Circular 30/2024/TT-BYT stipulates the list and contents of basic healthcare service packages to be implemented by Health Stations at commune, ward, and town levels, issued by the Minister of Health.

MINISTRY OF HEALTH .
-------

SOCIALIST REPUBLIC OF VIET NAM
Independence - Freedom - Happiness
---------------

Number: 30/2024/TT-BYT

Hanoi, November 4, 2024

DEPUTY MINISTER
DEPUTY MINISTER
(signed)



Nguyen Thi Lien Huong

Serial number

Detailed List and Contents

I. Child Health Care Package

Service 1

Counseling and heel blood spot screening for newborns (excluding testing costs)

1.

Place of Implementation: At the Health Station at commune or at home or at community service points.

2.

Target Group: Newborns aged from 24 hours to 72 hours (the best time to collect newborn blood samples is 48 hours after birth).

3.

Frequency of Implementation: Once per child.

4.

Content:

- Counsel parents or guardians of newborns about the significance, benefits, and potential risks that may occur when applying screening techniques; the sequence of steps to perform screening techniques for specific cases, the consequences caused by diseases related to endocrine-metabolic-genetic disorders;

- Collect heel blood spots from newborns using specialized absorbent paper;

- Preserve and transport to medical examination and treatment facilities providing neonatal screening services;

- Guide parents or guardians to bring newborns to appropriate medical examination and treatment facilities to perform diagnostic techniques if the screening results indicate a risk of congenital abnormalities or diseases related to endocrine-metabolic-genetic disorders;

- Notify the screening results to the target group.

5.

Implementation Procedures and Guidance Follow:

- Circular No. 34/2017/TT-BYT dated August 18, 2017 of the Minister of Health guiding pre-natal and neonatal counseling, screening, diagnosis, and treatment.

- Circular No. 30/2019/TT-BYT dated December 3, 2019, of the Minister of Health amending and supplementing certain articles of Circular No. 34/2017/TT-BYT dated August 18, 2017, of the Minister of Health guiding prenatal and newborn screening, counseling, diagnosis, and treatment;

- Decision No. 1807/QD-BYT dated April 21, 2020, of the Minister of Health promulgating guidelines on professional technical procedures for prenatal and newborn screening, diagnosis, and treatment;

Service 2

Management of high-risk cases after newborn screening

1.

Place of Implementation: At the Health Station at commune or at home or at community service points.

2.

Objectives and frequency of implementation:

- For infants at high risk of endocrine-metabolic-genetic disorders identified through newborn screening, the frequency of implementation is 01 time/01 infant;

- For infants diagnosed with endocrine-metabolic-genetic disorders after newborn screening, the frequency of implementation is 01 time/01 infant/month.

3.

Content:

- Establish monitoring files for children;

- Visit households with newborns at high risk after screening who have been diagnosed with congenital endocrine, metabolic, and genetic diseases;

- Manage individuals diagnosed with endocrine-metabolic-genetic disorders;

- Advise, guide, and monitor the treatment and care process for children diagnosed with endocrine-metabolic-genetic disorders.

4.

Implementation Procedures and Guidance Follow:

- Circular No. 34/2017/TT-BYT dated August 18, 2017 of the Minister of Health guiding pre-natal and neonatal counseling, screening, diagnosis, and treatment.

- Circular No. 30/2019/TT-BYT dated December 3, 2019, of the Minister of Health amending and supplementing certain articles of Circular No. 34/2017/TT-BYT dated August 18, 2017, of the Minister of Health guiding prenatal and newborn screening, counseling, diagnosis, and treatment;

- Decision No. 1807/QD-BYT dated April 21, 2020, of the Minister of Health promulgating guidelines on professional technical procedures for prenatal and newborn screening, diagnosis, and treatment;

Service 3

Regular health check-ups and care for children under 06 years old not attending school

1.

Place of implementation: at commune health centers or healthcare facilities.

2.

Target group: children under 06 years old not attending school.

3.

Frequency of implementation:

- Children from over 01 month to under 24 months old: 06 months/01 time;

- Children from 24 months to under 06 years old: 01 year/01 time.

4.

Content:

- Assess nutritional status and physical, mental, and motor development;

- Screen for diseases, abnormal signs, and disease risks;

- Check vaccination schedules and provide vaccination advice according to the child's immunization schedule;

- Advise and guide parents or caregivers on: tracking child growth using growth charts; appropriate nutrition for age; preventing micronutrient deficiencies; oral hygiene and personal hygiene; accident prevention; early detection of abnormal signs and disease risks and handling;

- Conclude on the child's health status; advise and refer to appropriate healthcare facilities if diseases or abnormal signs or disease risks are detected;

- Distribute or advise parents on the use of micronutrient supplements for children aged 06 months to under 36 months (if applicable);

- Record regular health check-up results in the Health Monitoring File and Child Health Monitoring Book.

5.

