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PRIME MINISTER |
SOCIALIST REPUBLIC OF VIETNAM |
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No. 155/QD-TTg |
Hanoi, January 29, 2022 |
THE PRIME MINISTER
Pursuant to the Law on Organization of the Government dated June 19, 2015; the Law on Amendments to the Law on Organization of the Government and the Law on Organization of the Local Government dated November 22, 2019;
Pursuant to Decision No. 376/QD-TTg dated March 20, 2015 of the Prime Minister on the approval of the National Plan for prevention and control of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease, bronchial asthma, and other non-communicable diseases for the period of 2015-2025;
At the request of the Minister of the Ministry of Health.
HEREBY DECIDES:
General objectives
Strengthen the control of risk elements causing diseases and promote preventive measures, early detection, and management of treatment to limit the increase of the rate of patients, diseases, disabilities, and early death due to cardiovascular diseases, cancer, diabetes, chronic obstructive pulmonary disease, bronchial asthma (hereinafter referred to as “NCDs”) and schizophrenia, epilepsy, depression, dementia, and other mental disorders (hereinafter referred to as “mental disorders”) in order to contribute to the protection, care, and improvement of the health of the people and development of the economy and society of the country.
Specific objectives and targets towards 2025
1. Improve roles and responsibilities of authorities at various levels, increase the interdisciplinary cooperation, and complete policies on the prevention and control of NCDs and mental disorders
a) By 2025, every province or centrally affiliated city shall have interdisciplinary plans for the prevention and control of NCDs and mental disorders for the period of 2022-2025.
b) Sufficient promulgation of regulations or policies on control of risk factors and preventive measures of NCDs and mental disorders.
2. Limit main risk behaviors to prevent the NCDs and mental disorders
a) 90% of healthcare stations of communes, wards, and towns (hereinafter referred to as "communes") and relevant entities shall carry out communications campaigns for prevention and control of harmful effects of cigarettes and alcohol, proper nutrition assurance, promotion of physical strength, and early detection of NCDs and mental disorders.
b) At least 80% of people from 13 years old or older shall receive communication on the prevention and control of harmful effects of cigarettes and alcohol, proper nutrition assurance, and appropriate promotion of physical strength; 80% of people from 40 years old or older shall receive communication, information, and guidelines on health monitoring and early detection of NCDs and mental disorders.
c) Reduction of rate of alcohol consumption at dangerous levels in men from 18 years old or older to less than 35%; reduction of rate of alcohol consumption in people from 13 to 17 years old to less than 20%.
d) Reduction of rate of smoking in men from 15 years old or older to less than 37%.
dd) Reduction of rate of average salt consumption of people from 18 years old or older to less than 7 grams/people/day.
e) Reduction of rate of physical inactivity in people from 18 years old or older to less than 22%.
3. Increase the rate of detection, treatment management, and care for patients with NCDs and mental disorders
a) At least 70% of people detected to be overweight or obese shall receive appropriate counseling to control their conditions; 70% of people detected to have risks of cardiovascular diseases shall receive measures to manage preventive treatments as per regulation; 50% of people from 18 years old or older shall receive screening and intervention to reduce harms to people at risk of health due to drinking alcohol.
b) At least 50% of adults with 80% of people from 40 years old or older shall have their blood pressure measured once a year for early detection of hypertension; 50% of people with hypertension shall be detected; 50% of people detected with hypertension shall receive treatment management under specialized guidance.
c) At least 70% of people from 40 years old or older shall be screened with risk assessment cards and/or receive blood sugar tests once per year for early detection of diabetes; 55% of people detected with diabetes and 55% of them shall receive treatment management under specialized guidance; 30% of people detected with diabetes and 50% of them shall receive preventive intervention and treatment under specialized guidance.
d) At least 60% of people from 40 years old or older shall receive periodic screening examination once per year to determine risks of chronic respiratory diseases; 50% of people detected with chronic obstructive pulmonary diseases at early stages before the complication occurs and 50% of them shall receive treatment management under specialized guidance; 50% of people detected with bronchial asthma at early stages before the complication occurs and 50% of them shall receive treatments to control such conditions with 20% of full control.
