Joint Circular No. 113/2013/TTLT-BTC-BYT on the management and use of funds for implementing the National Target Program on Health for the period 2012-2015

JOINT CIRCULAR

Provisions on the management and use of funds to implement

The National Target Program on Health for the period 2012-2015

____________________

 

Pursuant to Decree No. 60/2003/NĐ-CP dated June 6, 2003 of the Government detailing and guiding the implementation of the Law on State Budget;

Pursuant to the Decree No. 118/2008/NĐ-CP dated November 27, 2008 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Finance;

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

Pursuant to Decision No. 135/2009/QĐ-TTg dated November 4, 2009 of the Prime Minister promulgating the Regulations on Management and Direction of Implementation of National Target Programs;

Implementing the Prime Minister's Decisions No. 2406/QD-TTg dated December 18, 2011 approving the List of National Target Programs for the period 2012-2015 and No. 1208/QD-TTg dated September 4, 2012 approving the National Target Program on Health for the period 2012-2015;

The Minister of Finance and the Minister of Health issue this Joint Circular to provide for the management and use of funds to implement the National Target Program on Health for the period 2012-2015:

Article 1. Scope and Applicability

Article 1. Scope of Application:

a) This Circular provides for the management and use of state budget funds for public services to implement projects under the National Target Program on Health for the period 2012-2015 (hereinafter referred to as the Program) as stipulated in Decision No. 1208/QD-TTg dated September 4, 2012 of the Prime Minister (hereinafter referred to as Decision No. 1208/QD-TTg).

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

- Non-reimbursable aid funds; except where the donor or the authorized representative of the donor and the Ministry of Finance have not agreed on the expenditure levels, which shall be applied according to the expenditure levels prescribed in this Circular.

- Investment development funds.

2. The subjects to which this Circular applies are agencies, units, organizations, and individuals using state budget funds for public services to implement the Program.

Article 2. Financial Resources for Implementing the Programme

1. Central government budget:

a) Allocated in the annual state budget expenditure plan of ministries and central-level agencies to carry out tasks directly implemented by ministries and central-level agencies.

b) Supplemental funding with specific purposes for local budgets to implement projects under the Program as provided for in Decision No. 1208/QD-TTg.

2. Local government budget:

a) Provincial People's Committees ensure resources from local budgets to implement assigned tasks as provided for in Decision No. 1208/QD-TTg.

b) Integrate with other national target programs, related support projects on their respective territories, mobilize maximum local resources and legitimate financial sources to implement local policies and regimes to sustainably implement activities and enhance the effectiveness of the Program.

Article 3. General Content and Expenditure Levels of the Program

1. Expenditures for program development, textbook compilation; writing, editing, and translating training materials related to projects and activities under the Program. Specific contents and expenditure levels are as follows:

a) Writing and editing ordinary materials: VND 75,000 per standard page of 350 words.

b) Developing materials, programs, and textbooks for training classes. Contents and expenditure levels apply to cases of developing course programs and textbooks for vocational secondary education as stipulated in Circular No. 123/2009/TT-BTC dated June 17, 2009 of the Ministry of Finance on contents and expenditure levels for developing framework programs and compiling course programs and textbooks for university, college, and vocational secondary education courses.

c) Translation of materials (including ethnic languages). Contents and expenditure levels are carried out according to the provisions of Circular No. 01/2010/TT-BTC dated January 6, 2010 of the Ministry of Finance on expense regulations for hosting foreign guests visiting Vietnam, organizing international conferences and seminars in Vietnam, and domestic hospitality expenses (hereinafter referred to as Circular No. 01/2010/TT-BTC).

2. Training costs for volunteers and non-salaried auxiliary staff; short-term training, training, and capacity-building for village midwives and project staff directly involved in implementing the Program as decided by the Director of the Department of Health: Contents and expenditure levels are carried out according to the provisions of Circular No. 97/2010/TT-BTC dated July 6, 2010 of the Ministry of Finance on travel expense regulations and conference organization expense regulations for state agencies and public service units (hereinafter referred to as Circular No. 97/2010/TT-BTC) and Circular No. 139/2010/TT-BTC dated September 21, 2010 of the Ministry of Finance on the preparation, management, and use of state budget funds for training and capacity building for civil servants (hereinafter referred to as Circular No. 139/2010/TT-BTC). In cases of training village midwives under other programs and projects, the contents and expenditure levels in this clause may be applied.

3. Professional conferences and seminars: Contents and expenditure levels are carried out according to the provisions of Circular No. 97/2010/TT-BTC.

4. International cooperation expenditures to enhance capacity and effectively implement Program activities as decided by competent authorities: Contents and expenditure levels are carried out according to the provisions of Circular No. 102/2012/TT-BTC dated June 21, 2012 of the Ministry of Finance on travel expense regulations for civil servants going abroad for short-term missions funded by the state budget and Circular No. 01/2010/TT-BTC.

