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THE GOVERNMENT
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SOCIALIST
REPUBLIC OF VIETNAM
Independence – Freedom – Happiness
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No: 139/NQ-CP
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Hanoi, December
31, 2017
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RESOLUTION
PROMULGATING
THE GOVERNMENT’S PROGRAM OF ACTION FOR IMPLEMENTATION OF THE RESOLUTION NO.
20-NQ/TW DATED OCTOBER 25, 2017 FROM THE 6TH MEETING OF THE 12TH
CENTRAL COMMITTEE ON ENHANCEMENT OF PEOPLE’S HEALTH PROTECTION, CARE AND
IMPROVEMENT IN NEW CIRCUMSTANCES
THE GOVERNMENT
Pursuant to the Law on Government Organization
dated June 19, 2015;
Pursuant to the Resolution No. 20-NQ/TW dated
October 25, 2017 of the 6th Meeting of the 12th Central
Committee on enhancement of people's health protection, care and improvement in
new circumstances;
At the request of the Minister of Health,
HEREBY RESOLVES:
Article 1. Issue together with this Resolution the Government’s Program
of Action for implementation of the Resolution No. 20-NQ/TW dated October 25,
2017 from the 6th Meeting of the 12th Central Committee
on enhancement of people's health protection, care and improvement in new
circumstances.
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Article 3. The relevant Ministers, Heads of ministerial agencies, Heads
of the Governmental agencies, Chairpersons of province-level People’s
Committees, organizations and individuals shall be responsible for implementing
this Resolution./.
ON BEHALF OF
THE GOVERNMENT
PRIME MINISTER
Nguyen Xuan Phuc
THE GOVERNMENT’S PROGRAM OF ACTION
IMPLEMENTATION
OF THE RESOLUTION NO. 20-NQ/TW DATED OCTOBER 25, 2017 FROM THE 6TH MEETING OF
THE 12TH CENTRAL COMMITTEE ON ENHANCEMENT OF PEOPLE’S HEALTH PROTECTION, CARE
AND IMPROVEMENT IN NEW CIRCUMSTANCES
(Promulgated alongside the Government’s Resolution No. 139/NQ-CP dated
December 31, 2017)
The Resolution No. 20-NQ/TW dated October 25, 2017
of the 6th Meeting of the 12th Central Committee on
enhancement of people’s health protection, care and improvement in new circumstances
(hereinafter referred to as the Resolution No. 20-NQ/TW) has put forward the
following general objectives: Improve both physical and mental health, stature,
life expectancy and quality of Vietnamese people. Create a fair, high-quality,
efficient and internationally integrated medical system. Develop a scientific,
national and popular medicine. Ensure that all people have their health managed
and cared for. Build the health staff that treat patients with motherly
kindness and consideration, have high professional capacity and attain the
international level. Improve the competitiveness of production in supply chains
of pharmaceuticals and health services.
Pursuant to the primary directives, objectives,
missions, tasks and solutions specified in the Resolution No. 20-NQ/TW, the
Government promulgates the Program of Action for implementing the Resolution as
follows:
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1. Purposes
a) Determine the primary contents and tasks based
on which the Government, ministries, agencies and local governments focus on
direction and formulation of projects and tasks so that the tasks and solutions
can be carried out comprehensively, hence fulfilling this Resolution’s goals.
b) Create a major change in awareness and actions
of officials, agencies, local governments and the people with respect to
protection, care and improvement of people's health.
c) Ensure consistency in the Vietnam Communist
Party's leadership and the State’s management in protection, care and
improvement of people's health.
d) Overcome the limitations and difficulties in the
recent times in order to formulate reformative mechanisms and policies on
protection, care and improvement of people's health, ensuring the goals of the
Decree No. 20-NQ/TW are fulfilled, contributing to building and protecting our
country.
2. Requirements
a) Determine the primary tasks and solutions for
the ministries, agencies and local governments to formulate programs and plans
of action; conduct and implement inspection, supervision and evaluation of
implementation of the Government’s Resolution No. 20-NQ/TW and this Resolution.
b) Get the ministries, agencies, People’s
Committees at all levels, unions and people actively involved in protection,
care and improvement of people's health, with the medical sector as the main
force. Integrate the health goals and indices specified in this Resolution into
Socio-economic Development Plans of respective entities and local governments.
c) Require the relevant ministries, ministerial
agencies, governmental agencies, People’s Committees of all levels to act in
accordance with the Government’s Program of Action and their delegated
functions, responsibilities and powers to formulate specific plans and projects
relevant to protection, care and improvement of people's health.
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II. TASKS
1. Enhancement of leadership and direction of
ministries, ministerial agencies, governmental agencies and local governments
a) Ministries, ministerial agencies, governmental
agencies and province-level People’s Committees:
- Organize study sessions for the relevant agencies
and local governments in order for them to achieve full and profound
understanding of the contents of the Resolution No. 20-NQ/TW.
- Formulate and promulgate plans of actions of
ministries, agencies and local governments to implement the Resolution. The plans
of action have to follow the tasks and solutions stated in the Resolution
closely and are appropriate for the circumstances of the ministries, agencies
and local governments.
- Focus on leading and directing the protection,
care and improvement of people's health, regard this as one of the most
important political missions of all-level authorities, agencies and local
governments.
- Mobilize the Vietnamese Fatherland Front, the
people’s unions and the entire community in protection, care and improvement of
people's health. Delegate clear and specific responsibilities to each agency
and union for fulfilling the goals of and carrying out solutions for
protection, care and improvement of people's health.
- Frequently inspect, supervise the implementation
process in agencies, and carry out preliminary and full performance review of
the implementation process to give out awards.
b) Ministry of Health, other ministries and
agencies
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2. Improvement of people’s health
a) Ministry of Health
- Preside over and cooperate with relevant
authorities in researching, proposing mechanisms and policies, alongside
propagating and advocating increase of people’s awareness, sense of
responsibility, and change of behaviors of people, Party committees and local
governments in order to enhance protection, care and improvement of people's
health; prioritize preventive healthcare activities associated with local
healthcare such as: Developing nutritional regimens, school milk and nutrition
programs; assuring food safety, increasing physical activities; advocating the
people promoting the environmental sanitation , not smoking and not abusing
alcohol; enhancing school healthcare; preventing and controlling occupational
diseases, etc. in order to enhance the Vietnamese people’s physical fitness and
stature; preventing non-infectious diseases such as cardiac diseases, cancer,
diabetes, obesity, etc., reducing complications and deaths, increasing life
expectancy and quality of life.
