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THE
MINISTRY OF PUBLIC HEALTH
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SOCIALIST
REPUBLIC OF VIET NAM
Independence - Freedom - Happiness
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No:
2468/1999/QD-BYT
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Hanoi,
August 17, 1999
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DECISION
ISSUING THE "REGULATION ON THE FUNCTION, TASKS AND
ORGANIZATION OF THE APPARATUS OF THE PREVENTIVE MEDICINE CENTERS UNDER THE
HEALTH SERVICES OF THE PROVINCES AND CENTRALLY-RUN CITIES AND THE PREVENTIVE
MEDICINE TEAMS UNDER THE HEALTH CENTERS OF THE DISTRICTS, TOWNS AND CITIES
UNDER THE PROVINCES."
THE MINISTER OF HEALTH
Pursuant to Decree No. 68/CP of October 11,
1993 of the Government providing for the function, tasks, powers and
organization of the Ministry of Health;
Pursuant to the Inter-ministerial Circular No. 02/1998/TTLT-BYT-BTCCBCP of June
27, 1998 of the Ministry of Health and the Government Commission for
Organization and Personnel guiding the implementation of Decree No.
01/1998/ND-CP of January 3, 1998 of the Government on the system of local
health organizations;
At the proposals of the Head of the Organization and Personnel Department and
the Head of the Preventive Medicine Department,
DECIDES:
Article 1.- To issue
together with this Decision the "Regulation on the function, tasks and
organization of the apparatus of the Preventive Medicine Centers under the
Health Services of the provinces and centrally-run cities and the Preventive
Medicine Teams under the Health Centers of the districts, towns and cities under
the provinces".
Article 2.- This
Decision takes effect 15 days after its issue. The other regulations which are
contrary to the stipulations in this Decision are now annulled.
Article 3.- The head of
Office, the head of the Organization and Personnel Department, the Head of the
Preventive Medicine Department of the Ministry of Health, the Directors of the
Health Services of the provinces and centrally-run cities and the heads of the
concerned units shall have to implement this Decision.
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MINISTER OF HEALTH
Do Nguyen Phuong
REGULATION
ON THE FUNCTION, TASKS AND ORGANIZATION OF THE APPARATUS OF
THE PREVENTIVE MEDICINE CENTERS UNDER THE HEALTH SERVICES OF THE PROVINCES AND
CENTRALLY-RUN CITIES AND THE PREVENTIVE MEDICINE TEAMS UNDER THE HEALTH CENTERS
OF THE DISTRICTS, TOWNS AND CITIES UNDER THE PROVINCES
(Issued together with Decision No. 2468/1999/QD-BYT of August 17, 1999 of
the Minister of Health)
A. THE PREVENTIVE MEDICINE
CENTERS UNDER THE HEALTH SERVICES OF THE PROVINCES AND CENTRALLY-RUN CITIES
I. POSITION AND FUNCTION
The Preventive Medicine Center under the Health
Service of the province or centrally-run city (hereunder commonly called the
province) is a non-business unit under the Health Service with the function of
acting as consultant and organizer for the performance of preventive medicine
work in the province.
The Preventive Medicine Center is a unit having
the legal person status, a separate office and seal and is authorized to open
its own account at the State Treasury.
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1. Basing itself on the plan for development of
health work in the province, the guidance of the Ministry of Health and the
realistic situation in the locality, it shall work out the preventive medicine
plan to submit to the leadership of the Health Service and carry out the plan
after it is approved.
2. To manage and organize the implementation of
all aspects of preventive medicine in the locality including: Prevention and
fight against epidemics, environmental hygiene, labor hygiene, prevention and
fight against malaria, goiter, AIDS, medical epidemics control... Surveys to
monitor the situation of epidemics causing infectious diseases in order to work
out concrete and timely plans of prevention and combat.
3. To check the quality of food and food hygiene
and safety.
4. To direct and organize the carrying out of
the programs of preventive medicine, to review and evaluate the effectiveness
of each program, to carry out the integration of the programs at the unit with
a view to obtaining high results in the process of execution.
5. To coordinate with the Health Mass
Communication and Education Center of the province in order to work out the
plan and contents, to direct and organize health mass communication and
education to prevent and fight against epidemics and diseases among the
population.
6. To take part in training and retraining in
preventive medicine according to the plans of the locality and Central
Government for specialist officials and other cadres.
7. To manage and organize the effective implementation
and use of the resources of the State and the programs such as budget,
medicines, materials... to settle the accounts in time and according to
prescriptions of the State and the Ministry.
8. To research on and take part in scientific
research on preventive medicine, to apply scientific advances aimed at meeting
the practical needs of the locality.
9. To organize the execution of preventive
medicine services. To collect medical charges and fees of preventive medicine
as prescribed.
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11. To perform other tasks and powers as
assigned by the Health Service.
