lives of many forced marriage victims.
– Rand Lateef
Photo: Flickr
Mushrooms to Tackle Food Insecurity in Zimbabwe
Rates of food insecurity in Zimbabwe have been on the rise since the COVID-19 pandemic began in the fall of 2019. Internationally, food prices have increased by about 38% since January 2020. Some household food staples, including corn and wheat-based products, have increased by as much as 80%. The World Food Programme (WFP), an organization that supplies aid for countries struggling with malnourishment, estimated that by April 2021, an additional 111 million people would be malnourished because of COVID-19. For Zimbabwe, a country already facing large amounts of food insecurity before the pandemic, the increase in food prices has only added stress to its acute hunger crisis.
Food Insecurity in Zimbabwe
Voice of America (VOA) recently reviewed a report from the government of Zimbabwe on the country’s rising food insecurity. The report revealed that about 2.4 million Zimbabweans who were not food-insecure pre-pandemic are now struggling with food insecurity. The food scarcity problem is especially difficult for members of Zimbabwe’s urban communities. In urban centers, misinformation about the virus was rampant during its initial spread. Many urban Zimbabweans received conflicting information about COVID-19, increasing the number of cases.
Like many sub-Saharan African countries, Zimbabwe also struggled to counter the virus because healthcare facilities are typically under-resourced or too expensive for many residents. Many urban Zimbabweans lost their jobs during the peak of COVID-19 and have struggled to find consistent work since, only increasing the cases of food insecurity.
Although international aid organizations and the government of Zimbabwe have indicated that plans are emerging to help combat the growing hunger crisis, many Zimbabweans have taken matters into their own hands. The way they are fighting food insecurity is by growing mushrooms.
Mushroom Growing in Zimbabwe
One Zimbabwean who lost his factory job during the pandemic, Murambiwa Simon Mushongorokwa, said that growing mushrooms was keeping him and his family members afloat. “I used to get about $30 a week. It was not enough for my needs. But when the lockdown came, it got worse, until I started growing mushrooms. It’s slowly improving my life,” said Mushongorowka.
Others are following Mushongorokwa’s lead. Several nonprofit organizations, including the World Food Programme (WFP), have begun teaching other Zimbabweans how to grow mushrooms. The Future of Hope is another such organization. The Future of Hope has been able to provide Zimbabweans with additional income that has improved their situation. Simon Julius Kufakwevanhu, an official from The Future of Hope, has been teaching about the benefits of mushroom farming. Kufakwevanhu stated that “Before the introduction of mushroom farming in this place, it was very tough for people in this community to survive because of the lockdowns and so forth. But when The Future of Hope brought in mushroom growing, it’s changing because you can now buy something, able to go to shops and buy mielie meal [coarse flour], sugar and so forth. Even if I fall sick I can go to the hospital after selling mushrooms.”
Mushroom growing has proven to be a viable way to fight food insecurity in Zimbabwe. According to the WFP, over 700 mothers have received training in the past few months. The process allows the mothers to grow their own mushrooms and to pull their families out of food insecurity. The WFP plans to expand the mushroom classes in the future.
– Grace Parker
Photo: Flickr
USAID Helps Fight Deforestation in Vietnam
Deforestation in Vietnam
Deforestation in Vietnam is very severe. According to the World Wildlife Fund, the South Vietnam Lowland Dry Forests region is the most degraded forest outside India. Despite being home to many endangered species, only 2% of the forests are designated as protected. Furthermore, about 90% of the forests are subject to deforestation. The U.N. emphasizes that protecting biodiversity and restoring previously exploited land will improve the quality of life for citizens in countries worldwide. Indigenous and rural communities, in particular, will benefit from reversing deforestation as the protection of forest resources decreases the economic vulnerability of these groups.
The Sustainable Forest Management Project
The USAID Sustainable Forest Management project partners with the Vietnamese Government, the Vietnam Forest Owner Association (VIFORA) and forest owners to minimize the impacts of deforestation in seven of Vietnam’s most affected provinces. The main objective of this project is to develop and enforce forest conservation policies. This includes funding to increase the Vietnamese Government’s ability to prosecute deforestation crimes.