- Formulate the Vietnam Health Program based on
connections between and synchronous implementation of projects and programs on
protection and improvement of Vietnamese people’s health and stature, and local
healthcare network building and development projects.
- Preside over and cooperate with relevant
ministries and authorities in formulation and promulgation of policies, national
technical code systems and national standards for ensuring food safety for
health within the ministry's scope of management.
- Formulate and implement effectively programs and
projects that can quickly decrease the health index gap between regions, enabling
all people residing in rural, mountainous and island areas to access services
that can help them improve their health, broaden their knowledge, change their
behavior and lifestyle for disease prevention and health improvement.
- Cooperate with the Ministry of Industry and Trade
and the Ministry of Agriculture and Rural Development in providing and
implementing guidelines and regulations in which sufficient nutritional
information and health warnings on packaged food products are required.
b) Ministry of Education and Training
- Preside over and cooperate with relevant
authorities in setting up projects on fundamental reform of physical and mental
education, increase of elective physical education subjects in school, closely
associated with physical activities outside of school. Enhance and reform
school healthcare closely connected with local healthcare establishments.
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- Formulate plans for implementation of a medical
insurance scheme for students.
c) Ministry of Ministry of Labor, Invalids and
Social Affairs
Preside over and cooperate with the Ministry of
Health and other relevant authorities in protection of employees’ health;
prevention of occupational diseases; ensuring occupational safety; prevention
of drowning among children, etc.
d) Ministry of Culture, Sports and Tourism
- Strongly develop fitness movements in agencies,
schools and communities. Make good use of sport institutions. Advocate and
provide the material facilities and space for physical training among the
people, protecting and improving their health in the process. Step up cultural
and sport activities in various forms.
- Step up the efforts in propagating and advocating
civilized, healthy and sanitary lifestyle.
e) Ministry of Industry and Trade
- Preside over and cooperate with other ministries
and authorities in prevention of counterfeit goods production and trade,
commercial fraud and consumer interest protection.
- Provide guidelines for and inspect food
production and trade facilities within the scope of regulations on nutrition,
increase supplementation of micronutrients in food products.
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- Preside over and cooperate with other ministries
and authorities in formulation of standards and codes for food safety,
controlling residuals of antibiotics, veterinary medications and pesticides
within the ministry’s scope of management.
- Formulate programs and projects alongside
propagating and advocating for rural environmental sanitation, clean water
access and use, sanitary lavatories.
- Develop the ecological system, ensure safe
production, transport and distribution of food.
- Cooperate with the Committee for Ethnic Minority
Affairs and other relevant authorities in propagating, advocating and directing
the implementation of rural environmental sanitation in ethnic minority and
mountainous regions.
g) Ministry of Science and Technology
Implement the contents relevant to the scientific
and technological mission, in order to increase the research capacity for
medical, pharmaceutical, biological science and technology at both regional and
global levels.
h) Ministry of Public Security
Preside over and cooperate with relevant
authorities in focus on directing drug prevention and rehabilitation.
i) Ministry of Natural Resources and Environment
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- Review and step up implementation of waste
treatment programs and projects; tackle pollutions in rivers, production facilities,
industrial parks, trade villages.
j) Ministry of Construction: Review the tasks of
water supply, drainage, social infrastructure planning within the ministry’s
scope of management, manage regular solid waste in urban areas, industrial
parks, construction material production facilities.
k) Ministry of Transport
- Implement solutions for ensuring environmental
sanitation in transport vehicles.
- Develop the transport infrastructure, employing
state-of-the-art technology in control and management of the road transport
system.
m) The National Traffic Safety Committee and the
National Emergency and Natural Disaster Response, Search and Rescue Commission
carry out the solutions for national disaster management and ensuring traffic
order and safety.
l) Province-level People’s Committees
- Direct the implementation of programs, projects
and tasks relevant to improvement of local health.
- Take interest in and facilitate protection, care
and improvement of every person's health, especially those in the rural, mountainous
and island areas.
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a) Ministry of Health
- Formulate and implement programs and projects for
ensuring health security, timely response to emergency situations, especially
recent outbreaks; implement solutions for enhancing and increasing efficiency
of epidemic prevention, preventing occurrence of pandemics.
- Formulate a roadmap for increasing the number of
vaccines employed in the Expanded Program on Immunization within the budget’s
capacity and submit it to the Government.
- Focus on directing, stepping up implementation of
non-infectious diseases; formulate mechanisms, policies alongside propagating
and advocating screening among the people for early detection and control of
disease; stepping up management, treatment of non-infectious and chronic
diseases, long-term care in local health facilities.
- Implement the local healthcare enhancement policy
with solutions for reform of apparatus, manpower, activities and finance.
Formulate a payment mechanism, increase the medical insurance fund’s proportion
for local healthcare, expand the scope of service and medicine payment for
local healthcare within the basic health service package's capacity and the
medical insurance fund's balance.
- Implement the commune-level medical station model
which works in accordance with the principles of family medicine, working
alongside family clinics in providing primary healthcare, disease prevention,
medical examination and treatment for the local people. Make local healthcare
become the frontline in disease prevention and providing healthcare, developing
the people’s trust in local healthcare.
- Formulate, perfect and implement strictly the
regulations on healthcare for mothers, children, the elderly, disabled people,
those who suffer from the consequences of warfare and the priority entities,
the people of mountainous, remote, disadvantaged, frontier and island areas.
Formulate home and community care policies for the elderly, disabled people,
patients with non-infectious or chronic diseases, palliative care for terminal
cancer patients which are appropriate for the local habits, customs and
socioeconomic conditions. Carry out preventive activities and give advice,
examinations and tests to pregnant women for prevention of vertically
transmitted diseases, early detection of reproductive cancers and disease
control; stepping up management and treatment of non-infectious and chronic
diseases, carry out long-term care in local health facilities effectively.
- Apply information technology in commune health
stations; carry out programs and objectives of healthcare, management of
people’s health profiles alongside medical insurance cards and medical
insurance payment. Formulate mechanisms and roadmaps suitable for monitoring
and management of all people's health.
- Cooperate with the Ministry of National Defense
and local governments in formulating regulations for stepping up medical
cooperation between the military and civilians, developing healthcare networks
in frontier, island, ethnic minority and mountainous areas.
