The DECISION approving the planning of the overall Vietnam health system development phase to 2010 and vision 2020 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ the PRIME MINISTER pursuant to the law on organization of the Government of 25 December 2001;
Pursuant to the law to protect people's Health issued on 30 June 1989;
Pursuant to Decree No. 49/2003/ND-CP dated 15 May 2003 of the Government functions, tasks, powers and organizational structure of the Ministry of health;
Considering the recommendation of the Minister of health.
 
Article 1 DECISION. Overall planning of development of medical systems Vietnam period to 2010 and vision 2020 with the following principal contents: 1. The health system under this plan include the network of health service providers, healthcare facilities, medical examination, treatment and rehabilitation , network production, circulation, distribution and supply of drugs.
2. Overall objective: to build the Vietnam health system step by step towards complete, modern, efficient, and equitable development; meet the growing needs and the diversity of the peoples on the protection, care and improving health; reduce the incidence of disease, disability and mortality, increased life expectancy, improved quality of life; reaching and surpassing the targets set out in the strategy for health care and protect the health of the people of the period 2001-2010.
3. Specific objectives: a) investment in development of health networks capable of prediction, monitoring, detection and control of the disease, in order to reduce morbidity and mortality due to disease, results, includes the following principal contents:-proactive prevention, positive, not to large outbreaks occur.
-Prediction, control and control of dangerous diseases and infectious agents that cause disease, especially translation-new.
-Prevention of the disease is not contagious, accidents causing injury.
-Control the number of people infected with HIV/AIDS at a level below 0.3% in 2010 and not falling over in the following years.
b) investment, reorganizing the network of treatment and rehabilitation towards:-developing network examination and treatment under residential irrespective of administrative boundaries; the units of the local medical expertise be managed by industry, ensure all people reach a favorable way with the examination and treatment services in the.
-Ensuring the computer system and continuity in professional activities of individual online therapy and the development of reasonable, balanced between the specialist and the General Hospital.
-Gradually made the move to the base treatment of infectious disease hazards out the appropriate areas.
-Building new hospitals to match overall planning and socio-economic development plan of local society. Ensure qualified medical waste treatment and resistance to bacterial infection in a hospital for medical examination and treatment activities do not affect people and the environment.
-Striving to 2010, the number of beds per thousand population (excluding civil clinics beds) reached 20.5 beds (there are 2 private hospital beds) and 2020 is 25 beds (there are 5 private hospital beds).
-Consolidating and modernizing the hospitals of traditional medicine is available at central hospital standards, class I; construction of the Hospital of traditional medicine in the province have yet to have a hospital of traditional medicine as treatment facility, as the basis for the practice of the medical officers training school specialized in traditional medicine.
c) consolidate and improve the network of healthcare facilities, improving the accessibility of people with regard to essential health services. By 2010, ensure most of the communes have clinics solidly and 80% of national standard on health.
pharmaceutical sector development) into a technical-economic sector. Thriving pharmaceutical industry, drug manufacturing capacity in the country, the priority high technology form. The planning and development of the pharmaceutical, the production base of medicinal chemistry materials. Consolidate and develop the network of circulation, distribution and the supply of medicines to actively provide often enough are quality, reasonable price and market stability smoking prevention and cure for the people. Promote the research and production of vaccines, medical products. Ensure food safety and hygiene, prevention, overcoming food poisoning and diseases transmitted through food.
4. Content of the Vietnam health system development: Vietnam health system development in the direction of enhancing socialized medical works, of which the State of health of the dominant role; step by step to meet the needs of protection, care and improve the health of people with high quality, consistent with the socio-economic conditions; towards fairness and efficiency in the supply and use of medical services.
a) to consolidate and develop the network of preventive medicine:-Central and regional Lines: + continues to develop and enhance the capacity of health facilities to the central route and the area with the function as a unit head or regional industry to do well the tasks of research, prediction , monitor, detect and control the epidemic, particularly dangerous diseases and new diseases arise;
+ Upgrade the laboratory biosafety level 3 international standards at the Central Institute of hygiene and epidemiology, the Pasteur Institute in Ho Chi Minh City, Nha Trang Pasteur Institute and the Institute of hygiene and epidemiology Highlands. By 2020, at least have a laboratory biosafety level 4 international standard.