dd) At least 40% of people subject to screening shall receive periodic screening for breast, cervical, and colorectal cancer under specialized guidance for each type of cancer; 40% of people with some cancers shall be detected at an early stage (for cancers, if detected early, it is valuable to improve the effectiveness of treatment).
e) At least 40% of people subject to screening shall receive periodic screening for some mental disorders under guidance for each disease; detection of at least 70% of people with schizophrenia and epilepsy, 50% of people with depression, 30% of people with dementia, and other mental disorders; at least 80% of people detected with schizophrenia, 70% of people detected with epilepsy, and 50% of people detected with depression shall receive treatment management.
4. Develop and improve the capability system to ensure the provision of services of prevention and control of NCDs and mental disorders
a) 85% of provinces and centrally affiliated cities shall have cancer prevention and control facilities to implement the prophylaxis, detection, diagnosis, and management of cancer treatments.
b) At least 70% of communes and equivalences (hereinafter referred ti as “communes”) shall have healthcare facilities to implement the medical examination, diagnosis, and management of chronic obstructive pulmonary disease and bronchial asthma treatments as per regulation.
c) 95% of district-level healthcare centers shall implement the medical examination, diagnosis, and management of hypertension and diabetes treatments as per regulation.
d) 95% of commune-level healthcare stations shall implement the medical examination and treatment with at least 3 groups of medicines for hypertension treatment, 2 groups of medicines for diabetes treatment, and essential medicines for chronic obstructive pulmonary disease and bronchial asthma treatment according to the prescribed list; 95% commune-level healthcare stations shall implement the prophylaxis, detection, and management of hypertension and diabetes treatments, and other NCDs as per regulation.
dd) 100% of districts with healthcare facilities shall manage and provide medicine for the treatment of patients with schizophrenia and epilepsy; 60% of districts with healthcare facilities shall implement the diagnosis, treatment, and management of the provision of medicines for people with depression; 50% of districts with healthcare facilities shall manage the provision of medicines for the treatment of people with other mental disorders.
e) 100% of commune-level healthcare stations shall manage the provision of medicines for the treatment of patients with schizophrenia and epilepsy; 50% of commune-level healthcare stations shall manage the provision of medicines for the treatment of patients with depression.
g) 100% of medical staff that implement the prevention and control of NCDs and mental disorders at all levels shall receive training in prophylaxis, supervision, detection, management, diagnosis, and treatment of diseases as per regulation.
5. Develop the system for supervising, managing information, and making statistical reports on NCDs, mental disorders, and risk factors
a) Organization of the investigation and survey to collect and publish data on common risk factors of NCDs 1 time every 5 years.
b) 100% of cancer record units shall collect and annually report standardized data on new cancer cases and relevant information.
c) 100% of commune-level healthcare stations and relevant healthcare facilities shall apply information technology and submit sufficient statistical reports on the prophylaxis, detection, treatment management, and cause of death caused by NCDs and mental disorders as per regulation.
d) 95% of focal staff that supervise and make statistical reports at all levels shall receive training in supervision, information management, and statistical reports on patients with NCDs and mental disorders as per regulation.
1. Increase the management, leadership, and directive and complete inter-sectoral policies
a) People’s Committees of provinces and centrally affiliated cities shall proactively develop plans, direct the implementation, incorporate such plans into the socio-economic development tasks in their areas, and prioritize allocating resources to achieve their objectives on the basis of national objectives.
b) Ministries and central authorities shall intensify their cooperation in implementing policies and plans of the sector or field under their management.
c) The Ministry of Health, ministries, and central authorities shall rely on their functions and tasks to review, supplement, and complete policies, regulations, and guidelines on the prevention and control of risk factors of NCDs and mental disorders and organize the implementation nationwide
- Policies and regulations on prevention and control of harmful effects of cigarettes and alcohol.
- Policies and regulations on proper nutrition assurance for people: regulations on mandatory nutrition labeling on foods products for disclosure of information on the content of salt, sugar, fat, and other related ingredients; regulations on management and control of advertisement, business, provision of unhealthy food and drink, especially products for children and students; policies on tax applicable to sugary drinks; policies to encourage the production, provision, and consumption of foods with less sodium, sugar, and unhealthy fat.