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- Cooperate with the Ministry of Health in
formulating payment methods, increasing the medical insurance fund’s proportion
for local healthcare within the basic health service package's capacity and the
medical insurance fund's balance.
- Cooperate with the Ministry of Health in
implementation of medical insurance policies for local healthcare, in order to
encourage people to seek examinations and treatment in local health facilities,
enabling those facilities to develop and improve medical insurance examination
and treatment services.
c) Ministry of Finance
Ensure the central government budget and instruct
the local governments to increase spending on preventive, local and primary
healthcare, and on the elderly, disabled people, those who suffer from the
consequences of warfare and the priority entities. Ensure the domestic
resources for expanding health improvement activities and prevention of
HIV/AIDS, tuberculosis and malaria.
d) Ministry of Planning and Investment
- Preside over and cooperate with the Ministry of
Finance in advising the government to prioritize ODA projects for local
healthcare and people’s health improvement activities.
- Advise the Government and National Assembly to
allocate the development capital from the central government budget, instruct
the local governments to prioritize capital for local and preventive
healthcare, for regions with difficult socioeconomic conditions, frontier and
island areas.
e) Province-level People’s Committees
- Present the People’s Council at the same level
the allocation of funds for implementing this Program of Action’s contents in
accordance with the Law on State Budget.
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4. Improvement of medical examination and
treatment; fundamentally tackling overcrowding in hospitals
a) Ministry of Health
- Implement in sync the solutions for improvement
of medical examination and treatment services in all levels, especially at
local level in order to increase patient satisfaction; fundamentally deal with
overcrowding in a number of top-level hospitals in general by 2020; continue
developing the satellite hospital system, stepping up direction by levels and
alternately, training for and technical transfer to lower levels; stepping up
reformation of style and manners of service, improving medical ethics and
building clean, green and environmentally friendly health facilities;
- Promulgate statutes, regulations, processes and
instructions on treatment which are uniform countrywide in order to ensure
medical examination and treatment quality. Formulate processes for safety of
patients, adequate control of medical complications, curbing contaminations in
hospital, controlling antibiotic resistance, restrictive nutrition and
comprehensive treatment of patients. Promulgate technical lists appropriate for
each level in order to ensure consistent service quality across health
facilities in all levels. Formulate and implement regulations on transfer of
test results, diagnostic imaging, information, diagnoses and treatment results
between medical facilities and in local healthcare in order to continuously
monitor and take care of patients. Carry out independent verification,
evaluation of service quality and quality-based hospital ranking in accordance
with international practice.
- Reduce nuisance and waiting time, increase
convenience for patients by stepping up administrative procedure reform,
application of information technology in managing medical examination and
treatment (digital medical records, long-distance medical examination and
treatment, showing medical images without printing). Formulate mechanisms and
policies for implementing the roadmap for linking medical insurance examination
and treatment between levels. Strongly develop the pre-hospital first aid
system in the community.
- Reform mechanisms of operation and management in
public hospitals alongside giving autonomy associated with accountability,
ensure openness and transparency under control of the authorities. The public
facilities provide sufficient basic health services; be able to provide premium
on-demand service, ensure openness and transparency. Formulate mechanisms and
policies for finance and resource and implement the roadmap for calculating the
service fees accurately and sufficiently in order to provide comprehensive care
for patients alongside improving income and providing adequate benefits for
health staff (formulate a manpower roadmap for ensuring comprehensive care; the
service fees take into account the employees’ wage, restrictive nutrition cost,
consultation cost, etc. accurately and sufficiently)
- Formulate mechanisms, policies alongside
encouraging private sector involvement in order to develop medical facilities
with technical, service and care quality on the level of developed countries in
the region so that well-off patients can go there instead of going overseas.
Combine some medical and care facilities with tourism for both domestic and
foreign clients.
- Formulate and perfect mechanisms and policies for
encouraging private healthcare, especially the non-profit hospital model; step
up cooperation between public and private sectors, create an equal environment
for support, transfer of technical professional knowledge between public and
private medical facilities.
- Cooperate with the Ministry of National Defense
in stepping up medical examination and treatment of beneficiaries of incentive
policies. Make good use of the armed forces’ medical advantage; implement
flexible organization models appropriate for local conditions in order to
ensure the services of medical examination and treatment for the people in
remote, frontier and island areas.
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b) Vietnam Social Security
- Continue stepping up administrative reform,
reducing nuisance in medical insurance assessment payment. Cooperate with the
Ministry of Health in formulating a general project for application of
information technology in the health sector, focus on implementation of digital
health records, digital medical records and local health management software in
order to enable easy examination, treatment, medical insurance payment
alongside assessment and payment to health facilities for the people; connect
medical insurance data to medical facilities accurately, punctually, safely and
securely; combine medical insurance data with social security data and citizen
identification number.
- Cooperate with the Ministry of Health in
formulating mechanisms for price and co-payment, payment policies and methods
in order to encourage the lower-level facilities to improve their service
quality, hence encouraging the people to go to those facilities for medical
examination and treatment; make payments to medical facilities punctually and
sufficiently.
e) Province-level People’s Committees
- Review, formulate and implement planning of local
health facility networks in accordance with the principles of complete medical
facility system in each province.
- Direct the health facilities within their
jurisdictions to carry out technical development so that the people can place
their trust in the lower-level service quality without relying on the upper
level.
5. Development of traditional medicine and pharmacy
The Ministry of Health presides over
a) Formulation and implementation of the
Traditional Medicine Development Program, combine traditional with modern
medicine in facilities, examination, treatment, rehabilitation and care.
Increasing the target number of examinations and treatments in traditional
medicine in all levels, especially the local level.
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c) Formulation and implementation of projects for
inheritance, conservation and development of precious herbal ingredients;
sustainable use of natural herbal ingredients; creating specific criteria for
Vietnamese herbal ingredient recognition;
d) Cooperation with Vietnam Social Security in
research, expansion of the list of traditional herbal ingredients and drugs
alongside herbal drugs in the medical insurance payment list.
e) Stepping up research, test and demonstration of
the effects of traditional diagnosis methods, drug-free treatment methods, and
traditional medicinal drugs. Stepping up training traditional medical
practitioners. Formulation of mechanisms and policies for support, detection,
application and recognition of intellectual property and commercialization of
traditional medicinal drugs; honoring and ensuring the rights of renowned
practitioners, mobilizing social organizations to participate in examination,
treatment and disease prevention using traditional medicine.
f) Formulation of programs for stepping up
publicity and dissemination at the worldwide level in order to promote
traditional herbal ingredients and drugs alongside drug-free treatment methods
to national products with Vietnamese brand names.
g) Formulation of specific mechanisms and policies
for development of and prioritizing domestic herbal ingredients; strict control
of herbal ingredients’ quality.
