Thông tư 33/2017/TT-BYT quy định về tư vấn, hỗ trợ trẻ em chăm sóc sức khỏe sinh sản phù hợp với độ tuổi do Bộ trưởng Bộ Y tế ban hành

CIRCULAR

ON COUNSELING AND SUPPORT FOR CHILDREN IN AGE-APPROPRIATE REPRODUCTIVE HEALTH CARE

Pursuant to the Children Law 2016;

Pursuant to Decree No. 75/2017/ND-CP dated June 20, 2017 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 on counseling and support for children in age-appropriate reproductive health care.

Article 1. Scope and regulated entities

1. This Circular provides principles and requirements for counseling and support for children in age-appropriate reproductive health care.

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a) Children from 0 to under 16 years of age; parents or guardians of children;

b) Establishments for counseling and support for children in reproductive health care (hereinafter referred to as counseling and support establishments), including: pediatric and obstetrics-gynecology medical examination and treatment establishments; reproductive health care centers; HIV/AIDS prevention centers; district-level health centers; HIV counseling, testing and treatment establishments; vaccination establishments; commune, ward, commune-level town health stations; school health units and other establishments providing reproductive health counseling services for children in accordance with law;

c) Agencies, organizations, and individuals involved in counseling and support for reproductive health care for children in accordance with law.

Article 2. Principles and requirements in counseling and support for children in age-appropriate reproductive health care

1. Principles in counseling and support:

a) Respect, share with, and show empathy toward children;

b) Suitability to children’s age, psycho-physiological characteristics, and health status;

c) Suitability to the capacity and conditions of counseling and support establishments.

2. Requirements for counseling and support:

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b) Counseling and support must be friendly, discreet, confidential, private, and empathetic; use language appropriate to the child’s age and cognition;

c) Provide direct counseling to children at an appropriate age or counsel parents or guardians;

d) Explain to children, parents, or guardians the purpose, significance, and examination procedures where examination of the child is required.

3. Requirements for counseling and support establishments:

a) Have private and discreet areas for counseling and examination;

b) Have sufficient human resources in accordance with Point a Clause 2 of this Article;

c) Have mechanisms for linkage and referral among different counseling and support establishments within the same locality or among appropriate professional intervention areas.

Article 3. Counseling for children in age-appropriate reproductive health care

Counsel, depending on the child’s age and health status, for children and for parents or guardians in accordance with the National guidelines on reproductive health services promulgated under Decision No. 4128/QD-BYT dated July 29, 2016 of the Minister of Health and the following contents:

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2. For children from 7-13 years of age: counseling on the contents specified in Clause 1 of this Article and additionally on age-related physical and psycho-physiological changes; gender; sexual orientation.  Note the following contents:

a) For girls:  counseling on normal and abnormal menstruation, hygiene during menstruation, ovulation and pregnancy, masturbation;

b) For boys: counseling on ejaculation and first ejaculation; phimosis, penile hygiene, masturbation.

3. For children from 14-16 years of age: counseling on the contents specified in Clauses 1 and 2 of this Article and additionally on: prevention of gynecological and andrological diseases; prevention of unintended pregnancy; appropriate contraceptive methods; prevention of sexually transmitted infections; safe sex; life skills such as negotiation skills, refusal skills, and self-esteem skills.

4. For children visiting medical examination and treatment establishments:

a) Provide information and counseling on the child’s current health status, management, treatment, and prevention;

b) Provide counseling for children on reproductive health care according to the contents specified in Clauses 1, 2, and 3 of this Article;

c) Provide counseling on abnormalities of genital organs.

Article 4. Support for children in age-appropriate reproductive health care

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2. Provide counseling, medical examination and treatment, and reproductive health care services for children by age, consistent with the conditions and professional scope of the counseling and support establishment;

3. Assist and provide information to children on other necessary contents consistent with the capacity and conditions of the counseling and support establishment upon request; refer children to appropriate establishments such as support establishments for victims of violence and sexual abuse; counseling and treatment establishments for psychological or psychiatric problems; establishments providing information, counseling, and support services for children in other fields such as: law, psychology, marriage and family.

4. Exempt or reduce counseling and treatment costs for children in accordance with law.

Article 5. Procedures for counseling and support for children in age-appropriate reproductive health care

Counseling and support for children in age-appropriate reproductive health care shall be conducted in accordance with the National guidelines on reproductive health services promulgated together with Decision No. 4128/QD-BYT dated July 29, 2016 of the Minister of Health.

Article 6. Entry into force

1. This Circular comes into force as of October 1, 2017.

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

3. Responsibilities for implementation:

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b) The Director General of the Department of Medical Examination and Treatment; the Department of Preventive Medicine; the Department of HIV/AIDS Prevention and Control; heads of units affiliated to the Ministry of Health; directors of hospitals of ministries and sectors; Directors of the Departments of Health of provinces and centrally-affiliated cities shall implement this Circular;

c) Directors of the Departments of Health of provinces and centrally-affiliated cities, and health units of ministries and sectors shall direct local, ministerial, and sectoral counseling and support establishments and medical examination and treatment establishments to comply with this Circular.

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 resolution within competence./.

PP. MINISTER
DEPUTY MINISTER




Nguyen Viet Tien

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