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Last updated: Monday, April 24, 2017

 

People More Satisfied with Public Health Insurance

Posted: Monday, April 10, 2017


According to the recently released Vietnam Provincial Governance and Public Administration Performance Index (PAPI) 2016, there is a positive trend in the delivery of public services, with a higher rate of people being more satisfied with public health services and public primary education than previous years.

However, people are increasingly concerned about environmental issues. In public administration, there are still weak points in engaging people in grassroots decision-making, accountability of the government to people and corruption control in the public sector.

PAPI demonstrates people's assessment of their experiences and perceptions of governance, public administration and public service delivery at all tiers of government.
This is a result of a joint research project carried out by the Vietnam Fatherland Front at all levels from central to local levels, the Centre for Community Support and Development Studies (CECODES) under the Vietnam Union of Science and Technology Associations (VUSTA) and United Nations Development Programme (UNDP).

Speaking at the conference, Kamal Malhotra, United Nations Resident Coordinator in Vietnam, said, “The 2016 PAPI results paint a mixed picture. On the one hand, there has been a steady improvement in the performance of public service delivery over the past six years. However, most provinces can do more to improve the competence and attitude of civil servants and public employees, and enhance the transparency, responsiveness, and accountability of their institutions.”

Of the six dimensions measured in 2016, the greatest gain was seen in public service delivery, with 35 provinces improving their scores in 2016 compared to 2011. In particular, citizens’ perceptions of public health increased due to a jump in the proportion of people with health insurance, from 62 per cent in 2015 to 73 per cent in 2016. There was also a significant rise in the reported quality of free child healthcare, with 32 per cent saying that services for children under 6 years old were excellent, compared to 23 per cent in 2015.

However, the index indicated that the declining control of corruption in the public sector continued in 2016, with noticeable spikes in the number of respondents saying they had to pay bribes for State employees for land use right certificates, and for teachers to pay sufficient attention to their children in public primary schools.

Poverty remained the most important issue for respondents. However, 2016 witnessed a 10 per cent increase compared to 2015 in the number of respondents saying the environment was the issue of greatest concern. This sudden rise was related to the widespread reporting on mass fish deaths along central region in April 2016. The survey also revealed concerns about increasing air and water pollution in many parts of the country.

The survey results also showed that public administrative service was gradually picked up. Citizens were generally more satisfied with procedures of registration for construction permits and personal identity public services at commune/ward level. Land-use rights certification service scored the lowest among four PAPI public administrative services measured. The PAPI findings also revealed a wide gender gap in land use signatures: 13 per cent more men have their names on land use rights certificates than women, and in rural areas the difference is nearly 19 per cent. This was almost entirely due to married women not signing the certificates.

The downward trend in land seizures continued: about 6.8 per cent of respondents reported having land taken in 2016, lower than the level in 2015 (7.4 per cent) and 2014 (5.7 per cent), far less than the average of 9 per cent for each year prior to passage of the revised Land Law of 2013.

Among 18 best performing provinces/cities, eight were the northeast (Phu Tho, Hai Duong, Bac Ninh, Bac Giang, Nam Dinh, Thai Binh, Hung Yen, and Ninh Binh), five in the central coastal region (Ha Tinh, Da Nang, Quang Binh, Quang Tri and Binh Dinh) and three in the Mekong Delta (Can Tho, Ben Tre and Dong Thap). Notably, Nam Dinh, Ha Tinh, Quang Tri and Da Nang maintained their overall best performance status for six years in a row, from 2011 to 2016. Oppositely, Yen Bai, Lang Son, Cao Bang, Ha Giang, Lai Chau, Ca Mau, Bac Lieu, Tra Vinh, and Kien Giang were the worst performers.

Anh Mai








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