5. Expenditures for purchasing medicines, medical equipment, reagents, chemicals, consumables, special-purpose items, and communication equipment (hereinafter referred to as goods) for the professional activities of each project under the Program (including purchases for training and seminar classes for practical clinical and pre-clinical training (if applicable)). The quantity and quota of goods must be appropriate to the technical level of the unit and the regulations of the Minister of Health.

6. Expenditures for the disposal of syringes; expired medicines, vaccines, specimens, materials, and chemicals (if any) under the Program. Expenditure levels are based on valid invoices and payment vouchers.

7. Expenditures for repair, maintenance, regular servicing, and calibration of medical equipment, drug storage facilities, specimen storage facilities, material, and chemical storage facilities for the professional activities of each project under the Program.

8. Transportation expenses: goods; disease samples, testing samples from the sampling site to the testing facility for the specialized activities of each project according to the guidance of the Minister of Health on sample transfer zoning; medical equipment, healthcare personnel, service staff, collaborators, and subjects during screening, detection campaigns, and implementation campaigns:

a) In case of transportation using public means: The support level shall be based on the actual fare.

b) In case of postal service transportation: The support level shall be based on the current postal service fare.

c) In case of self-provision or hiring road transport vehicles (if necessary): The expenditure shall be based on the contract amount within the allocated budget estimate or maximum supported at 0.2 liters of gasoline/km calculated based on administrative distance and gasoline price at the time of use. In cases where multiple goods, equipment, disease samples, and people are transported on the same vehicle, the maximum payment shall not exceed the aforementioned regulations.

d) In case of transportation in difficult travel areas (high mountains, border regions, islands): The head of the agency or unit shall decide the payment level based on actual costs within the allocated budget estimate.

9. Survey and statistical investigation expenses according to the specialized content of each Project as decided by the competent authority under Clauses 2, 3, and 4 of Article 10 of Decree No. 40/2004/NĐ-CP dated February 13, 2004, guiding the implementation of certain provisions of the Statistics Law. The content and expenditure levels are stipulated in Circular No. 58/2011/TT-BTC dated May 11, 2011, of the Ministry of Finance on managing, utilizing, and settling the budget for statistical surveys. For comprehensive statistical surveys implemented according to the Prime Minister's decision, the content and expenditure levels are regulated in Circular No. 53/2012/TT-BTC dated April 9, 2012, of the Ministry of Finance on managing, utilizing, and settling the budget for comprehensive statistical surveys decided by the Prime Minister.

10. Expenses for implementing research activities serving the specialized content of the Program according to the approved research outline by the competent authority. The content and expenditure levels are stipulated in Joint Circular No. 93/2006/TTLT-BTC-BKHCN dated October 4, 2006, of the Ministry of Finance and the Ministry of Science and Technology on the system of funding quotas for scientific and technological projects funded by the state budget, and Joint Circular No. 44/2007/TTLT-BTC-BKHCN dated May 7, 2007, of the Ministry of Finance and the Ministry of Science and Technology on the standard for building and allocating the budget for scientific and technological projects funded by the state budget, and other legal documents amending, supplementing, or replacing them (if applicable).

11. Domestic expert rental expenses: Based on the necessity of implementing Program activities and the allocated budget, the head of the Program management agency decides on renting domestic experts through signing a "Contract for Assignment of Work and Products." The expenditure level is regulated in Circular No. 219/2009/TT-BTC dated November 19, 2009, of the Ministry of Finance on some cost standards applied to projects/programs using official development assistance (ODA) funds, and Circular No. 192/2011/TT-BTC dated December 26, 2011, of the Ministry of Finance amending and supplementing some articles of Circular No. 219/2009/TT-BTC.

12. Expenses for inspection, supervision, technical support at all levels, and guidance on implementing specialized activities under the Program. The content and expenditure levels are stipulated in Circular No. 97/2010/TT-BTC and Circular No. 06/2007/TT-BTC dated January 26, 2007, of the Ministry of Finance on guidelines for preparing budgets, managing, and using funds to ensure the implementation of policies, strategies, plans, and programs.

For inter-departmental and inter-agency inspection and supervision teams: The leading agency or unit of the inspection team is responsible for covering the travel expenses (transportation fares, accommodation allowances, rental fees for lodging at the destination, and baggage and document shipping fees) for the team members according to the prescribed regulations. To avoid duplicate expenditures, the leading agency or unit of the inspection team must notify in writing (in the invitation or summons letter) the agencies or units sending representatives that they do not need to pay these expenses.

13. Reward expenses for collectives and individuals with outstanding achievements in organizing and implementing the Program according to the decision of the competent authority. The content and expenditure levels are regulated by the Law on Encouragement and Rewards; the Law Amending and Supplementing Certain Provisions of the Law on Encouragement and Rewards, and guiding documents.