III. ORGANIZATION OF THE
APPARATUS
1. Organization:
1.1. Leadership of the Center: The Director and
two assisting Deputy Directors with educational standard from First Grade
specialist doctor or master upward.
1.2. Specialized sections:
- The Planning and Financial Accounts Section
- The Administrative and Organization Section.
1.3. Specialized departments:
- The Epidemiology Department
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- The Environmental Health Department
- The Department for Quality Check of Food
Hygiene and Safety
- The Malaria and Goiter Department
- The Prevention and Fight against AIDS
Department
- The Border Medical Epidemics Control Department
- The Laboratory Department
2. Labor norms: As prescribed in current State
regulations
3. Tasks of each department and section:
3.1. The Planning and Finance Section:
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- To monitor all aspects of activities of the
Center, to collect information, to inventorize and report data from the
district Health Centers to the higher level, to be accountable for the data it
has reported and seriously carry out the reporting regimes as prescribed by the
Ministry.
- To manage and allocate budget and materials
according to approved plans, and take responsibility for the final settlement
of accounts as prescribed.
- To work out the plan for the purchase of
materials, chemicals, medicines...
- To work out the plan and organize the training
and professional fostering of cadres for the Center and the lower level.
3.2. The Administrative and Organization
Section:
- To take full responsibility for the
administrative work of the Center, to purchase materials and equipment...
according to the approved plan in service of the activities of the Center.
- To manage the materials, properties and to
mobilize the means as planned by the Director of the Center.
- To act as manager and consultant for the
Director of the Center in personnel work, to carry out the regime and policies
related to preventive medicine according to the State regime and the
regulations of the Ministry of Health.
- To coordinate with other departments in
organizing seminars and refresher courses according to the yearly plans.
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- To manage the situation of the infectious and
epidemic diseases in the locality. To regularly survey, supervise and detect
epidemics, to have a firm grasp of infectious diseases in the locality, on
which basis to work out plans for preventing, fighting and controlling them
positively in full initiative.
- To organize and direct the adoption of urgent
measures of prevention against epidemics whenever they break out. To perform
and observe dutifully the reporting regime as prescribed. The information and
report must be adequate, accurate and timely.
- To determine in time the factors causing
infectious and epidemic diseases, especially diarrhoea, bubonic plague, food
poisoning... in order to take the initiative in adopting effective plans of
prevention and fight. To cooperate with the medical examination and treatment
establishments in adopting measures to report on epidemics, quarantine,
treatment and first aid, to organize the treatment at the epidemic breeding
grounds and handle these grounds in order to seclude and quickly stamp out the
epidemics and limit the death rate.
- To organize the management of the epidemics
breeding grounds, to monitor the development of the epidemics, collect
information, data, to make statistics and reports, draw up maps and charts of
the epidemics, keep file on data...
- To work out the plan for training and
upgrading cadres for the lower levels in epidemiology, carry out research
projects in service of the prevention and fight against epidemics and control
epidemics in the locality.
- To work out the plan for materials to prevent
and fight against epidemics including medicines, chemicals, specialized means
and equipment... to meet the regular need and support for the lower level.
- To organize the adoption of anti-septic and
disinfection measures, insecticide and rat killing.. To regularly supervise the
epidemic vectors in order to warn against the danger of epidemics related to
these vectors and adopt plans for prevention.
- To carry out programs and projects against
infectious diseases.
3.4. The Labor Health Department:
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- To manage the basic health network at the
factories, enterprises, construction sites, farms and forestry farms... under
the ministries, branches and various economic sectors located in the locality.
To provide guidance for the laborers about labor hygiene and primary health
care.
- To organize periodical health check, to
examine for occupational diseases and take part in the evaluation of
occupational diseases for the laborers. To manage the laborers’ health, to draw
up health registers, classification of health, inventorize the situation of
occupational diseases, the sickness and labor accident rate of the production
units located in the locality.
- To organize an occupational disease consulting
room.
- To connect and coordinate with the Labor
Health Center of the branches, corporations, and unions of enterprise to
control and manage the situation of environmental pollution at the production
units located in the territory in order together to take measure to control and
solve environmental pollution.
- To inspect and determine the chemicals
according to the prescribed list, to popularize the measures to prevent
chemical poisoning. To control the use of chemicals which require strict
control in labor hygiene and to direct the initial treatment after poisoning.
- To organize and carry out the training of
specialists and other persons.
- To take part in research to control the rate
of occupational diseases and to determine them in order to supplement the list
of occupational diseases.
3.5. The Environmental Health and Educational
Health Department:
- To manage the hygiene of drinking water sources,
to inspect regularly and monitor the quality of drinking water and living water
source of the population, to supervise the implementation of measures of
protection and treatment aimed at ensuring the prescribed hygiene criteria. To
take part in the examination and approval of the projects of clean water supply
in the locality.