- Policies and regulations on increasing physical activities for people: policies to provide and facilitate people to access and use public space and physical training and sports facilities; development of public traffic and non-motorized traffic to encourage and urge people to use them for intensification of physical activities; regulations and guidelines on extent and type of physical activities for people in the community or at workplaces; guidelines on the prescription of physical activities for people with certain NDCs.
d) Research and proposal of policies and guidelines on public-private cooperation and cooperation with agencies, organizations inside or outside the health sector in increasing the provision of services of prophylaxis, care, and treatment management of NCDs or mental disorders at home, in the community, or primary healthcare facilities.
a) Communication content
- Dissemination of guidelines, policies, and laws; provision of scientific evidence; responsibilities of various-level authorities, departments, unions, enterprises, organizations, and individuals.
- Communication for raise of awareness and behaviors of people to prevent and control risk factors and prevent infection; guidance for people to check their health, identify early signs of diseases, provide care, and comply with the treatment when infected.
b) Develop and disseminate communication documents and focus on communication documents and messages on prevention and control of harmful effects of alcohol; intensification of physical activities, proper and balanced nutrition diet with reduction of consumption of salt, sugary drinks, saturated fat, and trans fat; conduct communication on guidelines for people to detect disease signs early, regularly check their health, and receive screening and medical examination for identification of diseases.
c) Use diverse and effective forms of communication and improve health to prevent and control NCDs and mental disorders
- Organize communication programs and campaigns; conduct communication on radio, television, printed newspapers, and online newspapers at central and local levels; conduct communication on websites and social networks.
- Develop, provide, and disseminate communication documents for people; conduct integrated communication in community events and activities; organize conferences and seminars to provide information for press agencies and advanced training for ministries, central authorities, unions, social organizations for prevention and control of NCDs and mental health care.
- Increase education of life skills, psychological counseling, and communication on prevention of NCDs and mental health care by providing appropriate programs and activities of education for children and students in educational institutions.
- Develop, implement, and increase models for health improvement in schools, workplaces, and the community to implement the content of the Vietnam Health Program on prevention and control of NCDs; encourage the development of enterprise models that apply scientific and technological measures to produce foods with less sodium, sugar, and unhealthy fat.
d) Develop and implement communication programs and plans and improve health according to fields, such as: Prevention and control of harmful effects of cigarettes; prevention and control of harmful effects of alcohol; intensification of physical activities for people in the community; communication campaigns for reduction of salt in meals to prevent and control NCDs; proper nutrition diet assurance and intensification of physical activities for children and students to improve health and prevent NCDs and other related programs and plans.
a) Provide screening services for early detection of disease
- Implement the provision of services of screening examination, health check, and measurement of indicators and apply tests for early detection of NCDs and mental disorders for people, prioritizing people from 40 years old or older and people with high risks.
- Organize forms of regular screening when people use services at healthcare facilities, especially commune-level healthcare stations; conduct integrated screening in health care for children and students in educational institutions, occupational disease examination for workers in agencies and organizations, and health check-ups for the elderly; conduct screening during household visits and screening during antenatal care for pregnant women. Organize programs and activities for health screening and checkups in the community suitable for requirements and conditions of localities.
b) Provide monitoring, counseling, and prevention for people with high risks and pre-diseases
- Make documents for monitoring, counseling, and prophylaxis for obese or overweight people, people with pre-diseases, and people with high risks of NCDs and certain mental disorders; manage people with cardiovascular risks; provide counseling and treatment for cigarette addiction; provide screening and intervention to reduce harms caused by alcohol consumption.
- Organize forms of monitoring, counseling, and prophylaxis and integrate them into management and health care for children students in educational institutions; manage the health of workers in agencies and organizations; manage the health of the elderly and manage and monitor the health of people at healthcare facilities and in the community.
c) Provide treatment management and care for patients
- Carry out comprehensive and in-depth diagnoses and treatments for NCDs and mental disorders at medical examination and treatment facilities according to specialized facilities
- Implement treatment management and care for patients with hypertension, diabetes, chronic obstructive pulmonary disease, and bronchial asthma; make documents and manage the provision of medicines for patients with schizophrenia, epilepsy, and depression at commune-level healthcare stations as per regulation.