14. Allowance expenses for healthcare personnel conducting epidemiological surveillance, disease monitoring, nutritional surveillance, and school hygiene conditions within the scope of Projects: In addition to the regulations stipulated in Circular No. 97/2010/TT-BTC, they will receive a daily allowance of 30,000 VND/person/day for surveillance activities.

15. Remuneration expenses for village, town, and township cadres (hereinafter referred to as villages) implementing Projects under the Program:

Annually, based on the guidance of the Ministry of Health, the Director of the Provincial Health Department announces the list of key villages for each type of disease under Project 1 and for each of the other Projects specified in Decision No. 1208/QĐ-TTg as the legal basis for managing and supervising the Program's expenditure; coordinating with the Provincial Finance Department to submit to the Chairman of the Provincial People's Committee for deciding specific support levels for the villages, specifically as follows:

a) A monthly remuneration of 400,000 VND/village for particularly difficult villages, border villages, safe area villages in ethnic minority and mountainous regions, particularly difficult villages in coastal and island areas according to the current list approved by the Prime Minister (hereinafter referred to as particularly difficult villages) and which are key villages for a type of disease under Project 1 or key villages under one of Projects 2, 3, and 4.

b) A monthly remuneration of 300,000 VND/village for the remaining villages and which are key villages for a type of disease under Project 1 or key villages under one of Projects 2, 3, and 4.

c) For communes that are focal points for multiple diseases under Project 1 or Projects 2, 3, and 4: In addition to the funding levels specified in points a and b of this clause, they will be supported an additional VND 50,000 per commune per month per disease (or project).

Example:

- Commune A is a particularly difficult-to-develop coastal commune according to the list approved by the Prime Minister, and at the same time, it is a focal point for leprosy under Project 1 and Project 3 on Health Care and Improvement of Children's Nutrition Status. According to point a, the commune receives VND 400,000 per month because it is a particularly difficult-to-develop commune and a focal point for leprosy. Additionally, since it is a focal point for Project 3, according to point c, the commune receives an additional VND 50,000 per month. In total, the commune receives VND 450,000 per month to pay for commune staff remuneration.

- Commune B is located in the Mekong Delta region and is a focal point for hypertension, dengue fever, and Project 2 on Expanded Immunization. According to point b, the commune receives VND 300,000 per month because it is a focal point for hypertension. Furthermore, due to being a focal point for dengue fever and Project 2, according to point c, the commune receives an additional VND 100,000 per month. In total, the commune receives VND 400,000 per month to pay for commune staff remuneration.

d) VND 250,000 per commune per month for particularly difficult-to-develop communes but not focal points.

đ) VND 200,000 per commune per month applies to all remaining communes.

16. Remuneration for commune, ward, town volunteers participating in implementing Programs under the Program:

- Volunteers in focal point communes: VND 150,000 per person per month.

- Other volunteers: VND 100,000 per person per month.

Depending on the needs, nature of each type of disease, each project, and the geographical conditions of each commune, the Director of the Department of Health shall determine the number of volunteers for each commune based on the guidelines of the Ministry of Health within the allocated budget.

17. Expenses for organizing counseling sessions and guiding patients and their families on prevention, treatment, care, and psychological support for patients using community-based mental health practices. The contents and expense levels include:

a) Expenses for materials serving counseling sessions: Expenses incurred based on actual costs and appropriate to the counseling content.

b) Expenses for drinking water for participants in counseling sessions: VND 10,000 per person per session.

c) Remuneration for individuals directly providing counseling services: The level of remuneration is VND 10,000 per individual counseled, but not exceeding VND 350,000 per counselor per month.

18. Expenses for organizing community-based screening, detection, and management of diseases under the Program's projects (for the Expanded Immunization Project, only for diseases such as diphtheria, whooping cough, tetanus, measles, rubella, hepatitis B, Japanese encephalitis, pneumonia/meningitis caused by Hib, typhoid). Contents and expense levels include:

a) Expenses for laboratory tests, procedures for obtaining biological samples, histopathological preparations, and other medical technical services as required by medical expertise. Expense levels are implemented according to the service fee for medical examination and treatment set by the competent authority for public medical examination and treatment facilities currently in operation.

b) Support for those directly involved in community-based disease screening and detection work; managing screening for certain diseases under the Program; integrating medical examination and treatment with disaster aftermath relief and national defense and security consolidation in the project area; screening for blood donor reserve forces in the community according to the regulations of the Minister of Health outside the current travel allowance system:

- For doctors, medical assistants, nurses, midwives, and laboratory technicians: VND 100,000 per person per day for particularly difficult-to-develop communes; VND 70,000 per person per day for other communes. In cases where screening combines with technology transfer to localities, the lecturer's remuneration is applied according to Circular No. 139/2010/TT-BTC.

