Thông tư 43/2025/TT-BYT hướng dẫn chức năng, nhiệm vụ của Trạm Y tế

CIRCULAR

GUIDANCE ON FUNCTIONS, DUTIES, POWERS AND ORGANIZATIONAL STRUCTURE OF HEALTH STATIONS OF COMMUNES, WARDS AND SPECIAL ZONES OF PROVINCES AND CITIES

Pursuant to the Law on Government Organization dated February 18, 2025;

Pursuant to the Law on Organization of Local Government dated June 16, 2025;

Pursuant to the Resolution No. 190/2025/QH15 dated February 19, 2025 of the National Assembly on settlement of certain issues related to reorganization of state apparatus;

Pursuant to the Government's Decree No. 120/2020/ND-CP dated October 07, 2020 on establishment, reorganization and dissolution of public service providers, amended by the Government’s Decree No. 283/2025/ND-CP dated October 31, 2025.

Pursuant to the Government's Decree No. 42/2025/ND-CP dated February 27, 2025 on functions, duties, powers and organizational structure of the Ministry of Health;

At the request of the Director of Personnel and Organization Department;

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Chapter I

GENERAL PROVISIONS

Article 1. Scope

This Circular provides guidance on functions, duties, powers and organizational structure of health stations of communes, wards and special zones of provinces and cities (hereinafter referred to as “commune-level health stations”)

Article 2. Legal position

1. Commune-level health stations are public health service providers affiliated to People's Committees of communes, wards and special zones of provinces and cities (hereinafter referred to as “commune-level People's Committees”).

2. Commune - level health stations have juridical personality, their own head offices, seals and accounts; and have their accounts opened at the Vietnam State Treasury and banks in accordance with the law.

3. Commune-level health stations are subject to direct direction and management by commune-level People's Committees in terms of apparatus organization, human resources, assets, and finance; at the same time, are subject to direction and inspection by, and provided with support and guidance by provincial Departments of Health and relevant units according to regulations of law.

Chapter II

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Article 3. Functions

Commune-level health stations provide and operate professional and technical services in the fields, including disease prevention; medical examination and treatment; management and improvement of public health; protection and provision of care for mothers and children; provision of care for the elderly and people with disabilities; social protection; population; food safety; pharmaceuticals; medical equipment and other health services as prescribed by law.

Article 4. Duties and powers

1. Regarding disease prevention and improvement of public health:

a) Conduct professional and technical operations in terms of prevention and control of communicable diseases and HIV/AIDS, including supervision, screening and early detection of infected people; vaccination and preventive treatment; and implementation of measures for preventing and controlling epidemics, remedial measures against epidemics and measures for preventing and controlling risks that cause the outbreak and spread of epidemics and diseases according to regulations of law;

b) Conduct professional and technical operations in terms of  prevention and control of non-communicable diseases, including supervision, control and prevention of risks; supervision, screening, detection, management, provision of advice, monitoring and provision of health care for vulnerable people and people suffering from non-communicable diseases in the community; and implementation of measures for preventing and controlling non-communicable diseases according to regulations of law;

c) Follow and provide professional and technical guidance on community nutrition; school health; supervision of the quality of clean water used for domestic purposes; occupational hygiene, prevention and control of occupational diseases and accidents and injuries in the community as per law;

d) Follow and provide guidance on environmental protection, environmental health, and burial and cremation hygiene in cases of death due to dangerous epidemics; prevent and combat against harmful effect on tobacco, alcohol, beer and other risks harmful to health according to regulations of law;

dd) Manage communicable diseases and HIV/AIDS, non-communicable diseases, diseases of unknown cause and risks affecting health.

