Joint circular No. 36/2010/TTLT-BTC-BYT of March 17, 2010, guiding the management and use of funds for the implementation of the projects on dengue; diabetes; and hypertension prevention and control under the national target program on prevention and control of some social diseases, dangerous epidemics and HIV/AIDS during 2006-2010

JOINT CIRCULAR

GUIDING THE MANAGEMENT AND USE OF FUNDS FOR THE IMPLEMENTATION OF THE PROJECTS ON DENGUE; DIABETES; AND HYPERTENSION PREVENTION AND CONTROL UNDER THE NATIONAL TARGET PROGRAM ON PREVENTION AND CONTROL OF SOME SOCIAL DISEASES, DANGEROUS EPIDEMICS AND HIV/AIDS DURING 2006-2010

Pursuant to the Government s Decree No. 60/ 2003/ND-CP of June 6, 2003, detailing and guiding the implementation of the State Budget Law;
Pursuant to the Prime Minister s Decision No. 108/2007/QD-TTg of July 17, 2007, approving the national target program on prevention and control of some social diseases, dangerous epidemics and HIV/AIDS during 2006-2010;
Pursuant to the Prime Minister s Decision No. 172/2008/QD-TTg of December 19, 2008, supplementing the Prime Minister s Decision No. 108/2007/QD-TTg of July 17, 2007, approving the national target program on prevention and control of some social diseases, dangerous epidemics and HIV/AIDS during 2006-2010;
The Ministry of Finance and the Ministry of Health jointly guide the management and use of funds for the implementation of the projects on dengue; diabetes; and hypertension prevention and control under the national target program on prevention and control of some social diseases, dangerous epidemics and HIV/AIDS during 2006-2010 as follows:

Article 1. General provisions

1. This Circular applies to agencies and units using funds for the projects on dengue, diabetes and hypertension prevention and control under the national target program on prevention and control of some social diseases, dangerous epidemics and HIV/AIDS during 2006-2010 under Article 1 of the Prime Minister s Decision No. 172/2008/QD-TTg of December 19, 2008 (below referred to as the three projects).

2. This Circular applies to non-business state budget funds for healthcare to be spent on the three projects. For the projects non-refundable aid funds, the spending levels comply with the donors regulations in the funding agreements, the agreements between donor representatives, the Ministry of Finance and the project management agencies. When donors or their representatives and the Ministry of Finance have not reached agreement on spending levels, the spending levels specified in this Circular apply.

3. Funds to implement the three projects (including domestically contributed capital of ODA projects under agreements between the Vietnamese Government and other governments or international organizations) shall be allocated from the state budget to annual budgets of concerned ministries, branches and localities under the current state budget decentralization.

4. Apart from the contents and levels of spending specified in this Circular, localities may, depending on their financial capacity and specific conditions, incorporate funds for national target programs in their localities and proactively allocate local budgets and lawful financial sources to implement local mechanisms and policies to raise the effectiveness of the three projects.

5. Annually at the time of socio-economic development planning and state budget estimation, the head of the Central Project Steering Committee shall publicize a list of key communes and wards to provide a legal basis for state budget estimation, administration and supervision of the projects* expenditures.

Article 2. Common contents and levels of spending on the projects:

The common contents and levels of spending on the projects comply with Section II of December 12. 2007 Joint Circular No. 147/2007/ TTLT-BTC-B YT of the Ministry of Finance and the Ministry of Health, guiding the management and use of funds for the national target program on prevention and control of some social diseases, dangerous epidemics and HIV/AIDS during 2006-2010.

Article 3. Specific contents and levels of spending on each project

1. The dengue prevention and control project:

a/ Spending for technicians conducting tests to identify disease vectors: VND 3.000/sample.

b/ Spending for technicians carrying out the testing process to determine the sensitivity to chemicals and the mosquito killing effect of each chemical: VND 400.000/sample.

c/ Spending for technicians carrying out the serum testing process for dengue diagnosis (from blood sampling and transportation to preservation and testing) VND 15,000/sample.

d/ Spending for technicians transplanting and isolating viruses: VND 30,000/sample.

e/ Spending for those directly spraying or impregnating mosquito-killer chemicals: VND 60.000/person/workday.

f/ Spending for collaborators and those directly cleaning the environment and killing mosquito larvae in households (excluding household members): VND 1.000/household/ month.

g/ Spending on hiring guides in dengue prevention and control work in delta communes: VND 25.000/person/day.

h/ Spending for collaborators killing vectors and propagating, mobilizing, and supervising vector killing, and detecting disease cases in key communes and wards: VND 50.000/person/ month. The Ministry of Health shall set the limit numbers for key commune and ward collaborators. Chairpersons of People s Committees of communes or wards shall decide on lists of collaborators of key communes or wards.

i/ Spending for commune health center staff to prevent and control dengue in key communes and wards:

- Category-A provinces: VND 100.000/ commune/month.

