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The Decision To 2013/qd-Ttg Of: Approves Strategy For Population And Reproductive Health Vietnam Period 2011-2020

Original Language Title: Quyết định 2013/QĐ-TTg: Phê duyệt chiến lược dân số và sức khỏe sinh sản Việt Nam giai đoạn 2011 – 2020

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DECISION approving the strategy for population and reproductive health Vietnam period 2011-2020 _ _ _ _ _ _ _ _ _ _ _ _ the PRIME MINISTER pursuant to the law on organization of the Government of 25 December 2001;
Pursuant to the conclusion of 44-KL/TW April 2009 of the Politburo about the results of 3 years implementation of resolution No. 47-NQ/TW on 22 March 2005 of the Politburo on continuing policy of population-family planning;
Pursuant resolution No. 31/NQ-CP on August 18, 2010 of the Government issued the plan of action of the Government the period of 2010-2015 made the conclusion No. 44-KL/TW April 2009 of the Politburo about the results of 3 years implementation of resolution No. 47-NQ/TW on 22 March 2005 of the Politburo on continuing implementation of population policies – family planning;
Considering the recommendation of the Minister of health, decision: article 1. Approval of the strategy of population and reproductive health Vietnam period 2011-2020 with the following principal contents: 1. The perspective: a) strategies for population and reproductive health Vietnam period 2011-2020 is an important content of the strategy of socio-economic development of the country , contribute to improving the quality of human resources, improve the quality of life of each person, each family and the whole society.
b) resolving sync issues of population, reproductive health, focusing on improving the quality of the population, improve maternal and child health, promote the advantages of the structure "of the population of gold", actively adjust the speed increase of the population and control the sex ratio at birth.
c) basic solutions to the population, reproductive health care is the combination between efficiency, mobility, education, media conversion, backup service provides positive, proactive, fair, equal and uncompromising, effective sanctions for the unit personal service activities, violation of regulations on the diagnosis and fetal sex selection.
d) investment for population, reproductive health care is an investment for sustainable development, the direct effects on economic, social and environmental. Increase the level of investment from the State budget, actively enlist the aid resources and mobilize the contributions of people; prioritize resources for remote areas, mountains, coastal areas and Islands.
DD) enhance the leadership, the direction of the Party Committee and government levels; enhance the effective governance; mobilize the participation of the whole society; further perfecting the system of organization to make effective the work of population and reproductive health care.
2. Target: a) general objective: to enhance the quality of the population, improve the reproductive health status, maintaining a low birth rate, tackle the problem of the population structure and distribution of population, contributed to the realization the industrial modernization of the country.
b) specific objectives:-objective 1: strive for the population growth rate at about 1% in 2015 and stabilize at about 1% by 2020; the human development index (HDI) in the average level of the world by 2020.
-Objective 2: improve health, reduce disease, disability and death in children, significantly narrowing the differences in child health indicators between the regions.
+ Only goal 1: Reduce the rate of death for children under 5 years down 19.3 voice in 2015 and down to 16 parts per thousand in 2020.
+ Only goal 2: percentage of pregnant mothers are screened before reaching 15% by 2015 and 50% by 2020.
+ Target 3: percentage of infants be screened reached 30% in 2015, and 80% by 2020.
-Objective 3: improve maternal health, to significantly narrow differences in maternal health indicators between the regions.
+ Target: Reduce maternal mortality related to pregnancy down 58.3 per 100,000 live births by 2015 and to below 52 per 100,000 by 2020.
-Goal 4: reducing drastically the gender ratio increases speed when born, especially focusing on the province, central cities have the status of a serious imbalance of sex ratio at birth, proceed to take this ratio back to 105-106 level infant boys per 100 girls infant around the year 2025.
+ Indicators: gender ratio at birth below the infant son 113/100 infant daughter in 2015 and below 115/100 by 2020.
-Objective 3: maintain a low birth level is reasonable, meet the family planning needs of the people, increase the accessibility of services in support of quality reproduction.