- Prescribe healthy diets and physical activities, provide psychological counseling, and change the lifestyle of patients with NCDs; provide palliative care and psychological therapy for patients with cancer at healthcare facilities and at home; provide care, functional rehabilitation, and social reintegration for patients with mental disorders in the community and at social assistance facilities as per regulation.
a) Strengthen the capability of healthcare facilities
- Strengthen and consolidate the capability and human resources of central and regional institutes in the field of preventive health care, provincial-level disease control facilities, and grassroots healthcare networks for prevention and control of NCDs and mental disorders.
- Develop and consolidate the capability and human resources of medical examination and treatment facilities:
+ Strengthen the capability of general and specialized medical examination and treatment facilities at provincial levels to provide services of comprehensive and in-depth diagnoses and treatments for NCDs and social disorders according to specialized facilities and provide technical and professional support for grassroots-level health care.
+ Consolidate district-level medical examination and treatment facilities to diagnose, manage, and treat patients with NCDs; provide examination and treatment management for certain mental disorders; participate in providing screening examination, palliative care, and cancer prevention and control; provide technical and professional assistance regarding medical examination, management, treatment, and care for patients at commune-level healthcare stations and in the community as per regulation.
b) Complete regulations and guidelines for the work of prophylaxis, detection, treatment management, and care for patients with NCDs and mental disorders
- Develop packages of basic healthcare services for primary health care, prophylaxis, and health improvement by commune-level healthcare stations which specify the list of technical and professional services for counseling, early detection screening, supervision, and management of patients with NCDs and mental disorders.
- Complete regulations and guidelines to ensure essential medicines, equipment, supplies, and techniques for prophylaxis, screening, early detection, and management of NCDs and mental disorders.
- Develop, supplement, and complete mechanisms and policies on health insurance to ensure the management and treatment of NCDs at commune-level healthcare stations.
- Develop guiding documents and tools for people to detect signs of diseases early and support, manage, and take care of themselves when infected.
- Develop and complete technical and professional guidelines for prophylaxis, early detection, treatment management, and effective counseling and care for NCDs.
- Review and complete professional guidelines on caring for mental health such as guidelines on prophylaxis, detection, medical examination, treatment management, psychological therapy, and functional rehabilitation for patients with mental disorders at district-level healthcare facilities, commune-level healthcare stations, and social assistance facilities and in the community.
c) Strengthen the capability for prophylaxis, detection, and treatment management of NCDs and mental disorders
- Develop, update, and standardize professional training documents for grassroots healthcare level regarding prophylaxis, early detection, diagnosis, management, and treatment of NCDs; provide counseling, psychological therapy, and palliative care; proper diet, physical activities for patients and for the community; supervise and manage data information of NCDs. Develop and standardize certain training documents for issuance of certificates regarding cancer. Review and complete specialized training documents for psychiatric doctors; training documents on prophylaxis, diagnosis, treatment, and management of mental disorders for general doctors and related healthcare staff at district levels and commune-level healthcare stations.
- Provide training and retraining for prophylaxis, diagnosis, management, and treatment of NCDs and mental disorders associated with continuous training:
+ Develop and consolidate the network of central and regional training facilities with the participation of suitable institutes, hospitals, and schools for the organization of training and assistance for core lecturers at provincial levels. Core lecturers at provincial levels shall organize training and retraining for related healthcare staff at provincial levels, district levels, or commune levels on prophylaxis, early detection, diagnosis, management, and treatment of NCDs.
+ Consolidate the network of hospitals, institutes, and training facilities in the field of mental health. Provide in-depth training programs for psychiatric doctors; training for general doctors at district levels to be able to provide medical examination and treatment for certain mental disorders; training for healthcare staff at commune levels on outpatient examination, management, and provision of medicines for patients in the community; training for healthcare staff in communes and villages on screening and early detection of mental disorders; training for social assistance workers and collaborators on care and functional rehabilitation persons suffering from mental disorders as per regulation.