- For service personnel: VND 50,000 per person per day for particularly difficult-to-develop communes; VND 30,000 per person per day for other communes.

c) Remuneration for volunteers involved in distributing invitation forms and implementing activities before the screening period (up to a maximum of three days) and during the screening period in the community (if applicable): VND 50,000 per person per day.

d) Renting venues, tables, chairs, backdrops, and tents (if applicable); payment for fuel, electricity, water, and medical supplies used for screening operations. Expense levels are based on market prices in the locality and valid expenditure receipts.

The duration of a screening session in a cluster (commune, ward) is a maximum of five days; specifically, for leprosy screening, it is a maximum of seven days. The Minister of Health will specify the minimum number of participants per day for each type of disease to ensure suitability.

19. One-time travel expenses (round trip) for patients from poor households to check their condition at specialized healthcare facilities from district level upwards (for diseases not included in the list covered by health insurance agencies and not yet supported by other sources of funding) following a doctor's recommendation after community-based screening: The support level is implemented according to the provisions of Clause 8 of this Article.

20. Expenses for building and implementing new pilot models for the first time according to the decision approved by the Minister of Health. Contents and expense levels are as follows:

a) Drafting the outline: VND 500,000 per approved outline.

b) Hiring experts to evaluate the pilot model, guide program establishment, and monitor the model: Expense levels according to the provisions of Clause 11 of this Article.

c) Organizing seminars, training sessions, and disseminating knowledge about applying the model: Contents and expense levels according to Circular No. 97/2010/TT-BTC.

21. Support for healthcare facilities for the first time in establishing and implementing a disease management model for diabetes, hypertension, and mental illness (establishing patient files, regular follow-up) for the first twelve months: Maximum support level is VND 200,000 per disease per healthcare facility per month.

22. Support for donors and sample collectors according to medical regulations to identify diseases under the Program (for the Expanded Immunization Project, only for diseases such as diphtheria, whooping cough, tetanus, measles, rubella, hepatitis B, Japanese encephalitis, pneumonia/meningitis caused by Hib, typhoid) during key investigations and surveillance, including:

a) Support for individuals collecting disease specimen samples, blood samples, or stool samples: 7,000 VND per sample.

b) Support for individuals collecting cerebrospinal fluid samples (if applicable): 30,000 VND per sample.

c) Support for individuals providing blood samples: 30,000 VND per sample.

23. Payment for local guides during inspection, supervision, and investigation campaigns in areas with difficult access or hard-to-reach communities, as decided by the Department of Health Director (if necessary): The payment level shall be in accordance with Circular No. 58/2011/TT-BTC dated May 11, 2011, issued by the Ministry of Finance on the management, use, and settlement of funds for statistical surveys.

24. Hiring of ethnic language interpreters (if necessary) during screening, detection, and community-based management campaigns and communication campaigns: The payment level shall be in accordance with Circular No. 01/2010/TT-BTC.

25. Program Management Costs:

a) The expenditure content shall be implemented in accordance with Clause 2, Article 16 of the Regulation on the Management and Implementation of National Target Programs, issued together with Decision No. 135/2009/QĐ-TTg dated November 4, 2009, of the Prime Minister, and any subsequent amendments, supplements, or replacements (if any).

b) The expenditure level shall be in accordance with current financial expenditure regulations.

c) For commune level, the support amount for program management work: 1,200,000 VND per commune per year.

Article 4. Special Expenditure Content and Levels for Each Project

In addition to the common expenditure content and levels stipulated in Article 3 of this Circular, each project may have special expenditure content and levels as follows:

1. Project 1: Prevention and Control of Certain Diseases that are Hazardous to the Community:

1.1. Leprosy:

a) Expenditure for purchasing and producing special items to provide leprosy patients according to the regulations of the Minister of Health. The expenditure level is based on valid invoices and expense receipts.

b) Support for health workers directly distributing medication and monitoring multi-drug therapy leprosy patients at home, in addition to the current travel allowance:

- For patients in the low-bacterium group, treated for a full course of 6-9 months: 200,000 VND per patient per treatment course.

- For patients in the high-bacterium group, treated for a full course of 12-18 months: 400,000 VND per patient per treatment course.

c) Patients with leprosy from poor households are supported:

- Rehabilitation expenses for leprosy patients with disabilities, as specified in Subpoint b, Point 5.5, Clause 5, Article 4 of this Circular.

- In cases where patients undergo drainage of abscesses at commune health centers or regional healthcare facilities, they will be supported with 50,000 VND per person per day, with the support period not exceeding 20 days.

- In cases where leprosy patients experience severe reactions or complications requiring transportation from their homes to commune health centers, regional leprosy treatment facilities, or regional general hospitals, they will be supported with transportation costs as specified in Clause 8, Article 3 of this Circular.

d) Payment for persons who detect new leprosy patients and refer or bring them to healthcare facilities for diagnosis:

- Patients in particularly difficult communes: 300,000 VND per patient.