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- To cooperate with the Environmental Service to
manage and evaluate the impact of waste water on health.
- To manage the situation of environmental
health in public places such as theatres, movie houses, hotels, schools, shops,
cemeteries, hospitals, sanatoria, rest and recreation centers...
- To take part in the approval of the hygiene
aspect of the projects of urban and rural development of the locality.
- To take part in the management and
professional and organizational guidance in the training in educational health
in the locality.
- To organize the implementation of the programs
and projects related to environmental health and educational health in the
locality
3.6. The Department for Quality Control of Food
Hygiene and Safety:
- To work out the plan, direct and carry out
food sanitation and safety and nutrition. To supervise and inspect the observance
of current regulations on food hygiene and safety in the province.
- To conduct inter-ministerial coordination in
inspecting and supervising the quality of sanitation and safety of food
circulated on the market including food produced in the country and for export.
- To monitor, inspect, examine and supervise the
establishments producing, processing, circulating and dealing in food and the
catering establishments in the territory under its management.
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- To organize health checks and examinations for
infectious diseases among the unaffected who might transmit germs to persons
directly producing, processing or servicing at the food establishments,
catering establishments including joint venture establishments.
- To guide the lower echelon in carrying out
supervision and inspection of the quality of food sanitation and safety at the
food producing, processing and catering establishments.
- To cooperate with related units in
investigating food poisonings.
- To organize professional training for
specialist workers and other subjects in the province.
- To carry out the statistical and reporting
regime as prescribed.
3.7. The Malaria-Goiter Department:
- To build and organize the deployment of the
plan and preventive measures against malaria and parasitic diseases and to
prevent and fight against goiter.
- To materialize the national target of preventing
and fighting against malaria and the national target of preventing and fighting
against ailments caused by iodine deficiency.
- To organize the supervision of vectors related
to malaria and other parasitic diseases.
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- To carry out education in the prevention and
fight against malaria, parasitic diseases and goiter.
- To take part in the training and professional
fostering for specialists and other subjects.
- To carry out the statistical and reporting
regime as prescribed.
3.8. The Prevention and Fight Against AIDS
Department
To carry out the specialization and profession
of the Committee for Prevention and Fight against AIDS of the Health Service
according to Decision No. 1716/1999/QD-BYT of June 4, 1999 of the Minister of
Health.
3.9. The Border Medical Epidemics Control
Department:
- To organize, guide and inspect the performance
of border medical epidemics control, to regularly supervise the infectious
diseases at the border gates as prescribed.
- To inspect and issue medical epidemics control
certificates to people, goods, postal mails and parcels and the transport means
passing through the borders and conduct medical handling as currently
prescribed.
- To inspect and supervise the observance of
sanitary measures for the suppliers and caterers of food and drinks, living
water and the transport means of these establishments in the areas of the
border gates.
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- To organize the collection of charges and fees
on epidemic control as prescribed.
- To carry out the statistical and reporting
regime as prescribed.
3.10. The Laboratory Department:
- To conduct tests as required by preventive
medicine. To set up a separate laboratory for each domain.
- To study the acceptance of new laboratory
techniques in service of diagnostics.
- To take part in the training of specialists
and other subjects.
- To ensure the production and preparation of
medium and laboratory chemicals to supply on request for the district level in
service of the prevention and fight against diseases and epidemics.
- To conduct the laboratory service in
preventive medicine as currently prescribed.
- To apply uniformly the technical norms of
laboratory already issued by the Ministry of Health, to popularize these
techniques to the different echelons. To inspect and evaluate the application
of the technical norms already agreed upon.
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- To carry out the statistical and reporting
regime as prescribed.
Basing himself on the staff and the actual
situation in each locality, the director of the Center shall propose the
staffing of the groups in the Department and Sections in a way conformable with
the tasks and function.
IV. OPERATIONAL BUDGET:
1. Expenditures shall be taken from the health
service budget.
2. From the budget of the target national health
programs.
3. From the collection of charges and fees of
preventive medicine.
4. From the aid fund and other sources.
V. WORK RELATIONS
1. The Provincial Preventive Medicine Center is
directly managed and guided by the medical service of the province.
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3. The Provincial Preventive Medicine Center
holds cooperative relations with the medical units attached to the Medical
Service of the province.
4. The Provincial Preventive Medicine Center
holds cooperative relations with the specialized agencies in the province and
the Medical Services of the Ministries and branches.
5. The Provincial Preventive Medicine Center is
responsible for managing and directing professionally the Health Centers of the
districts in preventive medicine.
B. PREVENTIVE MEDICINE TEAM
UNDER THE HEALTH CENTER OF THE DISTRICT, TOWN OR CITY UNDER THE PROVINCE
I. POSITION AND FUNCTION
The Preventive Medicine Team of the Health
Center of the district, town or city under the province (hereafter commonly called
the district) is a specialized technical unit under the district Health Center
having the function of organizing the carrying out of preventive medicine in
the district.