+ 1: target the total fertility rate (the average number of children per couple in childbearing age) decreased to 1.9 children in 2015 and 1.8 children by 2020.
+ Only goal 2: population size does not exceed 93 million in 2015 and 98 million people by 2020.
-Target 6: Reduce the abortion rate, basically eliminating unsafe abortion.
+ Target: Reducing the abortion rate down 27/100 live births by 2015 and to bottom 25/100 by 2020.
-Objective 3: Reduce the reproductive tract infections, sexually transmitted infections sexually; proactive prevention, detection and early treatment of cancer of the reproductive tract, reproductive tract cancer screening in women aged 30-54 years of age.
+ 1: target Reduce by 15% the number of cases of reproductive tract infections by 2015 and 50% by 2020.
+ Only goal 2: Reduce 10% of cases of bacterial sexually transmitted by 2015 and 20% by 2020.
+ Target 3: percentage of women aged 30-54 years of age be screened for cervical cancer reaches 20% by 2015 and 50% by 2020.
+ Target 4: percentage of women over 40 years old to be screened for breast cancer hit 20% by 2015 and 50% by 2020.
-Objective 2: improved reproductive health of juveniles and young adults.
+ Only goal 1: increase the percentage of points provides health care services reproductive health friendly with juveniles and young adults up to 50% of the total score provided health care services reproductive health by 2015 and 75% by 2020.
+ 2:20% Reduction targets of juveniles unintended pregnancies by 2015 and 50% by 2020.
-Objective 3: improve reproductive health for specific population groups (migrants, people with disabilities, people with HIV, people in the nation are at risk of deterioration in the quality of race); timely meet demand reproductive health care for people who are victims of violence for reasons of gender and in case of catastrophe, disaster.
+ Target: Increase the rate of access to health care services of particular population groups of up to 20% by 2015 and 50% by 2020.
-Objective 2: enhance the health care of the elderly.
+ Only goal 1: increase the proportion of health facility online district over there points to provide health care services for the elderly up to 20% by 2015 and 50% by 2020.
+ Only goal 2: increase the proportion of elderly people have access to health care services based in the community of up to 20% by 2015 and 50% by 2020.
-Objective 2: promote population distribution consistent with the orientation of social-economic development of countries; strengthen the mainstreaming of population factors on policymakers, construction planning, planning of socio-economic development of the industry.
3. The solutions: a) leadership, management and organization:

Strengthen the leadership, the direction of the Commissioner to grant the party and Government for the work of population and reproductive health care. The work of population, reproductive health care is a content in the program, regular work plan of the Committee of the Communist Party, the Government level. The perfect organization do this work at the professional level, to ensure the effective implementation of programmes, schemes and projects on population, reproductive health care, protection of mother and child health. Stable capacity, staff working on population, reproductive health care in the basis to take the work of the media, education, provision of services to population, reproductive health care; track, manage the object to each household, especially in remote areas, mountains, coastal areas and Islands. Enhance the effectiveness and efficiency of management the work of population and reproductive health care, perform this task management under the national target program; step by step apply the model to pay service fees to population, reproductive health care for objects that are free of cost through the means of payment intermediaries (customer cards, health insurance cards). Build interdisciplinary coordination mechanisms to implement effectively the work of population and reproductive health care. Strengthening the checking, inspection, reviews the implementation of the law on population, reproductive health, especially to check, inspect, handle the organizations and individuals as a service diagnosis and fetal sex selection; enhance the monitoring role of the community in the implementation of policies and laws.
b) communication, behavioural transformation education: increased popularity, education policy, legislation on population, reproductive health, especially of policies and legislation to control the gender imbalance at birth. Regularly updated, provides information on population, gender, reproductive health to all levels of the Party Committee, Government, social-political organizations and who have credibility in the community. Implement strong, effective communication, educational activities with the content, form and consistent approach with each group object; priority of objects difficult to access information and services to the population and reproductive health. Expanding and improving the quality of education on population, reproductive health, including education about HIV prevention, gender equality, gender imbalance at birth and sexual health within and outside the school. Good mix media with direct communication via the network of collaborators of the population, a member of the propaganda departments, unions; enhance the use of modern media such as the internet, multimedia communications, a mobile phone.
