Quyết định 122/QD-TTg

DECISION

APPROVING THE NATIONAL STRATEGY TO PROTECH, CARE, AND IMPROVE PUBLIC HEALTH DURING 2011-2020, AND THE ORIENTATION TOWARDS 2030

THE PRIME MINISTER

Pursuant to the Law on Organization of the Government dated December 25, 2001;

Pursuant to the June 30, 1989 Law on Protection of People’s Health;

At the request of the Minister of Health,

DECIDES:

Article 1. Approving the national strategy to protect, care, and improve public health during 2011 - 2020 period, and the orientation towards 2030 (hereinafter referred to as strategy). In particular:

I. VIEWPOINTS

1. Health is the most valuable asset of each person and of the entire society; public health services are special non-profit social services; investment in health is investment in development and reflects the good nature of the society

2. Upgrade and complete the Vietnam’s healthcare system toward fairness - efficiency - development; ensure that everyone, especially the poor, the ethnics, children under the age of 6, beneficiaries of social policies, people in disadvantaged or remote areas, bordering areas or islands and highly susceptible people, can access high-quality basic health care services.

3. Protect, care for and improve public health are obligations of everyone, every family and the community, are responsibilities of ministries, Socialist Party’s agencies, authorities, Fatherland Front committees at all levels, associations, and socio-professional organizations, among which health authorities play a pivotal role in terms of expertise and technologies.

4. The State shall unify the macro-management and orients the protection, care and improvement of public health through the law system and policies; regulates and distributes resources; and manages the quality of health services and health service prices.

5. Innovate the operation and financial mechanism of health agencies in association with execution of the plan for providing health insurance for everyone in order to quickly adapt to the socialist-oriented market economy institutions in the health sector’s activities.

6. Harmoniously combine the fortification of the health network with in-depth development of medicine; the development of public health services with non-public health services; and modern medicine with traditional medicine.

II. TARGETS

1. General targets

Ensure that everyone is able to enjoy initial healthcare services, have more access to high-quality health services; live in safe a safe community and develop physically and mentally. Reduce the rate of infections, improve the physical strength, improve the life expectancy and raise population quality.

2. Specific targets

- Reduce the rate of infections, mortalities, and disabilities; control contagious diseases, common and new epidemics, prevent epidemics from breaking out. Restrict and control the threats of non- contagious diseases and diseases relating to the environment, lifestyles, behaviors, food safety and hygiene, nutrition, and diseases of students.

- Improve the quality of medical examination treatment, and rehabilitation services; reduce the pressure on major hospitals. Develop universal healthcare, family doctors, enhance initial healthcare and medical coverage to all people with the development of specialized healthcare. Intensify healthcare for the elderly. Develop non-public healthcare services and enhance public-private partnership. Modernize and develop traditional medicine, combine traditional medicine with modern medicine.

- Maintain a reasonably low birth rate, control the increase of the sex ratio, raise the population quality, satisfy people’s demands for birth control services, improve the accessibility to high-quality reproductive health services, integrate issues about population into socio-economic development policies and plans.

- Develop the human resources of the health sector in terms of quantity and quality; increase human resources in the health sector for rural, highland, remote, bordering areas and islands and a number of specialities; focus on the development of qualified human resources; expand the training of nurses at colleges and universities, achieve a rational ratio of physicians to nurses and technicians, etc., ensure balance between training and employment of health workers.

- Innovate the operation and financial mechanism of the health sector, quickly increase public investment in the health sector, develop public health insurance, reduce the direct expenditure on healthcare of households, and efficiently use health financial sources.

- Ensure adequate supply of high-quality medicines, vaccines, medical preparations, blood, blood preparations and medical equipment of quality at reasonable prices to meet people’s demands for disease prevention and treatment; manage and use medicines and equipment reasonable, safely and efficiently.

- Raise the capability to mange and implement health policies, enhance the reform of public administration and develop the health information system to innovate and develop the health sector.

