Quyết định 1865/QD-UBND

DECISION

APPROVING THE PLAN TO DEVELOP THE HEALTHCARE SECTOR OF HO CHI MINH CITY BY 2020 WITH VISION TO 2025

THE PEOPLE’S COMMITTEE OF HO CHI MINH CITY

Pursuant to the Law on Organization of the People’s Councils and the People’s Committees dated November 26, 2003;

Pursuant to the Resolution No. 46-NQ/TW dated February 23, 2005 of the Politburo regarding protection, care and improvement of public health in the new context;

Pursuant to the Resolution No. 16-NQ/TW dated August 10, 2012 of the Politburo regarding guides and duties to development of Ho Chi Minh city by 2020;

Pursuant to the Order No. 24-CT/TW dated July 4, 2008 of the Secretariat of the Central Committee Communist Party of Vietnam concerning development of the Oriental Medicine and Vietnam Oriental Medicine Association in the new era;

Pursuant to the Government’s Resolution No. 16/NQ-CP dated June 8, 2012 introducing the Action Program for implementation of the Resolution No.13-NQ/TW dated January 16, 2012 of the Central Committee of the Communist Party regarding construction of fully integrated infrastructure with the aim of basically developing the modern industrialized country by 2020;

Pursuant to the Government’s Decree No. 92/2006/ND-CP dated September 7, 2006 on formulation, approval and management of the general socio-economic development plan; the Government’s Decree No. 04/2008/ND-CP dated January 11, 2008 on revision of certain articles of the Government’s Decree No. 92/2006/ND-CP dated September 1, 2006 on formulation, approval and management of the general socio-economic development plan;

Pursuant to the Prime Minister’s Decision No. 153/2006/QD-TTg dated June 30, 2006 on approval of the general plan to develop the health care system of Vietnam by 2010 with vision to 2020;

Pursuant to the Prime Minister’s Decision No. 30/2008/QD-TTg dated February 22, 2008 on approval of the plan to develop medical examination and treatment networks by 2010 with vision to 2020;

Pursuant to the Prime Minister’s Decision No. 24/QD-TTg dated January 6, 2010 on approval of the adjustment made to the Ho Chi Minh city planning by 2025;

Pursuant to the Prime Minister’s Decision No. 92/QD-TTg dated January 9, 2013 on approval of the proposal to alleviate hospital overcrowding for the period 2013 - 2020;

Pursuant to the Prime Minister’s Decision No. 2631/QD-TTg dated December 31, 2013 on approval of the general socio-economic development plan of Ho Chi Minh city by 2020 with vision to 2025;

Pursuant to the Decision No. 165/2004/QD-UB dated July 2, 2004 of the Ho Chi Minh city People’s Committee on approval of the plan to develop health facilities of Ho Chi Minh city by 2020;

Pursuant to the Conclusion No. 156-KL/TU dated July 2, 2004 of the Standing Party Committee of Ho Chi Minh city regarding the proposal “Plan to develop the healthcare system of Ho Chi Minh city by 2020 with vision to 2025”;

After considering the request of the Director of the Department of Health made in the Official Dispatch No. 1334/SYT-KHTH dated March 14, 2014,

HEREBY DECIDES:

Article 1. To approve the Plan to develop the healthcare sector of Ho Chi Minh city by 2020 with vision to 2025, including the following main details:

I. VIEWPOINTS

Draw up the plan to develop the healthcare sector in alignment with the socio-economic development process in Ho Chi Minh city in which the position and roles of the healthcare sector in the key economic zone and the area encompassing Ho Chi Minh city.   Maintain a harmonious and perfect balance between the public and non-public healthcare system by attracting private sector participation in the healthcare sector with the public system playing its leading role.  Mitigate hospital overcrowding.

Ensure that health workforce to be developed will meet ethical standards in healthcare, show their devotion to serving patients and community, be sufficient in both quantity and quality, and correspond to the short and long term needs for development of the healthcare sector.   Train health workforce to reach the same level as in other ASEAN states; fully meet qualification and conformity requirements concerning medical examination in accordance with relevant international and European standards. Develop, enhance healthcare service quality, and invest in high-tech and modern healthcare integrated with precious traditional medicine practices.   Strive to become 1 out of 9 high-quality service industries of Ho Chi Minh city.

Build the network of healthcare facilities spreading over from the grassroots to city level which is of intensive nature, and develop the network of emergency ambulance transportation, all of which are required to be professional, modern and contribute to providing people with equal access to, and creating effectiveness in, health care, protection and improvement services.  

