Decision No. 89/QD-TTg 2024 approving the National Strategy for the protection, care, and improvement of people's health

THE PRIME MINISTER _____________ No. 89/QD-TTg

THE SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness ________________________ Hanoi, January 23, 2024

 

DECISION

Approving the National Strategy for the protection, care, and improvement of people's health for the period up to 2030, with a vision to 2045

^{_____________}

THE PRIME MINISTER

 

Pursuant to the Law on Organization of the Government dated June 19, 2015; and the Law Amending and Supplementing a Number of Articles of the Law on Organization of the Government and the Law on Organization of Local Administration dated November 22, 2019;

Pursuant to the 12^th Central Committee's Resolution No. 20-NQ/TW dated October 25, 2017, on enhancement of citizens’ health protection, improvement, and care in new situation;

Pursuant to the 12^th Central Committee’s Resolution No. 21-NQ/TW dated October 25, 2017, on population work in the new situation;

Pursuant to the Secretariat’s Directive No. 25-CT/TW dated October 25, 2023, on continuing to consolidate, perfect, and improve the quality of grassroots healthcare activities in the new situation;

Pursuant to the National Assembly’s Resolution No. 99/2023/QH15 dated June 24, 2023, on thematic supervision of the mobilization, management, and use of resources for the prevention and control of the COVID-19 pandemic; the implementation of policies and laws on grassroots healthcare and preventive medicine;

Pursuant to the Government’s Resolution No. 50/NQ-CP dated May 20, 2021, on the Government's Program of Action to implement the Resolution of the 13^th National Party Congress;

At the proposal of the Minister of Health.

 

DECIDES:

 

Article 1. To approve the National Strategy for the protection, care, and improvement of people's health for the period up to 2030, with a vision to 2045 (hereinafter referred to as the Strategy) with the following contents:

I. VIEWPOINTS

1. The healthcare system shall be renovated and developed to ensure equity, efficiency, quality, accountability, sustainability, and resilience, aiming towards universal health coverage.

2. Healthcare shall be based on needs and centered on the people; ensuring that all people have access to quality medical services, pharmaceuticals, and medical equipment at reasonable costs.

3. The motto "prevention is better than cure" shall be implemented; protecting, caring for, and improving people's health from an early stage, from a distance, right at the grassroots level, ensuring health security, and responding promptly to emergencies and pandemics. The State shall play a leading role, prioritizing budget investment and effectively mobilizing and utilizing all resources to ensure basic health services.

4. Population work must comprehensively address aspects of population size, structure, distribution, and quality, effectively leveraging the golden population structure and adapting to population aging.

5. Protecting, caring for, and improving health is the duty and responsibility of every citizen, the entire political system, and society as a whole, with the health sector as the core; encouraging, promoting, and enhancing the role of the non-public sector.

II. OBJECTIVES

1. General objective

All people shall enjoy quality healthcare services, live in safe communities, and develop well both physically and mentally, contributing to improving the quality of life and human resources for the cause of national construction and defense.

2. Specific objectives

a) Disease prevention and control shall be strengthened, especially for newly emerging infectious diseases; health security shall be ensured, with timely responses to climate change and public health emergencies. Risk factors for diseases shall be gradually controlled, enhancing the capacity for managing the medical environment, non-communicable diseases, occupational diseases, and injuries, and improving people's health.

b) The quality and efficiency of the health service delivery network from central to grassroots levels shall be enhanced to respond to changing disease patterns, international integration, and the Fourth Industrial Revolution; a strong primary healthcare system shall be built; the gap in morbidity and mortality between regions and ethnic groups shall be narrowed. The non-public health sector shall be developed, and public-private partnerships in health service delivery shall be strengthened.

c) The replacement-level fertility rate shall be firmly maintained, reducing the fertility gap between regions and groups; the sex ratio at birth shall be brought to the natural balance; the advantages of the golden population structure shall be leveraged; adaptation to population aging shall be managed; population distribution shall be rational, and population quality shall be improved. Attention shall be paid to maternal, child, and elderly healthcare, as well as for other priority groups.