Implementation Procedures and Guidance Follow:

- Circular No. 23/2017/TT-BYT dated May 15, 2017, of the Minister of Health guiding the establishment of health monitoring files and regular health check-ups based on age for children; providing health care and nutrition advice;

- Decision No. 2246/QD-BYT dated August 1, 2024, of the Minister of Health promulgating specialized materials for regular health check-ups for children under 24 months old;

- Decision No. 359/QD-BYT dated January 31, 2023, of the Minister of Health promulgating materials for early detection and intervention of disabilities in children;

- Decision No. 140/QD-BYT dated January 20, 2020, of the Minister of Health promulgating the Child Health Monitoring Book for pregnant women and children up to 6 years old at healthcare facilities;

- Decision No. 1021/QD-BYT dated February 4, 2021, of the Minister of Health promulgating the electronic version of the Child Health Monitoring Book;

- Decision No. 4944/QD-BYT dated November 27, 2014, of the Minister of Health promulgating national guidelines for preventing micronutrient deficiencies;

Service 4

Regular health check-ups and care for students

1.

Place of implementation: at commune health centers, healthcare facilities, kindergartens, and primary schools within the commune.

2.

Target group: children in kindergartens and students in primary schools.

3.

Frequency of implementation: 01 time/01 year.

4.

Content:

- Conduct health examinations for children and students including: physical strength, blood pressure, heart rate, vision, hearing...; identify cases of malnutrition, overweight, reduced vision, spinal deformities, dental diseases, mental health disorders, and other diseases depending on different educational levels;

- Check vaccination schedules and provide vaccination advice;

- Advise and guide on reasonable dietary and physical activity regimens for children, students, and their parents;

- Distribute or advise parents on the use of micronutrient supplements for children aged 06 months to under 36 months (if applicable).

5.

Implementation Procedures and Guidance Follow:

- Joint Circular No. 13/2016/TTLT-BYT-BGDĐT dated May 12, 2016, of the Minister of Health and the Minister of Education and Training stipulating school health work;

- Circular No. 23/2017/TT-BYT dated May 15, 2017, of the Minister of Health guiding the establishment of health monitoring files and regular health check-ups based on age for children; providing health care and nutrition advice;

- Decision No. 4280/QD-BGDĐT dated December 14, 2022, of the Minister of Education and Training approving guidance on organizing school meals combined with increased physical activities for junior high school students;

- Decision No. 2195/QD-BGDĐT dated August 10, 2022, of the Minister of Education and Training approving guidance on organizing school meals combined with physical activities for children and students in kindergartens and primary schools;

- Decision No. 4944/QD-BYT dated November 27, 2014, of the Minister of Health promulgating national guidelines for preventing micronutrient deficiencies;

II. Package of health care services for women

Service 5

Health care for pregnant women and prenatal screening

1.

Place of implementation: at commune health centers, healthcare facilities, homes, or community service points.

2.

Target group: pregnant women.

3.

Frequency of implementation: 02 times/01 individual during the first three months and the middle three months of pregnancy.

4.

Content:

In addition to regular prenatal check-ups according to the National Guidelines on Reproductive Health Services covered by health insurance, the following should also be implemented:

- Counseling on the purpose, significance, benefits, potential risks, and procedural steps of prenatal screening techniques for each specific case;

- Counseling on common mother-to-child transmitted diseases and preventive measures.

- Counseling and rapid testing for HIV, hepatitis B, and syphilis (one time per pregnancy);

- Counseling on nutritional care for pregnant women during pregnancy, while breastfeeding, and when feeding infants with breast milk;

- Counseling and guidance on preventing micronutrient deficiencies;

- Supplementing iron and folic acid (if the pregnant woman has not been supplemented with these two micronutrients);

- Record regular health check-up results in the Health Monitoring File and Child Health Monitoring Book.

5.

Implementation Procedures and Guidance Follow:

- Circular No. 34/2017/TT-BYT dated August 18, 2017 of the Minister of Health guiding pre-natal and neonatal counseling, screening, diagnosis, and treatment.

- Circular No. 30/2019/TT-BYT dated December 3, 2019, of the Minister of Health amending and supplementing certain articles of Circular No. 34/2017/TT-BYT dated August 18, 2017, of the Minister of Health guiding prenatal and newborn screening, counseling, diagnosis, and treatment;

- Decision No. 140/QD-BYT dated January 20, 2020, of the Minister of Health promulgating the Child Health Monitoring Book for pregnant women and children up to 6 years old at healthcare facilities;

- Decision No. 1021/QD-BYT dated February 4, 2021, of the Minister of Health promulgating the electronic version of the Child Health Monitoring Book;

- Decision No. 1807/QD-BYT dated April 21, 2020 issued by the Minister of Health guiding professional technical procedures for prenatal and neonatal screening, diagnosis, and treatment;

- Decision No. 2834/QD-BYT dated July 4, 2019 issued by the Minister of Health guiding technical interventions to prevent HIV, hepatitis B, and syphilis transmission from mother to child;

- Decision No. 4128/QD-BYT dated July 29, 2016 issued by the Minister of Health promulgating national guidelines for reproductive health services;

- Decision No. 4944/QD-BYT dated November 27, 2014, of the Minister of Health promulgating national guidelines for preventing micronutrient deficiencies;

Service 6

Management of high-risk pregnant women for fetal malformations after prenatal screening

1.

Place of Implementation: At the Health Station at commune or at home or at community service points.

2.

Target group: pregnant women with high-risk results for fetal malformations after prenatal screening as directed by higher-level facilities;

3.

Frequency of implementation: once per month.

