Joint Circular No. 147/2007/TTLT-BTC-BYT guiding the management and use of funds for implementing the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2006-2010.

JOINT CIRCULAR

Guidelines for managing and utilizing funds to implement

the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2006-2010

dangerous epidemics and HIV/AIDS phase 2006-2010

____________________________

 

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 Decision No. 108/2007/QĐ-TTg dated July 17, 2007 of the Prime Minister approving the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2006-2010.

The Ministry of Finance and the Ministry of Health issue guidelines for managing and utilizing funds to implement the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2006-2010 as follows:

This technical regulation sets out technical requirements, testing methods, sampling procedures; management requirements; responsibilities of organizations and individuals producing, trading, and importing cigarettes.

1. The National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2006-2010 includes ten projects as specified in Clause 6, Article 1 of Decision No. 108/2007/QĐ-TTg dated July 17, 2007 of the Prime Minister.

2. The Circular applies to agencies and units using funds under the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2006-2010.

3. This Circular applies to expenditures from state budget funds for the implementation of the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2006-2010. For projects that use non-reimbursable aid funds, the expenditure levels shall be applied according to the funding agreements or as agreed upon by the donor representative, the Ministry of Finance, and the project management agency; if there is no agreement between the donor or the donor representative and the Ministry of Finance regarding the expenditure levels, then the expenditure levels stipulated in this Circular shall apply.

4. Funds for implementing the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2006-2010 (including domestic counterpart funds for ODA projects as specified in agreements between the Government of Vietnam and foreign governments or international organizations) shall be allocated from the state budget in the annual budget estimates of relevant ministries, sectors, and localities according to the current state budget decentralization.

5. In addition to the contents and expenditure levels prescribed in this Circular, localities may integrate with other national target program funds within their jurisdiction, proactively allocate local budgets and lawful financial resources to implement local policies and improve the effectiveness of the Program based on their financial capacity and specific conditions.

6. Annually, the Head of the Steering Committee of each project under the Program shall publish a list of key communes and wards as a legal basis for managing and supervising project expenditures.

II. CONTENT AND GENERAL EXPENDITURE LEVELS FOR PROJECTS

1. Expenditure for writing, compiling, and translating specialized materials for each project. Specific expenditure levels are as follows:

a) Writing and compiling materials: 50,000 VND per page of 350 words.

b) Translating and proofreading materials:

- From Vietnamese to foreign languages: 50,000 VND per page of 350 words.

- From foreign languages to Vietnamese: 45,000 VND per page of 350 words.

- From Vietnamese to ethnic minority languages in Vietnam: 70,000 VND per page of 350 words.

2. Expenditure for mid-term and final reviews, training sessions to implement tasks, and professional exchange seminars. Contents and expenditure levels are regulated by Circular No. 23/2007/TT-BTC dated March 21, 2007 of the Ministry of Finance on travel expenses and expenditure regulations for organizing meetings for state agencies and public service units.

3. Expenditure for training and enhancing professional skills for health workers. Contents and expenditure levels are regulated by Circular No. 79/2005/TT-BTC dated September 15, 2005 of the Ministry of Finance guiding the management and utilization of training and enhancement funds for civil servants.

4. Expenditure for cooperation and experience exchange abroad as decided by competent authorities. Contents and expenditure levels are regulated by Circular No. 91/2005/TT-BTC dated October 18, 2005 of the Ministry of Finance on travel expense regulations for civil servants going on short-term missions abroad funded by the state budget.

5. Expenditure for purchasing medical equipment, tools, and supplies suitable for the professional activities of each project and must be consistent with the technical level of the unit.

6. Expenditure for purchasing, receiving, storing, and transporting medicines, chemicals, and medical supplies to appropriate users in accordance with the activities of each project.

7. Expenditure for repairing, maintaining, and servicing medical equipment, tools, storage facilities for medicines, and storage facilities for chemicals in accordance with the activities of each project.

8. Expenditure for surveys and research according to the professional content of each project approved by competent authorities. Contents and expenditure levels are regulated by Circular No. 120/2007/TT-BTC dated October 15, 2007 of the Ministry of Finance guiding the management, utilization, and settlement of funds for conducting surveys from state budget sources.

