Joint Circular No. 09/2014/TTLT-BYT-BTC stipulates the contents and tasks of state budget expenditure for preventive healthcare work.

  JOINT CIRCULAR

Regulations on the contents and tasks of preventive health care expenditure

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Pursuant to Resolution No. 18/2008/QH12 dated June 3, 2008 of the National Assembly on accelerating the implementation of policies and laws on socialization to improve the quality of healthcare for the people;

This Circular prescribes procedures for receiving, providing health care for domestic violence victims and statistical reports on domestic violence victims at medical facilities.

Pursuant to Decree No. 215/2013/NĐ-CP dated December 23, 2013, promulgated by the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Finance;

Pursuant to Decree No. 85/2012/NĐ-CP dated October 15, 2012 of the Government on the operational mechanism and financial mechanism for public health institutions and service fees for medical examination and treatment at public medical facilities;

Implementing Decision No. 402/QĐ-TTg dated March 27, 2009 of the Prime Minister promulgating the Action Program of the Government to implement Resolution No. 18/2008/QH12 dated June 3, 2008 of the National Assembly on accelerating the implementation of policies and laws on socialization to improve the quality of healthcare for the people;

The Ministers of Health and Finance issue this Joint Circular to regulate the contents and tasks of preventive health care expenditure from the state budget for health services, serving as a basis for ministries, ministerial-level agencies, government agencies, provincial people's committees, and municipal people's committees under the central government (hereinafter referred to as provincial people's committees) to develop, allocate, or submit to competent authorities for allocation of the state budget for health services dedicated to preventive health care.

Article 1. Scope of Regulation and Applicability

Thông tư này quy định chi tiết khoản 4 Điều 38 Luật Thủy sản số 18/2017/QH14 đã được sửa đổi, bổ sung tại điểm c khoản 21 Điều 14 Luật số 146/2025/QH15.

a) This Circular regulates the contents and tasks of preventive health care expenditure from the state budget for health services, serving as a basis for ministries, ministerial-level agencies, government agencies, provincial people's committees, and municipal people's committees under the central government (hereinafter referred to as provincial people's committees) to develop, allocate, or submit to competent authorities for allocation of the state budget for health services dedicated to preventive health care.

b) This Circular does not apply to the following sources of funds:

- Investment development capital;

- State budget for health services allocated for medical examination and treatment activities and other health service budgets of preventive healthcare facilities and agencies or units performing preventive healthcare tasks;

- Official Development Assistance (ODA) funds. The establishment, allocation, execution, and settlement of accounts for the sources of funds mentioned in point b, Clause 1, Article of this Circular shall be carried out in accordance with the provisions of the Law on State Budget.

2. The subjects to which this Circular applies are preventive healthcare facilities and agencies or units performing preventive healthcare tasks as stipulated in Article 2 of this Circular.

Article 2. Preventive healthcare facilities and agencies or units performing preventive healthcare tasks.

1. Preventive healthcare facilities and agencies or units performing preventive healthcare tasks are healthcare facilities that perform one or more of the following tasks:

a) Research, training, and directive guidance on epidemiology, microbiology, immunology, and molecular biology;

b) Prevention and control of infectious diseases;

c) Prevention and control of social diseases;

d) Prevention and control of non-communicable diseases in the community;

đ) Management of school health, community nutrition, occupational medicine, and environmental hygiene;

e) Testing and certification of vaccines, medical products, and food.

2. The list of preventive healthcare facilities and agencies or units performing preventive healthcare tasks under the management authority of ministries, ministerial-level agencies, government agencies, and provincial people's committees shall be implemented in accordance with the provisions set forth in Appendix 1 attached to this Circular.

3. The Ministers, heads of ministerial-level agencies, government agencies, and provincial people's committees shall base their decisions on the provisions of Clause 1 and Clause 2 of this Article and the functions and tasks of each unit to determine the preventive healthcare facilities and agencies or units performing preventive healthcare tasks under their management authority.

Article 3. Content and tasks of regular health expenditure for preventive healthcare

Regular expenditures for preventive healthcare activities guaranteed by the state budget for preventive healthcare facilities and agencies or units performing preventive healthcare tasks shall be considered as the content and tasks of preventive healthcare expenditure.