4.

Content:

- Providing information about diagnosed fetal malformations; risks and potential consequences of continuing or terminating the pregnancy for each specific case; counseling pregnant women to choose appropriate care and management options, including termination of pregnancy due to fetal malformations if necessary;

- Statistics, reporting, record-keeping, and post-screening management for cases identified as having high risk of fetal diseases such as Down syndrome (trisomy 21), Edwards syndrome (trisomy 18), Patau syndrome (trisomy 13), thalassemia, and other congenital anomalies detectable by ultrasound such as neural tube defects, abdominal wall defects, and other genetic or non-genetic diseases;

- Managing and counseling pregnant women with high-risk results for fetal malformations as directed by higher-level facilities.

5.

Implementation Procedures and Guidance Follow:

- Circular No. 34/2017/TT-BYT dated August 18, 2017 of the Minister of Health guiding pre-natal and neonatal counseling, screening, diagnosis, and treatment.

- Circular No. 30/2019/TT-BYT dated December 3, 2019, of the Minister of Health amending and supplementing certain articles of Circular No. 34/2017/TT-BYT dated August 18, 2017, of the Minister of Health guiding prenatal and newborn screening, counseling, diagnosis, and treatment;

- Decision No. 1807/QD-BYT dated April 21, 2020, of the Minister of Health promulgating guidelines on professional technical procedures for prenatal and newborn screening, diagnosis, and treatment;

Service 7

Postpartum home-based maternal and newborn healthcare

1.

Place of implementation: at home.

2.

Target group: mothers in the postpartum period (42 days after delivery) and newborns.

3.

Frequency of implementation:

- For those who gave birth at a healthcare facility: once within the first week after delivery, except in cases where they are required to stay at the facility, in which case it will be conducted within seven days after leaving the facility;

- For those who gave birth outside a healthcare facility: twice, with the first visit immediately after receiving information about the birth, and the second visit within seven days after the first visit.

4.

Content:

- For mothers:

+ General physical examination; uterine involution; condition of the perineum, lochia; breast condition and lactation;

+ Guidance on recognizing and managing dangerous signs in postpartum mothers;

+ Guidance on postpartum health and nutrition care;

+ Updating health monitoring records as prescribed; recording in the Maternal and Child Health Monitoring Book.

- For newborns:

+ General physical examination; identifying illnesses or abnormal signs and disease risks, especially dangerous signs in newborns and congenital anomalies;

+ Supporting and counseling on breastfeeding;

+ Guiding mothers and families on caring for newborns; recognizing and managing abnormal signs in newborns;

+ Updating health monitoring records; recording in the Maternal and Child Health Monitoring Book.

5.

Implementation Procedures and Guidance Follow:

- Decision No. 4128/QD-BYT dated July 29, 2016 issued by the Minister of Health promulgating national guidelines for reproductive health services;

- Decision No. 359/QD-BYT dated January 31, 2023, of the Minister of Health promulgating materials for early detection and intervention of disabilities in children;

- Decision No. 4944/QD-BYT dated November 27, 2014, of the Minister of Health promulgating national guidelines for preventing micronutrient deficiencies;

Service 8

Cervical cancer screening

1.

Place of implementation: at commune health centers or healthcare facilities.

2.

Target group: women aged 21-65 years old in the commune, prioritizing those aged 30-54 years old.

3.

Frequency of implementation: once per woman per year.

4.

Content:

- Counseling on preventive measures and early detection of cervical cancer;

- Examination of the lower abdomen and groin area;

- External genitalia examination;

- Vaginal examination using a speculum;

- Bimanual vaginal examination;

- Rectal examination;

- Performing acetic acid (VIA) or Lugol's iodine (VILI) tests to observe the cervix;

- Counseling and referral to higher-level facilities for women with positive or suspicious VIA/VILI test results;

5.

Implementation Procedures and Guidance Follow:

- Decision No. 2402/QD-BYT dated June 10, 2019 issued by the Minister of Health approving the guidebook on prevention and control of cervical cancer;

- Decision No. 4128/QD-BYT dated July 29, 2016 issued by the Minister of Health promulgating national guidelines for reproductive health services.

III. Package of health services for the elderly

Service 9

Regular health check-ups for the elderly; counseling and disseminating knowledge on health care, disease prevention skills, rehabilitation, and self-care for the elderly

9.1.

Regular health check-ups for the elderly

1.

Place of implementation: at the Commune Health Station or healthcare facility or community service point or at home.

2.

Target group: individuals aged 60 years and above residing in the commune.

3.

Frequency of implementation: 01 time/01 year.

4.

Content: Regular health check-ups for the elderly shall be carried out in accordance with Clause 4, Article 34 of Circular No. 32/2023/TT-BYT dated December 31, 2023 issued by the Minister of Health detailing certain provisions of the Law on Medical Examination and Treatment.

5.

Implementation Procedures and Guidance Follow:

- Circular No. 32/2023/TT-BYT dated December 31, 2023 issued by the Minister of Health detailing certain provisions of the Law on Medical Examination and Treatment;

- Circular No. 35/2011/TT-BYT dated October 15, 2011 issued by the Minister of Health guiding the implementation of elderly health care;

- Decision No. 1092/QD-TTg dated September 2, 2018 issued by the Prime Minister approving the National Health Program;

- Decision No. 1579/QD-TTg dated October 13, 2020 issued by the Prime Minister approving the Elderly Health Care Program until 2030.