9. Expenditure for scientific research linked to the content of each project according to the research outline approved by competent authorities. Contents and expenditure levels are implemented according to current regulations on expenditure for scientific and technological tasks.

10. Expenditure for hiring domestic experts: based on the necessity of implementing research activities and financial capacity, the head of the agency or unit managing the project decides on hiring domestic experts through a "Contract for Assignment of Work and Products"; expenditure levels are implemented according to the actual contract agreed upon with the contractor based on the volume, content, and time of work.

11. Expenditure for information, education, and communication on prevention and control of certain social diseases, dangerous epidemics, and HIV/AIDS, including:

a) Expenditure for information dissemination, promotion, and popularization of knowledge through mass media, including newspapers, radio stations, television stations.

b) Expenditure for building, producing, duplicating, and distributing communication products and materials serving communication activities: expenditure levels are according to the standards, norms, and unit prices of similar industries.

c) Expenses for organizing exchange meetings, training sessions, and specialized lectures suitable for the professional activities of each project shall be implemented according to the current regulations on the expenditure system for organizing conferences.

d) Expenses for supporting the integration of activities to prevent and control certain social diseases, dangerous epidemics, and HIV/AIDS with economic and social development programs of ministries, sectors, localities, mass movements, sports, cultural, artistic activities, and other social activities of agencies and units.

đ) Expenses for supporting communication activities at the commune level, including:

- Supporting communication materials.

- Commune radio broadcasting (editing, broadcasting): Editing: 50,000 VND per page of 350 words; broadcasting: 10,000 VND per broadcast.

- Repainting, repairing posters and slogans: according to the market price in the locality.

e) Expenses for supporting the activities of mobile propaganda teams during community-wide awareness campaigns:

- Fuel expenses or hiring transportation, photo documentation, and other activities.

- Support for those directly participating in mobile propaganda teams: 25,000 VND per person per day.

g) Expenses for organizing competitions to understand and practice the professional activities of each project under the Program, including:

- Preparing questions and answers: up to a maximum of 500,000 VND per competition.

- Training exam graders, Competition Board members, and reviewing results: up to a maximum of 200,000 VND per person per day.

- Training Organizing Committee members: up to a maximum of 150,000 VND per person per day.

- Expenditure for prizes:

+ Team prize: from 200,000 VND to 2,000,000 VND per award.

+ Individual prize: from 100,000 VND to 1,000,000 VND per award.

Depending on the scale of the competition (central, provincial, grassroots level), the head of the agency or unit organizing the competition decides on the specific award expenditure within the aforementioned range within the allocated budget estimate.

- Summarizing and reporting competition results: 500,000 VND per report for the central level, 300,000 VND per report for the provincial level, 200,000 VND per report for the district level, and 100,000 VND per report for the commune level.

12. Expenses for hiring guides to serve professional work, appropriate to the activities of each project (applicable only to highland, remote, and extremely difficult areas): 30,000 VND per person per day.

13. Expenses for supporting health workers supervising epidemiological surveillance of each project, in addition to the current travel allowance: 25,000 VND per person per day.

14. Expenses for inspection, evaluation, and guidance on implementing the professional activities of each project. The content and expenditure levels are stipulated in Circular No. 06/2007/TT-BTC dated January 26, 2007, issued by the Ministry of Finance guiding the preparation, management, and use of funds to ensure the inspection of policy implementation, strategies, planning, and plans.

For inter-sectoral and inter-agency inspection and evaluation teams: the leading agency or unit of the inspection team is responsible for paying travel expenses to team members from the Program's budget according to the prescribed regulations (train and bus fares, accommodation allowances, rental fees for lodging at the destination, and shipping costs for documents and materials). To avoid duplicate expenditures, the leading agency or unit must clearly inform the dispatched personnel in the summons letter that they do not need to pay for these expenses.

15. Expenses for rewarding outstanding collectives and individuals in the prevention and control of certain social diseases, dangerous epidemics, and HIV/AIDS according to the decision of the competent authority. The content and expenditure levels are stipulated in Circular No. 73/2006/TT-BTC dated August 15, 2006, issued by the Ministry of Finance guiding the establishment, management, and use of the Incentive Fund according to Decree No. 121/2005/NĐ-CP dated September 30, 2005, of the Government detailing and guiding the implementation of certain provisions of the Law on Encouragement and Reward and the Law Amending and Supplementing Certain Provisions of the Law on Encouragement and Reward.