6. Stepping up development of the pharmaceutical
and medical equipment sector
a) Ministry of Health
- Continue implementing solutions for ensuring
sufficient supply of high-quality, safe, effective, reasonably-priced drugs
that satisfy disease prevention, treatment and rehabilitation.
- Preside over and cooperate with the Ministry of
Planning and Investment, the Ministry of Finance, the Ministry of Industry and
Trade and other relevant authorities in formulating and proposing mechanisms and
policies for encouragement of production and use of domestic drugs, vaccines,
biological, medical equipment and materials; enabling enterprises to
participate further in the value chain of pharmaceutical products and medical
equipment at both regional and global levels.
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- Strictly manage imports of drugs, medical
materials, chemicals and equipment. Reinforce the distribution system of drugs,
medical materials, chemicals and equipment, ensure efficiency, professionalism
and compliance with the law. Finish off mechanisms, policies and regulations of
law on the right to distribute drugs, prohibit enterprises from distributing
drugs without permission.
- Formulate and implement projects for management
of wholesale and retail trade systems, pharmacies both under and outside
hospital management. Carry out in sync solutions for tracing drug origin;
rectify the problems of selling prescription drugs without or not in accordance
with medical prescriptions. Apply information technology, create network
connections between medical facilities and pharmacies; ensure control of traded
drugs’ origins and prices in all pharmacies nationwide.
- Increase the capacity for research, production of
drugs and vaccines. Formulate mechanisms and invest sufficiently in order to
harness new-generation and combined vaccine production technology, fulfilling
the fundamental requirement of domestic expanded immunization and aiming for
export.
- Formulate management systems, mechanisms and
policies for developing networks for test and verification of medical
equipment, contributing to improvement of quality and enable transfer of test
results and images between health facilities.
b) The Ministry of Industry and Trade presides over
and cooperate with relevant ministries and authorities in stepping up
prevention of production and trade of counterfeit or low-quality drugs, dietary
supplements, medical equipment and goods that can cause health hazards.
c) The Ministry of Agriculture and Rural
Development presides over and cooperate with other ministries and local
governments in reviewing, formulating plans, prioritizing investment and
focusing on development of areas specialized in herbal ingredient farming;
encourage homegrown herbal ingredients. Attract investment in building
processing plants in large-scale herbal ingredient areas, forming links between
production, preservation and procession of herbal ingredients.
d) The Ministry of Science and Technology formulate
mechanisms, policies, programs and projects for supporting research and
transfer of vaccine, drug and medical equipment production technology.
e) Vietnam Social Security cooperates with the
Ministry of Health and other relevant authorities in formulating mechanisms for
encouraging the use of domestic drugs and equipment.
7. Development of health staff, medical science and
technology
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- Formulate regulations on fundamental and
comprehensive reforms of health staff training in order to satisfy the health
system's requirements and attain the international level, and submit those
regulations to the competent authority for promulgation or promulgate those
regulations itself within its competence. Draw a distinction between two
disciplines: research and medical practice, and provide training in each of
them accordingly. Formulate and promulgate standards for training facilities
and health staff. Implement mechanisms and policies for close association
between theoretical and practical training facilities, ensuring that the
trainees attain the required fundamental competence for the health system.
- Formulate the project for establishment of
National Medical Council, organize exams for fixed-term practice certificates
and appoint independent agencies to issue of practice certificate on a trial
basis in accordance with international practice. Research for inclusion of
ethical criteria in practice certificate issuance. Submit the research to the
authority with competence to modify legal mechanisms for official
implementation.
- Increase research capacity for medical,
pharmaceutical, biological science and technology to both regional and global
levels. Prioritize applied research; focus on researching health and biomedical
indicators suitable for Vietnamese people. Aim for promote a number of drugs
and vaccines to national products. Step up application and transfer of
state-of-the-art technologies; train and develop staff that specializes in
medical equipment. Formulate and implement programs and projects for effective
application and use of the 4th Industrial Revolution’s achievements in taking
care of people’s health.
- Formulate and implement policies for linking and
bringing into play roles and responsibilities of hospitals in training health
staff in accordance with international practice. Have mechanisms for
responsibility allocation, honor hospitals, research institutes, doctors and
scientists who participate in health staff training.
- Formulate projects for arrangement and development
of a number of health staff training facilities into Universities of Health
Sciences in large centers and cities. Step up enabling training facilities to
adopt autonomy mechanisms. Ensure that training fees are calculated accurately,
sufficiently and closely associated with training quality; the State shall
award scholarships to disadvantaged entities, good and outstanding students in
order to encourage student in their studies.
b) The Ministry of Home Affairs presides over and
cooperates with the Ministry of Health and other relevant authorities in
proposing mechanisms and policies for ensuring manpower for protection and care
of people’s health, giving adequate benefits to health staff, especially those
with high professional capacity working in remote, disadvantaged, frontier and
island areas, are those working in the fields of preventive healthcare,
forensics, psychiatry, tuberculosis, leprosy, etc. Encourage local governments
to formulate and implement policies for attracting health staff for local
health facilities within their jurisdictions.
c) The Ministry of Science and Technology presides
over and cooperates with the Ministry of Health and other ministries in
implementation of the contents which are relevant to the scientific and
technological mission and for medical, pharmaceutical, biological science and
technology reaching both regional and global levels.
8. Reforming health service delivery and management
system
a) The Ministry of Health presides over and cooperate
with relevant authorities in
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- Formulating projects for arranging units and
health centers doing preventive works at provincial level into provincial
epidemic control centers, units doing preventive works under central management
into central epidemic control center, alongside creating regional centers for
certain regions in order to streamline management and operation nationwide.
- Directing the implementation of the “one
multipurpose health center per district” model, encompassing preventive
healthcare, population, examination, treatment, rehabilitation and other health
services; the center directly manages regional commune heath station and
general practice clinic (if any). Reviewing and arranging regional general
practice clinics reasonably. Organize the commune health station system so that
it is closely associated with school healthcare and appropriate for local
characteristics.