3. Specific targets by 2015 and 2020

4. Orientation toward 2030

By 2030, the entire healthcare system will be complete and modern, suitable from each region and area; the grassroots healthcare network  will be firmly consolidated; specialized healthcare and spearhead healthcare will be on par with advanced countries in the region. Harmonize public healthcare and non-­public healthcare. Public healthcare will play the pivotal role; combine modern medicine with traditional medicine; every citizen is able to access basic healthcare services of high quality. Healthcare is mainly funded by the state budget and health insurance. Everyone can live in a safe community and develop physically and mentally. Meet the demand for human resources serving the national industrialization, modernization, construction and defense.

III. PRIMARY SOLUTIONS

1. Develop and complete the system of health organizations

- Complete the system of health organizations, including preventive medicine; medical examination and treatment, rehabilitation; medical assessment, forensic medicine, mental forensic medicine; traditional medicine and pharmacy; reproductive health care; medical equipment and facilities; pharmacy; cosmetics; food safety; health insurance; and birth control.

- Strengthen and stabilize the entire system of health organizations; consolidate the grassroots healthcare network while developing specialized healthcare centers; increase investment in the development of public healthcare together with encouraging and facilitating the development of non-public healthcare; develop modern medicine in association with traditional medicine.

- Consolidate and develop the preventive medicine network toward concentration and reducing the number of units in order to improve the efficiency and quality of their operations. Ensuring the capacity to forecast and control contagious diseases, non-contagious diseases and environmental and lifestyle diseases.

- Complete the medical examination and treatment network; develop medical techniques to treat most all diseases requiring high technologies at the central level; consolidate and improve the capability of provincial hospitals; arrange district- level general hospitals by residential areas; expand the traditional medicine network and specialized hospital network. Build military-civil medical facilities, especially in bordering areas and islands. Consolidate, develop and modernize the emergency transport network both by land by sea.

2. Consolidate and complete the grassroots healthcare network  and renovate the initial healthcare

- Strengthen and complete the networks of commune health stations and district health centers; ensure that 100% communes have their own health stations suitable to the socio-economic conditions and medical examination and treatment demands in each region; increase investment in raising the quality of initial healthcare services; to harmonize activities among health units within districts; well materialize the national criteria on commune healthcare in the 2011 - 2020 period; develop village and hamlet health workers, particularly in highland, remote and bordering regions; attach importance to raising the capability of folk midwives in villages and hamlets where health workers are insufficient; to intensify activities of family doctors; manage non-contagious disease in association with initial healthcare and community-based healthcare for the elderly.

- Expand training and retraining forms so as to develop grassroots health workers, giving priority to on-spot training of ethnic minority health workers. Staff health stations with adequate professional titles, attaching importance to raising the qualification of traditional medicine and pharmacy staff.

- Formulate priority healthcare policies for people in highland and remote regions, paying special attention to ethnic minority people, increasing the accessibility to quality health services for people in poor, ethnic minority, remote regions and disadvantaged areas.

- Organizationally consolidate, and renovate the operational mode and raise the effectiveness of, grassroots public healthcare boards; raise the awareness about, and enhance the participation and cooperation of local administrations, socio­political organizations, social organizations and socio-professional organizations in initial healthcare activities; integrate programs and objectives, and enhance health communication and education activities in communities.

3. Enhance preventive medicine, improve public health, prevent and fight HIV/AIDS and ensure food safety and hygiene

- Consolidate and complete the epidemic surveillance, warning, prevention and control system; establish systems of surveillance, prevention and control of non-contagious disease risks, fully capable of controlling and detecting target groups at high risk of contracting non-contagious diseases for active counseling and guidance in preventive therapy. Incrementally study the formation of disease prevention and control units.

- Intensify the supervision and control of polluting wastes; treat medical and hazardous wastes. Effectively manage elements harmful to health such as smoking, alcohol abuse, unsafe sex, irrational diets, food poisoning, etc. Develop the contingent of intersectoral food safety and hygiene inspectors. Build clean water plants and sanitary works serving the “eat clean and live clean” movement.