d) The health workforce shall be developed in terms of quantity, quality, and structure, especially for grassroots healthcare, rural areas, ethnic minority and mountainous regions, borders, and islands; a reasonable ratio between doctors and nurses shall be achieved; a balance between training and utilization of the health workforce shall be ensured.

dd) Scientific research, application of high technology in disease prevention, detection, diagnosis, and treatment, and research and development of pharmaceuticals and medical equipment shall be prioritized; digital transformation shall be accelerated, and the role of information technology in management, administration, and professional healthcare activities shall be promoted.

e) Access to and availability of quality medicines, vaccines, biologicals, medical supplies, and equipment at reasonable prices shall be ensured to meet the needs of disease prevention and treatment for the people; priority shall be given to the development of domestic pharmaceutical, medicinal material, and medical equipment industries. Food safety control shall be based on risk assessment, chain-based production and business, and food traceability.

g) The proportion of public expenditure on health shall be increased, improving efficiency in the allocation and use of budgets and other resources for health, achieving the goal of universal health insurance. The state budget shall prioritize preventive medicine, grassroots healthcare, and healthcare in ethnic minority and mountainous regions, borders, islands, coastal alluvial plains, and other disadvantaged areas.

h) The development and enforcement of health laws and policies shall continue to be innovated, ensuring quality, completeness, and consistency; the governance capacity of the health system shall be enhanced towards effectiveness, efficiency, transparency, modernity, and integration.

3. Vision to 2045

The healthcare system shall be modern, internationally integrated, with the quality of health services on par with advanced countries in the region, meeting the increasing and diverse healthcare needs of the people, and achieving universal health coverage.

III. KEY TASKS AND SOLUTIONS

1. Improving people’s health

a) Vigorously implementing the "Healthy Vietnam" Program; the "Patriotic Hygiene Movement to Improve People's Health"; the Master Plan for the development of physical fitness and stature of Vietnamese people for the 2021-2030 period; and the National Strategy on the Prevention and Control of Tobacco Harms until 2030. Diversifying the content and innovate the forms of health communication and education to raise awareness and responsibility of the people in self-care, health improvement, and prevention of the harms of tobacco, alcohol, beer, etc.

b) Effectively implementing the National Nutrition Strategy for the 2021-2030 period with a vision to 2045; the "1,000-Day Nutrition Care" Program. Ensuring proper nutrition to improve the nutritional status appropriate for each group, locality, region, and ethnicity.

c) Focusing on improving maternal, neonatal, and child health, reducing the rate of childhood disability, with priority given to ethnic minority and mountainous regions, borders, islands, and disadvantaged areas to reduce disparities in health, nutrition, maternal mortality, and child mortality indicators between regions. Striving to achieve the goals of the Program for Intervention to Reduce Under-5 Child Mortality by 2030.

d) Strengthening state management capacity on food safety, unifying the focal point for ensuring food security and safety from the central to local levels. Developing and perfecting technical regulations on food safety. Implementing food safety control based on risk assessment, chain-based production and business, and traceability. Enhancing the capacity for preventing food poisoning and foodborne diseases.

dd) Implementing long-term care, promote healthcare for workers, the elderly, and people with disabilities, prevent occupational diseases and community injuries; strengthen school health work. Effectively implementing the Program for the Care and Improvement of Workers' Health and Prevention of Occupational Diseases for the 2020-2030 period, the School Health Program for the 2021-2025 period, and the School Health Program in preschool and general education institutions linked with grassroots healthcare for the 2021-2025 period and subsequent years.

e) Preventing the adverse effects of climate change, environmental pollution, toxic chemicals, and waste on human health. Strengthening communication to raise awareness and change behaviors to increase the percentage of households using clean water that meets national standards and hygienic latrines, and the percentage of medical waste treated according to standards.