+ Upgrade two chemical laboratories, insect sterilization at 2 North and South with the equipment, the standard modern Vietnam in 2010 and reach international standards.
-The Line: + 100% guarantee health center with standard laboratory biosafety level 1. The Department representative and in some large cities, the construction of laboratory of preventive health center of standard biosafety level 2 qualified to monitor, detect and make the whole service tests professional activities.
+ Invest, develop and enhance the capacity of the Centre for international health quarantine, meet the requirements of the international health quarantine.
+ Development and Medical Center employees of the ministries and the province, the city has large industrial zones; Unity appellation is: health protection Center on labor and the environment.
+ Improve the health protection Center, Media Center Health Education Department, central cities.
+ Maintain and upgrade the malaria prevention Center there in the province are the incidence and circulation of malaria is high. After 2010, the province has a new malaria incidence is lower than 100 patients per 100,000 inhabitants in time for at least 5 consecutive years, the malaria prevention Center will be merged into the provincial preventive medicine center.
+ Step by step of merging disease prevention Center of the existing society at the provincial preventive medicine center or the hospital.
+ Build and improve the Centers for prevention of HIV/AIDS in all the provinces and cities under central.
-District Route: building and development of district preventive medicine centers capable of performing the following tasks: monitoring the epidemiology, prevention, control and prevention of HIV/AIDS, media health education, reproductive health care and build the cultural village.
b) developed network of treatment and rehabilitation:-formation of network examination and treatment under the technical routes from low to high, ensuring the continuity of professional level. Each mission the establishments providing treatment services for a residential cluster (regardless of administrative boundaries), guarantee of standard rated hospitals under the Ministry of health for each route:

+ Trip 1: including the standard class III hospitals, including the hospital districts, town (district hospital), the regional hospital district, some hospitals and private hospitals, providing consultation services, basic healing; receiving patients from the community or from the medical base stations.
. Each residential area district or district has a district hospital or hospital district area. Hospital bed scale line 1 from 50 to 200 beds, and depending on the geographical conditions, which balanced the number of residential beds in proportion 1 beds served from 1,500 to 1,700 people.
. Maintain and develop the regional clinic hospital in the District of in the District of mountainous, remote areas, ensuring the provision of basic medical services to local people.
. As of 2010, the town hospital and the city's General Hospital in the province will be moved into the clinic or specialty hospital.
+ Trip 2: including the General Hospital, the specialist, central cities, private hospitals and certain hospital departments in the central cities of standard class II hospital; provide consultation services, healing with the specialist engineering, specialization, meet most of the examination and treatment needs of local people; is the base of practice for students of the school of medicine-medicine in the province, the city.
. Each province has at least one hospital, with scale from 300 to 800 beds, are determined by the rate of 1 bed served from 1,600 to 1,800 people.
. Development of a number of clinics in the province, the city, in line with the needs of specialty examination and treatment of the people. The province, central cities have a population of 1 million or more people, can establish the clinics such as: children's products, accessories, nursing-rehabilitation.
. Develop traditional medicine hospitals in the province, ensuring that each province has 12 traditional medicine hospitals with scale from 50 to 150 beds.
. Construction of the Hospital of tuberculosis and lung disease in the province have the incidence of tuberculosis from 120 patients per 100,000 inhabitants or more, in which the number of patients with AFB positive accounted for over 50%.
+ Line 3: including the standard hospital or special class I class, as the implementation of specialized engineering, scientific research, and is the basis for students to practice the Medical University-Pharmaceutical ... Maintain and develop the Central Hospital we have with the scale from 500 to 1,500 beds. As of 2010, the Central General Hospital not standard first class hospital I will be delivered on the province, the City Manager.