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a) Give first aid and emergency aid in cases of emergency, accidents, and urgent situations occurring within their communes according to regulations of law;

b) Fulfill duties of primary medical examination and treatment and rehabilitation facilities towards patients within the scope of professional operations approved by competent authorities and in accordance with regulations of law;

c) Give medical examination and treatment in the field of family medicine as per law:

d) Manage, monitor, give medicine and outpatient treatment to people suffering from chronic diseases within their communes according to regulations of law;

d) Conduct medical examination and treatment, using traditional medicine combined with traditional medicine and modern medicine; apply, inherit and develop medicinal prescriptions, preserve local medicinal plants and medicinal animals as per law;

e) Organize periodic health check-ups and medical examination to screen diseases and disabilities for local people when the conditions are satisfied according to regulations of law; take pre-enlistment medical examination for military service and participate in medical examination for military service and public security service as per law;

g) Manage and treat addiction to opium with substitution drugs, and treat addiction to other substances and HIV/AIDS according to regulations of law;

h) Organize implementation of community-based rehabilitation activities for people with disabilities and people suffering from chronic diseases as per law.

3. Regarding protection and provision of care for mothers and children and reproductive healthcare:

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b) Give health care and nutrition to mothers, infants and children; and reproductive health care as per law;

c) Cooperate in performing duties related to children within their communes as per law.

4. Regarding food safety:

a) Prevent food poisoning; cooperate in investigation, tracing, supervision, handling of and implementation of remedial measures against food incidents, food poisoning and foodborne diseases; monitor food contamination risks within their communes according to regulations of law;

b) Give guidance on and supervise food safety for street food; cooperate in provision of guidance for and supervision of local food production and business establishments and food service providers in order to ensure food safety according to regulations of law.

5. Regarding population:

a) Give advice on pre-marital health; prenatal and newborn screening; family planning, infertility prevention measures in the community and other population services as prescribed by law;

b) Organize premarital health check-ups; prenatal and newborn screening; and provision of family planning services as prescribed by law;

c) Make interdisciplinary cooperation to conduct population activities; maintain replacement fertility; reduce gender imbalance at birth, improve quality of population and provide health care for the elderly to adapt to population ageing within their communes according to regulations of law.

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a) Provide social work services: receive, select, assess needs and support the elderly, people with disabilities, children, victims of trafficking, violence, people suffering from mental disorders or psychiatric disorders; provide advice and support for psychology, connect with and transfer patients to relevant facilities and organizations according to regulations of law;

b) Manage cases, monitor, supervise and intervene in cases in the community; cooperate with organizations, unions, individuals and networks of social work collaborators in the community to conduct social work activities in accordance with the law.

7. Regarding management and provision of medicine, vaccines, chemicals and medical equipment:

a) Purchase, receive, provide, manage, preserve, distribute, and use medicine, vaccines, chemicals, and medical equipment according to regulations of law;

b) Provide guidance on use of and use medicine in a safe and rational manner in accordance with the law.

8. Regarding health communication and education:

a) Propagate and disseminate the Communist Party's policies and the State's laws on health;

b) Disseminate information and encourage people to participate in protection, care and improvement of health; provide information related to epidemics, food safety, population, social protection and other information in the health sector according to regulations of law.

9. Establish and manage personal health records within their jurisdiction according to regulations of law.

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11. Prevent, manage and take remedial measures against natural disasters and respond to medical emergency.

12. Provide medical support and cooperation for local agencies, units and organizations; give professional guidance to medical staff in villages, residential groups, midwives in villages, hamlets, population collaborators, child protection collaborators and social work collaborators within their communes.

13. Provide training and refresher training for medical staff:

a) Organize professional training and refresher training for public employees and employees within their jurisdiction according to regulations of law;

b) Participate in training and refresher training and update professional knowledge and skills for medical staff in villages, residential groups, midwives in villages, hamlets, population collaborators, and other people according to regulations issued by competent authorities.

14. Participate in health projects and programs according to regulations issued by competent authorities; conduct military-civilian medical cooperation in conformity with characteristics, actual situation and in accordance with regulations of law.

15. Sign contracts with social insurance authorities to organize medical examination and treatment covered by health insurance at commune-level health stations according to regulations of the law on health insurance.

16. Perform duties related to management of quality; conduct research and participate in scientific research and development of technology; apply scientific and technical development to professional operations; conduct international cooperation in conformity with the actual situation and according to regulations of law.