9.2.

Counseling and disseminating knowledge on health care, disease prevention skills, rehabilitation, and self-care for the elderly

1.

Place of implementation: at the Commune Health Station or healthcare facility or community service point or at home.

2.

Target group: individuals aged 60 years and above residing in the commune and their direct caregivers.

3.

Frequency of implementation: once every six months.

4.

Content:

- Planning the provision of care for individuals aged 60 years and above who have been assessed as having poor health and those over 80 years old (in accordance with integrated elderly care guidelines);

- Guiding the elderly on disease prevention skills, rehabilitation, self-care, and nutrition for the elderly in the community.

- Advising on disease prevention, particularly common diseases among the elderly, for the elderly and their relatives.

5.

Implementation Procedures and Guidance Follow:

- Circular No. 35/2011/TT-BYT dated October 15, 2011 issued by the Minister of Health guiding the implementation of elderly health care;

- Decision No. 1092/QĐ-TTg dated September 2, 2018 of the Prime Minister approving the National Health Program.

- Decision No. 1579/QD-TTg dated October 13, 2020 issued by the Prime Minister approving the Elderly Health Care Program until 2030.

IV. Package of health care services for persons with disabilities

Service 10

Early detection and early intervention for children's disabilities

1.

Place of implementation: at the Commune Health Station or at healthcare facilities or at kindergartens and primary schools within the commune or at home.

2.

Beneficiary: children from 0 to 6 years old.

3.

Frequency of implementation: twice a year or when there is suspicion of disability.

4.

Content:

- Examination, evaluation, classification of disabilities (motor; hearing, speech; vision; neurological, mental; intellectual; other disabilities) and assessment of needs for functional rehabilitation;

- Guidance on home-based functional rehabilitation for families or referral advice;

- Updating information on persons with disabilities into the health management and functional rehabilitation information system.

5.

Implementation Procedures and Guidance Follow:

- Decision No. 359/QĐ-BYT dated January 31, 2023 of the Minister of Health promulgating guidelines for early detection and early intervention for children's disabilities;

- Decision No. 3815/QĐ-BYT dated August 21, 2017 of the Minister of Health implementing the health management and functional rehabilitation information system for persons with disabilities;

- Decision No. 1213/QĐ-BYT dated April 15, 2009 of the Minister of Health promulgating a set of guidelines for community-based functional rehabilitation work.

Service 11

Counseling on health care to prevent disabilities and community-based functional rehabilitation

1.

Place of implementation: at the Commune Health Station or at healthcare facilities or at home.

2.

Beneficiary: persons with disabilities in the commune and those directly caring for them.

3.

Frequency of implementation: at least twice a year per person with disabilities.

4.

Content:

- Counseling for persons with disabilities: methods of disease prevention, treatment, care, and daily activities and independent living;

- Counseling and guidance for families of persons with disabilities on self-care skills, functional rehabilitation, and community integration;

- Updating information on persons with disabilities into the health management and functional rehabilitation information system.

5.

Implementation Procedures and Guidance Follow:

- Decision No. 359/QĐ-BYT dated January 31, 2023 of the Minister of Health promulgating guidelines for early detection and early intervention for children's disabilities;

- Decision No. 3815/QĐ-BYT dated August 21, 2017 of the Minister of Health implementing the health management and functional rehabilitation information system for persons with disabilities;

- Decision No. 1213/QĐ-BYT dated April 15, 2009 of the Minister of Health promulgating a set of guidelines for community-based functional rehabilitation work.

V. Package of Traditional Medicine Health Care Services

Service 12

Care for medicinal herb gardens and counseling on the use of medicinal herbs

1.

Place of implementation: at the Commune Health Station.

2.

Object: medicinal herb gardens; residents in the area.

3.

Frequency of implementation: ongoing.

4.

Content:

- Care for medicinal herbs carried out by health workers or hired laborers;

- Counseling on the use of medicinal herbs for residents carried out by health workers.

5.

Implementation Procedures and Guidance Follow:

- Guidance on the cultivation, harvesting, and processing of medicinal herbs according to the Institute of Pharmacology;

- Decision No. 4664/QĐ-BYT dated November 7, 2014 of the Minister of Health promulgating a set of model medicinal herb illustrations for use in traditional medicine healthcare facilities;

- Vietnamese Pharmacopoeia.

Service 13

Guidance on practicing health-preserving exercises

1.

Place of implementation: in the community.

2.

Object: residents in the area.

3.

Frequency of implementation: once every quarter.

4.

Content:

- Organizing and guiding residents to practice health-preserving exercises;

- Monitoring and evaluating the effectiveness of the community in practicing health-preserving exercises.

5.

Implementation procedures and guidance according to: Decision No. 5480/QĐ-BYT dated December 30, 2020 of the Minister of Health promulgating professional guidelines for the implementation of traditional medical techniques.

VI. Package of Non-Communicable Disease Prevention Services

Service 14

Screening for non-communicable diseases including hypertension, diabetes, asthma, chronic obstructive pulmonary disease, cancer, and certain mental disorders

1.