. Continue to strengthen and upgrade the existing clinics, developed some more specialty hospital meet the needs of the examination and treatment of these diseases are specialty tends to increase rapidly.
-Focus on investment, improve the health center in Hanoi, Ho Chi Minh City and Hue-Da Nang. Actively preparing the conditions necessary for the construction of the Medical Center in Rabbit after 2010.
-Priority to complete construction of the regional hospital in son La, Thai Nguyen, Nam Dinh, Hai Phong, Nghe An, Binh Dinh, Khanh Hoa, Dak Lak Province, Kien Giang and Tien Giang with scale from 500 to 1,000 beds, capable of meeting the needs of medical examination and treatment of the people in the region with high professional quality , modern techniques.
-To strengthen and develop the nursing hospital-rehabilitation in the provinces, cities and of the ministries on the basis of self assurance, balanced budgets for the effective functioning of the Hospital (not applicable to the nursing facility-rehabilitation for invalids, sick soldiers) in order to meet the increasing demand on the rehabilitation of the people and the labor.
-Continue to develop and expand the network of emergency transportation of patients on all of the population.
c) consolidate, improve network of healthcare facilities:-continue to strengthen and improve the network of healthcare facilities both in terms of physical facilities, equipment and medical staff, improving the quality of online health services facility, meet the health care needs of the entire population to basic , and perform some simple techniques in examination and treatment of some diseases to eye, ear-nose-throat, teeth, reproductive health and child health.
-Consolidation of institutions, networks and professional activities of social health. By 2010, most of the communes have clinics solidly fit of geographic, economic, and ecological environment treatment needs of local people.
-Ensure 80% of medical doctor Township stations, in which 100% of the clinics in plain Township and 60% mountainous township clinics have doctors; 100% of the clinics have midwives or township medical, paediatric, in which 80% of midwives in middle school; 80% of the nursing staff is working on traditional medicine; on average the health station officials each serving Township from 1,000 to 1,200 people. Ensure a minimum of five medical officers under the title due to the Ministry of health regulations for clinics. In the big cities, the number of staff from clinics to be balanced according to the rate for 1,400 to 1,500 inhabitants have a healthcare service. Strive to the end of 2010 there are 80% of communes throughout the country about the national health standard.
-Ensuring every village there are from 1 to 2 qualified medical personnel from the medical school profile becomes active.
-The number of enterprises with workers from 200 to under 500 people must have from 1-3 medical officers served. Businesses that have 500 or more workers from having to establish medical stations of the business.
-Ensure each school there from 01-02 medical officer serves. Universities, colleges, secondary professional clinics.
d) consolidating and strengthening the governance of system development, pharmaceutical production, circulation and distribution of pharmaceuticals. Ensure food safety and hygiene, cosmetics.
-Perfecting and strengthening the governance of pharmaceutical products, food safety and hygiene, cosmetics from central to local level.
+ Perfecting pharmaceutical management, food safety and hygiene, cosmetics; build and perfect the functions of pharmaceutical testing centre, food safety and hygiene, cosmetics in the Department of health.
+ To 2008, established 2-3 Center for pharmaceutical testing, food safety and hygiene, cosmetic area have enough capacity to perform tasks according to the assigned function; 2-3 regional centers try equivalent bio and reviews available of smoking students; established a number of regional centers of drug information and monitoring of harmful reactions, side effects of drugs in large cities in the country.
+ Establishment of the Institute of food safety on the basis of national development testing centre food safety is currently located at the Institute for nutrition. Build 3 testing centre for food safety in mountainous areas in Northern, Central, the Mekong Delta and Ho Chi Minh City to GLP standards in 2010.
+ Consolidation of State management bodies and levels of pharmaceutical products, food safety and hygiene, cosmetics.
-Planning and development of pharmaceutical industry-become a spearhead techniques towards industrialization and modernization.
