Starting in the late 1980s, economic reforms and a dramatically improved business climate have allowed Vietnam to become one of the fastest-growing economies in the world. For example, the gross domestic product rose by at least 6.5 percent every year between 1990 and 2007. A shift away from a centrally planned economy to a more market-oriented economic model has improved the quality of life for many Vietnamese. In the past decade, Vietnamese industries have made large strides to increase exports of agricultural products and manufactured goods, leading to the rapid expansion of investment and trade opportunities for Vietnam’s global partners. Emphasis on democratic solidarity means that civil society is benefiting from the country’s economic successes. Basic health indicators reveal marked improvements in the general welfare of the populace, however, medical facilities in Vietnam frequently lack medicines and supplies, and preventable diseases such as malaria, tuberculosis, polio, and typhoid persist. Avian influenza and HIV also require urgent efforts if they are to be contained. While Vietnam has built an extensive grassroots health care network with the ability to address many of the country’s pressing concerns, the health care workforce lacks experience and expertise in strategic planning and policy implementation. MSH began providing technical assistance in 2005 for the management and distribution of the pharmaceuticals required for tuberculosis and HIV & AIDS patients. Strategic management of this pharmaceutical supply chain is the focus of MSH’s work in Vietnam. By implementing a practical approach at the provincial level, MSH has been able to work in concert with the Vietnamese health care work force and its supporters.