Place of implementation: at the Commune Health Station or at healthcare facilities or community service points or at home.

2.

Objectives and frequency of implementation:

Hypertension

- Object: ≥ 18 years old and have

+ Risk factors, or

+ Blood pressure index ≥ 140/90 mmHg, detected through blood pressure measurement in the community.

- Frequency of implementation: once a year (individual screening or combined screening with other diseases).

Diabetes

- Object: ≥ 18 years old and have

+ Risk factors, or

+ Venous blood glucose level < 5.6 mmol/L.

- Frequency of implementation: once a year (individual screening or combined screening with other diseases).

Asthma

- Object: ≥ 18 years old and have

+ Risk factors, or

+ Respiratory symptoms suggestive.

- Frequency of implementation: once a year (individual screening or combined screening with other diseases).

Chronic Obstructive Pulmonary Disease

- Object: ≥ 18 years old and have

+ Risk factors, or

+ Common symptoms.

- Frequency of implementation: once a year (individual screening or combined screening with other diseases).

Cancer

- Object: Persons with risk factors

- Frequency of implementation: once a year (individual screening or combined screening with other diseases).

Certain Mental Disorders

- Object: Persons with risk factors

- Frequency of implementation: once a year (individual screening or combined screening with other diseases).

3.

Content:

- Risk screening using checklists or questionnaires;

- Clinical examination;

- Conducting screening tests such as capillary blood glucose test, cholesterol, uric acid test; peak flow meter;

- Counseling on disease prevention and risk factors for non-communicable diseases;

- Updating health management records.

4.

Implementation Procedures and Guidance Follow:

- Decision No. 5904/QĐ-BYT dated December 20, 2019 of the Minister of Health promulgating professional guidelines for the diagnosis, treatment, and management of certain non-communicable diseases at the Commune Health Station;

- Decision No. 5481/QĐ-BYT dated December 30, 2020 of the Minister of Health promulgating professional guidelines for the diagnosis and treatment of type 2 diabetes;

- Decision No. 5850/QĐ-BYT dated December 24, 2021 of the Minister of Health promulgating professional guidelines for the clinical diagnosis and treatment of asthma in adults and children ≥ 12 years old;

- Decision No. 3338/QĐ-BYT dated September 9, 2013 of the Minister of Health promulgating guidelines for the technical procedures of oncology diagnosis and treatment;

- Decision No. 2058/QĐ-BYT dated May 14, 2020 of the Minister of Health promulgating professional guidelines for the diagnosis and treatment of certain common mental disorders;

- Decision No. 3756/QĐ-BYT dated June 21, 2018 of the Minister of Health promulgating guidelines for the prevention, early detection, diagnosis, treatment, and management of certain common non-communicable diseases at primary healthcare levels;

- Decision No. 2381/QĐ-BYT dated June 9, 2018 of the Minister of Health promulgating guidelines for the early detection of certain non-communicable diseases.

VII. Package of Infectious Disease and HIV/AIDS Prevention Services

Service 15

Active surveillance for the detection of infectious diseases and epidemics

1.

Place of implementation: in the community.

2.

Object: residents traveling to, arriving at, or residing in the commune.

3.

Frequency of implementation: daily, weekly, or as needed according to professional guidelines of the Ministry of Health, consistent with other legal provisions and local circumstances.

4.

Content: monitoring and detecting cases of infectious diseases, suspected cases of infectious diseases (prioritizing Group A diseases, some circulating Group B diseases such as: Tuberculosis, Malaria, Dengue Fever, Diphtheria, Pertussis, Measles, Rubella, Anthrax, Meningococcal Meningitis, Hand, Foot and Mouth Disease, Chickenpox, Mumps, Rabies, Tetanus, HIV/AIDS, Swine Streptococcus Infection in Humans, Viral Encephalitis, and other Group B and C diseases when the number of cases exceeds the average number of cases for the same month over the last three years or there is a directive from management authorities or higher-level health agencies to strengthen disease surveillance) at places of residence, work, study, and other related areas within the commune; event-based surveillance. Rapid tests may be used (if available) for screening and early detection of infectious disease cases. Verify cases, isolate areas, identify sources of infection, and organize handling of cases and sources of infection according to regulations.

5.

Implementation procedures and guidelines follow Circular No. 17/2019/TT-BYT dated July 17, 2019, issued by the Minister of Health guiding surveillance and response to infectious diseases and epidemics, and decisions and professional guidance issued by the Ministry of Health.

Service 16

Active vector, environment, and risk factor surveillance for infectious diseases in the community

1.

Place of implementation: in the community.

2.

Objectives: vectors, environment, and risk factors causing infectious diseases where residents travel to, visit, and reside within the commune.

3.

Frequency of implementation: weekly (for villages, communes currently implementing source control measures, with the number of cases exceeding the average for the same month over the last three years or there is a directive from management authorities or higher-level health agencies to strengthen disease surveillance) or monthly.

4.

Content:

- Randomly monitor places of residence, work, study, and other related areas to determine reservoirs, vectors, intermediate hosts transmitting diseases, environment, and risk factors;

- Monitor and guide residents on environmental hygiene measures, eliminating reservoirs, eradicating vectors, intermediate hosts transmitting diseases, reducing or eliminating risk factors;

- Analyze and evaluate, provide vector indices for infectious diseases, and propose appropriate measures;

- Summarize and report surveillance results.