- Comprehensively make investment in preventive medicine units to meet the national standards on preventive medicine and international standards on bio-safe laboratories, in a way that suit each unit and local socio-economic conditions. Consolidate and raise the capability of food safety and hygiene testing units, ensuring that testing standards are conformable with international and regional regulations. Keep effectively executing the national programs on health.

- Enhance intersectoral cooperation in preventing and controlling accidents, casualties, traffic accidents, labor accidents, drowning, suicide and occupational diseases, HIV/AIDS prevention and suppression, and food hygiene and safety. Take appropriate measures for preventing and alleviating impacts of catastrophes, natural disasters, climate change, population ageing, family violence, etc. on health.

4. Raise the quality of medical and rehabilitation services

- Take comprehensive measures for reducing hospital overload; step by step re­establish the system of transferring patients among hospitals at different levels; develop networks of satellite hospitals; consolidate the network of specialized hospitals and departments of oncology, cardiology, plastic surgery, obstetrics-pediatrics and rehabilitation; focus on community-based rehabilitation.

- Provide continuous and comprehensive care for patients; formulate programs for the guarantee and improvement of healthcare service quality; complete the mechanism for handling feedbacks and protecting patients’ interests; formulate and apply appropriate standards of quality control to hospitals in Vietnam, step by step applying international and regional standards to medical examination and treatment. Establish a system of managing, assessing, and controlling the quality of healthcare services.

Raise the managerial skills of hospitals, ensuring the efficient use of resources in hospitals; intensify the administrative reform and the application of information technology to hospital management. Maintain the effective operation of medicine and therapy councils, intensify the control of the prescription, use of medicines, and prescription of tests and techniques; minimize the abuse of drugs and medical technologies; take measures for preventing and reducing complications and medical errors, ensuring safety for patients and transparency in management, professional activities and distribution of resources. Intensify education in medical ethics and the code of conduct for health workers.

- Increase investment in equipment and raise the capability of health workers to serve judicial assessment (forensic assessment, mental forensic assessment) and medical assessment.

5. Develop traditional medicine and pharmacy

- Effectively implement the national policies on traditional medicine and pharmacy and action plans for development of Vietnam’s traditional medicine and pharmacy through 2020; enhance the production of eastern medicines and herbal medicines and herbs. Consolidate the system of traditional medicine and pharmacy organizations from the central to local levels, to develop traditional medicine and pharmacy hospitals in provinces on a rational scale; raise the quality and efficiency of the operation of traditional medicine departments at provincial and district general hospitals; intensify traditional medicine activities at health stations.

- Develop a technical process for treatment with traditional medicine and pharmacy and a process for treatment of a number of diseases with traditional medicine combined with modern medicine. Provide regimens of traditional treatment of a number of diseases which can be effectively treated with traditional medicine. Standardize semi-finished products and finished products of traditional medicine; enhance the management of the market of oriental medicines, herbal medicines and herbs.

6. Enhance reproductive health care and birth control activities

- Organizationally consolidate the apparatus and stabilize and raise the capability of officials in charge of population works and reproductive health care at all levels towards professionalism. Intensify inspection; provide a mechanism for intersectoral cooperation; emphasizes the community’s supervisory role in the implementation of policies and laws on population, reproductive health care and birth control.

- Intensify policy and law dissemination and education; update and provide information to Party committees and administrations at all levels, socio-political organizations and prestigious people in communities. Vigorously and effectively carry out communication and education activities suitable to each target group. Expand and raise the quality of education in population and reproductive health inside and outside schools.

Properly combine mass communication with face-to-face communication via the network of population collaborators.

- Consolidate the service-providing networks according to technical levels, ensuring provision of packages of essential population and reproductive health care services at all levels. Raise the quality of forecasts and formulate plans for reasonable use of contraceptive means and to fully provide reproductive health care services.

- Expand the provision of services on pre-marriage counseling and health examination, pre-natal and infant screening and diagnosis on the basis of building a system of regional centers, incrementally transfer techniques to provincial centers; to include these services into the list of health services covered by health insurance.