- Formulating the project for rearranging test and
verification units to form a system of pharmaceuticals, food and medical
equipment control authorities, consisting of central and some regional ones,
for the purpose of decreasing the number of subsidiaries and increase
efficiency. Organizing evaluation, classification of functions and
responsibilities of test and verification units at both central and local
levels in order to avoid sparse investment and misspending.
- Formulating a plan with a specific roadmap for
transferring a number of hospitals under the management of the Ministry of
Health, other ministries and central authorities (except the Ministry of Home
Defense and the Ministry of Public Security) to the local governments’
management. The Ministry of Health shall only be in charge of a very few
leading hospitals.
- Cooperation with other ministries, agencies and
local governments in completing the comprehensive, continuous, incorporated
health facility organizational structure, which has three levels: primary,
secondary and tertiary healthcare.
b) Province-level People’s Committees
- Accelerate arrangement of units and health
centers doing preventive works at provincial level into provincial epidemic
control centers, which is due to complete before 2020.
- Implement the “one multipurpose health center per
district” model, encompassing preventive healthcare, population, examination,
treatment, rehabilitation and other health services; the center directly
manages regional commune heath station and general practice clinic (if any).
Review and arrange regional practice clinics urgently and reasonably. Organize
the commune health station system so that it is closely associated with school
healthcare and appropriate for local characteristics.
- Focus on perfecting general hospitals completely
before establishing new specialized hospitals at provincial level. Adjust and
arrange hospitals to make them geographically accessible for the people.
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9. Reforming health finance
a) Ministry of Health
- Cooperate with the Ministry of Finance and
relevant authorities in formulating, and submitting to the competent authority
for promulgation, the guidelines for allocation of budget healthcare, with
minimum 30% of it for preventive healthcare, prioritize budget for local
healthcare, hospitals in disadvantaged, frontier and island areas, specialized
in the fields of leprosy, tuberculosis, psychiatry, etc.
- Formulate and implement the roadmap for changing
regular budget payment from being given directly to medical facilities to
supporting medical insurance participants, in association with the roadmap for
accurate and sufficient calculation of health service fees (and fulfilling the
goal of curbing inflation and macroeconomic stability). Enhance the task
assignment and order placement methods of the state, implement the price
mechanism associated with service quality, encourage the use of health services
at lower levels.
- Submit the Decree on regulating the right to
autonomy and self-responsibility of public health service units to the
Government for promulgation. Step up giving autonomy on professional
responsibilities, organization of apparatus, personnel and finance associated
with accountability, openness and transparency. Implement a management model
similar to enterprise management for public health service units in ensuring
regular and investment payment.
- Cooperate with the Ministry of Finance in
formulating, perfecting mechanisms and policies for restructuring health
finance as follows: Public health tasks and activities are primarily funded by
the state budget, and public sector involvement is encouraged. Medical
examination and treatment are paid for by medical insurance and the people.
Primary healthcare is jointly paid for by the state budget and the people,
aiming for medical insurance covering a number of essential services. Medical
insurance for employees has to be jointly paid for by employees and employers;
the state budget covers a number of beneficiaries of incentive policies.
- Perfect mechanisms and policies for enhancing
private sector involvement, mobilize every resource for health system
development. Diversify forms of public-private cooperation, ensure openness,
transparency, equal competition and no discrimination between public and
private in health service provision. Encourage organizations and individuals to
invest in building health facilities (including commune health stations and family
practice clinics), focusing on provision of premium services on demand.
- Cooperate with relevant ministries and
authorities in promulgating the “Basic health service package covered by
medical insurance" within the Medical Insurance Fund's capacity and the
"Basic health service package covered by state budget" within the
state budget’s capacity. Formulate mechanisms and policies for mobilization of
every resource for primary healthcare and people’s health management.
- Formulate mechanisms for service fees, medical
insurance payment with the state budget taken into account; ensure the medical
insurance being able to cover basic services, and the service users paying for
any excess. The service fee and joint payment mechanisms are meant to encourage
the people to seek medical examination and treatment at lower levels while the
upper level focuses on providing services that the lower ones have not yet been
able to provide reliably.
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b) Ministry of Finance
- Preside over and cooperate with the Ministry of
Planning and Investment in informing the Government in order to present the
National Assembly with prioritizing and increasing state budget allocation for
health, ensuring the increase in spending on health outpaces the increase of
state budget spending, with at least 30% of health budget being used for
preventive healthcare;
- Preside over formulation of mechanisms and
policies for credit and tax incentives in order to encourage health facilities
to invest in expansion, upgrade and modernization, hence satisfying the diverse
medical examination and treatment requirements of the people.
c) Vietnam Social Security
- Implement solutions in sync, enhance
communications, enable the people to easily participate in medical insurance so
that the target of medical insurance for all citizens can be achieved as soon
as possible.
- Propose, alongside the Ministry of Health and the
Ministry of Finance that: The medical insurance payment level should be
appropriate for economic conditions and incomes of the people and the costs and
quality of medical services, ensuring the medical insurance fund’s balance, the
rights of medical insurance participants and health facilities; diversification
of medical insurance packages; plans for enhancing association and cooperation
between social and commercial medical insurance in care and improvement of
people’s health.
- Improve assessment quality; recruit personnel,
provide advanced training for increasing professional capacity, refine organization
of assessment, ensuring quality, accuracy, punctuality, objectivity and
compliance with professional regulations on medical examination and treatment;
accelerate implementation of digital medical insurance assessment; come to
agreement with the Ministry of Health in the medical insurance assessment
process.
- Implement solutions for frugal, effective
management and use of medical insurance fund. Cooperate with the Ministry of Health
in implementing in sync solutions for restricting overusing services, using
services which do not suit professional requirements for medical examination
and treatment.
d) The ministries and authorities assigned to
preside over formulation of legal projects and ordinances whose contents are
relevant to special excise duty have the responsibility to research and propose
the roadmap for increase of special excise duty for goods that can cause health
hazards such as alcoholic drinks, carbonated drinks, tobacco in order to reduce
consumption of such goods.
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- Allocate the local government budget for
fulfilling all health tasks and activities in protection, care and improvement
of people's health in accordance with Resolution No. 20-NQ/TW and this
Resolution.