II. GENERAL OBJECTIVES

Build the healthcare system in Ho Chi Minh city which is professional, modern, complete, driven toward equality, effectiveness and progress, assures that all people will be entitled to primary healthcare services, expand their access to certified quality healthcare services, meet the growing and diversified demands for health protection, care and improvement of inhabitants living in the City and its neighboring localities; become one of the healthcare centers which is specialized and provides accredited high quality services in the South and across the country, and is ranked equivalent to that of other developed countries; use modern, advanced facilities and equipment and take its role as the leading center for medical training, science and high technology across the nation. Concurrently, upgrade the healthcare industry to the high-quality service industry, make a significant contribution to the economic growth and sustainable development of the city.

Reduce risk factors, morbidity and death rate, improve physical strength, increase life expectancy of inhabitants, form good practices in sanitation for disease prevention, healthy dietary and nutrition habits, and in use of safe and hygiene food. Provide equal opportunities for all people to live in an environment and community which are safe for their health, and assure healthy physical and mental development.

III. SPECIFIC OBJECTIVES

1. Set up and restructure the public healthcare system, duly perform such tasks as provision of primary healthcare services, disease or epidemic prevention and control, health communication, health, environmental sanitation and food hygiene programs in order to reduce the rate of morbidity, disability and mortality, and boost the human health, increase life expectancy, improve the quality of the native races, contribute to improving well-being and workforce quality; concurrently, enhance people’s access to essential healthcare services.

2. Establish and develop medical examination and treatment networks that vary depending on residential clusters, irrespective of administrative subdivisions where these clusters are located, in accordance with socio-economic development conditions of the city. Apply high technologies and promote international cooperation in the medical examination and treatment sector, improve quality of healthcare services to the extent that these services are equivalent to those of developed member states of the region. Perfect the emergency medicine network, meet public demands for medical examination and treatment services, ensure that all people will have sufficient and convenient access to medical examination and treatment services provided at various healthcare networks, which contributes to decreasing overcrowding that have recently occurred at certain healthcare establishments, meet the objectives of equality, effectiveness and progress with a view to becoming the industry providing premium healthcare services of the city and ASEAN region.

3. Develop the traditional medicine industry to reach the same level as that of developed Asian countries, like Japan, China and Korea, to generate economic efficiency and introduce a cultural feature of traditional medicine of the city.  

4. Develop the pharmaceutical industry to become a key socio-technical industry. Strengthen development of the medicinal material industry with particular attention paid to cultivation of medicinal plants and processing of herbal extracts; enhance capacity for domestic production of pharmaceutical products with priority given to those manufactured in the high technology pharmaceutical dosage form. Guarantee adequacy of medicines and vaccines for disease prevention, prevention and control of infections, disastrous events, natural disasters, and for medical examination and treatment purposes.

5. Develop health workforce which is balanced and properly allocated different healthcare networks. Provide training programs for clinicians in conformity with European standards and equivalent to the level endorsed by the ASEAN region. Achieve the ratio of physicians and pharmacists to 10,000 inhabitants over time periods, especially including specialists who have obtained high level of expertise and meet uniform qualification standards, and maintain ethical and skilful health personnel to serve patients in a more effective manner. 

6. Radically improve state management capacity in respect of healthcare activities; strengthen reform of administrative procedures in order to provide the public with medical examination and treatment services in a timely and helpful manner, boost up the labor productivity of healthcare workers and facilitate provision of health care services to people; fully designate authority to healthcare networks to actively perform universal health care tasks; effectively direct national healthcare programs and healthcare development projects of the city.    

7. Improve the quality of population in terms of physical, mental, mind and spiritual health firmly associated with improvement of quality of reproductive health care services in order to meet the human resource demand for industrialization and modernization of the city. With respect to the population structure, it is necessary to focus on 3 missions like constraining the rate of increase in the sex ratio at birth; rapidly adapting to population aging trends; taking advantage of the period of golden population structure.

IV. SPECIFIC INDICATORS

V. CONTENTS OF THE PLAN FOR THE PERIOD 2013 – 2015, 2016 - 2020 WITH VISION TO 2025

1. Public health care sector:

a) By 2015:

Network organization: Establish inter-district Food Safety and Hygiene Centers to meet the objective of establishing 24 Food Safety and Hygiene Centers directly affiliated to the Subdepartment of Food Safety and Hygiene of the city (the Department of Health). 

Rural/ urban district-level preventive health centers under the jurisdiction of the rural/urban district-level People's Committees assume responsibility for providing technical and professional guides to healthcare stations at the ward, commune or town level. The Healthcare Station is an independent entity (having legal status, individual stamp and account) directly subordinate to the rural/ urban district-level Preventive Healthcare Center.

Improve quality of professional, disease monitoring and control activities. Improve quality of food safety activities; strengthen education and communication programs towards health, food safety and hygiene, epidemic disease prevention and control in communities and population through the communications system of the healthcare sector and network involving associations and socio-political organizations within the area; elevate the role of the Healthcare Station. 