Execution of this program also involves working with the authorities, private companies and local forest owners to extend the reach of the Payment for Forest Environmental Services program. This mechanism provides direct monetary compensation to residents for forest protection efforts. Strong partnerships between aid organizations and local implementers allow these programs to help the target populations build self-sufficiency effectively.
USAID allotted $36 million for this project. In addition to funding forest management policies, this program directly helps Vietnamese communities living in forest land by promoting sustainable lifestyle practices for forest dwellers. An estimated 250,000 hectares of forest and 70 organizations will benefit from the program. The program will also benefit the 60,000 individuals living in Vietnam’s forests who are expected to have improved and more sustainable livelihoods.
The Biodiversity Conservation Project
The USAID Biodiversity Conservation project partners with the World Wildlife Fund to provide economical alternatives for activities that lead to Vietnam’s deforestation. The project focuses on substituting forest-harming industries with forest-preserving ones. The project has the potential to increase incomes for forest-dwelling communities while reversing deforestation in Vietnam. The Biodiversity Conservation project relies on strong partnerships with the Vietnamese Government and local organizations for effective implementation.
USAID allotted $38 million for this project, which will benefit 700,000 hectares of forest land. An additional 7,000 individuals living in Vietnam’s forests will also gain income opportunities from forest-friendly endeavors. In addition, 250 villages will receive increased protection of their natural environments with a 50% decrease in animal hunting and consumption.
Deforestation in Vietnam threatens the livelihoods of the most disadvantaged populations still living in forest land. Despite this vulnerability, the Vietnamese Government struggles to stop deforestation without foreign aid. USAID’s two projects not only fight deforestation but promote practices that will directly help lift forest dwellers out of poverty.
– Viola Chow
Photo: Pixabay
The Improvements of Technology in Sierra Leone
Ranking as one of the least developed nations in the world, Sierra Leone aspires to increase development through investments in advanced technologies. President Julius Maada Bio’s ambitious plans for digitization center around the Directorate of Science, Technology and Innovation led by Dr. David Moinina Sengeh. The creation of DSTI could have a revolutionary effect on the government’s capabilities to help its citizens and progress the technology in Sierra Leone.
What is DSTI?
DSTI is the main element of the Sierra Leone National Innovation and Digital Strategy. It emerged in 2018 and is based on the philosophy of “digitization for all.” Its primary mission is to use science and innovation to promote the Medium-Term National Development Plan, which strives to improve people’s lives through education, inclusive growth and a strong economy. Furthermore, DSTI hopes to make Sierra Leone a country where innovation can thrive and where people of all ages can come together to lead their own start-ups and initiatives.
Headed by the country’s first Chief Innovation Officer, Dr. Sengeh, DSTI has created an opportunity for the development of technology in Sierra Leone for its citizens. One of those opportunities presents itself in the form of a partnership between UNICEF Sierra Leone Country Office and DSTI. The organizations have come together to create government processes that revolve around the use of data for successful decision-making. The UNICEF Office of Innovation team provides its expertise and advises DSTI regularly. This support will strengthen and secure the partnership and aims to improve the lives of Sierra Leone’s women and children.
Current Technology in Sierra Leone
In 2020, the Bill & Melinda Gates Foundation supported DSTI with a grant of $131,130. This grant assisted the plan for a viable and cost-effective drone-delivery system for Sierra Leone’s medical supply chain. Drones could potentially provide access to places in Sierra Leone that others previously thought were too remote or too difficult to navigate. The efficacy of these drones allows authorities in Sierra Leone’s Ministry of Health and Sanitation to have on-demand delivery for essential medical supplies; restock rural community health centers and hospitals in a timely, cost-effective manner; extend limited diagnostic coverage and decrease response time to pathogen outbreaks. DSTI has joined forces with the National Medical Supply Agency and development partners and intends to plan a five-year project that integrates a nationwide medical delivery service in Sierra Leone using drones.