- Patients in other communes: 200,000 VND/patient;

1.2. Tuberculosis:

a) Support for health workers conducting primary tuberculosis case finding (sputum smear positive) in the community: 30,000 VND per sputum smear positive tuberculosis patient.

b) Support for commune health workers directly examining and transporting tuberculosis patients to anti-tuberculosis units:

- For particularly difficult communes: 50,000 VND per commune per month.

- For other communes: 30,000 VND per commune per month.

c) Support for health workers directly distributing medication, monitoring, and supervising tuberculosis patients during an 8-month community-based treatment period or 6-month preventive treatment for children using Rifampicin at home:

- For particularly difficult communes: 170,000 VND per patient per 8-month treatment course or 150,000 VND per child per 6-month treatment course.

- For other communes: 120,000 VND per patient per 8-month treatment course or 100,000 VND per child per 6-month treatment course.

1.3. Malaria Prevention and Control Activities:

a) Expenditure for purchasing mosquito nets for one-time distribution to poor households in malaria-endemic areas. The number of poor households receiving nets annually is determined by the Department of Health Director within the budget allocation.

b) Support for staff at microscopy points: 150,000 VND per microscopy point per month.

c) Payment for individuals serving as bait and night mosquito catchers: 100,000 VND per person per night.

d) Payment for individuals directly spraying or treating chemicals to kill mosquitoes: 100,000 VND per person per day.

e) Support for staff conducting malaria diagnostic tests (if applicable) during malaria prevention and control campaigns:

- Testing to determine vector species: 5,000 VND per sample.

- Testing to determine chemical sensitivity and mosquito-killing efficacy of each chemical (from mosquito capture, rearing, and developing sufficient mosquito quantity for a sample to testing): 600,000 VND per sample.

- Serological testing for malaria diagnosis (from blood collection, transport, storage, and testing): 25,000 VND per sample.

- PCR testing, gene sequencing: 30,000 VND per sample.

1.4. Dengue Fever Prevention and Control Activities:

a) Support for staff conducting dengue fever diagnostic tests at households or during dengue prevention and control campaigns:

- Testing to determine vector species: 5,000 VND per sample.

- Testing to determine chemical sensitivity and mosquito-killing efficacy of each chemical (from mosquito capture, rearing, and developing sufficient mosquito quantity for a sample to testing): 600,000 VND per sample.

- Serological testing for dengue diagnosis (from blood collection, transport, storage, and testing): 25,000 VND per sample.

- PCR testing, gene sequencing: 30,000 VND per sample.

b) Support for staff conducting virus culture and isolation: 40,000 VND per sample.

c) Support for individuals directly spraying or treating chemicals to kill mosquitoes: 100,000 VND per person per day.

d) Payment for individuals directly implementing environmental sanitation activities, mosquito larvae eradication, and breeding site elimination at households and during campaign organization (excluding household members): 2,000 VND per household per activity but not exceeding 50,000 VND per person per day.

1.5. Diabetes:

Expenditure for diabetes screening and detection in the community (outside the common expenditure level stipulated in Clause 18, Article 3 of this Circular), including:

- Support for staff performing venipuncture and centrifugation of blood samples for serological testing: 20,000 VND per sample.

- Support for staff performing capillary blood sampling procedures: 5,000 VND per sample.

- Water cost for individuals undergoing glucose tolerance testing: 7,000 VND per person.

1.6. Mental Health Protection in the Community and for Children:

a) Early detection, management, and treatment of mental patients:

- Support for health workers preparing screening forms for mental health patients: 10,000 VND per patient; creating interview sheets for patients: 15,000 VND per patient.

- Support for health workers conducting Beck tests or other depression assessment tests as prescribed by the Minister of Health: 15,000 VND per test.

- Support for medical staff to establish medical records for patients with mental illness in the community: VND 50,000 per medical record.

b) Support for medical staff at the commune level assigned to regularly distribute medication to patients with mental illness at home: VND 50,000 per commune per month.

c) Support for health workers in villages participating in rehabilitation functions for patients with mental illness in the community: VND 20,000 per patient per month in plainland and urban areas, VND 25,000 per patient per month in mountainous, highland, and island areas but not exceeding VND 100,000 per village per month.

1.7. Chronic obstructive pulmonary disease and asthma:

Support for medical staff at the grassroots level guiding exercises and rehabilitation once for patients with chronic obstructive pulmonary disease and asthma in the community: The support amount is VND 15,000 per patient. In cases where multiple patients are guided at the same location, the maximum allowance is VND 100,000 per medical staff per day.

2. Project 2: Expanded Immunization Program

a) Support for medical staff for children to take or receive eight doses of vaccine as prescribed:

- For particularly difficult communes: VND 12,000 per child who takes or receives all doses.