+ Planning and comprehensive development both in industry products and industrial production of medicines from medicinal herbs, the breeding, cultivation of medicinal herbs, raw material manufacturing industry pharmaceutical and chemical raw materials for antibiotics as medicine.
+ Planning, organizing and developing the system of distribution, drug supply, ensure market stability at reasonable prices with guaranteed quality of service, the prevention of disease and healing for people.
5. The solutions: a) Finance:

-Breakthrough in increasing the speed of investment from the State budget for the health sector in order to upgrade the medical facility; in particular, the priority strengthening, improving medical facilities and network health, the provincial hospital, the district, especially in the Highlands, the mountainous areas in Northern, Central and Mekong Delta. Secure funding to implement State policy on treatment for people with the revolution, the poor, children under 6 years old and the objects of social policy.
-Modify regular costs from the State budget of the health sector towards the further priorities for the mountainous, remote areas, the region difficult.
-Each step of converting the State funding for the operations of the base treatment to directly to beneficiaries to use health services through health insurance forms; with favorable rules for beneficiary health services and ease of implementation. Construction of hospital policy in principle calculated correctly, the costs directly to the patient.
-Additional research, policy fee, fees for preventive medical services with the services the State allows, in principle offset in part the basic costs for creating additional revenue sources to invest in preventive medicine.
-Strengthen investment for enterprises producing raw materials for making the drug, the production of essential drugs and medicines provided to the national target programme on health by preferential credit capital. Build the policy encourages investment in research and production of specialty medications, special treatment.
Investment projects in the health sector, the production of the drug was entitled to the credit support of the State development investment as prescribed. There are preferential policies on taxation, land, capital and technology with the drug product research facilities, the equipment serves the pharmaceutical industry, particularly with respect to the research facility, producing the drugs and equipment in the country have not produced.
-Strengthen international cooperation aimed at its capital investment for the health sector.
-Implement socialized medical field under resolution No. 2005/NQ-CP on 18 April 2005 by the Government on promoting socialization of activities in education, health, culture and sport. Encourage the development of the facilities providing medical services outside the established under Decree No. 56/2006/ND-CP dated 25 May 2006 from the Government. Strengthening advocacy to mobilize contributions from organizations and individuals in and outside the country for joint health.
-Promote the delivery of autonomy, self responsible for performing the tasks, organization, staffing and financing for public medical institutions according to Decree No. 43/2006/ND-CP dated 25 April, 2006 to promote dynamism, creativity, enhance the sense of responsibility and the effectiveness of the facility.
-Strengthening the management and use of financial resources for investment for the right purpose, medical highly effective.
b) human resources: human resource development and health. Ensure the achievement of the basic indicators: available on 7 doctor/10,000 inhabitants in 2010 and over 8 doctors/10,000 inhabitants by 2020; 1 University pharmacist/10,000 inhabitants in 2010 and 2-2.5 pharmacist University/10,000 inhabitants by 2020, of which at least of the district line from 01-03 University pharmacist. Ensure medical officer structure at the basis of the treatment is 3.5 nursing/1 doctor. Human resource development high level health, medical officer on the University to provide for the medical facility. Nurse staffing complement for communal clinics ensure human resources serve pharmaceuticals online.
Enact the planning network of grassroots medical staff training, building norms and standards of human structure reasonable health to perfecting the medical staff in order to continuously improve the quality and efficiency of health care activities. Arrange, expanding and upgrading the training facilities, to meet the demand in quantity and quality of the medical officers fit the health sector development plan. Investment in infrastructure, equipment, faculty development, teacher; construction quality control criteria, standardized training teaching staff, teacher at the school of medicine to meet the quantity and quality of the medical staff, pharmacy, nursing and midwives.
Build 2 training center health officials in Hanoi and Ho Chi Minh City vision of advanced countries in the region. Construction of operation mechanism suitable to the heart has the ability to link training with a number of foreign universities in the field of expertise and medical management.