1. Expenditure on salaries, wages, allowances, and contributions according to regulations (hereinafter referred to as expenditure for personnel).

a) For preventive healthcare facilities: salary according to rank and base salary as prescribed by the State; salary according to labor contracts; allowances as prescribed; contributions according to regulations, including social insurance, health insurance, unemployment insurance, trade union fees based on the number of employees approved by the competent authority in accordance with laws on civil servants and public officials.

b) For agencies or units performing preventive healthcare tasks: expenditure for personnel as stipulated in point a of this Clause shall be calculated based on the number of employees performing preventive healthcare tasks decided by the head of the unit within the scope of the number of employees approved by the competent authority (excluding the number of employees performing management tasks; medical examination and treatment tasks and other tasks).

Example: for district health centers where hospitals have not been separated, the number of personnel performing preventive healthcare tasks shall be calculated based on the number of employees of the Preventive Health Team or Department; the Reproductive Health Care Team or Department and other departments, offices, sections performing preventive healthcare tasks according to the organizational structure decided by the competent authority.

c) Expenditure for personnel shall be adjusted when the unit is adjusted by the competent authority in terms of the number of employees; when the State adjusts salary, allowance, and contribution systems as prescribed.

2. Expenditure for operation and administrative support to ensure regular activities

a) Collective welfare expenditure according to prescribed regulations; bonuses according to the Law on Encouragement and Reward and guiding documents; other payments to individuals according to current regulations.

b) Expenditure for operation and ensuring regular activities of preventive healthcare facilities such as payment for public services; office supplies; information, propaganda, communication; conferences, training; travel expenses; incoming and outgoing delegations; rental expenses; environmental sanitation, medical waste disposal, household waste disposal.

c) Expenditure for repair, inspection, calibration of equipment serving professional work and maintenance of infrastructure.

d) Expenditure for new or replacement of office equipment for civil servants and public officials according to the list and standards prescribed in Decision No. 170/QĐ-TTg dated July 18, 2006.

đ) Other regular expenditure to ensure the operation of agencies and units as prescribed by the State, such as property and vehicle insurance expenditure, hospitality expenditure, support for party work, and other expenditures according to current regulations and the state budget classification.

3. Expenditure for implementing specialized tasks of preventive healthcare facilities and agencies or units performing preventive healthcare tasks.

a) Expenditure for regular disease prevention and control activities, infectious diseases, non-communicable diseases within the assigned area, including:

- Expenditure for surveillance activities: regular surveillance; key surveillance; surveillance of cases suspected of infection, carriers of infectious agents, vectors; risk factor surveillance; non-communicable disease surveillance and risk factors;

- Expenditure for investigation and verification activities of disease outbreaks, including allowances for disease control as stipulated in points a and b of Clause 1, Article 3 of Decision No. 73/2011/QĐ-TTg dated December 28, 2011 of the Prime Minister on certain special allowances for civil servants, public officials, and workers in public healthcare facilities and disease control allowances (hereinafter referred to as Decision No. 73/2011/QĐ-TTg); synthesis, analysis, and forecasting of infectious and non-communicable disease situations;

- Expenditure for measures to prevent and control outbreaks, handle outbreak sites, and treat the environment to cut off transmission sources in areas with infected patients or infectious disease outbreaks;

- Expenditure for purchasing and repairing equipment for disease prevention and control; non-communicable disease prevention and school health;

- Expenditure for purchasing and administering vaccines and medical products for the groups specified in Clause 3, Article 28 of the Law on Prevention and Control of Infectious Diseases;

- Expenditure for personal protection measures for the groups specified in Clause 1, Article 51 of the Law on Prevention and Control of Infectious Diseases;

- Expenditure for purchasing materials, chemicals, medical products for testing or hiring testing services for samples to serve surveillance, disease prevention and control, and non-communicable disease prevention;

b) Expenditure for information, education, and communication activities about: disease prevention and control; clean water, environmental sanitation; community nutrition; food safety; environmental health; school health; occupational disease prevention, accident and injury prevention, non-communicable disease prevention to raise awareness, change behavior, self-protection, and improve health, including:

- Writing, compiling, printing communication materials, films, photos, news reports on mass media; posters and banners suitable for each promotional goal;

- Direct communication through rallies, parades, talks to the public, high-risk groups for infection, non-communicable disease groups, infectious disease groups, non-communicable disease groups, and school health issues;

- Organizing knowledge contests in various fields of preventive healthcare.

c) Directing the preventive healthcare line on: preventive medicine, reproductive health care, food safety; transferring technology to enhance the professional capacity of lower-level lines; standardizing laboratories according to standards issued by the Ministry of Health; supporting lower-level units in implementing measures to prevent and control infectious diseases, non-communicable diseases, and school illnesses.