- For other communes: VND 6,000 per child who takes or receives all doses.

b) Support for medical staff administering vaccines against hepatitis B for newborns within 24 hours of birth at hospitals or healthcare facilities; administering one of the following vaccines: Japanese encephalitis, cholera, typhoid, measles second dose, DPT fourth dose for children aged 18 months; vaccinating children during supplementary immunization campaigns:

- For particularly difficult communes: VND 4,000 per child per dose (per injection, oral administration).

- For other communes: VND 2,000 per child per dose (per injection, oral administration).

c) Support for medical staff who have administered the full dose of tetanus vaccine to pregnant women and women of reproductive age:

- For particularly difficult communes: VND 4,000 per person who received the full dose.

- For other communes: VND 2,000 per person who received the full dose.

d) Monitoring and investigating one case of acute flaccid paralysis from the date of discovery until the 60th day, collecting and transferring samples according to regulations:

- For particularly difficult communes: VND 400,000 per case.

- For other communes: VND 300,000 per case.

3. Project 3: Reproductive Health Care and Improvement of Child Nutrition

3.1. Reproductive Health Care:

a) Renting experts to participate in reviewing maternal deaths, child deaths in the community when necessary as decided by the competent authority: Content and expenditure levels as stipulated in Clause 11, Article 3 of this Circular.

b) Supporting village midwives who have not yet received the stipend for village health workers under Decision No. 75/2009/QD-TTg dated May 11, 2009 of the Prime Minister on the regulation of allowances for village health workers: VND 200,000 per person per month.

3.2. Improvement of Child Nutrition

a) Activities related to nutrition practice and food preparation techniques for pregnant women and mothers with children under five years old suffering from malnutrition or overweight: VND 6,000 per mother per session.

b) Supporting weight measurement and height measurement of children under five years old in communes, wards, towns during the June 1st Campaign Day:

- For particularly difficult communes: VND 800,000 per commune per campaign.

- For other communes: VND 500,000 per commune per campaign.

c) Purchasing and transporting nutritional products to be provided free of charge to pregnant women and children under five years old suffering from malnutrition in households classified as poor in particularly difficult communes.

The Director of the Department of Health shall decide the specific quantity of products suitable to the needs and budget allocation.

d) Supporting medical staff during campaigns providing vitamin A to children aged six to sixty months in the community: Expenditure level as stipulated in Point b, Clause 2, of this Article.

4. Project 4: Military-Civilian Medical Cooperation

a) One-time support for repairing and supplementing essential medical equipment for military-civilian medical facilities in border and island areas.

b) Supporting training and drill activities for mobile medical forces to meet the requirements of rapid intervention in emergency situations, including:

- Training drill allowance: VND 200,000 per person per day.

- Hiring medical equipment, vehicles, and other expenses for training and drills (if applicable). The expenditure level is based on market prices in the locality and legitimate expense receipts.

5. Project 5: Enhancing Capacity, Communication, and Supervision and Evaluation of the Program Implementation

5.1. Enhancing Capacity, Communication, and Supervision and Evaluation of the Program Implementation:

a) Information and communication for implementing the Program:

The head of the agency responsible for communication tasks is responsible for selecting forms, contents, and programs of publicity that ensure economy, effectiveness, and prioritize radio broadcasts at district, commune, ward, town levels within the allocated budget. Specific contents and expenditure levels are as follows:

- Organizing communication events, publicizing through mass media (radio, television, press) about the contents of the Program, including:

+ Producing radio, television programs on mass media (radio, television, press) in accordance with Decision No. 39/2008/QD-TTg dated March 14, 2008 of the Prime Minister on the Regulation on Tendering, Ordering, and Assigning Tasks for Providing Public Services Using State Budget and related guidance documents.

+ Purchasing, duplicating, and distributing communication materials.

+ Expenditure on renting conference halls, backdrops, tents, tables, chairs, sound equipment (if any): The expenditure limit shall be carried out according to contracts, receipts, or invoices (in case of renting services).

+ Updating, repairing posters, banners, slogans: Expenditure level based on market prices in the locality and legitimate expense receipts.

+ Supporting community radio activities: Editing radio scripts: VND 75,000 per page of 350 words; broadcasting allowance: VND 15,000 per broadcast, VND 20,000 per broadcast in ethnic languages.

+ Fuel costs or renting vehicles (during campaigns), decoration, photo documentation, and other activities: Expenditure level based on market prices in the locality and legitimate expense receipts approved by the competent authority.

- Organizing exchange meetings, education and communication classes, specialized lectures: Contents and expenditure levels as stipulated in Circular No. 97/2010/TT-BTC.

- For organizing communication campaigns and integrated communication activities: In addition to the contents specified in item a, point 5.1, clause 5, Article 4 of this Circular, the unit organizing the campaign may spend:

+ Supporting those who organize, supervise the implementation of the campaign, mobilize and advise (in addition to the current travel allowance): VND 30,000/person/day.