Construct and renovate facilities of affiliates in the city’s preventive healthcare system, and centers affiliated to the preventive healthcare system at the rural/ urban district level, in accordance with perfect design standards. By 2015, focus on speeding up the construction progress and completing the project on construction of the Medical Testing Center; build the new Preventive Healthcare Center at the District 8; construct, restore and renovate Centers affiliated to the city’s preventive health section; renovate, and replace rural/ urban district-level Preventive Healthcare Centers which have been degraded and unaccredited.

Replace commune, ward or town-level Healthcare Stations which have been seriously damaged or degraded; repair and improve Healthcare Stations so that, by 2015, all 322 commune, ward or town-level Healthcare Stations will meet national facility standards to promote their professional activities relating to disease prevention and primary health care.

Assign proper personnel to undertake duties at Healthcare Stations; employ more pharmacists, family doctors, preventive medicine physicians, and epidemic disease prevention and control officers. Pay attention to improving quality of preventive health/school health officers through training, re-training and further training, etc. programs.

b) Period 2016 - 2020 with vision to 2025:

By 2020, rural/ urban district-level Preventive Healthcare Centers, Food Safety and Hygiene Centers and Centers without medical beds in the city's preventive healthcare system will have been improved, perfectly constructed and capable of meeting public health requirements.  All Health Stations must be furnished with spacious and well-equipped facilities, conform to national regulatory standards, perfect equipment and human resource and fulfill their responsibility for providing primary care services. 2. Medical examination and treatment, functional rehabilitation sector:

a) By 2015:

Network organization: The medical examination and treatment network must adopt both the horizontal organizational structure constituted by specialty departments and the vertical organizational structure constituted by hospitals at the metropolitan to municipal level, which ensure coordination and mutual aid amongst these hospitals in accordance with the city's policies. Health Stations at the commune, ward and town level are entities in the grassroots-level healthcare network serving as centers providing primary healthcare services in the family medicine model.  Construct main hospitals located at the eastern, western, southern and northern gateway entrance to the city to form clusters of hospitals covering a sufficient area of land in conformity with modern standards, design and construction requirements. Establish the general floor replanning for hospitals located at the city's center with the intention of having them improved and renovated in conformity with standards and requirements for eligibility for becoming highly specialized and modern hospitals without increase in the number of medical beds. Phase, and encourage private sector investments in, hospital development. The state budget fund is only invested in certain key hospitals in the list of approved investments while private sector funds are invested in other hospitals.

All of the healthcare establishments must comply with environmental protection regulations, which provide that 100% of wastes produced must be collected and treated in accordance with applicable regulations and 100% of medical wastewater produced must be treated in accordance with Vietnam’s regulatory standards before being discharged into the receiving environment).  

Improve quality of medical examination and treatment services, and eradicate hospital overcrowding circumstance. Set up the network of medical treatment and community support services through health programs, direct healthcare networks and give professional and technical support by higher-level healthcare networks to lower-level ones. Implement the satellite hospital project proposal to authorize use of trademarks of higher-level hospitals to lower-level ones under the Decision No. 3896/QD-UBND of the City’s People’s Committee dated July 18, 2013 (establishment and development of the network of satellite hospitals at provinces or cities incorporated by 6 major hospitals directly governed by the Ho Chi Minh city's Department of Health); transform rural/ urban district-level hospitals into satellite ones subordinate to the city’s leading general or specialized hospitals. Highly specialized hospitals will be offered investments in high technologies, modern facilities and equipment to be able to provide high-end healthcare services for population living in the city and across the country as well as foreigners arriving in the city. Non-public high-tech hospitals and general clinics will continue to receive investment incentive policies, especially investments in construction of hospital clusters located at gateway entrances to the city; collaborate with public hospitals in performing healthcare service activities, comply with professional and environmental protection regulations. Strive to gain best results from implementation of universal health coverage programs.

Enhance scientific training and research cooperation with countries which have most progressive medical industry all over the globe. Give other provinces assistance in transferring technologies, and cooperate with them in medical treatment services and the pharmaceutical and preventive health sector. Tighten cooperation with affiliates of the Ministry of Health and other ministries located within the city’s territory. Conduct research into establishment of the Center for Medical Application Research, and strengthen international cooperation program, etc.

Employ more personnel for hospitals, hold training and drilling courses to increase the number of highly qualified and specialized doctors.

Effect the plan for network of healthcare establishments applying medical radiation technology (according to the Prime Minister’s Decision No. 1958/QD-TTg dated November 4, 2011 on approval of the detailed plan for development and application of medical radiation technology in the health sector by 2020).  