Plans to upgrade a selective way some schools of medicine, pharmacy of the city, the College of medicine, and pharmacy.
Promote the training of Pharmacy staff in several different forms to meet the quantity and quality of pharmaceutical staffs for the State administration of medicine, the medical career and base for the pharmaceutical business.
Open the short-term training course on the management of the medical staff, especially the management of the hospital.
Construction of the project of training qualified medical expertise and techniques for providing medical services to the central route and the route.
Build the project in the form of training of election personnel recruitment and training by fellow child address the ethnic minorities of the Northern Rockies, Central and Mekong Delta. The people's Committee in the Northern mountainous provinces, Central and Mekong Delta is responsible for creating the intake sources was the brother of fellow minorities to these subjects are qualified and trained suitable to the needs and qualifications.
Continue implementing the good doctor training scheme in the form of national election for the Highland region.
Build and propose policies to recruit, train, use and abuse of highly qualified personnel in the medical industry. Promote the inclusion of medical officers going overseas for advanced training by State funding sources, sources of foreign aid; health officials encourage self-sufficiency funding go advanced training qualification.
Preferential policies issued for officers, medical personnel, especially medical officer online facility, medical officers working in mountainous, remote areas, a difficult region, borders, Islands. Build and execute the plan rotation of officers; service mode of medical staff in mountainous, remote areas for new physicians graduate. Sure there are extra modes appropriate remuneration levels for staff travel to reinforce.
Implementation mode of social insurance and health insurance for working staff at the clinics. Construction of the mechanism of insurance regimes applicable to the case of risks caused by occupational accidents with medical personnel while on duty.
c) development of science and technology: building a number of national standards laboratories international and in Hanoi, Ho Chi Minh City on Biosafety, drug testing, food safety and hygiene, testing vaccines and medical products, medical equipment calibration.
Development of genetic technology and molecular biology, breeding and cultivation technology of tissue serve for the production of drugs, vaccines and production of medical products.
Development and application of information technology in the management and in the operation of the medical-pharmaceutical sector.

Attach importance to the work of ensuring environmental hygiene. The study, application, acquiring modern technology to handle medical waste, investing for health against infections to prevent the spread of the pathogens from the basis of examination and treatment, medical facilities, manufacturing of drugs and Biologicals into the environment around.
d) provides medical equipment for medical institutions:-expand medical equipment production, promote the production of high-technology medical equipment.
-Encourage venture investment, technology transfer, linking with the maker of medical equipment has the reputation in the world.
-Industrial medical equipment production has the focus, focus in order to serve the needs of domestic use, improving the quality of export-oriented products.
As of 2010, the production base of medical equipment must meet minimum standards as ISO or equivalent; complete the capitalization. Insure domestic production to meet 60% of the demand for medical equipment, and by 2020 is 80%.
DD) enhance international cooperation: strengthening the multilateral and bilateral cooperation with other international organizations, non-governmental organizations, international banking institutions and Governments have been supporting policy, cooperation with Vietnam.
Perfecting the mechanism to receive, use, monitoring and checking closely in order to maximize the effectiveness of foreign aid. Build a number of key investment projects to investors, health development department, Health Department, district and for each sector in each stage of development.
Mobilize the non-refundable aid to support the work of medical examination and treatment for the poor, children, the disabled and the prevention of some diseases, such as tuberculosis, dangerous epidemic malaria, HIV/AIDS and other diseases, the new translation appeared.
Expand bilateral and multilateral cooperation in the development and application of advanced medical techniques. Strengthening the medical officer training at the developed countries aiming to soon acquire highly effective application and the results of the scientific advances in medicine in the world.
Encouraged to receive non-refundable aid for construction of health sector development policies and for scientific research.
Expand business ventures, affiliated with the Organization, foreign individuals participated in developing the field of medical industry in the country, towards the export of some drugs and medical services.
e) management solutions: promote administrative reform, perfecting the legal system of health consistent with the situation of socio-economic development of the country.