- Category-B and -C provinces: VND 70,000/ commune/month.

The Ministry of Health shall classify provinces into categories A. B and C in each period.

2. The diabetes prevention and control project:

a/ Spending on screening medical examination to detect diabetes patients in the community:

- Spending for collaborators who make lists and select samples of, send invitations to. and urge, people to take screening examination: VND 50,000/commune or ward/day. with each examination lasting for maximum 5 days in each commune or ward.

- Spending for examiners to detect diabetes patients (in addition to the current work-trip allowance regime):

+ For direct examiners: VND 50,000/person/ day (maximum 10 persons for a screening examination drive).

+ For assistants: VND 30.000/person/day (maximum 4 persons for a screening examination drive).

The maximum period for a screening examination drive in a cluster of examination (commune or ward) is 5 days. The number of people receiving examination is at least 250/ examination drive.

- Spending on drinks for those tested for increased levels of glucose in blood: VND 5.000/ person.

- Spending on the detection of diabetes and medical risks according to medical criteria: Spending levels comply with current regulations on hospital charges.

- Spending for technicians carrying out the process to sample blood intravenously and centrifugate blood to obtain serum (from blood sampling and transportation to preservation and testing): VND 15.000/samplc.

- Spending on the summarization of statistics and reporting on results of screening examination to detect diabetes patients and risk elements in the community: maximum VND 1 million/ report.

- Spending on hiring facilities for screening examination (if any): maximum VND 1 million/ examination.

b/ Spending on patient management: Spending for heath establishments directly managing patients to record, and counsel and regularly monitor diabetes patients: VND 5.(XX)/ patient/month: maximum VND 200.0(X)/health establishment/month.

c/ Spending on statistical work and review of the diabetes situation and risk elements under regulations of the head of the Central Project Steering Committee:

- Updating statistics in codified slips; inputting statistics into the computer, screening statistics and verifying the reliability of statistics: Spending levels comply with the Finance Ministry s Circular No. 137/2007/TT-BTC of November 28. 2007. guiding spending levels for e-information creation.

- Summarizing statistics and making reports: Spending at the central level is VND 500,000/ year, VND 300.000/year at the provincial level. VND 200.000/year at the district level, and VND 100.000/year at the commune level.

3. The hypertension prevention and control project

a/ Spending on screening medical examination to detect hypertension patients and risk elements in the community:

- Spending for collaborators who make lists and select samples of, send invitations to. and urge, people to take screening examination: VND 50.000/commune or ward/day. with each examination drive lasting for maximum 5 days in each commune or ward.

- Spending for examiners to detect hypertension patients (in addition to the current work-trip allowance regime):

+ For direct examiners: VND 50,000/person/ day (maximum 10 persons for a screening examination drive).

+ For assistants: VND 30,000/person/day (maximum 4 persons for a screening examination drive).

The maximum period for a screening examination drive in a cluster of examination (commune or ward) is 5 days. The number of people receiving examination is at least 500/ examination drive.

- Spending on making cardiogram and blood testing to evaluate cardiovascular risks according to medical criteria. Spending levels comply with current regulations on hospital charges.

- Spending on the summarization of statistics and reporting on results of screening examination and risk elements in the community: maximum VND 1 million/report.

- Spending on hiring facilities for screening examination (if any): maximum VND 1 million/ examination drive.

b/ Spending on patient management: Spending for health establishments directly managing patients to record, counsel and regularly monitor hypertension patients and risk elements: VND 5.000/patient/month; maximum VND 200,000/health establishment/month.

c/ Spending on technical transfer assistance to localities: Spending levels comply with the Finance Ministry s Circular No. 51/2008/TT-BTC of June 16, 2008, guiding the management and use of funds for training and retraining state cadres and civil servants.

d/ Spending on statistical work and review of the hypertension situation and risk elements under regulations of the head of the Central

Project Steering Committee:

- Updating statistics in codified slips: inputting statistics into the computer, screening statistics and verifying the reliability of statistics: Spending levels comply with the Finance Ministry s Circular No. 137/2007/TT-BTC of November 28. 2007, guiding the levels of spending for e-information creation.

- Summarizing statistics and making reports: Spending at the central level is VND 500.000/ year. VND 300,000/year at the provincial level. VND 200,000/year at the district level, and VND 100.000/year at the commune level.

Article 4. Fund estimation, allocation, management and settlement

Funds for the three projects shall be estimated, allocated, managed and settled under Section IV of December 12, 2007 Joint Circular No. 147/ 2007/TTLT-BTC-BYT of December 12. 2007, of the Ministry of Finance and the Ministry of Health.

Article 5. Organization of implementation

This Joint Circular takes effect 45 days from the date of its signing.

Any problems arising the course of implementation should be promptly reported to the Ministry of Finance and the Ministry of Health for study and appropriate supplementation and amendment.