Develop the network providing health emergency services outside a hospital (hereinafter referred to as peripheral emergency service centers) in order to, by 2015, construct emergency service stations at Cu Chi area hospital, Thu Duc area hospital, Hoc Mon area hospital, Binh Chanh district hospital, District 7 hospital, and Can Gio district hospital, including facilities, management, equipment, special-purpose ambulances and personnel. Establish the mechanism for thorough and smooth cooperation with the military medicine force in defending its area and with the reserve force with a view to mitigating consequences resulting from disastrous events and biological terrorist attacks, etc. that may occur.

b) Period 2016 - 2020 with vision to 2025:

Complete development of 5 clusters of hospitals, including 4 gateway clusters of hospitals and 1 central cluster of hospitals. By 2020, hospitals will have been equipped with modern facilities, completely constructed at the central and gateway cluster, residential clusters and will meet the demands of inhabitants living in the city and neighboring localities.

By 2020, health officers working at healthcare establishments must satisfy professional requirements and a high proportion of them must obtain postgraduate degrees. Healthcare administrators must complete healthcare and hospital administration training programs.

Develop a complete network of peripheral emergency service centers with a view to constructing emergency service stations at rural/ urban district-level hospitals, and build land, waterway and air ambulance service teams.

By 2025, health officers must reach an acceptable level of foreign language proficiency, be able to conduct research projects and excellent at performing activities requiring them to obtain a high level of professional and technical knowledge where appropriate.

3. Traditional medicine sector:

a) By 2015:

Network organization: Establish oriental medicine departments of general hospitals receiving professional instructions from the Traditional Medicine Hospital and the Traditional Medicine Institute of the city in collaboration with the Oriental Medicine Association and/or the Acupuncture Association. Oriental medicine service activities performed by ward, commune and town-level health stations will be put under the direction of rural/ urban district-level health divisions and will be aided by 2 traditional medicine hospitals of the city.  

Professional activities: Develop the traditional medical therapy network through direction of healthcare activities, and intensify activities of oriental medicine departments of general hospitals, health stations and networks of non-public healthcare practitioners. 

Construct a new Traditional Medicine Institute, and improve and renovate the Traditional Medicine Hospital.

b) Period 2016 - 2020 with vision to 2025:

Construct a new hospital of combined traditional and modern medicine which will be recognized as one of the largest hospital in the Southeast Asia region at a main gateway entrance to the city.

Cultivate more medicinal plants used as medicinal materials in the city and other southern provinces.

Construct and develop the oriental medicine street located in District 5.

Regulatory governance in the oriental medicine sector: All of the manufacturers of oriental medicinal products and pharmaceutical products derived from medicinal plant materials must adhere to the “good manufacturing practice” (GMP-WHO) principle.   

By 2020, facilities of the oriental medicine network at the city level (including 3 modern hospitals) through the ward, commune or town level (including health stations) will have been completely constructed, spacious and well-equipped, and capable of serving patients in an effective manner. In the traditional medicine sector, better coordination between oriental and western medicine approaches to illness treatment, and sources of supply of medicinal plants (used in production of oriental medicinal products) for the network of healthcare establishments applying oriental medicine methods, must be ensured.

4. Pharmaceutical sector:

a) By 2015:

Regional planning for the pharmaceutical industry: farm, cultivate and process medicinal plants for extracts; focus on investment in domestic high-tech pharmaceutical plants (located at the city northwest industrial zone covering an area of 50 hectares and linked with neighboring provinces), structure pharmaceutical production enterprises according to the city's objectives of specialization based on composition of their specialized products. Formulate the planning for medical equipment plants and call for investments in the medical equipment production and repair sector.

Rearrange and reorganize pharmaceutical product commercial centers, put forward the zone definition planning for wholesale markets of the city in the form of a pharmaceutical product commercial center (including those trading traditional medicinal products, medicinal drugs derived medicinal plant materials, cosmetics and functional food, etc.). Establish rules and regulations for management of these commercial centers with a view to focusing on management of input materials used for manufacturing goods (e.g. origin, quality and price).

Establish the center for medical equipment inspection, standardization and quality control. Establish the medicinal material supply center for provision of essential pharmaceutical products.

Reinforce and improve regulatory governance in the pharmaceutical and medical equipment sector. Intensify regulatory governance in the pharmaceutical sector; strengthen inspection and examination of management, distribution and use of medicinal drugs and administration of price of pharmaceutical products.

b) Period 2016 - 2020 with vision to 2025:

Build an industrial zone specializing in primary processing, preparation and manufacturing of oriental medicinal products and medicinal drugs derived from medicinal plant materials by applying modern technologies and technical processes in Ho Chi Minh city. Stimulate clinical pharmacy activities.

Gradually supply pharmaceutical drugs and medical equipment to meet demands of public and other healthcare establishments. Establish the center for trade promotion, advertisement and marketing of pharmaceutical products; establish the GSP-GDP certified center for distribution of pharmaceutical products. 

Build the medical equipment plant.

5. Human resource training activities:

a) By 2015:

Ensure that health workforce to be developed will meet healthcare ethical standards, show their devotion to serving patients and the public, be sufficient in both quantity and quality according to the stated objectives, have access to professional competence improvement training programs, be subject to any adjustment in terms of the workforce composition to deal with the situation where employees working in different healthcare sectors are unbalanced.    