17. Comply with statistics and reporting regulations; establish, consolidate and provide health database according to regulations of law.

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19. Purchase, receive, provide, manage, preserve, distribute, and use goods serving health operations and regular activities conducted by commune-level health stations.

20. Manage facilities, assets, equipment, human resources, finances and other resources assigned according to regulations of law.

21. Participate in inspection and supervision of compliance with regulations of law and regulations on health as per law.

22. Perform other duties and powers assigned by competent authorities as prescribed in law.

Chapter III

ORGANIZATIONAL STRUCTURE AND PERSONNEL

Article 5. Organizational structure

1. Leaders of a commune-level health station include:

Director and Deputy Director(s), and the number of Deputy Directors shall comply with the law and regulations issued by competent authorities.

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2. The commune-level health station shall have at least the following divisions:

a) Office or General Administration Division;

b) Division of Population, Children and Social Protection;

c) Department of Disease Prevention and Food Safety;

d) Department of Health Examination and Treatment;

dd) Pharmacy, Medical Equipment and Paraclinical Department;

e) Health sub-stations that are organizations affiliated to the commune-level health station and organized to carry out all or part of functions and duties of the commune-level health station to provide health services for the people.

3. The Director of the commune-level health station shall issue functions, duties of and working relationships with organizations affiliated to the commune-level health station.

Article 6. Job positions, number of employees and job title structure

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2. The list of job positions of the commune-level health station shall follow guidelines provided by the Ministry of Health and the Ministry of Home Affairs and meet its requirements.

3. The number of employees and the job title-based public employee structure of the commune-level health station shall be determined on the basis of job positions and workload within the scope of its functions, duties and operations assigned or approved by the competent authority. Every year, the commune-level health station shall formulate a plan for the number of employees and submit it to the competent authority for consideration and decision as per law.

Chapter IV

IMPLEMENTATION PROVISIONS

Article 7. Entry into force

1. This Circular comes into force from January 01, 2026.

2. The following regulations will cease to be effective from the effective date of this Circular:

a) The Circular No. 33/2015/TT-BYT dated October 27, 2015 of the Minister of Health;

b) Section 1 Part 3 of the Circular No. 05/2008/TT-BYT dated May 14, 2008 of the Minister of Health;

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1. During the period in which the arrangement and re-organization of commune-level health stations as public service providers have not been completed, according to the local actual situation, functions, duties and powers of commune-level health stations as prescribed in this Circular and the duties assigned by law to commune-level health stations, provincial People's Committees shall be responsible for:

a) issuing temporary regulations on functions, duties, powers and organizational structure of commune-level health stations within their jurisdiction to provide health services to local people in conformity with the actual situation in terms of human resources, facilities and medical equipment;

b) assigning units to directly manage commune-level health stations;

c) assigning Directors of provincial Departments of Health to direct and coordinate units within their jurisdiction to support commune-level health stations in technical expertise and human resources when necessary; request provincial People's Committees to assign units to sign contracts for medical examination and treatment covered by health insurance with commune-level health stations; and adequately provide medicine, chemicals, medical equipment and meet other necessary conditions to effectively conduct operations of commune-level health stations.

2. Regulations in clause 8, Article 69 of the Government’s Decree No. 188/2025/ND-CP dated July 01, 2025 are applied to commune-level health stations.

Article 9. Implementation responsibilities

1. People's Committees of provinces and cities shall direct and organize the implementation of this Circular to make sure that by the end of December 31, 2030, commune-level health stations are completely converted into public service providers affiliated to commune-level People's Committees.

2. Commune-level People's Committees, on the basis of the area, population size, nature, characteristics, natural and social conditions, workload, and the actual quantity of medical staff of each commune-level administrative division, shall decide specific functions, duties, powers and organizational structure of commune-level health stations within their jurisdiction.

Any problems and proposals that arise during the period of implementation should be promptly reported to the Ministry of Health (via Personnel and Organization Department) for consideration and handling./.

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MINISTER




Dao Hong Lan