- Regularly and periodically implement supervision and professional and technical assistance for commune-level healthcare stations in the form of detailed instruction provided by the district and commune level.
- Ensure equipment and promote the application of technology and science in diagnosis and management of NCDs and mental disorders at hospitals.
- Direct, instruct, and ensure essential conditions for the implementation of prophylaxis and management of the treatment of NCDs at commune-level healthcare stations, including: full implementation of regulations on issuance of operational licenses and professional practice certificates; assignment of tasks and professional targets as the basis for inspection, supervision, and assessment of implementation results; assurance of the list of professional techniques, medicines, equipment, tests, and supplies and regulations on finance and health insurance.
d) Apply information technology in preventing and controlling NCDs and mental disorders
- Continuously connect and share information between levels to continuously monitor the health and disease conditions of individuals. Ensure confidentiality of information on people’s health.
- Integrate contents into the information management system for the purpose of early detection and disease management, statistical reports, and management of information and data.
- Strongly apply information technology in training and telemedicine.
- Develop digital information websites on health and software and applications to share information, assist, and provide guidelines for patients and people to implement disease prevention and control, improving their health; develop mobile software and applications to assist people in self-assessment of infection risks, change their lifestyle, and assist patients and caretakers in self-management of diseases at home.
Develop a supervision system integrated into the national health information system to collect, monitor, predict, and supervise risk factors, infected cases, deaths, the responsiveness of the healthcare system, and effectiveness of measures to prevent and control NCDs and mental disorders.
a) Develop and strengthen the capability of the information supervision and management system
- Issue Guidelines on Supervision of NCDs; continue to update and complete the set of national indices on supervision of NCDs; apply information technology in managing information and making statistical reports on NCDs and mental disorders.
- Organize training on supervision of NCDs and mental disorders for healthcare staff from central to local levels.
- Develop a database to manage information and data and disseminate and provide them on specialized websites; periodically disclose statistical publications, information, and data on risk factors, NCDs, and mental disorders.
b) Implement supervision activities
- Supervision of risk factors: periodically organize inspections and surveys to collect, monitor, and assess the current state and trends of risk factors of NCDs and mental disorders.
+ Organize a National STEPwise Approach to NCD Risk Factor Surveillance (STEPS) in 2025; a Global School-based Student Health Survey (GSHS) in 2024 for the purpose of monitoring and assessing the progress and result of the performance of objectives and targets of the National Strategy, Vietnam Health Care Program, and related programs and plans.
+ Conduct specialized investigations and research or collecting and statistical measures suitable for the supplementary collection of targets for specific groups such as children, teenagers, and the elderly or supplement of targets not included in STEPS and GSHS.
- Death supervision: establish a death supervision system to collect and analyze data on cause of death nationwide to serve the Sustainable Development Goal (SDG) Objective of Vietnam on decreasing death caused by NCDs and reporting causes of death by mental disorders.
+ Cooperate with related agencies and units in completing tools and procedures for determining causes of death, registering, and making statistical reports on death regarding deceased cases inside and outside healthcare facilities.
+ Collect and make statistical reports on causes of death by NCDs and mental disorders according to information from the death reporting system of commune-level healthcare stations. Strengthen the capability, complete tools, procedures, and improve the quality of statistical reports, records, and diagnosis of causes of death of commune-level healthcare stations for the purpose of death supervision.
- Disease supervision: record cancer-related matters to periodically update and disclose standardized data on cancer.
+ Make plans to develop the network and strengthen the quality of cancer record units; develop cancer record units based on the population; issue guidelines and improve the capability of cancer record staff.
+ Collect and periodically disclose data on new cancer cases of Vietnam and related data.
- Healthcare system responsiveness supervision: periodically and regularly collect and report information and data on results of activities and the responsiveness of the healthcare system in preventing and controlling NCDs and mental disorders.
+ Unify procedures and improve the quality of periodic-statistical reports on NCDs and mental disorders for healthcare systems from central levels to district levels according to regulations on statistical reports of the Ministry of Health; apply information technology in making statistical reports; periodically recapitulate data of statistical reports on results of prophylaxis, screening, detection, and treatment management of NCDs and mental disorders from all commune-level healthcare stations and related healthcare facilities nationwide.
