Thông tư 23/2017/TT-BYT hướng dẫn việc lập hồ sơ theo dõi sức khỏe, khám sức khỏe định kỳ theo độ tuổi cho trẻ em; tư vấn chăm sóc sức khỏe và dinh dưỡng cho phụ nữ mang thai và trẻ em do Bộ trưởng Bộ Y tế ban hành

CIRCULAR

ON GUIDELINES FOR COMPILING CHILD HEALTH MONITORING RECORDS, CONDUCTING PERIODIC HEALTH EXAMINATIONS BY AGE GROUP FOR CHILDREN; AND PROVIDING HEALTH CARE AND NUTRITION COUNSELING

Pursuant to Clause 2 Article 84 of the Children Law 2016;

Pursuant to Decree No. 63/2012/ND-CP dated August 31, 2012 of the Government on functions, duties, powers, and organizational structure of the Ministry of Health;

At the request of the Director of the Department of Maternal and Child Health;

The Minister of Health hereby promulgates this Circular providing guidelines for compiling child health monitoring records, conducting periodic health examinations by age group for children; and providing health care and nutrition counseling for pregnant women and children.

Article 1. Scope and regulated entities

1. This Circular provides guidelines for compiling child health monitoring records, conducting periodic health examinations by age group for children; and providing health care and nutrition counseling for pregnant women and children.

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a) Children from birth to under 16 years of age;

b) Public and non-public health facilities that provide medical examination and treatment services; health care counseling and nutrition counseling for pregnant women and children;

c) Other establishments that are functionally authorized to provide health care and nutrition counseling services for pregnant women and children;

d) Organizations and individuals related to compiling child health monitoring records and conducting periodic health examinations by age group for children.

Article 2. Compilation of child health monitoring records

The child health monitoring record is a component of the personal health management record, comprising information about a child’s health, which is created initially for pregnant women and children and regularly updated when the child receives medical examination and treatment or periodic health examinations, for the purposes of managing, caring for, and improving children’s health as prescribed in Decision No. 831/QD-BYT dated March 11, 2017 of the Minister of Health on promulgation of the personal health management record form for primary health care (hereinafter referred to as the health management record).

Article 3. Periodic health examinations for children by age group

1. Periodic health examinations for children mean a general check-up and health assessment once per year for children from birth to under 16 years of age in order to detect diseases early and identify health risks for counseling, management, or appropriate treatment.

2. Children from birth until before entering preschool and children under 6 years of age who are not attending school shall receive periodic health examinations at the health station of commune, ward, or commune-level town (hereinafter referred to as the commune health station) with the following contents:

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b) Conduct a comprehensive examination to assess mental and motor development, detect diseases, abnormal signs, and health risks;

c) Check immunization status according to the schedule and administer vaccines under the Expanded Program on Immunization for children who have not been vaccinated and request such vaccination;

d) Conclude on health status, provide counseling, and refer to an appropriate health facility if diseases, abnormal signs, or health risks are detected.

3. Children from 7 to under 16 years of age who are not attending school shall receive periodic health examinations at the commune health station in accordance with the items recorded in the health management record.

4. Children who are students from preschool through the end of lower secondary school shall be subject to health checks and periodic health examinations as prescribed in Article 9 of Joint Circular No. 13/2016/TTLT-BYT-BGDDT dated May 12, 2016 on school health work (hereinafter referred to as Joint Circular No. 13/2016/TTLT-BYT-BGDDT).

Article 4. Health care and nutrition counseling for pregnant women and children

1. Health care and nutrition counseling for pregnant women: provide information and guidance on health care and nutrition for pregnant women at each antenatal visit according to the sections “Antenatal care” and “Counseling for pregnant women” prescribed in Decision No. 4128/QD-BYT dated July 29, 2016 of the Minister of Health approving the “National guidelines on reproductive health services” (hereinafter referred to as the national guidelines on reproductive health).