In April 2019, Sierra Leone became a drone-testing site to better the lives of children in the more rural areas of the nation. UNICEF and the government of Sierra Leone established a drone corridor aiming to develop and test drones for “aerial imagery and transportation.” DSTI and the Ministry of Transport and Aviation lead the project for the drone corridor. In addition to aiding Sierra Leone’s medical system, the drone initiative will set up education programs. These programs will help locals build the skills needed to use and maintain the drones.
The Importance of Technological Advancement
In September 2019, President Bio revealed the first portable DNA sequencer. This sequencer can provide quick, efficient information in multiple fields such as medicine, agriculture, food, water and education. Additionally, police can utilize the sequencer for investigating sex crimes. This is a huge breakthrough for Sierra Leone because President Bio had declared a national rape emergency earlier that year.
All these technological and scientific breakthroughs have a transformative effect on Sierra Leone’s government and its ability to meet the needs of its citizens. Along with improving the nation’s development, Sierra Leone could provide a blueprint for the rest of Africa and recognize the nation’s economic potential.
– Addison Franklin
Photo: Flickr
5 Facts About Renewable Energy in New Zealand
5 Facts About Renewable Energy in New Zealand
Overall, New Zealand is making significant strides in its renewable energy sector in order to address the issue of energy poverty that impacts the most vulnerable people in the country.
– Stephen Illes
Photo: Flickr
Addressing Autism in Hong Kong
Of every 100,000 children in Hong Kong, 372 suffer from autism. Autism Spectrum Disorder or autism affects an individual’s nervous system and causes developmental delays. This condition varies in severity in each case, and symptoms mostly consist of recurring body movements, odd fascination towards certain things and trouble speaking and interacting with others. Left unattended, autism in adulthood often results in loss of employment and difficulty focusing in school. The Aoi Pui School, Autism Partnership and Heep Hong Society are all addressing autism in Hong Kong and improving lives by helping children integrate into ordinary schools and teaching vital work skills.
Aoi Pui School
Researchers who wanted to provide quality education to children with autism in Hong Kong founded Aoi Pui School (APS) in 2007. More specifically, the institution teaches fundamental work skills to its students. Every student at APS enrolls in a program that educates the children about professional competence. In the program, students learn about the importance of maintaining a positive work ethic, approaching work with enthusiasm, comprehending the responsibilities and knowing the privileges.
Autism Partnership
The Autism Partnership (AP) came to Hong Kong in 1999 and strives to offer effective treatment to children with autism. AP works towards integrating autistic children into mainstream schools and society. It offers two programs called The Buddies and i-Club to encourage autistic children to develop their social skills. The Buddies program targets first, second and third graders and educates the students on how to maintain relationships with their peers. The i-Club program focuses on children heading to middle school and teaches the children how to calm down, control their feelings, consider the point of view of others, establish relationships, respectfully play with others and start dialogues.
AP also helps children successfully join mainstream schools. First, an AP employee sets up a specific plan with the institution. Then, AP educates counselors at the school about the child’s particular case. Next, the organization checks on the success of the student and changes the child’s plan when problems arise. Lastly, the student relies less on the counselors and navigates school individually.
Heep Hong Society
Since 1963, Heep Hong Society strives to improve the lives of minors with disabilities and different backgrounds. In particular, the organization assists older autistic children in obtaining and retaining jobs. First, the Heep Hong Society gives personal guidance to each adolescent. In the one-on-one discussions, the organization discovers the young adult’s passions, talents and attributes to help connect the students with dream jobs and assist them in issues regarding socialization, studying and employment. Also, the Heep Hong Society works with local companies to secure jobs and scholarships for its students.
Conclusion
All in all, Aoi Pui School, Autism Partnership and Heep Hong Society strive to help children with autism in Hong Kong enroll in mainstream schools and obtain employment. With the help of these organizations, autistic youth can retain independence and live above the poverty line.
– Samantha Rodriguez
Photo: Flickr
New Deal for Africa to End Dual Crises
A Call for International Camaraderie
Highlighting recovery from the COVID-19 pandemic as a key issue, Macron urged leaders to foster a sense of international camaraderie. Macron argued that for there to be a steady return to normal, there must be a collective effort to repair the global economy. Additionally, he advocated that countries adopt a new perspective recognizing the interconnectivity of regional economies. In short, Macron stressed that the health and stability of Africa will determine the health and stability of the world.