16. Other expenses.

III. CONTENT AND SPECIAL EXPENSE LEVELS FOR EACH PROJECT

In addition to the common content and expense levels specified in Section II of this Circular, each project may incur special expenses as follows:

1. Tuberculosis Prevention and Control Project:

a) Expenses for supporting health workers conducting screening and identifying primary sources of infection (AFB-positive pulmonary tuberculosis): 20,000 VND per AFB-positive patient.

b) Expenses for supporting health workers at the commune level directly examining and referring tuberculosis patients to the anti-tuberculosis team:

- For mountainous, remote, and island areas: 30,000 VND per commune per month.

- For other areas: 20,000 VND per commune per month.

c) Expenses for supporting health workers directly distributing medication to tuberculosis patients during the 8-month treatment period:

- For mountainous, remote, and island areas: 150,000 VND per patient.

- For other areas: 100,000 VND per patient.

d) Expenses for supporting health workers conducting monitoring, supervision, and health education for tuberculosis patients during treatment:

- For mountainous, remote, and island areas: 15,000 VND per patient per month.

- For other areas: 10,000 VND per patient per month.

đ) Expenses for supporting staff performing sputum tests for suspected tuberculosis patients: 5,000 VND per patient.

e) Expenses for supporting staff conducting smear slide quality control (mixing and examining slides): 5,000 VND per slide.

2. Leprosy Prevention and Control Project:

a) Expenses for producing or purchasing certain items to distribute to patients.

b) Expenses for supporting laboratory technicians testing for leprosy bacilli during community-based new case detection campaigns, including:

- Collecting specimens and staining slides: 6,000 VND per slide.

- Reading results: 4,000 VND per slide.

- Specimen quality control: 5,000 VND per slide.

c) Expenses for supporting health workers performing reconstructive surgery for leprosy patients, in addition to the current surgical allowance:

- For the main surgeon: 30,000 VND per person per operation.

- For assisting surgeons: 20,000 VND per person per operation.

- For assistants: 10,000 VND per person per operation.

d) Expenses for supporting health workers directly distributing medication and monitoring multi-drug therapy patients at home:

- For low-burden patients treated for 6-9 months: 150,000 VND per patient.

- For high-burden patients treated for 12-36 months: 300,000 VND per patient.

d) Expenses for supporting medical staff treating patients with healed leprosy ulcers:

- For patients without bone inflammation: VND 80,000 per patient.

- For patients with bone inflammation: VND 150,000 per patient.

e) Remuneration for volunteers distributing medicine and caring for disabled leprosy patients at home: VND 20,000 per person per day, but not exceeding VND 40,000 per person per month.

g) Support expenses for those directly involved in community-based leprosy detection work, in addition to current travel allowances:

- For doctors and medical assistants: VND 50,000 per person per day, but not exceeding VND 200,000 per person per month.

- For attendants: VND 30,000 per person per day, but not exceeding VND 120,000 per person per month.

h) Support expenses for impoverished leprosy patients undergoing ulcer treatment at commune health centers or regional healthcare facilities: VND 30,000 per person per day, with a maximum support period of 10 days.

i) Transportation rental expenses for leprosy patients from their homes to commune health centers, leprosy treatment centers, or regional general hospitals due to severe leprosy reactions or treatment complications: reimbursed based on actual local rental prices.

k) Remuneration for volunteers discovering new leprosy cases and bringing patients to commune health centers or regional healthcare facilities for examination:

- For mountainous, remote, and island areas: VND 200,000 per patient.

- For other regions: VND 150,000 per patient.

l) Support expenses for patients who self-discover leprosy and seek examination at commune health centers or regional healthcare facilities:

- For mountainous, remote, and island areas: VND 100,000 per patient.

- For other regions: VND 50,000 per patient.