5.

Implementation procedures and guidelines follow Circular No. 17/2019/TT-BYT dated July 17, 2019, issued by the Minister of Health guiding surveillance and response to infectious diseases and epidemics.

Service 17

Prevention of HIV Transmission

17.1.

Provide and guide the use of condoms, clean syringes

1.

Place of implementation: at commune health centers or healthcare facilities.

2.

Recipients:

- Drug users;

- Sex workers;

- Men who have sex with men;

- Transgender individuals;

- Individuals having sexual relations with those at risk of HIV transmission in the area (based on service provision frequency).

3.

Frequency of implementation: once a month.

4.

Content:

- Advise these groups on risk factors and appropriate interventions, and refer them for treatment;

- Provide and guide the use of preventive items (condoms, syringes, lubricants, and other harm reduction items);

- Establish and manage records for these individuals.

5.

Implementation procedures and guidelines follow:

- Decree No. 141/2024/NĐ-CP dated October 28, 2024, issued by the Government detailing certain provisions of the Law on Prevention and Control of Human Immunodeficiency Virus (HIV/AIDS);

- Decision No. 01/QĐ-AIDS dated January 5, 2015, issued by the Director of the National Center for HIV/AIDS, Dermatology and STDs providing guidance on harm reduction interventions to prevent HIV transmission among drug users;

- Decision No. 146/QĐ-AIDS dated August 13, 2019, issued by the Director of the National Center for HIV/AIDS, Dermatology and STDs providing interventions for HIV prevention and control among men who have sex with men;

- Decision No. 243/QĐ-AIDS dated October 20, 2021, issued by the Director of the National Center for HIV/AIDS, Dermatology and STDs providing guidance on interventions for HIV prevention and control among men who have sex with men using substances during sexual activities.

17.2.

Article 1 | Pre-exposure prophylaxis (PrEP) with antiretroviral drugs for HIV prevention

1.

Place of implementation: at commune health centers or healthcare facilities.

2.

Objectives: Individuals who are not infected with HIV but have high-risk behaviors, including:

- Men who have sex with men;

- Transgender individuals;

- Drug users;

- Sex workers;

- Spouses of individuals infected with HIV; spouses of individuals engaging in same-sex relationships, transgender individuals, drug users, and sex workers;

- Individuals having sexual relations with those infected with HIV.

3.

Frequency of implementation: based on the number of clients.

4.

Content:

- Provide counseling to the above groups on risk factors;

- Conduct simple HIV screening tests;

- Implement the PrEP treatment process (risk factors and examination procedures, follow-up examinations...).

5.

Implementation procedures and guidelines follow:

- Decree No. 63/2021/ND-CP dated June 30, 2021, of the Government detailing the implementation of the Law amending and supplementing certain articles of the Law on Prevention and Control of Infection with Viruses Causing Acquired Immunodeficiency Syndrome (AIDS);

- Decision No. 5968/QD-BYT dated December 31, 2021, of the Minister of Health promulgating guidelines for HIV/AIDS treatment and care;

- Decision No. 2674/QD-BYT dated April 27, 2018, of the Minister of Health promulgating national guidelines for HIV testing;

- Decision No. 2673/QD-BYT dated April 27, 2018, of the Minister of Health promulgating guidelines for HIV counseling and testing in the community.

17.3.

Distribution of medication for methadone substitution therapy for opiate addiction

1.

Place of implementation: at commune health centers or healthcare facilities.

2.

Objectives: Individuals participating in methadone substitution therapy for opiate addiction.

3.

Frequency of implementation: based on the number of service deliveries.

4.

Content: Distribute medication to individuals participating in methadone substitution therapy for opiate addiction.

5.

Implementation procedures and guidelines follow:

- Circular No. 26/2023/TT-BYT dated December 29, 2023, of the Minister of Health providing guidance on managing methadone;

- Decision No. 3140/QD-BYT dated August 30, 2010, of the Minister of Health guiding methadone substitution therapy for opiate addiction;

- Decision No. 569/QD-BYT dated March 9, 2022, of the Minister of Health promulgating guidelines for piloting multi-day methadone distribution to patients undergoing opiate addiction treatment.

Service 18

Epidemiological surveillance of HIV/AIDS

1.

Place of implementation: at commune health centers or healthcare facilities.

2.

Objectives: High-risk groups for HIV transmission participating in investigations, individuals infected with HIV/AIDS.

3.

Frequency of implementation: ongoing.

4.

Content:

- Review, adjust, and update information on HIV-infected individuals in the HIV-INFO system upon receiving information about new HIV infections or ongoing treatment of HIV/AIDS patients residing or registered in the commune;

- Coordinate with judicial officers in the commune where HIV-infected individuals reside or are registered to collect information and update it in the HIV-INFO system or send it in writing to the county-level HIV/AIDS surveillance agency;

- Coordinate with the county-level HIV/AIDS surveillance agency to assess the risk of HIV transmission when there is an increase in the number of HIV-infected individuals according to professional guidelines;

- Prepare periodic quarterly and annual comprehensive reports on HIV/AIDS surveillance data;

- Coordinate with provincial and county-level HIV/AIDS surveillance agencies to organize annual focused surveillance.