+ Stipend for those directly participating in the campaign: VND 50,000/person/day. The head of the unit assigned the communication task decides the number of participants within the allocated budget estimate.

+ Stipend for announcers: VND 100,000/person/day.

- For organizing contests to understand policies, laws, and knowledge related to the Program, including:

+ Spending on publishing in newspapers and disseminating information through various media to launch and announce contest rules: The spending level according to legitimate expense vouchers approved by the competent authority.

+ Compiling test questions and answers (if applicable); contest rules: Maximum spending of VND 500,000/question or contest rule.

+ Stipend for grading tests, contest judges, and reviewing test results: Maximum spending of VND 300,000/person/day.

+ Stipend for members of the organizing committee and secretariat: Maximum spending of VND 200,000/person/day.

+ Spending on prizes: Group prize from VND 500,000 to VND 4,000,000/prize; individual prize from VND 200,000 to VND 2,000,000/prize.

+ Spending on drinking water for the Organizing Committee, Secretariat, and Judges: VND 10,000/person/session.

Based on the allocated budget estimate, the head of the agency, organization, or unit organizing the contest decides the specific spending level for prizes according to the scale of the contest (central, provincial, grassroots level) within the aforementioned spending range.

+ The leading agency or unit organizing the contest may use Program funds to support travel expenses, food, and rental of accommodation for contestants coming from afar. The content and spending level shall be implemented in accordance with Circular No. 97/2010/TT-BTC.

+ Other spending to serve the contest (if any), such as renting conference halls, sound systems, lighting, props, decorations; stipends for service staff, program hosts (MC); office supplies; fuel or rental transportation vehicles. The spending level is based on the approved budget estimate, contracts, invoices, and other legitimate expense vouchers. In cases where there are no spending regulations, the head of the agency organizing the contest decides the spending level within the allocated budget estimate.

b) Spending on monitoring and evaluating the implementation of the Program: The content and spending level are implemented in accordance with clause 12, Article 3 of this Circular.

5.2. Health Communication in Schools:

a) Spending to support the integration of teaching knowledge on preventing school-related diseases and disabilities in educational institutions under the national education system:

- Spending to support the preparation of health communication lessons: VND 75,000/page of standard 350 words.

- Stipend for speakers delivering talks and specialized lectures on school health: VND 200,000/session.

b) Spending to support volunteers participating in health promotion and education in schools: Spending level: VND 150,000/person/month, maximum three volunteers/school.

c) Any additional communication spending if incurred shall be implemented in accordance with the provisions of item a, point 5.1, clause 5, of this Article.

5.3. Communication on Voluntary Blood Donation:

a) Spending to support volunteers working on blood donation mobilization and promotion:

- For particularly difficult communes: VND 200,000/commune/month.

- For other communes: VND 150,000/commune/month.

The Director of the Department of Health shall specify the number of volunteers working on blood donation mobilization and promotion in communes.

b) Spending to support the organization of events related to voluntary blood donation:

- Planning, programs, writing reports: Maximum VND 500,000 at commune and district levels; VND 1,000,000 at provincial level; VND 2,000,000 at central level.

- Stipend for the organizing committee: VND 100,000/person/day (maximum three days).

c) Spending to support the development of a reserve blood donor force.

- Planning, programs, writing reports: Maximum VND 500,000 at commune and district levels; VND 1,000,000 at provincial level; VND 2,000,000 at central level.

- Stipend for staff collecting samples for testing for potential blood donors: VND 7,000/sample but not exceeding VND 100,000/staff/day for concentrated potential blood donors.

- Stipend for staff providing counseling on reserve blood donation in communities: VND 150,000/person/month.

- Spending on screening examinations to build a reserve blood donor force according to the regulations of the Minister of Health: Content and spending level according to the provisions of clause 18, Article 3 of this Circular.

d) Any additional communication spending if incurred shall be implemented in accordance with the provisions of item a, point 5.1, clause 5, of this Article.

5.4. Enhancing Capacity, Communication, and Monitoring for Elderly Health Care:

a) Spending on training and enhancing knowledge in geriatrics for the elderly health care workforce: Content and spending level according to the provisions of Circular No. 139/2010/TT-BTC.

b) Spending on promoting basic knowledge about elderly health care; guiding the elderly on disease prevention, treatment, and self-care: Content and spending level implemented according to the provisions of item a, clause 1, Article 3 of Circular No. 21/2011/TT-BTC dated February 18, 2011, issued by the Ministry of Finance regarding the management and use of initial health care funding for the elderly at their place of residence; celebrating longevity, congratulating the elderly, and recognizing and rewarding them.

5.5. Rehabilitation for Persons with Disabilities:

a) Spending to support screening examinations, surgical and corrective procedures for persons with disabilities belonging to poor households, ethnic minority households, and children with disabilities under six years old (hereinafter referred to as persons with disabilities) in cases where the Health Insurance Fund does not cover the costs:

- The content and spending level for screening examinations and surgical corrections are carried out according to the current service prices for medical examination and treatment set by the competent authority for public medical facilities.