d) Training and enhancing professional skills, regular and emergency training to improve professional capacity and update knowledge in the field of preventive medicine for preventive healthcare staff by specialty and other relevant personnel.

d) Funding research topics at the grassroots level related to assigned preventive healthcare tasks.

e) Activities related to inspection and supervision on: food safety hygiene; water quality, periodic health check-ups for workers in accordance with the Law on Prevention and Control of Infectious Diseases; medical environment; school hygiene conditions; measures to handle waste causing environmental pollution and harm to public health such as hospital waste; chemicals and insecticides, bactericides used in household and medical fields.

g) Implementing border health quarantine activities at border gates; providing information and reporting on the situation of particularly dangerous infectious diseases worldwide to proactively implement prevention and control measures.

h) Activities related to directing and guiding the implementation of:

- The patriotic hygiene movement to improve people's health;

- The National Nutrition Strategy;

- Measures to prevent and control diseases and epidemics in communities and educational institutions in accordance with the law;

- Activities to prevent and control occupational diseases;

- Primary health care activities for people in communities;

i) Costs for the preservation, storage, use, research, exchange, and disposal of disease samples related to causative agents.

k) Activities of the Expert Advisory Council to evaluate adverse events during the use of vaccines and medical products.

l) Building economic and technical norms; technical and professional procedures in preventive medicine to be submitted to competent authorities for issuance in accordance with regulations.

m) Purchasing samples, transporting samples, testing to serve inspection and testing activities for food safety hygiene.

n) Purchasing supplementary and replacement equipment and tools to serve professional work:

- For preventive healthcare facilities: the list and quantity of equipment and tools specified in Decision No. 4696/QD-BYT dated November 27, 2008 of the Ministry of Health on National Standards for Provincial and Central City Preventive Healthcare Centers and other relevant documents of the Ministry of Health;

In cases where healthcare facilities perform vaccination tasks: the list of equipment and tools for vaccine and medical product usage and storage as stipulated in Decision No. 23/2008/QD-BYT dated July 7, 2008 of the Minister of Health on the use of vaccines and medical products in prevention and treatment;

- For units performing microbial testing tasks that may cause infectious diseases: the list of equipment and tools as stipulated in Decree No. 92/2010/NĐ-CP dated August 30, 2010 of the Government detailing the implementation of the Law on Prevention and Control of Infectious Diseases regarding biosafety in laboratories and guidance documents for implementing the Decree;

- HIV screening laboratories, confirmatory HIV laboratories, and national reference laboratories for HIV testing: the list of equipment and tools as stipulated in Circular No. 15/2013/TT-BYT dated May 24, 2013 of the Ministry of Health guiding the quality assurance of HIV testing techniques.

q) Purchasing medicines, materials, and implementing interventions to reduce harm in preventing the spread of certain diseases as decided by competent authorities.

In addition to the above funding items and tasks, state management agencies under central ministries and departments, and provincial health departments shall supplement professional tasks in preventive medicine based on actual conditions at their units and localities, in line with the realities of those units and localities.

4. In cases where units organize fee and charge collection: the costs for ensuring the regular operation of the fee and charge collection department shall be implemented in accordance with current laws on fees and charges. If the collected fees and charges do not cover the regular operational costs of the fee and charge collection department, the State budget will ensure the shortfall in accordance with current expenditure systems and norms.

Article 4. Content and tasks of non-recurring health expenditure on preventive healthcare

1. Expenditure for disease prevention and control when competent authorities declare infectious diseases according to the Law on Prevention and Control of Infectious Diseases and guiding documents of the Law:

a) Expenditure for activities specified in point a, Clause 3, Article 3 of this Circular;

b) Expenditure for implementing benefits for those participating in disease control, patients with infectious diseases, suspected cases, and individuals subject to medical quarantine measures as stipulated by the Law on Prevention and Control of Infectious Diseases;

c) Expenditure for operations of disease control steering committees at all levels;

d) Allowance for collaborators and volunteers participating in Group A disease control activities as stipulated in Clause 3, Article 3 of Decision No. 73/2011/QĐ-TTg;

đ) Other expenditures as decided by competent authorities.

2. Expenditure for implementation of projects to renovate, expand, upgrade, and carry out major repairs of houses, infrastructure, and equipment upgrades for laboratories, testing facilities, and inspection units according to approved projects using state budget funds with investment characteristics.

3. Expenditure for implementation of programs and projects with preventive healthcare characteristics approved by the Prime Minister, Ministers, Heads of Ministries equivalent to ministries, and Chairmen of Provincial People's Committees.