5.

Implementation Procedures and Guidance Follow:

- Circular No. 07/2023/TT-BYT dated April 4, 2023, of the Minister of Health providing guidance on epidemiological surveillance methods for HIV/AIDS and sexually transmitted diseases;

- Decision No. 64/QĐ-AIDS dated April 24, 2024, of the Director of the National Center for HIV/AIDS Control issuing guidelines on areas, target groups, sampling methods, and procedures for organizing focused surveillance.

Service 19

Home-based care for HIV/AIDS patients

1.

Place of implementation: at the patient's home.

2.

Objectives: HIV patients under antiretroviral therapy management and care in the commune.

3.

Frequency of implementation: monthly or on an ad hoc basis when the patient has a need.

4.

Content:

- Counseling and support for adherence to antiretroviral therapy;

- Education and counseling on nutrition support for HIV-infected individuals;

- Counseling on HIV prevention regarding safe sex, safe injection practices, mother-to-child transmission prevention, and HIV testing for other family members;

- Care and support for children affected by HIV/AIDS (OVC);

- Implement palliative care, guide self-care practices, manage common symptoms such as pain, and identify critical signs requiring referral to higher-level healthcare facilities;

- Screen for mental health indicators (anxiety, depression), provide psychological and emotional support to HIV/AIDS patients, and refer them to specialized healthcare if necessary;

- End-of-life care.

5.

Implementation Procedures and Guidance Follow:

- Circular No. 09/2018/TT-BLDTBXH dated August 28, 2018, of the Minister of Labor, War Invalids, and Social Affairs providing guidance on assistance procedures for children affected by HIV/AIDS;

- Decision No. 5968/QD-BYT dated December 31, 2021, of the Minister of Health promulgating guidelines for HIV/AIDS treatment and care;

- Decision No. 1781/QD-BYT dated May 27, 2010, of the Minister of Health promulgating guidelines for home and community-based care for HIV-infected individuals;

- Nutritional care guidelines for HIV/AIDS patients compiled and issued by the National Center for HIV/AIDS Control and the Institute of Nutrition in 2014.

Service 20

HIV Screening Test

20.1

HIV Screening Test at Commune Health Station

1.

Place of implementation: at the Commune Health Station.

2.

Objectives: Individuals with high-risk behaviors for HIV transmission and those seeking HIV testing.

3.

Frequency of implementation: continuously when clients visit.

4.

Content:

- Pre-test counseling for HIV;

- Conduct HIV test;

- Collect blood samples for confirmatory testing in cases where the initial screening test is reactive;

- Store and transport blood samples to the confirmatory HIV testing laboratory;

- Provide results, post-test counseling (including referring individuals with positive HIV test results to treatment and those with negative results to preventive interventions);

5.

Implementation procedures and guidelines follow: Decision No. 2673/QD-BYT dated April 27, 2018, of the Minister of Health on issuing guidelines for HIV counseling and testing in the community.

20.2

Mobile HIV Screening Test

1.

Place of implementation: service delivery points in the community (outside healthcare facilities).

2.

Objectives: Individuals with high-risk behaviors for HIV transmission.

3.

Frequency of implementation: ongoing.

4.

Content:

- Mobilize individuals with high-risk behaviors for HIV transmission to undergo HIV testing;

- Pre-test counseling for HIV;

- Conduct HIV test;

- Collect blood samples for confirmatory testing in cases where the initial screening test is reactive;

- Store and transport samples to the confirmatory HIV testing laboratory;

- Provide results, post-test counseling (including referring individuals with positive HIV test results to treatment and those with negative results to preventive interventions);

5.

Implementation procedures and guidelines follow: Decision No. 2673/QD-BYT dated April 27, 2018, of the Minister of Health on issuing guidelines for HIV counseling and testing in the community.

Service 21

Accessing HIV-Infected Individuals and Connecting to HIV Treatment

1.

Place of implementation: in the community (outside the Commune Health Station).

2.

Object: persons infected with HIV who have not yet received treatment or have discontinued HIV treatment.

3.

Frequency of implementation: ongoing.

4.

Content:

- Identify persons infected with HIV who have not yet received treatment or have discontinued HIV treatment;

- Access, advise, and connect persons infected with HIV who have not yet received treatment or have discontinued HIV treatment to HIV treatment activities.

5.

Procedure and guidance for implementation pursuant to Decision No. 5968/QD-BYT dated December 31, 2021, of the Minister of Health on issuing guidelines for HIV/AIDS treatment and care.

Service 22

Management of patients receiving antiretroviral therapy at Commune Health Stations

1.

Place of implementation: at the Commune Health Station.

2.

Objectives: HIV patients under antiretroviral therapy management and care in the commune.

3.

Frequency of implementation: monthly or on an ad hoc basis when the patient has a need.

4.