- Spending to support orthotic devices: Up to VND 500,000/patient depending on the degree of disability.

b) Spending to support rehabilitation and health enhancement for persons with disabilities in the community:

- Purchasing appropriate rehabilitation equipment for persons with disabilities: Minimum VND 1,000,000/patient.

- Spending to support healthcare workers visiting homes to guide exercise and care for persons with disabilities:

+ Training allowance for instructors guiding physical training: VND 35,000 per day per person with disabilities, with a maximum of not more than 20 days per person with disabilities. In cases where multiple persons with disabilities are guided at the same location, the maximum allowance is VND 100,000 per health worker per day.

+ Travel expenses (round trip) in cases where travel costs are not reimbursed according to Circular No. 97/2010/TT-BTC: The support level is as prescribed in Clause 8, Article 3 of this Circular.

Article 5. Establishment, allocation of budget estimates and settlement of funds

1. The preparation and allocation of the budget estimate for implementing the National Target Program on Health for the period 2012-2015 shall be carried out in accordance with the provisions of the State Budget Law, guiding documents of the Law, management and operational documents of the National Target Program, and current relevant regulations.

2. Additionally, this Circular provides guidance on the following specific matters:

a) Prioritizing the allocation of funds to key communes and particularly difficult communes.

b) The provision or free distribution of items and nutritional products shall only apply to individuals belonging to poor households and ethnic minority households who have not received support from other national programs, projects, or initiatives.

c) Implementing decentralization to localities in carrying out communication tasks and purchasing goods for the activities of the Program. In special cases, for assets and goods that localities are unable to purchase or require centralized procurement, the Ministry of Health will directly undertake procurement and allocate them in kind to ministries, sectors, and localities. The handover procedures for assets shall be carried out in accordance with current regulations.

d) Directly allocating budgets to agencies and units responsible for communication activities based on their communication tasks, economic and technical norms, and current financial expenditure regulations. If an agency or unit allocated a budget for communication activities requires cooperation from other agencies or units to carry out such activities, it may place orders in accordance with regulations, but the maximum amount shall not exceed VND 100,000,000 per agency or unit per year.

4. Procurement of goods, repair, renovation, and upgrading shall be conducted in compliance with the provisions of the Bidding Law, Investment Law, Construction Law, Pharmaceutical Law, and guiding documents of these laws. For ordered goods and services, the provisions of Decision No. 39/2008/QĐ-TTg shall apply. For repairs of medical facilities combining military and civilian functions, the current state regulations on management, settlement of investment capital, and construction projects with the nature of investment funded by the state budget shall apply.

5. The entity or unit to which the Program's funding is allocated and assigned shall be responsible for managing, using, and settling accounts in accordance with established regulations. For activities carried out by entities or units assigned a budget through contracts with other entities or units, the supporting documents for settlement and final accounting shall be retained by the entity or unit assigned the budget, including: Contract for performing the task (accompanied by detailed budget approved by the main authority), acceptance certificate, contract termination record, payment authorization or payment voucher, and related documents. Specific invoices and expense vouchers shall be kept by the entity directly executing the contract in accordance with current regulations.

Entities or units executing contracts shall be responsible for implementing the tasks of the Program as stipulated in the signed agreements, directly utilizing the funds according to current financial expenditure regulations (without having to settle accounts with their own budget but must maintain detailed accounting records for tracking purposes); immediately upon completion of the contract, they shall prepare a final account report of the allocated funds in accordance with regulations and submit it to the main authority for consolidation into the final account of that entity or unit.

6. Reporting system: Regular quarterly and annual reports on the implementation status and results of the Program (funds and professional indicators) shall be submitted by ministries, central agencies, and provincial people's committees under the central government in accordance with current regulations.

Article 6. Implementation Provisions

1. This Circular takes effect from October 1, 2013.

2. Repeal Circular Joint No. 147/2007/TTLT-BTC-BYT dated December 12, 2007, issued by the Ministry of Finance and the Ministry of Health, guiding the management and use of funds for implementing the National Target Program on preventing and controlling certain social diseases, dangerous epidemics, and HIV/AIDS for the period 2006-2010, and Circular Joint No. 36/2010/TTLT-BTC-BYT dated March 17, 2010, issued by the Ministry of Finance and the Ministry of Health, guiding the management and use of funds for projects: preventing dengue fever; preventing diabetes; and preventing hypertension under the National Target Program on preventing and controlling certain social diseases, dangerous epidemics, and HIV/AIDS for the period 2006-2010.

3. During the implementation process, if there are any difficulties, they should be promptly reported to the Ministry of Finance and the Ministry of Health for research and resolution./.