- Intensify managerial and professional training and drills. Prioritize the intermediate- level population and healthcare training for commune population workers; train village and hamlet midwives in disadvantaged areas; provide training in pre-natal and infant screening techniques.

- Raise the quality of collection and processing of information and data on population and reproductive health based on the application of information technology; fully, accurately and promptly provide information and data to serve the direction, administration and management at all levels.

- Extensively involves all sectors, socio-political organizations and communities in population and reproductive health care activities. Intensify international cooperation, actively participate in international organizations and programs, actively take advantage of financial and technical assistance and experience of foreign countries and international organizations.

7. Develop human resources for the health sector

- Restructure the networks of human resource training and development institutions and rationally balance training disciplines. Build hospitals of medical universities; link theoretical training to practice training; consolidate and complete practice facilities for training institutions.

- Upgrade health workers training schools, raise the quality of lecturers, innovate curricula, documents and teaching methods. To ensure adequate health workers and a rational structure for regions and health fields.

- Formulate criteria for evaluation and appraisal of the quality of training of health workers. Issue and manage professional practice certificates and operating licenses of health workers and medical facilities as prescribed by law.

- Carry on the nomination-based training, distance training, four-year forma! training of physicians and pharmacists and continuous training on a rational scale to meet the demands of remote and disadvantaged areas while raising the quality of training in these forms; gradually scale down the nomination-based training when health workers are adequate. Ensure adequate professional titles for medical facilities, especially in highland, remote, disadvantaged, bordering areas, and islands.

- Enhance post-graduate training at provincial and district levels, first of all heads of units, departments and sections. Intensify overseas training in the fields and disciplines which Vietnam lack conditions for training in order to improve the quality of specialized health workers.

- Apply effective solutions suitable to the local socio-economic conditions in order to attract health workers to work for a long term in mountainous, deep-lying, remote or disadvantaged areas. To implement regulations on the social obligation and responsibility of newly graduated health workers and grant professional practice certificates to health workers.

8. Develop medical science and technology

- Formulate a strategy for medicine development in the field of research and application of new achievements; to intensify cooperation in the application of medical technologies of advanced countries as well as molecular technology, nanotechnology in medicine; step by step modernize medical techniques with priority given to image diagnosis, bio-chemical, bio-physical diagnosis, immunity, heredity, molecular biology and genetic technology; to apply distance diagnosis and therapy technologies, medical equipment, pharmaceuticals, vaccine manufacturing technologies and other advanced technologies applicable in preventive medicine, etc. Apply advanced cardio-vascular, endoscopic, plastic-surgery, organ-grafting and oncology treatment techniques and technologies.

- Formulate standards and proceed with the assessment of medical technologies for determination of effective and efficient medical intervention at low cost, ensuring the health service quality.

9. Innovate financial and investment activities

- Increase annual budget expenditure for healthcare, ensuring that the health expenditure growth rate is higher than the average state budget expenditure growth rate. Set aside at least 30% of the State’s health budget for preventive medicine, ensuring adequate funds for regular operations of commune health stations and allowances for village and hamlet health workers. Formulate an appropriate financial mechanism for initial healthcare activities, prioritizing budget for healthcare for people with meritorious services to the nation, poor people, peasants, ethnic minority people, and people in areas facing difficult socio-economic conditions. Strive for at least 10% of the total state budget expenditure for healthcare; Step by step distribute the state budget to medical facilities according to their respective operational results and outputs.

- Expand the modes of advance payment and risk sharing in medical examination and treatment via development of public health insurance; reform and simplify procedures for health insurance purchase and payment, facilitate the medical examination and treatment for people having health insurance; keep implementing the health insurance policy for the poor, under-6 children, the elderly, ethnic minority people in disadvantaged areas and susceptible people. Expand medical examination and treatment with health insurance at the commune level; reduce the proportion of households facing impoverishment due to healthcare expenditure. Enhance the application of information technology to health insurance management.