c) service of population, reproductive health:-Event network to provide services according to the technical divide, focus for the region hard, make sure Service Pack provides population, reproductive health care is essential in all online, especially online. Enhanced support for the commune in many forms, including roving teams, to build the transit system support suitable for each region, each area. Improve quality of service through the completion of regulations, technical process; strengthening the checking, monitoring, reviews the implementation of the regulations and procedures technical expertise with respect to the base to provide services; infrastructure upgrades, additional training and equipment page updated knowledge for those who provide services to population, reproductive health care.
-Improving the quality of the work of forecasting, planning on means of contraception and reproductive health commodities. Improve the logistics system and strengthening management according to market segment, ensuring timely, provide adequate means of contraception and reproductive health commodities for the population program-family planning, reproductive health care; speeding up social marketing and the sale of contraceptive means widely.
-Extension offers consulting services and marriage money health check, screening, diagnosis and treatment of early disease, prenatal and newborn disability on the basis of building the system of screening, diagnostic center before birth and birth according to the master plan, the plan; perfecting the process, consulting and technical regulation testing the health money marriage, screened, diagnosed before birth and neonatal transfer technique for the provincial centre; step by step bringing these services to the health service was paying for health insurance.
d) building, perfecting the system policies on population, reproductive health: positive review, additional research, improve the legal system, population policy, control the gender imbalance at birth, reproductive health, especially the impact policy to reduce gender imbalance at birth enhance the quality of the population, maintain low birth rates, reproductive health care for adolescents and juveniles, protection and development of the nation at risk of deterioration in the quality of race.
DD) socialization, collaboration and international cooperation: extensive mobilization of the industry, the social-political organization, the community participated in the work of the media, education, providing services to population, reproductive health. Build and execute the route decreases the level of the State. Gradual transfer payment service fees population, reproductive health from the provision of funds for the facility to provide services to the payment through other means. Enhance international cooperation, actively participated in the Organization, international programme on population, reproductive health; actively enlist the help of the financial, technical and experience of countries and international organizations.
e) Finance: Increase investment from the State budget; promote the diversification of investment resources from the community, businesses and private for the work of the population, control the gender imbalance at birth, reproductive health care. State budget guarantee to meet the essential needs of the population, reproductive health and policy for the object state. Continue to implement population programs-family planning according to the mechanism of national target programs, the allocation of public funds, there is a clear limit, the focus for the facility, in accordance with the local, domain, region. Tight management and enhance the effective use of the State budget investment for population, reproductive health care.
g) training, scientific research and data: information-intensification of training, training on management, professional expertise for staff working on population, reproductive health care on the basis of the planning and the technical divide, with the program, content and standardized documentation. Priority to complete the training of intermediate population-health for population-level Township family planning; her training help village in difficulty; technical training screening before birth and newborn. Step by step implementation of intensive training, undergraduate and graduate population, obstetrics, Pediatrics, geriatric. Strengthen the scientific research activities, dissemination and application of the results of scientific research, technology and engineering of the population, control the gender imbalance at birth, reproductive health.
-Improving the quality of information processing, gathering data on population, reproductive health on the basis of applied information technology and perfect the system of indicators, indicators; provide complete, accurate, timely information, figures serves the direction, administration, management of the work of the population, control the gender imbalance at birth, reproductive health care at all levels.
4. The implementation phase: a) phase I (2011-2015):

Persistence made less healthy child family, actively adjust the level of each zone, suit birth region in order to maintain the total fertility rate in the country at the rate of 1.9 children in 2015. Focus improving the quality of the population through the deployment of the operation, the Advisory model and examine the health of money marriage, screened before birth and newborn care model pilot, the elderly in the community. Promote measures on media education, perfecting the legal basis, to check and handle acts of fetal sex selection, a policy of support to control the sex ratio at birth. Perform comprehensive health care content reproduction, increased accessibility to services and improve service quality for all investors, especially in the difficult, hard to reach audience groups. To further improve the specialized databases on population, reproductive health.
b) phase II (2016-2020): based on the reviews of the implementation period 2011-2015, appropriate policy adjustments, comprehensive solutions deployment, tasks to successfully implement the strategy's objectives. Expand the active intervention to improve the quality of comprehensive care of the population, reproductive health, limiting the gender imbalance at birth, health care of the elderly. Push the harness, use of specialized databases on population, reproductive health service of the work plan, the administrative management and provision of public services.