2. Enhancing disease prevention and control capacity linked with grassroots healthcare innovation

a) Increasing investment in the preventive medicine network and testing capacity, ensuring sufficient capability for early disease forecasting, surveillance, and detection, and timely and effective control of epidemics and public health emergencies. Increasing the number of vaccines in the Expanded Program on Immunization in line with budget capacity.

b) Increasing domestic resources for the prevention and control of HIV/AIDS, tuberculosis, and malaria to achieve the goal of essentially ending the AIDS and tuberculosis epidemics and eliminating malaria by 2030.

c) Strengthening the management of non-communicable diseases and control their risk factors. Focusing on early screening and detection of diseases; striving for high-risk individuals to receive health check-ups at least once a year by 2030, aiming for regular health check-ups for the entire population.

d) Effectively implementing the Secretariat’s Directive No. 25-CT/TW dated October 25, 2023, on continuing to consolidate, perfect, and improve the quality of grassroots healthcare activities in the new situation, with the viewpoint that grassroots healthcare is the foundation, developing a solid grassroots healthcare system, and building a widespread, people-centric health network.

dd) Promoting the management and treatment of non-communicable and chronic diseases and long-term care at the grassroots healthcare level; implementing health management for individuals in their families and communities. Developing the family doctor model and establishing a flexible professional referral system.

e) Unifying the organizational and management model for district-level health centers under the comprehensive management of the district-level People's Committee. The organization and operation of commune health stations must be appropriate to the population size and structure, socio-economic conditions, and accessibility for the people. Provinces and cities with high population density shall arrange commune health stations based on population size, not necessarily by administrative boundaries. Industrial parks, high-tech parks, and export processing zones shall establish suitable health facilities based on their labor scale, practical conditions, and needs.

3. Improving the quality of medical examination, treatment, rehabilitation, and patient satisfaction

a) Enhancing and ensuring equity in access to quality medical examination, treatment, and rehabilitation services, narrowing the gap between different levels and regions, gradually implementing comprehensive patient care, especially for vulnerable groups, health insurance beneficiaries, and policy beneficiaries. Developing high-tech medical services on par with advanced countries in the region.

b) Perfecting modern and traditional medicine treatment protocols, procedures, and guidelines, standardizing disease codes according to international classifications; guiding the safe and rational use of medicines and combating drug resistance. Issuing criteria for assessment and implementing independent hospital quality accreditation in line with international practices.

c) Ensuring effective connection and interaction between levels of care, between medical examination, treatment, rehabilitation, and disease prevention and primary healthcare. Enhancing out-of-hospital emergency care capacity and the quality of patient transfers between medical facilities. Effectively implementing the Program for the Development of the Rehabilitation System for the 2023-2030 period, with a vision to 2050.

d) Enhancing the capacity of the medical examination and treatment network in preparing for and effectively responding to epidemics, especially in intensive care, while ensuring the continued provision of daily medical services to patients.

dd) Focusing on expanding telehealth activities to give people the opportunity to access and use quality health services at the grassroots level. Strengthening professional guidance and technology transfer in cases exceeding local treatment capabilities. Continuing to implement comprehensive solutions to reduce overcrowding in higher-level hospitals.

e) Publicizing information on medical examination and treatment services and ensuring the interoperability and recognition of test and diagnostic imaging results among hospitals to limit the provision of unnecessary medical services. Issuing a list of technical services that each level must be competent to perform, moving towards ensuring uniform quality for each technical service across all levels.

g) Promoting the advantages of and closely integrating traditional medicine with modern medicine; combining military and civilian medicine. Effectively implementing the Program for the Development of Traditional Medicine and Pharmacy, combining traditional and modern medicine and pharmacy until 2030. Linking the development of medicinal materials with socio-economic development.

h) Providing health services to meet the needs of workers in industrial parks. Focusing on linking with the tourism sector to create tourism products combined with medical care, contributing to economic development.

4. Population and development work

a) Effectively implementing the Vietnam Population Strategy until 2030 to achieve the goals of firmly maintaining the replacement-level fertility rate; bringing the sex ratio at birth to the natural balance; effectively leveraging the golden population structure; adapting to population aging; achieving a rational population size, structure, and distribution, and improving population quality.

b) Implementing appropriate policies and measures to ensure people's access to and use of basic health services, especially for children, people with disabilities, victims of war consequences, the elderly, ethnic minorities, migrants, etc. Continuing to strongly develop the network of elderly care facilities.