- Keep mobilizing social investment sources for healthcare, while making appropriate policy adjustments to restrict the adverse impacts of the policy of socialization of health activities on the people.

- Expand the financial autonomy for public non-business health units; adjust health service charges in line with the public health insurance roadmap and wage reform roadmap; to correctly and fully calculate service charges suitable to the professional qualifications and service quality at each level and people’s affordability; publicize health service charges, clearly defining amounts covered by the state budget and paid by health service users.

- Step by step upgrade the method of payment for health care services, shifting from the service charge mode to advanced and appropriate service charge payment mechanism such as quota package, package payment by case, diagnostic group, and other financial mechanisms; to enhance the control of expenses, control of service abuse; to develop a mechanism for controlling service charges of private medical facilities.

- Integrate financial indicators into the general medical supervision and assessment frame, focusing on fairness, efficiency, coverage, accessibility and lower out-of-pocket health expenditure.

10. Develop the pharmaceutical industry and production of vaccines, bio-products and equipment and increase investment in health infrastructure

- Develop the domestic pharmaceutical industry, striving for the targets that home-made medicines will meet 70% of the total value of used medicines by 2015 and 80% by 2020, including 90% of the use demand for medicines on the list of essential medicines and drugs under national health programs. Raise the capacity for domestic production of vaccines and medical bio-products, giving priority to hi-tech preparations; develop pharmaceutical zones and pharmaceutical-chemical  production establishments in order to ready pharmaceutical sources for medicine production.

- Enhance the management of drug quality and safe and reasonable use of medicines, encouraging the use of home-made medicines. Ensure that medicine manufacturers reach the World Health Organization (WHO) standards on good manufacture practice (GMP); medicine testing establishments reach WHO’s standards on good laboratory practice (GLP); and large medicine importers and distributors reach the standards on good storage practice (GSP).

- Enhance the management of medicine prices, reorganize the work of medicine supply bidding. reform and consolidate the medicine production, circulation, distribution and supply networks; to re-plan the medicine distribution, wholesale and retail networks nationwide. Strictly manage the prescription and sale at pharmacies, particularly private ones, ensuring safe and reasonable use of medicines.

- Enhance the domestic manufacture of medical equipment, particularly common medical equipment in the immediate future while step by step entering into joint ventures and cooperation for manufacturing hi-tech medical equipment; meet at least 60% of the demand of medical facilities for common medical equipment.

- Pay attention to the management, operation, preservation, maintenance and repair of medical equipment. Encourage the development of medical equipment maintenance and repair workers in localities; ensure adequate funds for the maintenance and repair of medical equipment and infrastructure.

- Consolidate the blood transfusion network, striving to achieve a volume of collected blood units equivalent to 2% of the population in 2020, with voluntary blood donations representing over 90%.

- Expand and develop health infrastructure in conformity with construction planning and standards.

11. Intensify international cooperation

- Actively embark upon international integration in the health field, persistently implement the external policy of independence, sovereignty, cooperation and development; multilateralize and diversify relations; make full use of capital, managerial experience and advanced science as well as technologies of the world and region for the development of public health protection, care and improvement.

- Develop the health-related information network with a number of countries and international organizations, aiming to approach, exchange, transfer and apply the advances of medical science in the world.

- Consolidate and develop the existing cooperative ties and expand new ones with other countries and international organizations; keep mobilizing and efficiently using foreign aid for investment in health infrastructure and medical equipment; enhance professional, technical and high-quality training cooperation, exchange of experts, technological transfer, specialized healthcare research and development; intensify joint ventures and association with foreign countries in the manufacture of medicines, vaccines and hi-tech medical equipment.

12. Develop the health information system

- Draw up plans for development of the health information system from the central to local levels. Complete the health statistics system of international comparison; monitor priority health issues and the achievement of national health targets and implementation of international commitments; finalize health statistical books and reports, guiding documents on information on health management, hospitals, preventive medicine, disease and epidemic prevention and control and information on scientific research, training and development of human resources for the health sector.