3. Malaria Prevention and Control Project:

a) Expenses for purchasing mosquito nets for poor households in malaria-endemic areas. The number of poor households receiving nets annually is determined by the Chairman of the Commune People's Committee within the allocated budget.

b) Expenses for medical personnel conducting blood smear tests to detect malaria parasites (including initial and quality control smears): VND 1,000 per smear.

c) Support expenses for personnel at microscope stations: VND 100,000 per station per month.

d) Payment for individuals performing baiting and nighttime mosquito trapping: up to VND 50,000 per person per night.

d) Payment for individuals directly spraying or impregnating chemicals to kill mosquitoes: up to VND 50,000 per person per job.

e) Support expenses for commune-level medical staff engaged in malaria prevention and control in high-priority malaria communes: VND 100,000 per commune per month.

g) Remuneration for village health workers collaborating in malaria prevention and control in high-priority malaria communes: VND 50,000 per village per month.

4. Cancer Prevention and Control Project:

a) Expenses for cancer statistics and data compilation, including:

- Expenses for data collectors: VND 10,000 per person per session. In cases where external agencies or individuals are hired for data collection and compilation, the project management agency shall apply the contractual assignment method as stipulated in Clause 10, Section II of this Circular.

- Updating coded data sheets: VND 5,000 per person per session.

- Entering data into computers for management: VND 5,000 per person per session.

- Cleaning data and verifying its reliability: VND 3,000 per person per session.

- Compiling data and writing reports: VND 300,000 per report per month.

b) Expenses for community-based cancer screening and early detection, including:

- Costs for laboratory tests, biopsy procedures, histopathological slide preparation, and other services as prescribed: implemented according to the current hospital fee regulations.

- Expenses for slide preservation and staining: VND 5,000 per slide.

- Support expenses for those directly involved in community-based cancer screening and early detection work, in addition to current travel allowances:

+ For doctors and medical assistants: VND 50,000 per person per day. In cases where cancer screening combines with technology transfer to localities, remuneration follows the lecturer remuneration guidelines set forth in Circular No. 79/2005/TT-BTC dated September 15, 2005, issued by the Ministry of Finance regarding the management and use of training and capacity-building funds for civil servants.

+ For attendants: VND 30,000 per person per day.

- Rental expenses for local laborers serving community-based cancer screening and early detection work (if applicable): up to VND 50,000 per person per day.

- Rental expenses for medical equipment (if applicable), communication equipment, tables, chairs, backdrops, tents, charcoal stoves; reimbursement for fuel, electricity, water, medical supplies, and other expenses serving community-based cancer screening and early detection work.

- Expenses for compiling data and writing reports on community-based cancer screening and early detection results: maximum expense not exceeding VND 1,000,000 per report.

5. HIV/AIDS Prevention and Control Project:

a) Expenses for HIV testing, including:

- Testing targets:

+ Individuals tested for HIV and sexually transmitted infections (STIs) during key surveillance periods for HIV/AIDS and STIs;

+ Pregnant women with high-risk behaviors who voluntarily test for HIV and are not covered by the health insurance fund;

+ Individuals required to undergo HIV testing under legal provisions;

+ CD4 cell count testing for HIV-positive patients undergoing AIDS treatment as decided by the HIV/AIDS Prevention and Control Project Management Board;

+ Screening HIV in blood bags and blood products.

- Support expenses for sample collectors and testers, detailed as follows:

+ Blood sampling: VND 7,000 per sample for drug users and sex workers; VND 5,000 per sample for other groups.

+ Sampling from genital and anal sites: VND 7,000 per sample.

+ Testing: VND 5,000 per sample.

b) Expenses for purchasing preventive tools against HIV/AIDS such as condoms and clean syringes to be provided free of charge to individuals applying harm reduction interventions in HIV prevention as specified by the HIV/AIDS Prevention and Control Project Management Board.

c) Expenses for implementing harm reduction intervention programs in HIV prevention approved by the Minister of Health or the Chairman of the Provincial People's Committee, including:

- Payment for community outreach staff who have been issued a card: the minimum payment level is 250,000 VND/person/month. In cases where community outreach staff have already received remuneration from other funding sources, they shall not receive remuneration from the project implementation funds for HIV/AIDS prevention under the National Target Program, and vice versa.

- Expenses for advertising, marketing, printing, and distributing promotional materials for intervention programs to reduce HIV transmission risks (excluding expenses specified in Clause 11, Section II of this Circular).

d) Support for the activities of peer education groups on HIV/AIDS prevention (the number of groups and members per group is determined by the Director of the Department of Health within the allocated budget estimate), including:

- Group activity support: 120,000 VND/member/year.