As the pace of recovery becomes glaringly disproportionate between nations of varying economic status, Macron stressed that it would not only be unethical to leave Africa behind, it would also be to the detriment of the greater international community. Macron explicitly called for a waiving of patents on COVID-19 vaccines to speed up Africa’s recovery.
Africa’s Debt Crisis
The International Monetary Fund (IMF) warned that Africa’s debt crisis, now nearing $300 billion, will increasingly burden the continent. This crisis will continually arrest economic development in Africa and African nations will fall further behind other nations.
The pandemic has greatly exacerbated this issue. Slow vaccine distribution and lack of pandemic relief packages have led many African nations to fall further behind in development. If the situation continues, experts warn that up to 39 million Africans could fall into poverty before the year ends. Macron highlighted how an increase in poverty rates among Africans will ultimately threaten both international market growth opportunities and international security.
In 2021, the IMF recognized the sub-Saharan region of Africa to be the slowest growing on the planet in terms of GDP. The IMF voiced concern that the pandemic has undone years of economic construction and development for the region. The organization, comprised of 190 countries, fears that the pandemic’s effects will harm poverty reduction efforts for years to come.
A New Deal for Africa
After defining the severity of Africa’s debt crisis, the summit moved on toward establishing solutions. World leaders at the summit agreed a two-pronged approach toward economic recovery was necessary.
Firstly, the summit agreed that the slow vaccine rollout must be addressed. To do this, patents forbidding African manufacturers from concocting their own supplies of effective vaccines must be lifted. The patents had forced African nations to purchase their doses from the patent holders, such as Pfizer, only deepening the debt crisis. Macron states that he hoped to have 40% of all Africans vaccinated by the end of 2021. Secondly, members of the summit agreed to allocate more than $30 billion worth of relief from the IMF to nations in Africa.
In some areas of Africa, vaccine supply is so low that the World Health Organization recommended prioritizing the first dose only in order to partially vaccinate as many people as possible. As of early May 2021, six nations in Africa still had not received any doses and eight other African nations had already exhausted their supply.
Macron advocated for $100 billion to be allocated to the “New Deal for Africa” and wants wealthier nations to donate their IMF relief to Africa. Some members of the summit pushed for even more. For instance, the prime minister of Italy, Mario Draghi, stressed the need for a total restructuring of the debt system in Africa. The summit paved the way for further discussions to help support Africa.
– Jack Thayer
Photo: Flickr
How Heritage Preservation Reduces Poverty
Many people behind cultural conservation programs prioritize staying local and helping their communities as much as possible. Often, people living in poverty or those on the outskirts of society are the ones first offered these opportunities. In this sense, heritage preservation reduces poverty and helps communities by giving people employment and education.
Heritage Tourism
Cultural heritage preservation encourages as well as utilizes tourism. Heritage Tourism is one of the major ways preserving cultural heritage can reduce poverty in a community. It often boosts a community’s economy and can become one of its major industries. Many tourists visit cultural sites and partake in culturally-enriching activities while traveling and tend to stay longer at these places.
As tourism increases, so do jobs for local community members directly involved in tourist activities (such as museum guides or re-enactors) and those not associated with tourism (such as the food industry or local shops). Employers can then afford to pay their employees more as they receive more and more business. People also become encouraged to start their own businesses or move their businesses to these small communities upon seeing the economy emerge and grow. A Pakistan-based study published in February 2020 shows that increases in tourism noticeably improve a community overall. A 1% increase in tourism can enhance the GPD by 0.051%, agricultural development by 0.26%, direct foreign investment by nearly 2.65% and potentially decrease poverty by 0.51%.
Examples of Cultural Heritage Preservation
An example of a cultural heritage preservation project that has greatly helped a small, rural community is the Rural Revitalization Drama Festival. It occurs in Shixia Village in China and showcases traditional Chinese Opera. Though Shixia was an impoverished village in 2010, the tourism created by the festival has provided more jobs. It has created more opportunities for extra income, encouraged people who previously left the village to return and urged people to start businesses there. The festival has also highlighted other cultural treasures in the area that promoted even more preservation projects and tourism. By 2019, they were able to purchase the technology needed to process their own millet crops; whereas, they previously had to outsource production to other places.