- Establish health information databases at all levels and mechanisms for information sharing and feedbacks; raise the quality of health information. Enhance the capacity to synthesize, analyze and process health information and data; enhance information dissemination in diverse forms suitable to users in each unit, at each level, serving policy and plan formulation and health management based on material evidences.

- Step by step modernize the health information system, applying information technology in conformity with the financial capability, techniques and use demand of each level; upgrade hardware and develop software, establishing modes of information exchange, transmission, report and data sending via websites.

13. Promote health communication and education activities

- Consolidate the health communication and education network. Intensify training, retraining and drills to raise the working capability and health communication and education skills for different levels.

- Formulate communication programs suitable to target groups in each region and locality and suitable to cultural, gender, age group and ethnic elements. Develop effective communication models in communities; expand and diversify communication activities in order to raise the awareness of the people and authorities.

- Intensify communication to raise people’s awareness of lifestyles and acts affecting their health such as smoking, alcohol abuse, and unsafe sex, irrational nutrition, and of school health, population and birth control, reproductive health, physical exercise and sports, helping them acquire basic knowledge on disease prevention and control, adopt healthy lifestyles, and practice exercises to maintain and raise their health. Enhance communication about the benefits and interests of health insurance and health service charges.

14. Enhance the state management of health

- Keep complementing policies and law on health; intensify the dissemination and education in the laws and policies on health, inspection and legal assistance for health units, aiming to well enforce the policies and laws concerning the health sector.

- Raise the capacity to formulate and campaign policies, capacity to manage professional activities, manage financial sources, investment, public property, equipment and personnel, first of all for unit, department and section leaders, organizational, planning and financial officials. Incrementally standardize the professional and managerial capabilities for every working position at both central and local levels. Enhance the formulation of policies based on material evidences with the widespread participation of socio-political organizations, socio­-professional organizations and people. Establish systems for regular monitoring, oversight and assessment of impacts of health policies and plans.

- Develop systems of standards and criteria for different fields of the health sector, including standards on physical foundations, medical equipment and personnel qualifications, and professional regulations and standards, which serve as the basis for reorganizing and raising the quality of health services and raising the investment efficiency.

- Consolidate the system of health inspectorates with adequate quantity and good quality, fully capable of performing their functions and tasks.

- Provide guidance on the implementation of professional insurance for medicine and pharmacy practitioners; encourage the establishment of the Association for Protection of Legitimate Interests of Health Service Users.

- Enhance the reform of public administration, simplify administrative procedures to reduce inconveniences for people and enterprises; boost the application of information technology management, to apply ISO standard quality control system. Improve the autonomy of public service provider; emphasize accountability; ensure the democracy, openness, and transparency in the management at health units from the central to local levels.

- Formulate reasonable incentives for cadres, civil servants and public employees in the health sector, especially those working in rural, highland, remote, bordering areas, islands, or working in dangerous and hazardous fields. Determine a reasonable starting wage level for physicians, convalescence workers and health workers and adjust the regime of professional allowance incentives, and formulate seniority allowances for cadres, civil servants and public employees of the health sector.

IV. IMPLEMENTATION

1. The Ministry of Health shall:

- Propose the establishment of a steering committee for organizing and directing the implementation of the strategy; cooperate with other ministries, sectors and local governments in formulating and implementing programs, plans, schemes and projects according to their assigned functions and tasks, ensuring their conformity with the objectives, contents and solutions of this strategy.

- Cooperate with related ministries, sectors and local governments in reviewing, inventorying, assessing and arranging the list of priority investment schemes and projects.

- Cooperate with the Ministry of Finance and related sectors in finalizing the financial mechanism and policies and mechanism of autonomy and accountability for performance and financial management for public service providers. Work out policies to encourage various economic sectors to participate in health activities.

- Cooperate with the Ministry of Defense and related ministries and sectors as well as with the People’s Committees of the provinces with seas and islands in formulating a master plan for development of marine and island healthcare systems.