Perfecting the system of State administration on health from central to local and active capacity check, the medical inspector.
Enhance knowledge management and executive law consciousness for medical officers. Implementation of the regulation in all health facilities, build and promote movement, especially the construction of the units and individuals typically advanced in the industry.
6. implementing roadmap: a) 2006-2007:-focus on consolidation, to arrange and implement the establishment of the new unit: HIV/AIDS Prevention Center of the province, the city; District preventive medicine center.
-Investing in the upgrade of the hospital district, the regional hospital by decision No. 225/2005/QD-TTg dated April 15, 2005 by the Prime Minister.
-Build the project and began construction of the hospital, the General Hospital. Priority capital project layout has been approved by the authorized investment decisions.
-Build options to move the hospital treatment of infectious diseases to the appropriate area.
– Building capacity project the work against infections in the hospital.
-Investment focus 3 Advanced Medical Center.
-Investing in upgrades and new construction of research facilities, manufacturing, testing, testing vaccines and medical products.
-Construction of the project to establish the investment to upgrade the laboratory on Biosafety, food safety and hygiene in the central route and the route.
-Established 2-3 Center for pharmaceutical testing, food safety and hygiene, cosmetic area.
-Established 2-3 regional centers try equivalent bio and reviews available of smoking students.
-Established a number of regional centers of drug information and monitoring of harmful reactions, side effects of drugs in large cities.
-Construction of detailed planning of industrial pharmaceutical development the prime consideration, decision.
-The whole Event on the Organization, functions and tasks of the Agency management system, pharmaceutical products, food safety and hygiene and cosmetics from the central to local levels.
b) period 2008-2010:-improve the investment in building the District Hospital and regional hospital. Speeding up investment in building the hospital, the hospital and health centre 3.
-Continue to upgrade the medical center the online backup.
-The investment to upgrade the schools of medicine and pharmacy, medical techniques. Build 2 training center health officials in Hanoi and Ho Chi Minh City.
-Continue the work not yet completed in the period 2006-2007 and other investment is defined in the master plan to the year 2010.
-Improve and develop the system of supply and distribution of drugs.
c) period of 2011-2020:-investment in development of Advanced Medical Center tho.--continue to invest in improving the Medical Center; the high-tech medical center region and the central health facilities, to meet local needs protection, care and improve the health of the people.
Article 2. The Organization made the Ministry of health is the lead, in coordination with the ministries concerned and the people's committees of provinces and cities under central building programs, plans and inspect the implementation of the master plan; periodically the aggregate results reported the Prime Minister.
Health Affairs:-chaired, in cooperation with the ministries and relevant agencies to build, the Prime development planning network of examination and treatment.
In collaboration with the Ministry of education and training in construction, the Prime Minister approved the planning of human resource development training.
In collaboration with the Ministry of the Interior, the Ministry of construction-related sector, the project to consolidate the Organization to strengthening State management of pharmaceutical products, food safety and hygiene and cosmetics, the prime consideration, decision.
The Ministry of planning and investment is responsible for the layout and balance of investment resources for physicians to perform the planning according to the schedule. Monitoring of the implementation of the plan within the country.
The Ministry of finance is responsible for ensuring State funding levels for health under the 5-year and annual plans. Together with the Ministry of health budget to balance the whole industry and for the areas of priority in planning.
The ministries responsible for coordinating with the Ministry of health of the resources deployed for the development, strengthening and improving the quality of the medical facility directly.
Chairman of the provincial people's Committee, the central cities is responsible for directing and organizing the implementation of the master plan for developing the health system within the city.
Article 3. This decision has the effect after 15 days from the date The report. This decision does not apply to the health system of the Ministry of defence and the Ministry of public security. Article 4. The Ministers, heads of ministerial agencies, heads of government agencies, the Chairman of people's Committee of the central cities, is responsible for the implementation of this decision.