These disciplines and practices are culturally important, but they also give many people the chances of employment and education. For example, in the Philippines, Escuela Taller has created education programs in different traditional disciplines, such as carpentry and metalwork. In Peru, local women were trained in creating traditional textiles in order to support themselves and their families. This project was created by Centro de Textiles Tradicionale del Cusco in 1996 with the support of JoinTrafalgar and the TreadRight Foundation.
How Heritage Preservation Reduces Poverty
Cultural heritage preservation reduces poverty and helps communities by passing down ancient, artisan crafts to new generations. Preserving cultural heritage is a way of declaring to others that the people and the communities housing these museums, historical buildings and traditions are important and worth protecting. With people empathizing with a community, it can encourage them to fight against the destruction of land or buildings. It can inspire people to donate and even start charities and nonprofits. Preserving cultural heritage reduces poverty by promoting the visibility and the empowerment of communities. It can at first seem to only be about showcasing a country’s history but it runs deeper. Cultural heritage preservation gives modern people a chance at a prosperous future.
– Mikayla Burton
Photo: Flickr
Hungarian COVID-19 Vaccination Success
COVID-19 in Hungary
From January 3, 2020 to May 28, 2021, Hungary registered more than 803,000 confirmed cases. In total, Hungarian authorities registered and reported 29,597 deaths and most of those cases were in the capital city of Budapest. Reports indicated a significant number of cases in Hungary on March 26, 2021, with 11,265 new cases.
State of Emergency in Hungary
Due to the high numbers of COVID-19 cases on March 11, 2020, the Hungarian government declared a state of emergency. During a press conference, Minister of the Prime Minister’s Office Gergely Gulyas said that Hungary may enforce the state of emergency for several months. However, on June 16, 2020, The National Assembly of Hungary canceled the state of emergency. At the same time, the country has strictly controlled the travel and entry restrictions to Hungary. Between March 8 and April 6, 2021, the government of Hungary announced new strict lockdown measures to slow the transmission of COVID-19. During the lockdown, all shops and services closed except food stores, pharmacies and petrol stations. Despite the high number of new infections since April 7, the Hungarian government announced that it would ease the lockdown. The main reason for it is the economic situation of the citizens of Hungary.
Hungarian COVID-19 Vaccination Success
As of April 8, 2021, Hungary vaccinated more than 2.6 million people. For context, the total population of Hungary is more than 9.6 million people. Hungary already provided more than 20% of its population with at least a first dose of a vaccine and more than 1 million people (11% of the population) with their second dose. To compare, the average vaccination rate among 27 E.U. member states was 12.3%.
At the same time, it is important to mention that the Hungarian government approved vaccines from China and Russia. Additionally, the E.U. has been providing Hungary with vaccinations. The Hungarian Prime Minister emphasized that vaccinations will only bring an end to the epidemic. He said that “vaccination is our primary, our only means of defense against the virus.” The Hungarian government plans to ease more restrictions when the number of vaccinated people reaches 2.5 million.
Economic Impact
From the beginning of the lockdown measures, the Hungarian economy’s progress slowed. Unfortunately, the pandemic had a massive impact on Hungary’s national currency (forint) with it reaching an all-time low twice during 2020. Moreover, most cafes and restaurants have closed their doors for several months. Only the cafes and restaurants that can adopt the “take away” system can remain open. As a result, the lockdown measures resulted in the loss of thousands of jobs.
Hungary also hosts many tourists each year. However, because of travel restrictions and lockdown measures, the number of tourists dramatically decreased, subsequently harming businesses and the economy of Hungary.
Moving Forward
Due to COVID-19, Hungary faced economic and social challenges. For several months, the country was under strict lockdown measures. As a result, many people lost their jobs and business owners closed their businesses. The Hungarian government decided that the mass vaccination of the population was the only way out. The number of vaccinated people in the country is significant, showing the success of the Hungarian government’s vaccination program.