- Cooperate with other ministries, sectors, local governments and related functional agencies in inspecting and checking the implementation of this strategy; organize annual and 5- year reviews for making evaluation and drawing experience; report on results of implementation of the strategy and submit to the Prime Minister for decision adjustments to the objectives and contents of the strategy when necessary.

2. The Ministry of Planning and Investment and the Ministry of Finance shall balance and arrange funds and provide guidance on the use of 5-year and annual state budget funds for implementation of the Strategy.

3. The Ministry of Internal Affairs shall cooperate with the Ministry of Health, the Ministry of Finance and related ministries and sectors in finalizing the mechanism and policies on autonomy and accountability in the performance, apparatus organization and finance for public service providers.

4. The Ministry of Labor, War Invalids and Social Affairs shall:

- Cooperate with the Ministry of Health and related ministries and sectors in formulating social security policies and ensuring health policies for vulnerable subjects (the poor, the elderly, beneficiaries of social protection, etc.).

- Cooperate with the Ministry of Health, the Ministry of Industry and Trade, Vietnam Social Insurance and related ministries and sectors in formulating a scheme for healthcare and protection for workers in factories, construction sites, enterprises and industrial parks.

5. The Ministry of Education and Training shall cooperate with the Ministry of Health, the Ministry of Home Affairs and related ministries and sectors in organizing and strengthening the training network, raising their capacity, organizing their apparatus and staff, developing human resources of the health sector; consolidating the school healthcare system, ensuring physical foundations and equipment for school health activities, and cooperate with the health sector in implementing the health care programs for students.

6. Vietnam Social Insurance shall cooperate with the Ministry of Health and related ministries and sectors in formulating plans and solutions to develop health insurance toward health insurance for all.

7. The Ministry of Resources and Environment shall assume the prime responsibility for formulating appropriate contents and solutions to tackle harms of environmental pollution to health and to protect the environment in health activities in the fields under its management.

8. The Ministry of Transport shall cooperate with related ministries and sectors in formulating action plans, applying traffic safety and injury prevention and control solutions in the fields under its management.

9. The Ministry of Agriculture and Rural Development shall cooperate with the Ministry of Health and the Ministry of Industry and Trade in formulating, promulgating or submitting to competent state agencies for promulgation and organizing the implementation of policies, master plans, plans and legal documents on food safety in the fields under its management.

10. The Ministry of Culture, Sports and Tourism shall cooperate with related ministries and sectors in formulating a scheme to campaign all people to do physical exercises and play sports for health protection and improvement; and cooperate with the Ministry of Education and Training in formulating programs and schemes on physical exercises and sports in schools, aiming to raise the stature and physical strength of the Vietnamese.

11. The Ministry of National Defense shall cooperate with the Ministry of Health in formulating a master plan on combined military- civilian healthcare, caring for the health of both people and servicemen, contributing to the consolidation of defense in remote, bordering areas and islands.

12. The Ministry of Public Security shall cooperate with related ministries and sectors in carrying out activities to ward off health risks due to unhealthy lifestyle; and cooperate with the Ministry of Transport in enforcing the Law on Traffic Safety.

13. Provincial People’s Committees shall perform the state management of health in their localities; formulate action plans for implementation of the strategy in their provinces or cities; arrange land areas for development of public and non-public medical facilities; arrange adequate investment funds and regular operating funds for implementation of the Strategy; and direct local committees, sectors and mass organizations to perform the assigned tasks related to the protection, care and improvement of public health.

14. All ministries, sectors, local governments and media agencies shall propagate, provide suggestions, and organize the implementation of projects in conformity with the objectives, tasks and solutions of the Strategy; Make annual assessments of the implementation of the Strategy, and send reports to the Prime Minister and the Ministry of Health for summarization.

Article 2. This Decision comes into force from the day on which it is signed

Article 3. The Minister of Health, other Ministers, Heads of ministerial agencies, Heads of governmental agencies, and Presidents of provincial People’s Committees are responsible for the implementation of this Decision.-