Increase the training scale of the Pham Ngoc Thach university of medicine with respect to its undergraduate and associate’s degree programs. Open new training disciplines to train as family physicians, traditional medicine practitioners, European standard-accredited doctors, bachelors of pharmacy, universal and preventive healthcare clinicians. Promote training competence and capability of current private educational establishments providing nursery training. Give care to training of community healthcare officers.

Develop the model of affiliation between a university/medical school and a hospital in offering medical training and practice courses (hereinafter referred to as university (e.g. the affiliation between Pham Ngoc Thach university and 115 People's Hospital). Focus on investment in, and better coordination between, instruction on the practice of medicine and lecture on the theory of medicine in order to ensure that human resource meets accepted quality standards. Propose expansion of Pham Ngoc Thach university of medicine to the South of the city (Tan Kien commune, Binh Chanh district). Focus on training of healthcare administrators (Healthcare Administration Department of Nguyen Ngoc Thach university of medicine).

Implement plans to call for private sector involvement in construction of Cu Chi university (or medical school) hospital and others.

b) Period 2016 - 2020 with vision to 2025:

Complete construction of facilities of Pham Ngoc Thach university of medicine (2^nd branch) and of its affiliated hospital of medical practice.

Complete construction of Cu Chi university (medical school) hospital and others.

By 2020, the city must ensure sufficient supplies of human resources for healthcare establishments within its territory, and maintain educational establishments providing training in medical specialties at the secondary through postgraduate level (e.g. Doctor of Medicine and Postdoctoral Fellow). 

By 2025, medical training establishments must meet international standards and participate in training of human resources to meet other countries’ demands and ensure that these human resources conform to international standards.

6. Enhance capacity for regulatory governance in the healthcare sector and accelerate administrative reforms to fulfill the following objectives:

a) By 2015:

Institute the political system governing the healthcare sector which ensures transparency and solidity, and is supported by an effective regulatory machinery. Enable healthcare officers, public servants and employees to have access to education of ethical standards in healthcare.

Develop communication infrastructure; establish individual transmission systems capable of interconnection between all of healthcare establishments in the city's healthcare sector with a view to ensuring safety, stability and flexibility, etc., and apply the information technology in all activities of hospitals ranging from patients’ reception, marketing, fee and medical charge collection and administrative to professional activities.

Implement quality control standards at all of healthcare establishments.

b) Period 2016 - 2020 with vision to 2025:

By 2020, administrative procedures must be less time-consuming, simplified and conform to regulatory procedures and laws. Procedures for reception of patients must be streamlined and pleasing to patients. Remote diagnosis and treatment system must ensure interconnection between all of hospitals.

By 2025, healthcare establishments will have managed to master at applying information technology, make necessary arrangements for interconnection with international ones during epidemic disease prevention, control and patient treatment operations.

7. Population – family planning activities:

a) By 2015, stabilize population size and control population growth; stabilize gender structure and maintain balanced sex ratio at birth.

Improve quality of reproductive healthcare services and provide family planning services. Carry out a wide range of communication campaigns to influence any behavior changes. Improve competence in exercising regulatory governance of officers or public employees in charge of population - family planning affairs.

Improve population quality through certain action programs, such as experimenting on several models of intervention in improvement of population quality in physical, mental and spiritual aspects to contribute to meeting human resource demands in the healthcare sector; continue to develop and expand the model of premarital reproductive healthcare consultancy locations in the city and residential areas of several rural/ urban districts where a large population size is reported and population of target residents encouraged to comply with population and family planning policies are residing.   

b) Period 2016 - 2020 with vision to 2025:

Complete construction of reproductive health care and family planning service facilities.

Further improve the population quality.

8. Overview of resources used for implementing stated objectives

a) Human resource demand:

b) Land demand: By 2020, the demand for land includes:

. City Center: No more land reserved.

. City East: Increase of approximately 56 ha of land.

. City West: Increase of approximately 69 ha of land.

. City South: Increase of approximately 65 ha of land.

. City North: Increase of approximately 93 ha of land.

c) Investment fund demand:

- In the period 2013 – 2015, VND 20,746 of investment fund is needed, including:

. Fund invested in construction of specialized and general hospitals.

Total investment outlay is VND 4,708 billion derived from the state budget and borrowed funds for demand-side stimulation purpose.    

. Fund invested in construction of rural/ urban hospitals:

Total investment outlay is VND 2,040 billion derived from the state budget and other legal financing sources, depending on the demand and implementation progress.   

. Fund for construction of certain new hospitals (including City's Paediatrics Hospital, Thu Duc area general hospital, Cu Chi area general hospital, Hoc Mon area general hospital, Traumatology and Orthopaedics Hospital and 2^nd branch of Oncology Hospital, etc.) is composed of the followings:

+ Total investment outlay: VND 12,900 billion.