5. Development of health human resources

a) Comprehensively innovating training to improve the quality of the health workforce, especially for grassroots healthcare. Innovating training programs, focusing on enhancing practical and professional capacity. Innovating the examination and issuance of practice certificates; implementing the activities of the National Medical Council.

b) Developing health human resources to ensure adequate quantity, appropriate structure, and quality for each region, level of care, and specialty, especially for hard-to-recruit specialties such as tuberculosis, leprosy, psychiatry, forensic medicine, pathology, emergency resuscitation, infectious diseases, and traditional medicine. Synchronously and effectively implementing the rotation, transfer, and dispatch of health personnel to regularly support grassroots healthcare.

c) Developing and issuing professional competency standards and training program standards for all health-related disciplines and training levels. Gradually ensuring that health human resources meet the standards and criteria of countries belonging to the Organisation for Economic Co-operation and Development (OECD). Improving the training quality of health universities to be on par with advanced countries in the region.

d) Implementing remuneration policies and regimes worthy of the job requirements and specific nature of the work of health personnel. Introducing breakthrough policies to attract highly qualified professionals to work and commit long-term to grassroots healthcare, especially in disadvantaged areas, borders, islands, and in the fields of preventive medicine, forensic medicine, psychiatry, tuberculosis, leprosy, traditional medicine, etc.

6. Promoting research and application of science and technology

a) Continuing to innovate management mechanisms, improve the efficiency of scientific and technological activities, and promote innovation in the health sector. Boosting scientific research and the application of high technology in disease prevention, detection, diagnosis, and treatment, especially for dangerous infectious diseases, particularly hazardous diseases, and newly emerging epidemics; conducting research on adapting to the process of population aging.

b) Enhancing capacity for scientific research and the application of medical, pharmaceutical, and biomedical technology. Promoting the application and transfer of advanced techniques.

c) Applying advanced technology and techniques to produce high-quality vaccines, medical biologicals, and medical equipment.

d) Focusing on developing and perfecting the system of standards and technical regulations for quality management of medicines, food, and medical equipment.

7. Developing the production and supply of medicines and medical equipment

a) Effectively implementing the National Strategy for the Development of the Vietnamese Pharmaceutical Industry for the period up to 2030 with a vision to 2045, and the Program for the Development of Domestic Pharmaceutical and Medicinal Material Industries until 2030 with a vision to 2045, aiming to develop the pharmaceutical industry to a level on par with advanced countries in the region.

b) Innovating distribution mechanisms, ensuring an adequate supply of quality, safe, and effective medicines, vaccines, medical supplies, and equipment at reasonable prices for disease prevention, examination, treatment, natural disaster and catastrophe response, public health emergencies, and other urgent needs.

c) Enhancing the capacity and effectiveness of state management in the fields of pharmaceuticals, food, and medical equipment. Ensuring publicity, transparency, and administrative procedure reform in the management, licensing, and procurement of medicines and medical equipment.

d) Enhancing the domestic production capacity of medical equipment; establishing a system for production, quality control, testing, and inspection according to international standards.

dd) Developing medicinal materials and products from domestic sources into a high-quality and high-value commodity production sector, competitive in both domestic and international markets.

8. Application of information technology and digital transformation

a) Expanding the application of digital technology in all areas of the health sector, forming a smart healthcare system with three main components: smart disease prevention, smart medical examination and treatment, and smart health administration.

b) Synchronously deploying the application of information technology in all fields of the health sector nationwide; creating, managing, and monitoring personal health records, electronic medical records, and connecting other management information and data such as health insurance examination and treatment, immunization, and management of communicable and non-communicable diseases.

c) Maintaining and strengthening the network connection between medical facilities and pharmacies, ensuring control over the origin and prices of purchased and sold medicines and the sale of prescription drugs nationwide.

d) Applying information technology to disseminate knowledge in disease prevention, treatment, and health improvement; applying artificial intelligence in healthcare to enhance people's access to health information.

9. Innovating health financing and health insurance

a) Mobilization of financial resources

- Prioritizing budget allocation, ensuring that the growth rate of health expenditure is higher than the growth rate of state budget expenditure; allocating at least 30% of the health budget to preventive medicine. Mobilizing domestic and international aid, grants, and concessional loans to invest in the development of the health system. Implementing comprehensive solutions to achieve universal health insurance.

