Decision No. 190/2001/QĐ-TTg On approving the National Target Program for Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2001-2005

Pursuant to …;

Regarding the approval of the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2001-2005

__________________________

PRIME MINISTER

Pursuant to the Government Organization Law dated September 30, 1992;

Pursuant to the Law on People's Health Protection dated June 30, 1999;

Pursuant to the Decision of the Government Chairman No. 71/2001/QĐ-TTg dated May 4, 2001 on national target programs for the period 2001-2005;

At the proposal of the Minister of Health,

DECISION:

Article 1. Approves the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS for the period 2001-2005, with the following main contents:

1. Name of the Program: Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS (PCMSBXH, BDNH & HIV/AIDS).

2. Lead Agency: Ministry of Health.

3. Coordinating Agencies: relevant ministries, sectors, and localities managing and organizing the implementation of projects under this Program.

4. Scope of Implementation: All provinces and cities throughout the country.

5. General Objective:

Maintain the achievements made in previous years. Actively prevent and control epidemics, promptly extinguish them, and prevent their occurrence. Reduce the incidence and mortality rates from certain social diseases, dangerous epidemics, and HIV/AIDS, increase life expectancy, improve the quality of the population, contribute to achieving social equity in health care, economic growth, and political security in all areas, especially in mountainous, remote, border, and island regions.

6. Objectives by 2005 for Projects within the PCMSBXH, BDNH & HIV/AIDS Program

6.1. Malaria Prevention and Control Project:

- Reduce the malaria incidence rate below 4.1% of the population, and reduce the malaria mortality rate to 0.15 per 100,000 people.

- Protect 60-70 million people with chemicals (residual spraying and treated nets); treat approximately 15-20 million malaria patients.

6.2. Tuberculosis Prevention and Control Project:

- Contain and reverse the new tuberculosis incidence rate, reaching about 72 per 100,000 new tuberculosis cases with AFB(+) by 2005.

- Cure approximately 92% of tuberculosis patients.

- Reduce tuberculosis mortality.

6.3. Dengue Fever Prevention and Control Project:

- Reduce the dengue fever incidence rate to 109 per 100,000 people.

- Reduce the death rate among dengue fever patients to 0.17%.

6.4. Leprosy Prevention and Control Project:

- Maintain achieved results.

- Eliminate leprosy at the district level according to World Health Organization (WHO) and Vietnam standards.

- Examine 30,000,000 people to detect at least 5,000 new leprosy patients.

- Provide multidrug therapy treatment for 6,800 patients.

- Restore function through surgery for 5,000 patients.

6.5. Goiter Prevention and Control Project:

- Maintain and enhance achievements in areas that have reached targets.

- Complete iodine deficiency disorder elimination goals with three components:

+ Household iodized salt usage rate over 90%.

+ Median urinary iodine concentration between 10-20 mcg/dl.

+ Goiter prevalence rate in children aged 8-10 years reduced to 5% (or less than 5%).

6.6. Child Malnutrition Prevention and Control Project:

- Reduce the malnutrition rate in children under five years old to below 25%.

- Reduce the rate of newborns weighing less than 2,500 grams to below 7%.

6.7. Expanded Immunization Project:

- Continue to maintain full vaccination coverage for children with vaccines included in the program at over 90%.

- Maintain and protect polio eradication achievements, preventing wild poliovirus from entering Vietnam from abroad. Continue to provide oral polio vaccine to children.

- Further reduce neonatal tetanus incidence to 0.14 per 100,000 people.

- Measles incidence rate remains at 4 per 100,000 people.

- Diphtheria incidence rate remains at 0.05 per 100,000 people.

- Gradually implement nationwide four types of vaccines: cholera, typhoid, Japanese encephalitis, and hepatitis B.

- Introduce Haemophilus influenzae type b (Hib) vaccine to prevent meningitis and acute pneumonia in children.

6.8. Community Mental Health Protection Project:

- Establish a network, implement models integrating mental health care with other health care services at 6,120 communes and wards.

- Detect, manage, and treat 50,000 schizophrenia patients, including stabilizing 35,000 patients without relapse to enable them to reintegrate into society.

6.9. Ensuring Food Safety and Hygiene Quality Project:

- Reduce collective food poisoning incidents by 30% (with about 30 people poisoned per incident) compared to the average for 1999-2000.

- Reduce the number of deaths due to food poisoning by 30% compared to the average for 1999-2000.

- 70% of food production facilities with business licenses meet safety and hygiene standards set by the Ministry of Health.

- 100% of food production facilities with foreign investment meet safety and hygiene standards set by the Ministry of Health.

- 50% of urban wards classified as Type I and II reach food safety and hygiene standards.

- 40% of markets managed by districts meet food safety and hygiene standards.

- Train basic knowledge on food safety and hygiene and conduct regular health checks for 90% of those directly involved in food production and processing at licensed food production facilities and 50% of those working in stable address food service establishments.

- 80% of urban residents and 50% of rural residents have access to information on food quality, safety, and hygiene; prevention of food poisoning.

- 30% of domestic food production enterprises apply HACCP, GMP, ISO systems.

6.10. HIV/AIDS Prevention and Control Project:

- Limit the spread of HIV/AIDS in the community.

- Slow the progression of HIV to AIDS.

- Reduce the impact of HIV/AIDS on economic and social development.

7. Implementation of the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS.

The Minister of Health shall establish:

- A Management Board for the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS, chaired by a Deputy Minister of Health, with members being directors of relevant departments and institute directors.

- Project Steering Committees for each project under this Program.

The Minister of Health shall direct the heads of component projects to develop and submit component projects for approval in accordance with regulations.

The Ministry of Health shall take the lead in organizing the implementation of this Program together with relevant ministries, sectors, and localities. During the implementation process, it is necessary to integrate the Program with other economic and social programs to enhance its effectiveness.

8. Regarding the sources of capital for the Program:

The investment capital for implementing the Projects under the Program includes:

- State budget capital including construction investment and operational expenditure funds.

- Official Development Assistance (ODA) loans and other international non-repayable aid sources.

- Capital balanced from local budgets.

- Other legitimate sources of capital.

The Ministry of Planning and Investment, the Ministry of Finance, and the Ministry of Health shall annually balance these resources and implement mechanisms and policies to mobilize various sources of funding for the Program's implementation.

Article 2. Management and operation mechanism of the Program:

The management and operation mechanism of the National Target Program on PCMSBXH, BDNH & HIV/AIDS shall be carried out in accordance with Decision No. 531/TTg dated August 8, 1996 of the Prime Minister on managing national programs, Decision No. 38/2000/QĐ-TTg dated March 24, 2000 of the Prime Minister amending and supplementing Decision No. 531/TTg dated August 8, 1996, Decision No. 71/2001/QĐ-TTg dated May 4, 2001 of the Prime Minister on national target programs for the period 2001-2005, and other current regulations of the State on investment and construction management.

Based on current regulations, the Ministry of Health, the Ministry of Planning and Investment, and the Ministry of Finance shall provide specific guidance within their respective functions and authorities for ministries, sectors, and localities to implement this Program.

Article 3. This Decision takes effect fifteen days after the date of signature.

Article 4. The Ministers of the Ministries, the Heads of ministerial-level agencies, the Heads of agencies under the Government, and the Chairpersons of the People's Committees of provinces and centrally governed cities are responsible for enforcing this Decision.