+ Organize surveys to assess the responsiveness of healthcare systems for patients with NCDs based on the tool kit of the World Health Organization (WHO).
6. Cooperate with international and domestic organizations
a) Proactively and actively cooperate with countries, institutes, and associations in the region and in the world in research and training to develop and improve the quality of human resources for preventing and controlling NCDs and mental disorders.
b) Strengthen the comprehensive cooperation with WHO and international and domestic agencies and organizations to provide assistance and promote the implementation of the plan; integrate cooperative plans and projects into activities of the plan to achieve objectives of the National Strategy.
III. PROGRAMS AND PROJECTS FOR IMPLEMENTATION OF PLANS
Develop projects for implementation of the Plan for the period of 2022-2025 and present them to competent authorities for approval:
1. Communication Project for Prevention and Control of Alcohol Harms 2022-2025
- Responsible agency: Ministry of Health
- Cooperating agencies: related ministries, central authorities, agencies, organizations, and People's Committees of provinces or centrally affiliated cities.
2. Physical Activity Intensification Project for Improvement of Health and Disease Prevention and Control 2022-2025
- Responsible agencies: Ministry of Culture, Sports, and Tourism
- Cooperating agencies: related ministries, central authorities, agencies, organizations, and People's Committees of provinces or centrally affiliated cities.
3. Project of Prophylaxis, Detection, and Treatment Management for Cancer, Cardiovascular Diseases, Diabetes, Chronic Obstructive Pulmonary Disease, Bronchial Asthma, and Mental Disorders 2022-2025
- Responsible agency: Ministry of Health
- Cooperating agencies: related ministries, central authorities, agencies, organizations, and People's Committees of provinces or centrally affiliated cities.
IV. BUDGET FOR IMPLEMENTATION OF PLANS
1. State budget sources
- State budget for health care: allocate budget from the central and local state budget for health care according to budget decentralization with the budget from the central state budget for implementation of plans of the Ministry of Health, ministries, and central authorities; local state budget for implementation of local plans to ensure the achievement of objectives, targets, and tasks of plans. The Ministry of Health and central and local authorities shall rely on the assigned plan or project to develop the estimated budget for implementation and recapitulate it in their annual plan for budget estimation plan and present it to competent authorities for approval.
- Public investment sources: implement as per regulation of the law on public investment.
2. Budget sources by the health insurance fund.
3. Budget sources from the fund for the prevention and control of cigarette harm.
4. Budget sources from private investments.
5. Other legal budget sources.
1. Ministry of Health shall:
a) Cooperate with ministries and central authorities related to research and construction in promulgating according to their competence or requesting competent authorities to promulgate legal policies and documents related to the prevention and control of NCDs and mental disorders.
b) Cooperate with related ministries, central authorities, People's Committees of provinces, centrally affiliated cities, and relevant entities in providing guidelines and organizing the implementation of the Plan.
c) Take charge and cooperate with ministries and central authorities in developing Project No. 1 and Project No. 3 of the Plan and present them to competent authorities for approval and implementation.
d) Inspect and urge the implementation of the Plan and regularly submit final reports to the Prime Minister on the performance and result of the implementation of the Plan.
2. Ministry of Culture, Sport, and Tourism shall:
a) Take charge of the development and promulgation of policies and regulations of the law to strengthen physical activities to develop mass physical training and sports and ensure safety and hygiene in physical training and sports facilities and services.
b) Take charge and cooperate with related ministries and central authorities in developing Project No. 2 of the Plan and present it to competent authorities for approval and implementation on the basis of integration with the Project for Mobilizing People to Practice Physical Training and Sports for Health Improvement in Decision No. 122/QD-TTg dated January 10, 2013 of The Prime Minister approving the National Strategy for Protection, Care, and Improvement of People’s Health 2011-2020, with a vision towards 2030.
c) Cooperate with the Ministry of Health in developing, disseminating, and providing guidelines on physical training for people to improve their health and prevent and control NCDs, mental disorders, and other diseases.
d) Organize the implementation of measures to manage and control advertisements for cigarettes, alcohol, and other products with risk factors that pose risks to health under its management.