- Purchase of some consumable equipment and tools for group activities.

đ) Remuneration for counselors working with individuals voluntarily tested for HIV at HIV testing facilities: 20,000 VND/person/session, but not exceeding 300,000 VND/person/month.

e) Support for full-time staff responsible for HIV/AIDS prevention at communes and wards:

- For key communes and wards: 200,000 VND/commune/month.

- For other communes: 100,000 VND/commune/month.

g) Payment for volunteers participating in awareness-raising and behavior change activities in communes and wards (no more than two volunteers per commune and ward):

- For key communes and wards: 100,000 VND/person/month.

- For other communes: 50,000 VND/person/month.

h) Support for the treatment of opportunistic infections for HIV-infected individuals in poor households suffering from such infections while being cared for at home: minimum level of 150,000 VND/person/year.

i) Support for organizations and individuals implementing burials for abandoned or unidentified deceased HIV-infected persons, including:

- Burial costs: minimum level of 2,000,000 VND/deceased HIV-infected person.

- Sanitation costs: 250,000 VND/deceased HIV-infected person.

- Condolence expenses: 100,000 VND/deceased HIV-infected person.

k) Support for the HIV/AIDS Assistance Fund as stipulated in Decision No. 60/2007/QD-TTg dated May 7, 2007 of the Prime Minister regarding the establishment of the HIV/AIDS Assistance Fund.

6. Project on preventing malnutrition in children:

a) Expenses for practical nutrition activities and food preparation techniques for pregnant women, mothers of children under 2 years old, and mothers of children aged 2-5 years suffering from malnutrition: 4,000 VND/mother/session.

b) Support for regular weighing of children under 5 years old in communes, wards, and towns:

- For mountainous, remote, and island areas: 500,000 VND/commune/year.

- For other areas: 300,000 VND/commune/year.

c) Allowance for individuals measured during nutritional surveys and assessments: 7,000 VND/individual.

d) Expenses for laboratory tests in surveys assessing micronutrient deficiencies and anemia in women and children, including:

- Support for blood sample collectors: 5,000 VND/sample.

- Support for blood donors: For finger-prick blood donation: 20,000 VND/sample; for venipuncture blood donation: 30,000 VND/sample.

- Laboratory testing costs: implemented according to the provisions set forth in Decision No. 63/2007/QD-BTC dated July 18, 2007 of the Minister of Finance regarding the regulations on fees for preventive healthcare and border health quarantine costs.

đ) Expenses for building model projects on child health care as approved by the Minister of Health: the content and expenditure levels for each activity within the model are carried out according to current state regulations.

e) Expenses for purchasing and transporting nutritional products for pregnant women and children under 5 years old suffering from malnutrition.

g) Support for health workers during vitamin A distribution campaigns in communities: 30,000 VND/person/day.

h) Support for full-time nutrition staff in key communes and wards: 100,000 VND/commune/month.

i) Payment for nutrition volunteers in villages and hamlets in key communes and wards: 50,000 VND/village/month.

k) Expenses for monitoring iodized salt quality at household level, production sites, and retail points to determine factors affecting iodized salt quality and reasons for non-use, based on the supervision form issued by the Ministry of Health, the expenditure (including travel costs and data collection costs) is as follows:

- Monitoring iodized salt quality at household level: for mountainous, border, and island areas, it is 20,000 VND/supervision form; for other areas, it is 15,000 VND/supervision form.

- Monitoring iodized salt quality at production sites and retail points: 10,000 VND/supervision form.

- Payment for entering data into computers, analyzing, and processing data: 5,000 VND/household supervision form; 3,000 VND/production site or retail point supervision form.

- Support for health workers guiding and supervising iodized salt quality monitoring activities: 50,000 VND/supervised commune/round. The list of supervised communes is decided by the Director of the Department of Health.

7. Community Mental Health Protection Project:

a) Support for health workers at the commune level assigned to regularly distribute medication to schizophrenia patients: 50,000 VND/commune/month.

b) Support for doctors and medical assistants conducting monthly medical examinations, writing prescriptions, and recording follow-up observations in patient records for mentally ill patients managed and treated at commune health stations: 50,000 VND/type of disease/month.

c) Support for health workers examining and creating medical records for newly identified mental illness patients: 30,000 VND/medical record.

d) Support for health workers traveling to complete screening forms for mental illness patients: 5,000 VND/screening form; completing interview sheets for mental illness patients: 10,000 VND/interview sheet.