2. Health care and nutrition counseling for children: provide information and guidance to children and their parents or guardians on health care and nutrition at each periodic health examination according to the following items:

a) For children from birth to 6 years of age: counseling in line with the child’s age as prescribed in the section “Guidance on periodic health examinations for children” in the national guidelines on reproductive health;

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Article 5. Funding

Funding for compiling child health monitoring records and conducting periodic health examinations by age group for children shall be sourced from the state budget, health insurance, and other lawful funding sources as prescribed by law.

Article 6. Implementation

1. Responsibilities of the People’s Committees of provinces and centrally-affiliated cities:

a) Direct and assign tasks to People’s Committees at all levels and relevant Departments and sectors in organizing and coordinating the implementation of this Circular in the province; annually approve the provincial plan on compiling child health monitoring records and conducting periodic health examinations for children; providing health care and nutrition counseling for pregnant women and children;

b) Based on actual circumstances, proactively allocate funding from the local state budget and other lawful funding sources, human resources, and facilities to ensure implementation of the annually approved plan.

2. Responsibilities of the Departments of Health of provinces and centrally-affiliated cities:

a) Submit the annual plan on compiling child health monitoring records and conducting periodic health examinations for children; providing health care and nutrition counseling for pregnant women and children to competent authorities for approval;

b) Direct, guide, inspect, and supervise health facilities in the locality in implementing this Circular;

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d) Perform statistics and report implementation results in accordance with Circular No. 28/2014/TT-BYT dated August 14, 2014 of the Ministry of Health on “Prescribing the items of the health sector statistical indicator system.”

3. Responsibilities of district-level health centers (urban districts, rural districts, district-level towns):

a) Advise the People’s Committees of urban districts, rural districts, district-level towns and the Director of the Department of Health of provinces and centrally-affiliated cities on planning and directing the organization of implementation of this Circular in the locality;

b) Organize direction and guidance for developing plans to compile health monitoring records and support periodic health examinations for children; provide health care and nutrition counseling for pregnant women and children according to the delegation;

c) Coordinate human resources to support commune, ward, commune-level town health stations in compiling health monitoring records and conducting periodic health examinations by age group for children;

d) Implement school health work in accordance with Joint Circular No. 13/2016/TTLT-BYT-BGDDT;

dd) Organize inspection, supervision, and professional support for commune health stations in implementing this Circular;

e) Perform statistics and report implementation results in accordance with Circular No. 28/2014/TT-BYT dated August 14, 2014 of the Ministry of Health on “Prescribing the items of the health sector statistical indicator system.”

4. Responsibilities of commune health stations:

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b) Take the lead in preparing the annual plan, organize compilation of child health monitoring records; conduct periodic health examinations for out-of-school children; provide health and nutrition counseling for pregnant women and children; conduct statistics and reporting in accordance with law;

c) Implement school health work in accordance with Joint Circular No. 13/2016/TTLT-BYT-BGDDT.

5. Responsibilities of units under the Ministry of Health:

a) The Department of Maternal and Child Health shall act as the overall focal point, coordinating with Departments/Administrations and relevant agencies/units in directing, guiding implementation, assessing, and inspecting the implementation of this Circular;

b) The Department of Preventive Medicine shall act as the focal point, coordinating with the Department of Maternal and Child Health in implementing, supervising, assessing, and reporting on the implementation of student health examination items;

c) The Department of Medical Examination and Treatment shall act as the focal point, coordinating with the Department of Maternal and Child Health in implementing, supervising, assessing, and reporting on the implementation of the health management record items.

Article 7. Entry into force

1. This Circular comes into force as of September 15, 2017.

2. Where documents referred to in this Circular are replaced or amended and supplemented, the replacing or amended documents shall apply.

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In the course of implementation, should there be any difficulties or problems, agencies, organizations, and individuals are requested to promptly report to the Ministry of Health (Department of Maternal and Child Health) for consideration and settlement within competence./.

PP. MINISTER
DEPUTY MINISTER




Nguyen Viet Tien