+ Central government budget (intended for use by City's Paediatrics Hospital, 2^nd branch of the Oncology Hospital), investment made in the BT arrangement form or borrowed fund for demand stimulation purpose (intended for use by Traumatology and Orthopaedics Hospital) and state budget fund as well as other legitimate funding source.

By 2015, complete construction of the new 5 hospitals located at the gateway entrance in order of priority as follows: City's Paediatrics Hospital (at Tan Kien commune – Tan Nhut commune, Binh Chanh district), Oncology Hospital (2^nd branch located at District 9), Cu Chi area general hospital, Thu Duc area general hospital and Hoc Mon area general hospital.

* Fund for investment in construction of the preventive healthcare section:

Total investment outlay is VND 1,098 billion derived from the state budget and other legal financing sources.   

- In the period 2016 - 2020 with vision to 2025, demand VND 4,200 billion to complete significant projects, continue to give more funds for installation of additional 1,000 medical beds invested by public healthcare establishments and of proposed 3,000 medical beds invested by private hospitals.

VI. IMPLEMENTATION APPROACHES

1. Human resource training activities:

Construct the model of affiliation between Pham Ngoc Thanh university of medicine and 115 People's Hospital (with the aim of developing facilities used for medical lecturing, practice and increasing the number of lecturers who are expert in medical theory and practice). Improve Pham Ngoc Thach university of medicine to fully meet the demand for training of healthcare workers for the city who have high professional competency and conform to European standards. Work on ongoing construction of medical practice hospital subordinate to Pham Ngoc Thach university of medicine located at Tan Kien commune, Binh Chanh district by using funds derived from the state budget.

Promote educational cooperation and affiliation between universities of medicine and pharmacy in the form of training arrangement to provide personnel to specific employers as a way to meet manning requirements.

Increase the formal training scale of the Pham Ngoc Thach university of medicine. Establish the pharmacy department, traditional medicine department and universal healthcare department of Pham Ngoc Thach university of medicine in order to train bachelors of pharmacy, traditional medicine practitioners, universal healthcare physicians, preventive healthcare physicians, and organize enrolments in training of doctors of odonto-stomatology (currently, necessary facilities and lecturing staff have been sufficient to meet predetermined objectives).

Promote private sector participation in diversifying training models. Open the new discipline in professional secondary training in preventive healthcare, food safety and hygiene, population and family planning sector with a view to providing more health officers.

Implement the program for training of 300 masters - doctors of medicine of the city, combine domestic training and overseas training to ensure high-quality and European standard-certified human resources. Healthcare establishments, including class-1 hospital in particular, must prioritize development of facilities and equipment auxiliary to train students in the practice of medicine, and concurrently draw up the continual training plan, allocate fund and strictly implement the said program.

Focus on training of healthcare administrators, especially hospital operations administrators. Sketch out the standard training program for hospital or healthcare affiliate operations administrators (medical quality, medical economics management and professional practice management, etc.).

Invite international reputable experts, qualified and experienced lecturers to give lectures and instructions on scientific researches. Provide investors with favorite conditions to invest in construction of educational establishments specializing in training of high-quality healthcare human resources within the healthcare sector; prefer projects on construction of healthcare educational establishments that conform to international standards.

Integrate contents of training and refresher courses taken by health officers, public servants and employees into projects funded by foreign programs and projects of international organizations and non-governmental organizations.

Consolidate, reinforce and improve training capacity of training establishments.

Collaborate with professional or trade associations, societies (Society of Medicine, Society of Pharmacy of Ho Chi Minh city, Society of Oriental Medicine) to offer elementary and advanced-level training courses to health officers.

Assign health officers who complete undergraduate and secondary training programs to hold posts at healthcare establishments at the rural/ urban district, ward, commune or town level.

Collaborate with the Department of Labour, War Invalids and Social Affairs, and Department of Education and Training, in training and assisting in provision of high-quality human resources to work for healthcare service stations of companies, institutions, schools or centers affiliated to the Department of Labour, War Invalids and Social Affairs and Volunteer Youth Force of Ho Chi Minh city.

2. Land-use demand:

Restructuring of hospitals in the city center: There will not be more land to be used for construction. Hospitals will be reconstructed by merging their subordinate departments into blocks and multifloor buildings to reduce construction density and create more space for traffic and landscape plants.

With respect to projects in clusters of hospitals at gateway entrances to the city, allocate land in conformity with defined design standards, ensure conformance to conditions for well-integrated traffic system and design of modern hospitals. Preserve unoccupied land for development demands.

With respect to projects for construction of rural/ urban district-level preventive healthcare centers, health stations, preserve a sufficient amount of land for construction and standard design of preventive healthcare centers or health stations at the commune, ward or town level.