II. TASKS
1. Epidemiology-Malaria-Goiter- Prevention and
Fight against Social Diseases:
- To conduct surveys, to monitor the situation
of communicable and epidemic diseases, malaria, goiter and social diseases in
the locality through the results of the medical examinations and treatment at
the district hospital, the regional policlinical consulting room, the medical
stations at the villages, wards or towns and the mobile Medical Teams in order
to adopt monthly, quarterly and yearly plans of prevention and fight against
diseases and epidemics.
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- To closely control the old epidemic grounds,
to take specialized technical measures to check the occurrence and spread of
epidemics and eventually to control and stamp them out.
- To organize vaccinations in the locality, the
distribution and maintenance of vaccines and bio-products aimed at ensuring the
requirements of the project and of the Ministry of Health.
- To control the malaria situation in the
locality, to work out the plan and organize its execution, to urge the
communes, wards and medical establishments, the agencies, construction sites,
farms and factories located in the locality to closely monitor malaria, to take
blood samples for test of malaria germs…
- To manage and organize the prevention and
fight against ailments caused by the deficiency of iodine in the locality, to
survey the actual situation of the disease, and work out a plan for activities
according to the approved plan.
- To work out yearly plans for the needs in
expenditures, medicines, chemicals... for the prevention and fight against
diseases and epidemics, the prevention and fight against malaria and goiter and
social diseases in the year, quarters and months in the locality and of the
team. To organize the distribution and allocation of medicines according to
plan and to guide their use and maintenance…
- To make statistics, work out maps and charts
of the types of epidemics in the locality and strictly observe the reporting
regime as prescribed.
2. Sanitation: environmental hygiene, labor
hygiene, food hygiene and safety
- To guide and mobilize the population to build
and repair sanitary works like latrines, water wells, bathrooms and livestock
sheds... according to the yearly plan and the technical requirements, to
regularly monitor the quantity and quality of the different kinds of sanitary
works in the locality.
- To supervise and inspect the quality of
drinking water and living water.
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- To inspect and supervise food hygiene and
safety, to draw up the sanitation dossier for each establishment that supplies
food and catering service in the locality. To organize regular inspection aimed
at detecting and handling in time the unhygienic condition of food. To
investigate food poisonings and take samples for test.
- To examine or cooperate in examining the
establishments producing and dealing in food which have been assigned with
definite tasks so that the district medical center cn issue certificates to
them.
- To campaign for and inspect and promote the
observance of the regulations and requirements on anti-epidemics hygiene in the
communes, wards, towns, agencies, factories, construction sites, farms and
forestry farms and schools.
- To guide the health service at the schools.
- To draw up labor sanitation dossiers and
inspect and urge the factories, construction sites, farms and forestry farms to
carry out measures to overcome noxious elements arising during the process of
production and ensure labor sanitation requirements, to prevent and fight
against occupational diseases for the laborers.
- To organize periodical health check-ups for
laborers in the small and medium enterprises in the locality.
- To guide, inspect and urge the implementation
of the regulations on hygiene and labor safety in the medical establishments.
To guide the population in the maintenance, use and prevention of poisoning in
the use of plant protection substances.
- To coordinate with the specialized branches in
the locality in organizing the inspection of the observance of the regimes and
policies of the State regarding the protection of the health of laborers.
3. Testing work:
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- To take step by step the following tests:
+ To take samples for test and send them to the
higher echelon the following: pathological samples, samples of water, food, dust
and noxious gas…
+ To directly test for eggs of helminths and
dysentry germs, amocbac, malaria germs, and tests of iodine deficiency…
+ To cultivate bacteria
III. ORGANIZATION
1. Organization:
- The leadership of the team comprises: the Team
Leader and one or two assisting Deputy Team Leaders
- Depending on the size of the staff and the
needs of the work, a number of work groups may be set up.
2. Staff: As prescribed by the present
regulations of the State.
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The budget lies in the budget of the district
Medical Center.
V. WORK RELATIONS
1. The Preventive Medicine Team is directly
managed and guided by the district Medical Center.
2. The Preventive Medicine Team is managed and
directed professionally by the Preventive Medicine Center and the other centers
of the preventive medicine system of the Health Service of the province.
3. The Preventive Medicine Team holds
coordinative relations with the Clinical Department and Para-Clinical
Departments, the other Preventive Medicine Teams, the Regional Policlininal
Consulting Rooms, the Regional Maternity Homes and the specialized sections of
the district Health Center.
4. The Preventive Medicine Team is responsible
for managing, directing and performing preventive medicine work in the whole
district.
MINISTER OF HEALTH
Do Nguyen Phuong
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