Proposal on Commune-level health workforce in Vietnam

Proposal on commune-level health workforce in Vietnam

According to Article 6 of the Draft Decree regulating the workforce of Commune-level Health in Vietnam as follows:

(1) Individuals working at the Commune Health Station are public employees.

(2) The number of individuals working at the Commune Health Station is included within the total workforce of the District Health Center, determined according to job positions based on the workload appropriate to the needs and actual conditions of the local region by area and workforce norms. To be specific:

(i) The staff norm for the Health Station is 05 employees per Commune Health Station;

(ii) The adjustment coefficient for the number of staff at the Commune Health Station is as follows:

- Adjustment by population scale:

+ For Commune Health Stations in areas 1 and 2 with more than 6,000 residents, if the population increases by 2,000 to 3,000 people, an additional 01 employee will be added.

+ For Commune Health Stations in area 3 with more than 5,000 residents, if the population increases by 1,000 people, an additional 01 employee will be added.

- Adjustment by geographical area:

+ For Commune Health Stations in area 2, an additional workforce coefficient of 1.2 will be applied.

+ For Commune Health Stations in area 3, an additional workforce coefficient of 1.3 will be applied;

(iii) The number of employees at the sub-Commune Health Stations is included within the number of employees at the Commune Health Station as approved by the competent authority;

(3) The signing of contracts for workers at Commune Health Stations is carried out according to the provisions of the Law on Public Employees and detailed guiding documents on the implementation of the Law on Public Employees;

(4) The Ministry of Health will coordinate with the Ministry of Home Affairs to inspect and oversee the implementation of the regulations on contract signing for workers at Commune Health Stations as stipulated in Clause 3, Article 6 of this Decree.

Proposal on commune-level health workforce in Vietnam (Image from the internet)

Proposal on Zoning of Commune-level Health in Vietnam

According to Article 2 of the Draft Decree regulating the zoning of Commune-level Health as follows:

“Zoning of Commune-level Health”: Based on the classification of administrative units such as communes, wards, and commune-level towns; considering administrative geography and residents' access to health facilities, the zoning for Commune-level Health is divided into 03 areas as follows:

** Commune-level Health Zone 1 includes:

- Communes in delta and midland areas with a distance from the health station to the nearest hospital, health center, or regional polyclinic < 3 km (If the commune health station is integrated with the regional polyclinic, the distance is calculated from the commune health station to the nearest hospital or health center).

- Communes with favorable geographical and transport conditions, where residents can easily access the commune health station, hospital, health center, and regional polyclinic.

- Urban wards, commune-level towns.

**Commune-level Health Zone 2 includes:

- Communes in mountainous, remote, border, and island areas with a distance from the health station to the nearest hospital, health center, or regional polyclinic from 3 to < 5 km (if the terrain is particularly difficult, < 3 km).

- Communes in delta and midland areas with a distance from the health station to the nearest hospital, health center, or regional polyclinic from 3 to < 15 km.

- Communes with average geographical and transport conditions where residents can access the commune health station, hospital, health center, and regional polyclinic.

**Commune-level Health Zone 3 includes:

- Communes in mountainous, remote, border, and island areas with a distance from the health station to the nearest hospital, health center, or regional polyclinic from 5 km or more (if the terrain is particularly difficult, from 3 km or more).

- Communes in delta and midland areas with a distance from the health station to the nearest hospital, health center, or regional polyclinic from 15 km or more.

- Communes with difficult geographical and transport conditions where residents find it hard to access the commune health station, hospital, health center, and regional polyclinic.

2. “Population size of communes, wards, and commune-level towns”: is the number of people living in the communes, wards, and commune-level towns at a given time.

3. “Sub-Commune Health Station”: is a healthcare unit under the Commune Health Station arranged in areas classified as Zone 3 where geographical and transport conditions are difficult and residents find it hard to access the Commune Health Station.

More details can be found in the Draft Decree of the Government of Vietnam.

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