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Implementing the RAPIA in Vietnam had as its aim to clearly identify the barriers to medicines and care that people with diabetes in Vietnam face in order to affect sustainable change in addition to increasing the data on diabetes and its financial impact on the health system and people with this condition. Following this initial assessment the information provided will allow specific projects to be developed to address problems identified in order to improve diabetes care and access to medicines for this condition in a sustainable manner. It will also help develop a health system capable of tackling the growing challenge of chronic diseases.
Past implementations of the RAPIA have lead to: Improved access to insulin and other medicines for diabetes Improved purchasing measures and decreased prices for insulin and medicines for diabetes Development of diabetes associations Development of national policies for diabetes and non communicable diseases Funding for diabetes projects Improvement in care for people with diabetes Increased awareness within the country where the RAPIA was implemented and internationally about the problems of diabetes
This is the first implementation of the RAPIA in Asia and this will help to see if the lessons learned from implementations in sub-Saharan Africa and Latin America are valid in the Asian context.
It has been proposed that Type 1 diabetes can be used as a tracer condition to measure the ability of a health system to provide care for all chronic conditions. This would mean that this research would also have an impact for all chronic conditions and on the large and increasing burden of people with Type 2 diabetes.
There is a need for the Vietnamese health system to develop models for managing chronic disease in order to address the potential human and economic impact of the rising trend of chronic diseases, which may overburden both the health system and households and therefore impact development. The implementation of the RAPIA will result in concrete recommendations for the health system in Vietnam to ensure that the negative effects of globalisation and economic development are not jeopardized by increasing levels of chronic conditions. Health
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