– Tofig Ismayilzada
Photo: Pixabay
Startup Streamlines Health Care in Vietnam
Additionally, the app offers prices and reviews and gives customers the ability to book appointments. As a private firm, this startup streamlines health care in Vietnam and makes the health care market accessible to all.
A Notoriously Fragmented and Overextended Market
Before 1990, hospitals operated under a socialist model that discouraged any profit motive. However, after the early 1990 hospital reforms, hospitals began to charge private fees. The result was an improvement in the quality of health care in Vietnam. From 1990 to 2015, life expectancy increased from 71 to 76 and infant mortality decreased from 58 deaths for every 1,000 deaths to 18. In addition, underweight infants decreased from 37% of the population to only 14%.
Nonetheless, serious administrative problems remain. In Vietnam, a total of 1,531 hospitals exist with more than 50,000 clinics. This abundance of providers has resulted in a scrambled system that leads to overextension of resources and administrative capacity. Although an overflow of health care providers exists, the usage is concentrated. For example, private health care providers make up only 6% of all health care facilities while private health care providers provide 60% of outpatient services. Moreover, the private health care providers are almost exclusively located in urban areas. As a study on public hospital governance found, 48% of patients traveled from the provinces to the central providers.
As a result, the system is fragmented and overextended while most patients are concentrated in a minority of providers in the central and provincial hospitals. For instance, bed occupancy rates have reached between 120% and 160% in central hospitals. Three patients per bed is not an uncommon phenomenon.
Hospitals and Clinics
All of this begs the question, why do people choose hospitals much farther away than closer clinics to wait in long lines and receive only a portion of the required care? A part of the explanation can be simply that large national hospitals provide better care with more resources. Yet, a cultural explanation also provides insight into this question. By having an abundance of options and no central database to receive the necessary information to choose which doctor or hospital to receive care from, many Vietnamese rely on the recommendations of friends and families. The Vietnamese health care provider market is overextended and simultaneously concentrated in a select few hospitals. As a result, there are long wait times, resource scarcity in most hospitals and an overall lack of accurate market signals, which create inefficiencies in and of themselves.
Docosan
In other words, a need exists to consolidate the information and make booking appointments more accessible. However, many have responded to meet this need. In collaboration with the Ministry of Information and Communication, the Ministry of Health launched a virtual platform to connect doctors and patients. Moreover, private start-ups like Pharmicity, Buy Med and e-Doctor have variations of a forum like this as each one seeks to streamline healthcare providers.
The Docosan application breaks down its search by both geography and health need. From there, it presents a set of doctors within the parameters for users to compare prices and reviews. Customers also have the opportunity to choose a doctor and set up an appointment. In essence, Docosan is significantly improving the market by centralizing the information, providing user-friendly access to the information and giving customers the ability to book appointments through a service that is free for users.
Although this may sound rudimentary, it is revolutionary. Now, customers no longer need to instinctively head to the large central hospitals with no appointment or idea if the hospital will provide the care they need. Customers can find the appropriate hospital or doctor and book an appointment. Meanwhile, doctors can reach a more extensive customer base while focusing more on patients by handing administrative tasks to Docosan. Beth Ann Lopez, a former Peace Corp and USAID worker who moved to Southeast Asia, founded Docosan in February 2020. As of October 2020, the platform had more than 70 doctors and 2,000 users. However, the numbers expeditiously increased to 50,000 users and more than 300 health care providers by April 2021. Therefore, scaling may be a problem as the number of users increases by 20% to 40% a month.
Looking Ahead
Nevertheless, Docosan received a massive boost in funding to help with this problem of scaling. In April 2021, Docosan received more than $1 million in seed funding that the Taiwanese-based firm, AppWorks, led. Docosan claims this is the largest seed funding for a Vietnamese health tech firm. With this boost, Docosan is looking to increase its specialized care options. This seed funding has brought high expectations. As Lopez, says, “Our long-term goal with Docosan is to transform how people access health care in Vietnam. We want it to be as easy as booking a taxi on an app.” Docosan is setting out to revolutionize health care in Vietnam by simply streamlining the decision process.
– Vincenzo Caporale
Photo: Flickr