4. Expenditure for implementation of National Target Programs in the field of preventive healthcare according to Decisions of the Prime Minister for each period.

The list of projects, contents, and tasks of each component project according to Decisions of the Prime Minister for each period and guidelines of the Ministry of Finance and the Ministry of Health for each National Target Program.

Article 5. Levels of expenditure as the basis for preparing budgets, establishing, and issuing standards for allocating state budget for preventive healthcare institutions

Levels of expenditure as the basis for preparing budgets, establishing, and issuing standards for allocating preventive healthcare state budget; preparing and allocating state budget estimates for preventive healthcare institutions and units performing preventive healthcare tasks shall be carried out according to current regulations of the State. In addition, certain contents and levels of expenditure set forth in Appendix 2 attached to this Circular may also be applied.

Article 6. Provisions on preparation, allocation, execution, and settlement

1. Budget preparation: annually, preventive healthcare institutions and agencies, units performing preventive healthcare tasks as stipulated in Article 2 of this Circular, based on their functions and tasks assigned by competent authorities, the areas they are responsible for, and the provisions of this Circular, shall develop professional activity plans and annual state budget expenditure estimates for submission to competent authorities for decision-making; including:

a) Estimates for personnel expenditure as prescribed in Clause 1, Article 3; estimates for regular activities to perform assigned functions and tasks as prescribed in Clauses 2, 3, and 4, Article 3; estimates for non-regular expenditure as prescribed in Article 4 of this Circular;

b) Agencies and units tasked with implementing component projects under national target programs: based on the Ministry of Finance and the Ministry of Health's regulations on the content and levels of expenditure for each national target program, they shall prepare estimates for each component project within the program.

2. Allocation, assignment, and settlement:

a) The funds allocated for the contents prescribed in Article 3 of this Circular are regular funds managed and used by preventive healthcare institutions and units performing preventive healthcare tasks according to current regulations on self-management and financial responsibility for public service units;

b) The funds allocated for the contents prescribed in Article 4 of this Circular are non-regular funds that do not implement self-management. Agencies and units are responsible for managing, using, and settling accounts according to current state regulations, standards, and expenditure norms; these funds are allocated outside the regular budget allocation standards for agencies and units;

c) Annually, in the plan for allocating the state budget for health services: - Ministries, agencies equivalent to ministries, and agencies under the Government shall coordinate with the Ministry of Finance to balance and allocate a portion of funds for units performing preventive healthcare tasks to proactively handle disease prevention and control in case of outbreaks; - Departments of Health shall coordinate with Departments of Finance to report to provincial People's Councils for approval to allocate a specific amount of funds to provincial-level preventive healthcare units for proactive disease prevention and control in case of outbreaks.

d) Accounting and settlement of state budget funds allocated for preventive healthcare tasks as prescribed in this Circular shall be carried out according to current regulations.

Article 7. Implementation Organization

1. Establishment and issuance of standards for allocating the preventive healthcare state budget:

a) The Minister of Health, Heads of agencies equivalent to ministries, and agencies under the Government shall establish and issue appropriate standards for allocating the state budget for each type of central-managed preventive healthcare institution for the expenditures prescribed in Clauses 2 and 3, Article 3 of this Circular;

b) Departments of Health shall establish, report to Departments of Finance for review, and submit to provincial People's Councils and People's Assemblies for issuance of appropriate standards for allocating the state budget for each type of locally-managed preventive healthcare institution as prescribed in Appendix 1 attached to this Circular for the expenditures prescribed in Clauses 2 and 3, Article 3.

2. The Ministry of Finance and the Ministry of Health have the responsibility to report

3. Provincial People's Committees are responsible for ensuring local budgets to implement: expenditures prescribed in Articles 3 and 4 of this Circular for preventive healthcare institutions and agencies performing preventive healthcare tasks under local management; expenditures guaranteed by local budgets for programs and projects with preventive healthcare characteristics, and National Target Programs in the field of preventive healthcare according to decisions approved by competent authorities.

4. Ministries, agencies equivalent to ministries, agencies under the Government, and provincial People's Committees are responsible for organizing implementation, reporting results annually to the Ministry of Finance and the Ministry of Health for consolidation and reporting to the Government and the National Assembly.

Article 8. Reference Provisions

In cases where referenced documents in this Circular are replaced or amended, the replacement or amended documents shall apply.

Article 9. Implementation Provisions

This Circular takes effect from April 15, 2014. During its implementation, if there are any difficulties, units are requested to report them to the relevant ministries for study, amendment, and supplementation as appropriate.