đ) Support for health workers conducting Beck tests to assist in diagnosing depression: 10,000 VND/test.

e) Payment for village and hamlet health workers participating in community-based rehabilitation for mental illness patients: 50,000 VND/village/month.

g) Support for commune health station activities implementing models integrating mental health care content into community services: 100,000 VND/commune/month.

8. Project for reproductive health care:

a) Payment for midwives in mountainous, remote, and island communes who have been trained: 50,000 VND/per commune/month.

b) Costs for testing to identify fungi and bacteria causing reproductive tract infections (including sexually transmitted diseases) during community reproductive health campaigns, including:

- Support for sample collectors: 7,000 VND/sample.

- Support for laboratory technicians: 5,000 VND/slide.

- Testing costs: implemented according to current hospital fee regulations.

c) Costs for building model projects for reproductive health care as approved by the Minister of Health: contents and expenditure levels for each activity within the model project shall be carried out according to current state regulations.

d) Support for those directly involved in screening and treating reproductive tract infections during community reproductive health campaigns, in addition to existing travel allowances:

- For doctors and medical assistants: 50,000 VND/person/day.

- For support staff: 30,000 VND/person/day.

đ) Support for healthcare workers at focal point communes engaged in reproductive health care activities: 50,000 VND/focal point commune/month.

9. Expanded Immunization Program Project:

a) Costs for testing to confirm polio, suspected measles, rubella, hepatitis B, Japanese encephalitis cases during focused investigations and surveillance, including:

- Support for blood or stool sample collectors: 5,000 VND/sample.

- Support for blood donors: 20,000 VND/sample.

- Laboratory testing costs: implemented according to the provisions set forth in Decision No. 63/2007/QD-BTC dated July 18, 2007 of the Minister of Finance regarding the regulations on fees for preventive healthcare and border health quarantine costs.

b) Support for dedicated health workers at commune level for expanded immunization programs:

- For mountainous, remote, and island areas: 50,000 VND/commune/month.

- For other areas: 30,000 VND/commune/month.

c) Support for health workers who administer vaccines to children completing 11 doses (including three additional hepatitis B shots) within 9-12 months:

- For mountainous, remote, and island areas: 6,000 VND/child/completed dose.

- For other areas: 3,000 VND/child/completed dose.

d) Support for health workers administering one of the following vaccines: Japanese encephalitis, cholera, typhoid, second dose of measles:

- For mountainous, remote, and island areas: 2,000 VND/child/dose.

- For other areas: 1,000 VND/child/dose.

đ) Support for health workers administering full doses of tetanus vaccine to pregnant women and women of childbearing age (15-35 years):

- For mountainous, remote, and island areas: 4,000 VND/person/completed dose.

- For other areas: 2,000 VND/person/completed dose.

e) Costs for monitoring and investigating a case of acute flaccid paralysis from onset to day 60, including specimen collection and transfer as prescribed:

- For mountainous, remote, and island areas: 200,000 VND/case.

- For other areas: 100,000 VND/case.

g) Costs for monitoring and investigating a suspected neonatal tetanus death, suspected measles case:

- For mountainous, remote, and island areas: 30,000 VND/case.

- For other areas: 15,000 VND/case.

h) Costs for monitoring and investigating other diseases within the scope of the expanded immunization program:

- For mountainous, remote, and island areas: 10,000 VND/case.

- For other areas: 5,000 VND/case.

i) Support for health workers entering data, analyzing, and processing investigation forms for acute flaccid paralysis/polio cases, neonatal tetanus deaths, suspected measles, and suspected Japanese encephalitis: 3,000 VND/form.

10. Military-Civilian Medical Cooperation Project:

a) One-time support for upgrading and repairing military-civilian health stations. Procedures and processes for construction, upgrading, and repair shall be carried out according to current state regulations on management, settlement of investment capital, and operational capital with investment characteristics from state budget funds.

b) Costs for training and drills of mobile medical forces to meet rapid intervention requirements in emergency situations, including:

- Concentrated training and drill activities: contents and expenditure levels shall be carried out according to current state regulations on policies for reserve forces during training and drills.