- Continuing to study and adopt appropriate tax policies for health-risk goods: alcoholic beverages, carbonated drinks, sugar-sweetened beverages, tobacco, etc., to support people's participation in health insurance and to help cover medical examination and treatment costs for the poor and cancer patients, etc.

- Promoting socialization; diversifying forms of public-private partnerships, ensuring transparency, publicity, and fair competition to encourage the development of the private health sector.

b) Allocation of financial resources

- Prioritizing the allocation of the state budget for investment in grassroots healthcare, preventive medicine, healthcare in disadvantaged areas, medical research, and the fields of psychiatry and leprosy.

- Vigorously innovating the financial mechanism for primary healthcare activities, prioritizing the budget for the healthcare of people with meritorious services, the poor, farmers, ethnic minorities, migrants, and people in socio-economically disadvantaged areas.

- Innovating the method of budget allocation based on performance and practical conditions. Strengthening the control and assessment of health insurance-covered medical examination and treatment costs to ensure publicity, transparency, and the legitimate rights of health insurance participants.

c) Payment for health services

- Implementing a roadmap for service prices based on the principle of correct and full cost calculation (for both examination, treatment, and preventive medicine, and grassroots healthcare). Continuing to study increasing health insurance contribution rates according to a roadmap that is suitable for the state budget and the payment capacity of the people. Developing policies and expanding health insurance benefits in line with changing disease patterns, population aging, and health insurance resources.

- Innovating the payment method for health services from fee-for-service to a combination with other payment methods, including capitation and diagnosis-related groups.

- Applying the method of State placement of orders and assignment of tasks to grassroots healthcare to implement basic health service packages; payment shall be made in a way that encourages the provision of primary healthcare services and population health management in the community.

10. Linking health development with national defense and security

a) Promoting the strengths of the armed forces' health services; flexibly organizing models combining military and civilian medicine for medical examination and treatment; prevention and control of natural disasters, catastrophes, and epidemics, appropriate to the conditions of each locality; ensuring the provision of quality health services for people in remote, border, and island areas.

b) Effectively implementing the Program combining military and civilian medicine for people's healthcare until 2030, and the Program for the Development of Vietnam's Maritime and Island Health until 2030.

c) Implementing the military-civilian combination in building a reserve medical force, a mobilized health sector force, and ensuring medical support for defense zones and civil defense; be ready to respond medically in national defense and security situations.

11. Strengthening inter-sectoral coordination, enhancing the effectiveness of foreign affairs, integration, and health information communication

a) Enhancing the roles and responsibilities of relevant stakeholders and the effectiveness of inter-sectoral coordination, promoting multi-sectoral actions in healthcare. Developing inter-sectoral action plans for healthcare in general, and particularly for effective preparedness and response to emergencies and epidemics.

b) Strengthening cooperation and proactively integrating, taking advantage of technical, training, and financial support from other countries and international organizations. Strengthening international cooperation in the fight against crime in the pharmaceutical and medical fields.

c) Proactively negotiating and effectively implementing bilateral and multilateral cooperation agreements on health. Actively participating in developing policies and addressing regional and global health issues, enhancing the international role and prestige of Vietnamese medicine.

d) Harmonizing procedures and processes in healthcare with regional and global standards. Strengthening the development and application of domestic medical standards in line with international and regional updates.

dd) Implementing the provision of health information in a synchronized, transparent, accurate, and timely manner, closely coordinating with press and media agencies to widely communicate on key tasks, achievements, and results of health activities, exemplary models of health officials and staff, medical ethics, professional dedication, and the historical traditions of the health sector.