- Continue maintaining and improving the
effectiveness of the Fund for medical examination and treatment for the poor;
creating sources and formulate support mechanisms for the Fun to enable all
people to seek medical examination and treatment.
f) The relevant ministries, authorities and
People's Committee of all levels step up state management, formulate and
implement in sync solutions for prevention and eradication of private sector
involvement policy abuse for public resource exploitation.
10. Communications
a) Ministry of Health
- Preside over and cooperate with the Central
Propaganda Department of the Central Committee of the Communist Party of
Vietnam and the Ministry of Information and Communications in formulating the
plans and extensively propagate the Resolution No. 20-NQ/TW and this
Resolution.
- Formulate and enhance communications, advocate
the people adopting healthy lifestyle, physical training, exercise, sports,
proper nutrition; the benefits of immunization; examination and screening for
early detection of diseases; saying no to narcotics; curbing the negative
effects of tobacco, alcohol, carbonated drinks; consuming thoroughly processed
food and properly boiled water; keeping the living environment sanitary, using
clean water, sanitary bathrooms and lavatories.
- Reinforce and develop the communications network
from central to rural areas; forming appropriate messages and contents that are
easy for the people to remember and understand, hence heightening awareness and
causing change of behavior in protection, care and improvement of one’s own,
families’ and the society’s health.
b) The Ministry of Information and Communications
directs the press to extensively propagate the contents of the Resolution No. 20-NQ/TW
and this Resolution.
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11. Actively and robustly integrating and enhancing
the efficiency of international cooperation
a) Ministry of Health
- Enhance cooperation, integrate actively, obtain
technical, training and financial support from other nations and international
organizations.
- Cooperate with the Ministry of Foreign Affairs,
actively negotiate and effectively implement bilateral and multilateral
cooperative medical agreements Actively participate in formulating policies,
deal with regional and global health problems, elevate the role and
international importance of Vietnamese medicine.
- Formulate and implement programs and projects for
stepping up promotion of traditional Vietnamese medicine and pharmacy to the
world.
- Harmonize medical procedures and processes with
ASEAN and global ones. Step up formulating and implementing medical standards
in accordance with regional and global ones. Strive to meet the sustainable
health development targets of the United Nations; meeting a number of goals
before their deadlines.
b) Ministry of Public Security
Presides over and cooperate with relevant
authorities in enhancing international cooperation in prevention of medical and
pharmaceutical crimes.
III. IMPLEMENTATION
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a) Incorporate the tasks, targets and goals of the
Resolution No. 20-NQ/TW and this Resolution into the ministries’, agencies’ and
local governments’ socioeconomic development plans within their functions,
competence and assigned tasks. Urgently formulate and promulgate plans for
implementation of the Central Committee’s Resolution No. 20-NQ/TW and this
Resolution in the 1st quarter of 2018. Focus on directing, stepping
up inspecting and incentivizing implementation of solutions and execution of
tasks in accordance with function and competence, appropriate for the actual
conditions in each agency, field and local government.
b) Submit annual implementation reports to the
Ministry of Health for consolidation and presentation to the Government.
2. The Ministry of Health presides over and cooperates
with other ministries, authorities and local governments in monitoring,
inspecting and incentivizing implementation of the Program of Action, forming
preliminary and final reports, informing and making proposals to the Government
and the Prime Minister about the required measures for ensuring synchronous and
effective implementation of this Program of Action.
3. The Ministry of Information and Communications
presides over and cooperate with the Ministry of Health, the Central Propaganda
Department of the Central Committee of the Communist Party of Vietnam, the
Central Vietnamese Fatherland Front and other ministries, authorities and local
governments in information and communication works for creating societal
consensus, making good use of agencies’, Party Committees', local governments’
and all the people’s efforts to strive for fulfillment of goals and tasks
stated in the Resolution No. 20-NQ/TW.
4. The Ministry of Justice incorporates the laws,
ordinances that need to be reissued and amended to fit the Resolution No.
20-NQ/TW into the proposal for the National Assembly’s Law and Ordinance
Formulation Program.
5. The Central Vietnamese Fatherland Front and
subsidiary organizations, widespread social organizations mobilize their
members and the people of all classes to actively participate in physical
training, health improvement and disease prevention movements. Monitor the
implementation of the Resolution No. 20-NQ/TW and this Program of Action.
6. Province-level People’s Committees allocate sufficient
resources from the local government budget for comprehensive and synchronous
protection, care and improvement of people's health as assigned per
regulations. Promulgate within their competence investment mechanisms,
incentive policies, encourage authorities, units and private individuals carry
out and provide health services in compliance with the law and the local
situations.
7. During implementation of this Resolution, should
a need for amendment of the Program of Action’s specific contents arises, the
ministries, authorities and local governments actively send proposals to the
Ministry of Health for consolidation and notifying the Prime Minister for
consideration and decision./.
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SOME
PROJECTS AND TASKS FOR IMPLEMENTATION OF THE RESOLUTION NO. 20-NQ/TW (Enclosed
with the Government's Program of Action in the Government’s Resolution No.
139/NQ-CP dated December 31, 2017)
No.
Tasks
Presiding
authorities
Cooperating
authorities
Time of
submission
Receiving
authorities
Outcome
I
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1
Formulating the Law on Disease Prevention and
Health Improvement, replacing the Law on Protection of People’s Health and
Law on Prevention of Infectious Diseases.
Ministry of Health
Relevant authorities
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National Assembly
Law
2
Reviewing and amending the Law on Food Safety,
including the regulations on food safety control based on hazard evaluation,
risk management, chain of production and trade, origin tracing.
Ministry of Health
Ministry of Industry and Trade, Ministry of
Agriculture and Rural Development, and other relevant authorities
2019
National Assembly
Law
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Formulating the Vietnamese Health Program.
Ministry of Health
Relevant authorities
2018
Prime Minister
Decision
4
Formulating the Strategy for protection, care and
improvement of people’s health in the 2020 -2030 period with vision towards
2040 (replacing Decision No. 122/QD-TTg dated January 10, 2013).
Ministry of Health
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2019
Prime Minister
Decision
5
Formulating the Project for decreasing the health
indicator gap between regions.
Ministry of Health
Relevant ministries, agencies and local
governments
2018
Prime Minister
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6
Formulating the Total Nutrition Investigation
Project; evaluating the National Nutrition Strategy for the 2011 - 2020
period; formulating the National Nutrition Strategy for the 2020 - 2030
period with vision towards 2040.