5. The strategic projects:-media projects transform the behaviour of population and family planning.
-Ensure projects and logistics service providers of family planning services.
-Improve the quality of projects race.
-Project management capacity building program of population and family planning.
-Project to control the gender imbalance at birth.
-Overall scheme to improve the quality of the population.
-Project to control the population of the island, and coastal waters by 2020 (approved in decision No. 52/2009/QD-TTg dated April 9, 2009 by Prime).
-Media projects transform the behaviour of health care for mothers and children, reproductive health.
-The project of improving maternal and child health.
-The project, against infections, reproductive tract cancer.
-Assisted reproduction projects.
-The project of improving reproductive health for juveniles and young adults.
-The project of improving reproductive health for specific population groups.
Article 2. Implementation 1. The Ministry of health, in collaboration with the Ministry of planning and investment, Ministry of finance, the ministries concerned, Central Vietnam Women's Union, the political organization of society and people's committees of provinces and cities under central strategy deployment across organizations nationwide ensure tight cohesion, with due regard to the strategies, other industry presided; build national target programs for population and family planning programs and national health objectives (including the content of reproductive health care) the period 2011-2015 the Prime Minister for approval; research, suggested the national target programme for population and family planning programs and national health objectives (including the content of reproductive health care) the 2016-2020 period to submit the Ministry of planning and investment and the Ministry of finance to the Prime Minister; construction and implementation of the annual plan on population, reproductive health consistent with this strategy and the strategy for socio-economic development in the period 2011-2020; continue to implement effective population control scheme of the sea, island and coastal period 2009-2020 (decision No. 52/2009/QD-TTg dated April 9, 2009 by the Prime Minister); focus on speeding up the implementation of the technical intervention solutions and the society to reduce the factors that impair, degrade the quality of race; special needs continue to promote advocacy alert and proactive control, resolve the cause of doing gender imbalance at birth; review for modification, additional authority or competent bodies propose amendments, supplements the legal system, policies on population, reproductive health to suit the requirements of each stage of development (including social policy, encourage the organizations , personal investments in the field of population and reproductive health); instructions, check, general implementation strategy and periodically report the Prime Minister; preliminary organization at the end of the year 2015 and to sum up the implementation of the strategy at the end of 2020.
2. Ministry of planning and investment, Ministry of finance, the Ministry of health and other ministries involved in lobbying the official development assistance sources (ODA) for the program, the project on population, reproductive health; integrating the target, the target population (the scale, structure, quality, distribution) on the plan of economic development-society annually and 5 years at the national level; Guide to integrating the goals, indicators on population, reproductive health on the construction and evaluation of the results of the objectives, the targets in strategy, planning, socio-economic development plan, local branches of the society; statistical investigation on the Organization of the population every year, 5 years and 10 years of service to the construction plan, the master plan for socio-economic development, policy formulation and evaluation of the implementation of the strategy.
3. The Ministry of finance, in cooperation with the Ministry of planning and investment, the ability to base the annual State budget, budget arrangement to implement the program, project, project on population, reproductive health, after being approved; instructions, inspection, checking the use of funding to implement the program, project, project on population, reproductive health has been approved under the provisions of the law on the State budget and other related laws.
4. The Ministry of education and training, in coordination with the ministries concerned organized deployment of educational development strategy 2011-2020 period after approval; implementation of educational content on gender, gender, population, reproductive health, gender equality for students, student; training for teachers, trainers, medical officers in schools on gender, gender, population, reproductive health, gender equality, HIV; integrating the target, the target population in planning, industry development plan.