12. Perfecting the institutional system, strengthening state management in health

a) Focusing on reviewing and perfecting health-related institutions, mechanisms, and policies based on practical realities, quickly identifying emerging issues, and promptly adjusting relevant legal regulations. Enhancing the capacity for forecasting, analysis, and policy recommendations based on theoretical research, practical reviews, and the selection of new, creative models to meet the requirements of transparent and effective governance. Implementing policy advocacy communication activities to improve the effectiveness of policy development and enforcement.

b) Developing and implementing a national master plan for the network of health facilities, arranging the organizational structure of public health service units to ensure it is streamlined, synchronized, effective, and efficient; essentially, ministries (except for the Ministry of National Defense and the Ministry of Public Security) and ministerial-level agencies shall not manage hospitals; the Ministry of Health shall only manage a very small number of leading hospitals; developing and strengthening the participation of the non-public health sector in providing public health services.

c) Vigorously innovating the management and organization of the activities of public health service units. Promoting the implementation of autonomy in professional tasks, organizational structure, personnel, and finance, linked with accountability, publicity, and transparency. Applying appropriate governance models for public health service units in ensuring recurrent and investment expenditures.

d) Promoting decentralization and delegation of authority linked with enhancing the management and governance capacity of public health service units. Strengthening accountability and public transparency, administrative discipline, and official duty discipline, focusing on inspection, examination, and handling of violations; effectively implementing emulation and commendation work to promptly encouraging civil servants, public employees, and workers to overcome difficulties and complete their assigned tasks.

dd) Accelerating administrative reform, focusing on simplifying administrative procedures, cutting business investment conditions, applying information technology, artificial intelligence, and digital transformation, and maintaining level-4 public services in the management areas of the Ministry of Health.

IV. IMPLEMENTATION FUNDING

1. Funding for the implementation of the Strategy shall include: State budget, health insurance, investment from businesses, the private sector, individuals, aid, and grants from domestic and foreign organizations and individuals, and other legal sources of funding.

2. Ministries, sectors, and localities, based on their assigned tasks, shall prioritize funding resources to implement the tasks and solutions in the Strategy.

3. The principles stated in the Sixth Plenary Session of the 12^th Central Committee’s Resolution No. 20-NQ/TW dated October 25, 2017, on enhancement of citizens’ health protection, improvement, and care in new situation shall be implemented: Public health shall be primarily ensured by the state budget. Medical examination and treatment shall be paid for by health insurance and the people. Primary healthcare shall be co-paid by health insurance, the people, and the state budget; health insurance for employees must be contributed by both employers and employees; the state budget shall cover certain policy beneficiary groups. The state budget and health insurance shall cover basic-level services; service users shall pay for the excess.

Article 2. Implementation organization

1. Ministry of Health

a) To assume the prime responsibility for, and coordinate with Ministries, sectors, and localities in developing and organizing the implementation of programs, plans, schemes, and projects under its authority, ensuring consistency with the objectives, contents, and solutions of this Strategy. To assume the prime responsibility for, and coordinate with the Ministry of Justice and relevant ministries and sectors in reviewing, amending, supplementing, and newly promulgating legal normative documents on the protection, care, and improvement of people's health.

b) To assume the prime responsibility for, and coordinate with relevant Ministries, sectors, and localities in reviewing, compiling statistics, evaluating, and arranging the list of priority investment schemes and projects.

c) To coordinate with the Ministry of Finance and relevant Ministries and sectors in perfecting financial mechanisms and policies and the autonomy mechanism for public service units in the health sector.

d) To coordinate with Ministries, sectors, localities, and relevant functional agencies in inspecting and supervising the implementation of this Strategy; to periodically organizing preliminary and final reviews, evaluations, and draw lessons learned; to report on the results of the Strategy's implementation and submit to the Prime Minister for decisions on adjusting the Strategy's objectives and contents when necessary.

2. The Ministry of Planning and Investment and the Ministry of Finance shall balance, allocate capital, and provide guidance on the use of funding from the state budget for 5-year and annual plans to implement the contents of the Strategy.

3. The Ministry of Labor, Invalids and Social Affairs shall coordinate with the Ministry of Health and relevant Ministries and sectors in developing social security policies, occupational safety and health policies, and policies for policy beneficiaries and social assistance beneficiaries to enjoy relevant health policies (the poor, near-poor, the elderly, children, people with disabilities, social protection beneficiaries, employees, and workers without labor contracts, etc.); ensuring child safety and preventing injuries.