- Renting medical equipment, transportation means, and other expenses serving training and drills (if applicable).

c) Activities for examining and treating sudden outbreaks of diseases for policy beneficiaries, the poor; integrating examination and treatment with disaster relief, enemy damage mitigation, and national defense and security consolidation within the scope of the project, including:

- Medicines, chemicals, consumable materials.

- Fuel for vehicles or rental transportation fees (if applicable).

- Support for military-civilian medical personnel directly examining and treating patients, in addition to existing travel allowances: 50,000 VND/person/day.

d) Support for teaching ethnic minority languages to military-civilian medical personnel participating in the project: contents and expenditure levels shall be carried out according to Circular No. 79/2005/TT-BTC dated September 15, 2005, issued by the Ministry of Finance guiding the management and use of training and development funds for civil servants.

IV. ESTABLISHMENT, ALLOCATION, MANAGEMENT AND SETTLEMENT OF THE BUDGET

1. The establishment and allocation of the budget for the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2006-2010 shall be carried out according to regulations on managing and implementing national target programs and relevant current regulations.

Central project management agencies when allocating budgets to related ministries, sectors, and localities must base their allocations on the ability to implement assigned tasks; among which, decentralization to localities in purchasing medical equipment, means of transport, medicines, chemicals, and medical supplies for the operation of the Program should be implemented.

In special cases, if localities are unable to purchase medical equipment, means of transport, medicines, chemicals, and medical supplies, central project management agencies will carry out the purchases. Transfer procedures for assets and items shall be carried out according to current regulations.

2. The management, utilization, and settlement of the budget for implementing the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2006-2010 shall be carried out in accordance with the guiding documents of the State Budget Law currently in effect and the provisions of this Circular. Agencies and units using the Program's budget must maintain accounting books to record, account for, and settle accounts in accordance with the current regulations of the Administrative and Public Service Accounting System. For projects utilizing non-repayable aid funds, agencies and units must follow, account for, and settle accounts in accordance with the current State regulations on receiving, managing, and utilizing aid sources.

Purchases of equipment, means, tools, medicines, chemicals, medical supplies, etc., must be conducted in accordance with the legal provisions on public bidding for goods purchased with state budget funds.

3. The budget for the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2006-2010, when allocated and assigned to an agency or unit, that agency or unit shall be responsible for managing, utilizing, and settling accounts according to the prescribed regulations. In cases where the participation of related agencies and units is necessary to accelerate the implementation of project objectives under the Program, the project management agency transfers the budget to the related agencies and units to implement contracts for specialized work. The head of the project management agency must approve the budget expenditure according to the current national standards and expenditure rates.

The agency or unit implementing the contract has the responsibility to carry out the tasks agreed upon, directly utilize the budget according to the current financial expenditure system (without having to settle accounts with its own agency or unit's budget but must maintain separate accounting books for tracking purposes); immediately after the completion of the contract, it is responsible for preparing a final settlement report on the allocated budget according to the regulations, to be submitted to the project management agency. (accompanied by original copies of expenditure vouchers) for review and consolidation into the final settlement of the project management agency.

4. Reporting System: Regularly every quarter and annually, the Ministries, central agencies, and People's Committees of provinces and centrally-administered cities have the responsibility to report on the situation and results of implementing the Program (including both budget and professional indicators) in accordance with current regulations.

V. IMPLEMENTATION

1. This Circular takes effect 15 days from the date of publication in the Official Gazette and replaces the following Circulars:

- Joint Circular No. 51/2002/TT-LT/BTC-BYT dated June 3, 2002, issued by the Ministry of Finance and the Ministry of Health, guiding the content and expenditure levels of the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS.

- Joint Circular No. 105/2002/TT-LT/BTC-BYT dated November 20, 2002, issued by the Ministry of Finance and the Ministry of Health, supplementing Joint Circular No. 51/2002/TT-LT/BTC-BYT dated June 3, 2002, guiding the content and expenditure levels of the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS.

- Circular No. 48/2003/TT-BTC dated May 15, 2003, issued by the Ministry of Finance, guiding the content and expenditure levels of the Project on Combined Military-Civilian Medical Services for the Protection and Care of People's Health and National Defense Security for the period 2001-2010.

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