Healthcare establishment construction projects must conform to modern standards, architectural design standards and provide environmental assurance in accordance with laws and regulations.

3. Investment budget:

Funds derived from the central government budget, city government budget, ODA loans and issuance of bonds will be invested in gateway hospitals (City Paediatrics Hospital, 2^nd branch of the Oncology Hospital, Cu Chi area general hospital, Hoc Mon area general hospital and Thu Duc area general hospital).

Funds derived from the city government budget will be invested in complete construction of the preventive healthcare system (rural/ urban district-level preventive healthcare centers, or commune, ward or town-level health stations); complete construction of necessary hospital facilities.

Demand stimulation borrowed funds invested in construction of general and specialized hospitals will comply with autonomy regulations set forth in the Government’s Decree No. 43/2006/ND-CP dated April 25, 2006.

Other funds derived from Build – Transfer (BT), Build – Operate – Transfer (BOT), Public Private Partnership (PPP) arrangements will be a component of the total investment budget.

4. Private sector involvements:

Establish incentive policies to encourage investors to participate in medical examination and treatment services, out-of-hospital emergency services, preventive healthcare services and training activities, etc.

Develop models of private sector involvement in the healthcare sector with a view to widening through diversification of forms thereof, including applying the model of healthcare establishments providing high-tech and not-for-profit services which qualifies for applicable incentive policies on stimulation of private sector participation in the healthcare sector (at the locations of these establishments or through establishment of 2^nd branches thereof); entering into joint venture – affiliation arrangements; calling for private sector participation in the form of fund borrowing; mobilizing social resources, facilitating promotion of investment by domestic and foreign individuals and organizations in the healthcare industry (medical examination and treatment, human resource training and community healthcare service activities).

With respect to approaches to mobilization of strengths of any community, promote the roles of Youth Union, Women’s Union, Veteran Association, Red Cross Association, Society of Medicine, Society of Pharmacy, Society of Oriental Medicine, Society of Acupuncture and others along with charity organizations in carrying out health communication, education and community consultancy programs for enhancement of healthcare knowledge of the population, applying active disease prevention methods, encouraging people to invent physical activity practices to improve their mental and physical health. Formulate rules and regulations on collaboration on overall operations in the healthcare sector.

5. Regulatory policies:

From the start of 2014, establish and issue regulatory policies for treatment of health officers working in remote communes or areas facing with difficult living conditions, or preventive health officers; on increase in rate of allowance for health officers, public servants and employees working for commune, ward or town-level health stations within the city’s territory; policies for health officers, public servants and employees working in the healthcare activity occurring at rural/ urban districts of the city (applied throughout 05 districts) under which they are entitled to an increase adjustment in proportion to an increase in basic pay rate stipulated by the Government.  

Develop the system of responsible autonomy over implementation of duties to the organizational machinery, employee tenure system and finance that will be exercised by public service entities. Aim at assigning entire and comprehensive autonomy to authorized healthcare establishments in managing and utilizing assets and making a decision on investment.

Calling for private sector investment: define the land-use planning and model of attracting investment. Establish policies and mechanism for calling for and attracting investment in projects for construction of clusters of hospitals at the gateway entrances (e.g. assigning land of which compensation for clearance have been paid to investors to construct hospitals according to the sectoral planning, etc.).

Formulate regulations on cooperation with departments, districts and communication agencies in performing health communication and health care quality improvement activities. Focus on collaboration with cities or provinces in the region and throughout the country to consistently perform prevention and control of epidemic diseases together with improvement of medical examination and treatment quality for the people.

Administration model: Create the mechanism for administration, coordination and support between medical treatment networks at the city, rural/urban district and grassroots-level (e.g. health stations). Allow experimentation on health stations accorded autonomy in provision of primary care services (using their own stamps). Establish the population and family planning center at the rural/urban district level directly affiliated to the rural/urban district-level People’s Committee.

Strictly comply with professional regulations in the healthcare service activity. 

6. Implementation of the planning:

Enhance leadership roles of Communist Party committees, governments and unions, consideration and support from regulatory, sectoral authorities and entities in implementation of the sectoral planning.  

Establish the Steering Board governing implementation of the planning of which the head is a member of the leadership of the city People's Committee, the vice head is a member of the leadership of the Department of Health and members are the leaders of relevant departments or subdepartments. The Board is composed of the assisting groups such as communications, execution, inspection, policy and internal control assessment groups, etc. The Steering Board introduces rules and regulations governing implementation, and adopts inspection, examination, assessment and awarding policies.

Design action programs in order to effectively implement contents of the approved planning, determine key and significant programs (reinforce and develop the grassroots-level healthcare network; formulate the planning for construction of highly specialized hospital at the city center and major hospitals at gateway entrances to the city; complete construction of out-of-hospital emergency service network; develop the pharmacy and traditional medicine industry; put forward the planning for development of human resources, education of ethical standards for health officers; enhance international cooperations; promote communications and health education activities, etc.