4. The Ministry of Education and Training shall assume the prime responsibility for, and coordinate with the Ministry of Health, the Ministry of Home Affairs, and relevant ministries and sectors in organizing training, fostering, and capacity building for school health staff in educational institutions to meet the requirements of primary healthcare for children and students in schools; ensuring human resources and appropriate remuneration regimes for the implementation of school health work; organizing the implementation, guidance, and monitoring of the School Health Program and the School Health Program in preschools and general education institutions linked with grassroots healthcare.

5. The Ministry of Natural Resources and Environment shall preside over the development of policies and solutions for: controlling, monitoring, and treating pollutants that affect human health from their source; managing and sharing monitoring information on pollutants that affect human health; adapting to and mitigating the impacts of climate change; protecting the environment in health activities within its assigned management scope.

6. The Ministry of Transport shall be responsible for coordinating with relevant ministries and sectors to develop action plans and implement traffic safety and injury prevention solutions within its assigned management scope.

7. The Ministry of Agriculture and Rural Development shall assume the prime responsibility for, and coordinate with the Ministry of Health and the Ministry of Industry and Trade in developing, promulgating, or submitting to competent state agencies for promulgation and organizing the implementation of policies, plans, and legal normative documents on food safety within its assigned management scope; ensuring the supply of clean water for domestic use and increasing the percentage of households using clean water for domestic use in rural areas, and providing guidance on water treatment and supply at the household scale in rural areas.

8. The Ministry of Culture, Sports and Tourism shall assume the prime responsibility for, and coordinate with relevant Ministries and sectors in developing a scheme to encourage all people to practice physical exercise and sports to protect and improve their health; coordinating with the Ministry of Education and Training to develop physical education and sports programs and schemes in schools to improve the stature and physical fitness of Vietnamese people; developing action plans and implementing tourism safety and injury prevention solutions within its assigned management scope.

9. The Ministry of National Defense shall assume the prime responsibility for, and coordinate with the Ministry of Health in developing a system of documents to ensure medical support for national defense statuses; guiding the building of a reserve medical force and a mobilized health sector force in emergency situations. Closely coordinating with the Ministry of Health and localities in developing a master plan combining military and civilian medicine to protect, care for, and improve the health of the people and soldiers, contributing to strengthening national defense and security in remote, border, and island areas.

10. The Ministry of Public Security shall assume the prime responsibility for, and coordinate with relevant ministries and sectors in implementing activities to ensure security and safety in health facilities; preventing and repelling violations in the health sector.

11. The Ministry of Construction shall assume the prime responsibility for, and coordinate with relevant Ministries and sectors in ensuring the supply of clean water for domestic use in urban areas, industrial parks, export processing zones, high-tech parks, and economic zones, and increase the percentage of households using clean water for domestic use in urban areas; developing and ensuring national standards for construction works to ensure safety, hygiene, and disease prevention during community use within its assigned management scope.

12. Vietnam Social Security shall assume the prime responsibility for, and coordinate with the Ministry of Health, the Ministry of Labor, Invalids and Social Affairs, and relevant ministries and sectors in developing plans and organizing the implementation of health insurance policies; developing the base of health insurance participants.

13. Ministries, ministerial-level agencies, government-attached agencies, and relevant agencies, within their assigned functions and tasks, shall develop specific implementation plans in their respective sectors and fields; coordinating with the Ministry of Health to effectively organize the implementation of the Strategy's tasks.

14. Ministries, sectors, agencies, and localities, based on their assigned functions and tasks, shall be responsible for disseminating, publicizing, and integrating the objectives, tasks, and solutions of this Strategy into the national and local socio-economic development plans; and for effectively implementing the Strategy.

15. It is requested that the Central Committee of the Vietnam Fatherland Front and socio-political organizations disseminate and mobilize their members, union members, and all strata of the people to actively participate in movements for physical training, health improvement, disease prevention and control, and to proactively care for their own and the community's health; and to supervise the implementation of this Strategy.

Article 3. This Decision takes effect from the date of its signing.

Article 4. Ministers, Heads of ministerial-level agencies, Heads of government-attached agencies, Chairpersons of People's Committees of provinces and centrally-run cities, and heads of relevant agencies and units shall be responsible for the implementation of this Decision./.

 

FOR THE PRIME MINISTER THE DEPUTY PRIME MINISTER       Tran Hong Ha