Ministry of Health
Relevant authorities
2019
Prime Minister
Decision
7
Formulating regulations on sensible nutrition and
supplementation of micronutrients.
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Ministry of Education and Training, Ministry of
Finance, Ministry of Planning and Investment and other relevant authorities.
2018
Prime Minister
Decision
8
Formulating the First-1000-Day Nutrition Project
in order to prevent malnutrition in mothers and children and increase the
stature of Vietnamese people.
Ministry of Health
Relevant authorities
2018
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Decision
9
Formulating recommendations on and raising
awareness of appropriate nutrition and diet for each demographic group,
source of ingredient and appetite of Vietnamese people.
Ministry of Health
Relevant authorities
2018 - 2020
Ministry of Health
Regulatory
documents and professional guidelines
10
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Ministry of Health
Relevant authorities
2018
Ministry of Health
Decision
11
Formulating the Project for Improvement of Nutritional
Security, household food and fulfilling nutritional needs in case of
emergency.
Ministry of Health
Relevant authorities
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Prime Minister
Decision
12
Promulgating national technical code systems and
national standards for ensuring food safety, applying to goods that fall
under the ministry’s scope of management.
Ministry of Health; Ministry of Industry and
Trade, Ministry of Agriculture and Rural Development
Ministry of Industry and Trade, Ministry of
Agriculture and Rural Development, and other relevant authorities
2020
Relevant
ministries and agencies
Legislative
document
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Formulating projects and communicate improvement
of personal sanitation, increasing access to clean water and environmental sanitation,
focusing on rural environmental sanitation.
Ministry of Health
Ministry of Finance, Ministry of Planning and
Investment, Ministry of Agriculture and Rural Development and other relevant
authorities
2018
Ministry of Health
Ministry of
Health’s documents
14
Formulating the plan for enhancement of response
capability against biological hazards in health facilities’ waste management.
Ministry of Health
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2020
Ministry of Health
Ministry of Health’s
documents
15
Formulating projects for care and health
improvement of employees and occupational disease prevention.
Ministry of Health
Ministry of Ministry of Labor, Invalids and
Social Affairs; other ministries, agencies and local governments
2019
Prime Minister
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16
Formulating the plan for the health sector’s
adaptation to climate change in order to prevent or minimize the
environmental hazards and climate change elements that affect people's health
in the 2018 - 2025 period with vision towards 2030.
Ministry of Health
Ministry of Natural Resources and Environment,
Ministry of Finance, Ministry of Planning and Investment and other relevant
authorities.
2018
Ministry of Health
Ministry of
Health’s documents
17
Reviewing and amending the Law on Prevention of
Human Immunodeficiency Virus infection and Acquired Immune Deficiency
Syndrome (HIV/AIDS)
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Relevant authorities
2019
National Assembly
Law
18
Formulating the Law on Prevention of Alcohol's
Influence
Ministry of Health
Relevant authorities
2018
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Law
19
Formulating the Health Security until 2030
Project, mechanisms for storage of necessary equipment, drugs, materials and
chemicals for ensuring health security.
Ministry of Health
Ministry of Finance, Ministry of Planning and
Investment and other relevant authorities.
2019
Prime Minister
Decision
20
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Ministry of Health
Ministry of Finance, Ministry of Planning and
Investment and other relevant authorities.
2018
Prime Minister
Decision
21
Formulating the project for enhancement of
material facilities and equipment alongside training health staff for remote
and disadvantaged areas.
Ministry of Health
Relevant ministries and agencies
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Prime Minister
Decision
22
Formulating the project for research and
production of new-generation and combined vaccines.
Ministry of Health
Ministry of Science and Technology, Ministry of
Finance, Ministry of Planning and Investment and other relevant authorities.
2019
Prime Minister
Decision
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Formulate the project for ensuring vaccine supply
for immunization.
Ministry of Health
Ministry of Finance, Ministry of Planning and
Investment and other relevant authorities.
2018
Prime Minister
Decision
24
Formulating the project for stepping up
immunization, increasing the number of vaccines employed.
Ministry of Health
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2020
Ministry of Health
Ministry of
Health’s documents
25
Reviewing and amending the Law on Medical
Examination and Treatment, including the regulations on exams for and
issuance of fixed-term practice certificates and operating licenses.
Ministry of Health
Relevant authorities
2019
National Assembly
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26
Reviewing and amending the Law on donation,
removal and transplant of human tissues and organs and donation and recovery
of cadavers.
Ministry of Health
Relevant authorities
2020
National Assembly
Law
27
Formulating the project for organizing
independent verification and evaluation of health service.
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Ministry of Home Affairs and other relevant
authorities
2018
Prime Minister
Decision
28
Formulating the project for ensuring public order
and social safety in health facilities.
Ministry of Health
Relevant ministries, agencies and local
governments
2018
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Decision
29
Formulating mechanisms and policies for
Comprehensive care for patients.
Ministry of Health
Ministries, agencies and local governments
2018-2019
Prime Minister
Decision
30
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Ministry of Health
Ministries, agencies and local governments
2018
Prime Minister
Decision
31
Formulating the project for enhancement of long-distance
diagnosis and treatment alongside training (Telemedicine).
Ministry of Health
Ministries, agencies and local governments
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Prime Minister
Decision
32
Formulating the project for integration of
information technology into spreading knowledge in disease prevention,
treatment and health improvement.
Ministry of Health
Ministries, agencies and local governments
2019
Prime Minister
Decision
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Formulating the Law on Traditional Medicine and
Pharmacy
Ministry of Health
Relevant authorities
2020
National Assembly
Law
34
Formulating the project for inheritance,
conservation and sustainable use of natural herbal ingredients; development
of traditional medicinal drugs, diagnosis and drug-free treatment.
Ministry of Health
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2018
Prime Minister
Decision
35
Formulating the project for enhancement of
traditional medicine, combining it with modern medicine in medical
facilities.
Ministry of Health
Ministries, agencies and local governments
2019
Prime Minister
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36
Formulating the Law on Medical Equipment
Ministry of Health
Relevant authorities
2020
National Assembly
Law
37
Formulating the project for development of the
domestic pharmaceutical, material, herbal ingredient and medical equipment
industries.
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Relevant ministries, agencies and local
governments
2019
Prime Minister
Decision
38
Formulating the project for management and
import; strengthening the drug distribution system; integration of
information technology into wholesale and retail trading systems nationwide.