Publicize the planning, enhance political and ideological education and awareness, and carry out communications tasks and contents of the approved planning.

Article 2. Implementation

1. Responsibilities of the Department of Health:

Publicly announce and disseminate the plan to develop the health sector of Ho Chi Minh city by 2020 with vision to 2025. Undertake and collaborate with regulatory and sectoral departments, People’s Committees of rural/urban districts within the city's territory in formulation and implementation of 5-year and annual development plans according to planned objectives.

Establish policies and systems for development if the network of healthcare establishments within the city's territory. Inspect and oversee individuals, entities and enterprises in the healthcare sector.

On periodic basis, make an annual report on results of implementation of the planning, and counsel the city People’s Committee on any timely adjustment to the planning which is no longer inappropriate.   

2. Regulatory and sectoral departments, People’s Committees of urban/rural districts according to their functions and duties must strictly cooperate with the Department of Health in the course of implementation of the planning.  

Article 3. This Decision shall enter into force from the signature date.

Article 4. The Chief of Office of the city People’s Committee, the Director of Department of Health, the Director of Department of Planning and Investment, the Director of Department of Finance, the Director of Department of Natural Resources and Environment, the Director of Department of Planning - Architecture, the Director of Department of Construction, the Director of Department of Agriculture and Rural Development, heads of regulatory entities of the city, and Presidents of People's Committees of rural/urban districts, shall be responsible for implementing this Decision./.

APPENDIX 1

LIST OF KEY INVESTMENT PROJECTS
(Issued together with the Decision No. 1865/QD-UBND dated April 16, 2014 of the city People’s Committee)

Unit: million dong

THE CITY PEOPLE’S COMMITTEE

APPENDIX 2

DEMAND FOR FUND INVESTED IN HOSPITAL AT THE CITY CENTER
 (Issued together with the Decision No. 1865/QD-UBND dated April 16, 2014 of the city People’s Committee)

a) Improvement and expansion (without increase in the number of medical beds): 20 projects

Unit: million dong

b) Investment in equipment:

The city People’s Committee has approved the policy for investment in medical equipment of hospitals with total investment of VND 964 billion, bidding and procurement procedures applied as of 2012. It is advised that demand stimulation loans and funds allocated by the state budget are used for purchasing more medical equipment to meet medical examination and treatment requirements. 

THE CITY PEOPLE’S COMMITTEE

APPENDIX 3

DEMAND FOR FUND INVESTED IN CONSTRUCTION OF RURAL/URBAN DISTRICT-LEVEL HOSPITALS
 (Issued together with the Decision No. 1865/QD-UBND dated April 16, 2014 of the city People’s Committee)

Investment projects which have been approved in the policy for investment at rural/urban districts include 10 projects with total investment outlay of VND 1,870 billion; investment in medical equipment for rural/urban district-level hospitals with total investment fund of VND 170 billion, increased construction floor area and conformance to hospital design standard TCVN 365:2007. By 2015, there must be more 260 beds and 100,000m² of floor available for use by rural/urban district-level hospitals with an equivalent increase of 1,500 beds.   

Projects:

Unit: million dong

THE CITY PEOPLE’S COMMITTEE

APPENDIX 4

DEMAND FOR FUNDS INVESTED IN PREVENTIVE HEALTHCARE SERVICE SECTOR (AT THE CITY LEVEL)
 (Issued together with the Decision No. 1865/QD-UBND dated April 16, 2014 of the city People’s Committee)

Unit: million dong

THE CITY PEOPLE’S COMMITTEE

APPENDIX 5

DEMAND FOR FUNDS INVESTED IN PREVENTIVE HEALTHCARE SERVICE SECTOR (AT THE RURAL/URBAN DISTRICT LEVEL)
 (Issued together with the Decision No. 1865/QD-UBND dated April 16, 2014 of the city People’s Committee)

Unit: million dong

THE CITY PEOPLE’S COMMITTEE

APPENDIX 6

DEMAND FOR INVESTMENT IN WARD OR COMMUNE-LEVEL HEALTH STATIONS
 (Issued together with the Decision No. 1865/QD-UBND dated April 16, 2014 of the city People’s Committee)

Network of grassroots-level health stations throughout 24 rural/urban districts: 322 health stations.

Total number of health stations entirely demolished (due to the construction planning for Thu Thiem Urban Area): 3 health stations.

Number of health stations accredited in terms of facilities: 261 health stations.

Number of unaccredited health stations that need to be constructed: 42 health stations.

Total proposed amount of investment in construction of 42 new health stations: VND 173 billion. 

Funding source: State budget allocations to rural/urban districts. /.

THE CITY PEOPLE’S COMMITTEE