3. Ministry of Information and Communications shall:
a) Organize the implementation of measures to manage and control advertisements for cigarettes, alcohol, and other products with risk factors that pose risks to health under its management.
b) Take charge and cooperate with the Ministry of Health in directing and organizing activities of information and communication on prevention and control of NCDs, mental disorders, and risk factors on means of mass communication and grassroots information systems.
4. Ministry of Education and Training shall:
a) Implement activities of communication and education suitable for children and students on prevention and control of risk factors, prophylaxis of NCDs, and care for mental health; implement regulations on control and management of advertisement, business, and provision of unhealthy food and drink in educational institutions.
b) Organize integrated activities of screening for early detection, counseling, and prophylaxis of NCDs and mental disorders suitable for the age of children and students in managing and caring for them in educational institutions.
c) Take charge and effectively implement the Project of Proper Diet Assurance and Intensification of Physical Activities for Children and Students for Health Improvement and Prophylaxis of NCDs 2018-2025 approved by the Prime Minister's Decision No. 41/QD-TTg dated January 8, 2019.
5. Ministry of Finance shall:
a) Allocate recurrent expenditures of the central budget for Ministries and central authorities for implementation of activities of the Plan according to approved decisions of competent authorities.
b) Research and propose appropriate tax rates for sugary drinks, unhealthy food, and conditional trading products to limit the consumption of unhealthy food.
6. The Ministry of Planning and Investment shall:
Allocate the public investment budget from the central budget to implement the Plan in accordance with regulations of the law on public investment.
7. Ministry of Labor – War Invalids and Social Affairs shall:
a) Take charge and implement activities of mental health care of the Social Assistance and Functional Rehabilitation Program for persons with mental illness, autistic children, and persons with mental disorders according to the community 2021-2030 approved by the Prime Minister's Decision No. 1929/QD-TTg dated November 25, 2020.
b) Cooperate with the Ministry of Health in implementing activities of health improvement, prophylaxis, early detection, treatment management, and functional rehabilitation for students in vocational training facilities and workers with NCDs under its management.
8. Ministry of Transport shall:
Research and propose solutions to develop public traffic and non-motorized infrastructure; ensure utilities for people with disabilities and the elderly when participating in the traffic.
9. The Ministry of Construction shall:
Take charge and cooperate with related ministries and central authorities in reviewing and supplementing regulations of laws and developing and implementing urban master plans to ensure the space and physical facilities for intensification of physical activities, improving the living quality for urban residents; ensuring utilities for people with disabilities and the elderly.
10. Ministry of Science and Technology shall:
a) Take charge and cooperate with related ministries and central authorities in developing and approving national science and technology tasks on researching and applying advanced science and technology to the prevention and control of NCDs and mental disorders.
11. The Ministry of Natural Resources and Environment shall:
Conduct cooperation in controlling impacts of pollution on human health.
12. Vietnam Fatherland Front and related socio-political organizations shall:
Direct and cooperate with socio-political organizations in implementing integrated communication activities, launching movements, and developing health improvement community models for prevention and control of risk factors and prophylaxis of NCDs and mental disorders for the people.
13. People’s Committee of provinces and centrally affiliated cities shall:
a) Rely on the Plan of the country to proactively develop plans for preventing and controlling NCDs and mental disorders in their areas and incorporate objectives, targets of the Plan into local programs and plans for socio-economic development.
b) Arrange sufficient resources and physical facilities to implement the Plan in their areas.
c) Inspect, supervise, and report the progress and result of the implementation of the Plan.
14. Ministries, ministerial agencies, and governmental agencies shall:
Implement the content of the Plan related to fields under their management,
Article 2. This decision comes into force as of its date of signing.
Article 3. Ministers, directors of ministerial agencies, directors of Government’s affiliates, chairmen of People’s Committees of provinces, centrally affiliated cities, and related organizations, individuals shall implement this Decision./.
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PRIME MINISTER |
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