Ministry of Health
Relevant ministries, agencies and local
governments
2018
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Decision
39
Formulate the project for establishing the
national medical council and organizing a national exam for fixed-term
practice certificate on a trial basis.
Ministry of Health
Ministry of Home Affairs and other relevant
authorities
4th
quarter of 2019
Prime Minister
Decision
40
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Ministry of Health
Ministries, agencies and local governments
2019
Prime Minister
Decision
41
Formulating programs and projects for integration
of science and technology from the 4.0 revolution into healthcare.
Ministry of Health
Ministries, agencies and local governments
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Prime Minister
Decision
42
Formulating the health facility network plan,
development of emergency aid network by 2030, with orientation towards 2040.
Ministry of Health
Relevant authorities
2018
Prime Minister
Decision
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Formulating the project for implementation of the
roadmap for transferring hospitals from the management of ministries and agencies
(except the Ministry of Home Defense and the Ministry of Public Security) to
the local governments’ management.
Ministry of Health
and other ministries, agencies that have affiliated hospitals
Ministry of Home Affairs, agencies and local
governments
2019 - 2020
Prime Minister
Decision
44
Formulating the project for rearranging test and
verification units to form a system of pharmaceuticals, cosmetics, food and
medical equipment control authorities.
Ministry of Health
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2020
Prime Minister
Decision
45
Formulating the project for rearranging
central-level prevention units into central and regional epidemic control
center; perfecting provincial disease control centers.
Ministry of Health
Ministry of Home Affairs, agencies and local
governments
2020
Prime Minister
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46
Amending the Law on Medical Insurance.
Ministry of Health
Relevant authorities
2019
National Assembly
Law
47
Formulating the project for restructuring the
state budget in healthcare in order to utilize the resources for protection,
care and improvement of people’s health efficiently.
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Ministry of Finance and other relevant ministries
and agencies
2019
The Government
Resolution
48
Formulating a Decree to replace the Government’s
Decree No. 85/2012/ND-CP dated October 15, 2012 on operating and financial
mechanisms of health service units.
Ministry of Health
Ministry of Finance, Ministry of Home Affairs and
other relevant authorities
2018
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Decree
49
Amending the occupational benefit regime
(replacing the Decree No. 56/2011/ND-CP).
Ministry of Health
Ministry of Finance, Ministry of Home Affairs and
other relevant authorities
2019
The Government
Decree
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Amending specific and epidemic prevention benefit
regimes.
(replacing the Decision No. 73/2011/QD-TTg).
Ministry of Health
Ministry of Finance, Ministry of Home Affairs and
other relevant authorities
2019
The Government
Decree
51
Formulate the project for increasing the
effectiveness of the Fund for medical examination and treatment for the poor.
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Ministry of Finance and other relevant ministries
and agencies
2018
Prime Minister
Decision
52
Formulate and promulgate mechanisms that encourage
those with professional capacity work in local healthcare, remote,
disadvantaged, frontier and island areas and in the fields of preventive
healthcare, forensics, psychiatry, tuberculosis, leprosy, etc.
Ministry of Health
Ministry of Finance, Ministry of Home Affairs and
other relevant authorities
2018
...
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Decision
53
Formulating mechanisms for ensuring finance and
state budget allocation for local and preventive healthcare.
Ministry of Health
Ministries, agencies and local governments
2018 - 2019
Standing Committee
of National Assembly
Decision
54
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Ministry of Health
Ministry of Home Defense, other ministries,
agencies and local governments
2018
The Government
Decree
55
Formulating mechanisms and policies that
encourage development of non-profit health facilities and nursing homes.
Ministry of Health
Relevant ministries and agencies
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The Government
Decree
56
Formulating a Circular that provides guidelines
for the financial autonomy mechanism in multipurpose district health centers.
Ministry of Health
Ministry of Finance and other relevant ministries
and agencies
2018
Ministry of Health
Circular
...
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The Ministry of Culture, Sports and Tourism
presides over
1
Amending existing regulations, promulgating
mechanisms and policies for enabling the people to participate in physical
training movements; managing and using sport institutions effectively.
Ministry of
Culture, Sports and Tourism
...
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2018
Competent
authorities
Appropriate
documents
2
Formulate the project for stepping up
communications, propagating and advocating civilized and healthy lifestyle,
eradicating outdated customs that affect people’s health.
Ministry of
Culture, Sports and Tourism
Ministry of Health, Ministry of Education and
Training, Ministry of Labor, Invalids and Social Affairs, Ministry of
Information and Communications and other related authorities
2018
Competent
authorities
...
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III.
The Ministry of Education and Training
presides over
1
Reviewing and amending the Law on Education and the
Law on Higher Education.
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Ministry of Health and other relevant authorities
2018
National Assembly
Law
2
Formulating the project for fundamentally
reforming physical and mental education, increasing the number of elective
physical education subjects in school, closely associated with training
outside of school, physical training for the purpose of improving stature and
constitution of Vietnamese people.
Ministry of
Education and Training
Ministry of Culture, Sports and Tourism and other
relevant authorities
2019
...
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Decision
3
Formulating and implementing the project for
school healthcare to be associated with local healthcare, ensuring that
children receive healthcare in schools and other educational facilities;
educate and develop children comprehensively within the educational system;
prevention of accidents and injuries to children in schools and other
educational facilities.
Ministry of
Education and Training
Ministry of Finance, Ministry of Health and other
relevant authorities
2018
Prime Minister
Decision
IV
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1
Formulating projects for prevention of accidents,
drowning, protection and care of children.
Ministry of Ministry
of Labor, Invalids and Social Affairs
Ministry of Health, Ministry of Education and
Training and other relevant authorities
...
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Prime Minister
Decision
V
Ministry of Agriculture and Rural Development
...
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Formulating the project for propagating and
advocating rural environmental sanitation among the people.
Ministry of
Agriculture and Rural Development
Ministry of Health, Ministry of Natural Resources
and Environment and other relevant authorities
2019
Prime Minister
Decision
2
Formulating the project for ensuring clean water
and sanitary lavatories for rural areas.
Ministry of
Agriculture and Rural Development
...
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2019
Prime Minister
Decision
VI
Ministry of Construction
...
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1
Formulating the project for ensuring clean water
in urban and densely populated areas.
Ministry of
Construction
Ministry of Health, Ministry of Natural Resources
and Environment and other relevant authorities
2019
Prime Minister
Decision
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