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THE PRIME MINISTER OF GOVERNMENT
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SOCIALIST REPUBLIC OF VIET NAM
Independence - Freedom - Happiness
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No:
77/2002/QD-TTg
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Hanoi, June 17, 2002
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DECISION
APPROVING THE PROGRAM ON PREVENTING AND
COMBATING SOME NON-CONTAGIOUS DISEASES IN THE 2002-2010 PERIOD
THE PRIME MINISTER
Pursuant to the December 25,
2001 Law on Organization of the Government;
Pursuant to the June 30, 1989 Law on Protection of the People’s Health;
Pursuant to the Prime Minister’s
Decision No. 35/2001/QD-TTg of March 19, 2001 approving the "Strategy for
protection of and care for the people’s
health in the 2001-2010 period";
At the proposal of the Minister of Health,
DECIDES:
Article 1.- To approve the
"Program on preventing and combating some non-contagious diseases in the
2002-2010 period", comprising cardiovascular diseases, cancer, diabetes
and mental health disorder (epilepsy and depression), with the following major
contents:
1. Objectives:
To reduce the morbidity and
mortality rates of sufferers from non-contagious diseases, comprising
cardiovascular diseases, cancer, diabetes and mental health disorder,
concretely as follows:
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- To reduce by 5-10% the number
of patients suffering from rheumatic valvulopathy;
- To reduce by 15-20% the rate
of cerebro-vascular catastrophes among hypertension patients;
- To reduce by 5-10% the number
of patients dead due to heart attack;
- To increase by 50% the number
of patients having their hypertension managed and treated;
- To increase by 30-40% the
number of patients having their heart failure supervised and treated.
b) To reduce the morbidity and
mortality rates of cancer patients and to improve the quality of their life:
- To reduce the morbidity rates
of tobacco-related cancers to 30% as compared with the figures of 2000;
- To effect the vaccination
against B hepatitis for 100% of newborns;
- To reduce the mortality rates
of sufferers from some types of cancer like breast cancer, cervix cancer,
palate cancer, and colon-rectum cancer;
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c) To reduce the morbidity,
complication and mortality rates of diabetes patients:
- To reduce by 50% the elements
that cause the danger of diabetes development among the community;
- To treat and make a list of
diabetes patients for monitoring and guidance so that 100% of detected patients
can control their ailments by themselves.
d) To reduce the morbidity and
mortality rates as well as the social affect of mental diseases:
- To reduce the morbidity and
recrudescence rates of epilepsy, and the social disturbance caused by epileptic
patients:
+ To reduce the recrudescence
rate to below 30% as compared with 2000�s
figure; 100% of recrudesced patients shall be treated;
+ To reduce the rate of those
who cause social disturbance to below 30% (12,150 patients) as compared with
2000�s figure (40,500 patients);
+ To reduce the rate of those
who cause harms to the society to below 40% (16,200 patients) as compared with
2000�s figure (40,500 patients);
+ To reduce the rate of those
who suffer from chronic diseases or lose their working capacity to below 20%
(9,000 patients) as compared with 2000�s
figure (270,000 patients).
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- To reduce the recrudescence
rate to below 20% of the total number of depression patients (in 2000, the
depression patients represented 2.47% of the population);
- To reduce the suicide rate to
below 15% of the total number of depression patients;
- To reduce the rate of those
who suffer from chronic diseases or lose their working capacity to below 50% of
the total number of depression patients.
2. Solutions:
a) To consolidate the network of
preventing and combating basic non-contagious diseases at the central,
provincial as well as district and communal levels.
b) To integrate the activities
of the programs on preventing and combating diseases belonging the group of
basic non-contagious diseases with a view to saving to the utmost the human,
material and financial sources and raising the operation efficiency of the
Strategy.
c) To enhance the application of
the measures of prophylaxis and health education.
d) To detect diseases soon and
to improve the effectiveness of treatment, care and functional rehabilitation
for patients.
e) To conduct epidemiological
research, monitoring, surveillance and assessment, and exchange information
thereon.
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g) To formulate policies in the
field of non-contagious disease prevention and combat.
h) To mobilize the ministries,
branches and community to actively and comprehensively take part therein.
i) To expand and raise the
efficiency of international cooperation in the field of non-contagious disease
prevention and combat.
3. Implementation funding:
Funding for the implementation
of the Program shall come from the following sources:
- The State budget;
- Aids from organizations at
home and abroad;
- Borrowed capital from the ODA
source and development support funds at home and abroad;
- Contributions of patients in
the forms of hospital fees and health insurance premiums.
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Article 2.- The Ministry of
Health shall have to coordinate with the Ministry of Planning and Investment,
the Ministry of Finance and the concerned ministries and branches in
formulating the implementation plan, working out annual plans, and organizing,
guiding, inspecting, and supervising the implementation thereof; make annual
reports to the Prime Minister on the implementation tempo and results, and
organize the preliminary and sum-up reviews after 5 years and 10 years.
Article 3.- This Decision takes
effect 15 days after its signing.
Article 4.- The ministers, the
heads of the ministerial-level agencies, the heads of the agencies attached to
the Government and the presidents of the People’s
Committees of the provinces and centrally-run cities shall have to implement
this Decision.
FOR THE PRIME MINISTER
DEPUTY PRIME MINISTER
Pham Gia Khiem