5. The Ministry of labour, invalids and Social Affairs, in coordination with the ministries concerned organized implementation of the national strategy on gender equality the period 2011-2020 (decision No 2177/QD-TTg dated 24 December 2010 of the Prime Minister); build the policy on vocational training, job creation aimed at using up the workforce, promote the advantages of stage-structured "population of gold"; the instructions take educational content on gender, gender, population, reproductive health, gender equality into the curriculum of vocational institutions; policy formulation to improve the welfare for the elderly; integrating the target, the target population in planning, industry development plan.
6. The Ministry of science and technology, in cooperation with the Ministry of health building, steering scientific research activities on population, reproductive health, particularly on improving the quality of the population.
7. Ministry of environmental resources and hosted, in cooperation with the Ministry of health and the ministries involved integrating the target, the target population in planning, industry development plan.

8. The Ministry of culture, sports and tourism, in collaboration with the Ministry of health, Ministry of education and training, the ministries concerned, Central Vietnam Women's Union and the people's committees of provinces and cities under central organizations deploy overall scheme could force development the stature, Vietnam period 2011-2030 (decision No. 641/QD-TTg on January 28, 2011 of the Prime Minister) and Vietnam family development strategy 2011-2020 period and Vision 2030 after approval; integrating content about population and reproductive health into the cultural institution aims at families at least, no warmth, progress, happiness.
9. The Ministry of information and communications, in collaboration with the Ministry of health enhancing Guide, directing news agencies to promote innovative activities and information, advocacy, education and behavioral transformation of population, reproductive health, gender equality; handle the acts published publications, information products with content violating population policy, reproductive health; integrating the target, the target population in planning, industry development plan.
10. Ministry of agriculture and rural development, in collaboration with the Ministry of health and the ministries involved integrating the content of the population into agricultural extension programs, forestry, fisheries, rural development; Guide, steer, oversee the inspection of immigrants according to planning the social-economic development.
11. Ethnic Committee chaired, in cooperation with the Ministry of health, the ministries concerned organized advocacy, dissemination, education, policy, law on population, reproductive health for minorities; construction, the Agency has the authority to enact, guide and implement specific policies to support the implementation of population policies, reproductive health in remote areas, ethnic minority areas and regions with socio-economic conditions extremely difficult.
12. Vietnam News Agency, the voice of Vietnam, Vietnam television and other news agencies to increase the duration of broadcast, the number of articles and improving the quality of advocacy on population, reproductive health in the programme, the dedicated page, category.
13. The ministries, ministerial agencies, government agencies involved in the strategy implementation function, the tasks that have been assigned.
14. the people's committees of provinces and cities under central organizations implementing local strategies under the guidance of the Ministry of health and the Ministry of industry, function; build and organize the implementation of the five-year action plan and annually on population, reproductive health consistent with the strategy and plans of social-economic development of the locality in the same period; the initiative, actively mobilize resources to implement the strategy; mainstreaming the effective implementation of this strategy with other related strategies; allow public servants to do the work of population and reproductive health in the locality; promote interdisciplinary collaboration; integrating content about population and reproductive health in the work plan of socio-economic development policies in local society; check regularly the implementation of local strategies; implement the annual reporting the implementation of local strategies under current rules.
15. The proposal of the Central Committee of the Vietnam Fatherland Front, the Vietnam General Confederation of labour, Central Vietnam Women's Union, the Communist Youth League Central Ho Chi Minh, Vietnam farmers ' Union Central, the central Vietnam elderly people, family planning Association of Vietnam and other member organizations of the social organizations, within the scope of its mission, functions, participate in implementing the strategy; promote the propaganda, education aims to raise awareness about population, reproductive health care within their organization; participate in policy formulation, legislation, governance, monitoring the implementation of laws on population, reproductive health.
Article 3. This decision has the effect since the date of signing.
Article 4. The Ministers, heads of ministerial agencies, government agency heads, heads of agencies, related organizations, the Chairman of the provincial people's Committee, the central cities is responsible for the implementation of this decision.