Content:

- Receive patients, check and compare personal information on their identity cards with the information on the Referral Certificate;

- Dispense medication according to prescriptions recorded in the Referral Certificate and the patient's medical record book. Before dispensing medication, conduct a medical examination, screen for tuberculosis, and assess the patient's adherence to treatment. If there are no abnormal signs, the patient adheres well to treatment, dispense antiretroviral medication monthly according to the prescription. Record the name of the medication, quantity dispensed, and usage instructions in the patient's medical record book. In case of abnormal signs, handle within the scope of expertise. If beyond the scope of expertise, refer to a higher level facility as prescribed;

- Remind patients to return for regular follow-up examinations at the treatment facility according to the schedule noted in the medical record book and Referral Certificate.

5.

Implementation procedures and guidelines follow:

- Circular No. 28/2018/TT-BYT dated October 26, 2018, of the Minister of Health on management and treatment of persons infected with HIV and those exposed to HIV at healthcare facilities;

- Decision No. 5968/QD-BYT dated December 31, 2021, of the Minister of Health on issuing guidelines for HIV/AIDS treatment and care.

VIII. Package of Services to Determine Drug Addiction Status

Service 23

Determination of Drug Addiction Status

1.

Place of Implementation: carried out by doctors or medical officers at Commune Health Stations or other locations as specified in Article 2 of Decree No. 109/2021/NĐ-CP dated December 8, 2021, of the Government regarding healthcare facilities qualified to determine drug addiction status and the file, procedures, and formalities for determining drug addiction status.

2.

Object: voluntary individuals seeking to determine their drug addiction status and individuals proposed for determination of their drug addiction status.

3.

Frequency of Implementation: based on customer demand or police recommendations.

4.

Content:

- Receive individuals and collect relevant information of those needing to determine their drug addiction status;

- Conduct medical examinations, clinical observations, record information in medical records and the Summary Form for Monitoring to determine the drug addiction status;

- Record conclusions about the drug addiction status.

5.

Procedures and guidance for implementation pursuant to Circular No. 18/2021/TT-BYT dated November 16, 2021, of the Minister of Health on diagnostic criteria and professional procedures for determining drug addiction status.

IX. Package of Vaccination Services

Service 24

Reception, transportation, and storage of vaccines under the Expanded Immunization Program

1.

Place of Implementation: at Commune Health Stations, District Health Centers.

2.

Object: vaccines under the Expanded Immunization Program.

3.

Frequency of Implementation: monthly.

4.

Content:

- Ensure supply of cold chain equipment for vaccine storage as required;

- Prior to vaccination: receive, store, and transport vaccines from the district to the commune;

- During the vaccination session: use vaccine carriers, coolers, or refrigerators to store vaccines throughout the session as required.

- After vaccination: store and transport returned vaccines back to the district for storage (for communes far from the District Health Center with difficult road access, post-vaccination storage and preservation of vaccines at the Commune Health Station using specialized refrigerators in the cold chain can be maintained for the next month's vaccination campaign).

5.

Implementation Procedures and Guidance Follow:

- Decree No. 104/2016/NĐ-CP dated July 1, 2016, of the Government on vaccination activities;

- Decree No. 155/2018/NĐ-CP dated November 12, 2018, of the Government amending and supplementing certain provisions related to investment and business conditions under the Ministry of Health's jurisdiction;

- Decree No. 13/2024/NĐ-CP dated February 5, 2024, of the Government amending and supplementing certain articles of Decree No. 104/2016/NĐ-CP dated July 1, 2016, of the Government on vaccination activities;

- Circular No. 36/2018/TT-BYT dated November 22, 2018, of the Minister of Health on good practices for drug storage and raw materials for drug production;

- Circular No. 34/2018/TT-BYT dated November 16, 2018, of the Minister of Health detailing certain provisions of Decree No. 104/2016/NĐ-CP dated July 1, 2016, of the Government on vaccination activities.

Service 25

Organization of Vaccination: pre-vaccination counseling, screening, vaccination, post-vaccination monitoring, management of recipients, statistics, and reporting

1.

Place of Implementation: at Commune Health Stations or healthcare facilities or community service points or at home.

2.

Object: children and pregnant women who are targets of the National Expanded Immunization Program.

3.

Frequency of Implementation: monthly.

4.

Content:

- Pre-vaccination: investigate and list eligible recipients under the Expanded Immunization Program; notify recipients to participate in vaccination according to the schedule and dosage; conduct screening; provide pre-vaccination counseling;

- Implement vaccination: check vaccines, diluents, syringes, and needles before use; show the vaccine vials to the recipient or their parents/guardians before vaccination; vaccinate according to the prescription, correct vaccine, correct dose, correct route, and correct timing; apply appropriate vaccination techniques for each dose or oral administration;

- Post-vaccination: monitor post-vaccination reactions, guide post-vaccination monitoring at home and manage any unusual reactions (if any); fully record information in the vaccination card or book of the recipient; enter vaccination data and report statistics as required.

5.

Implementation Procedures and Guidance Follow:

- Decree No. 104/2016/NĐ-CP dated July 1, 2016, of the Government on vaccination activities;

- Decree No. 13/2024/NĐ-CP dated February 5, 2024, of the Government amending and supplementing certain articles of Decree No. 104/2016/NĐ-CP dated July 1, 2016, of the Government on vaccination activities;

- Decree No. 155/2018/NĐ-CP dated November 12, 2018, of the Government amending and supplementing certain provisions related to investment and business conditions under the Ministry of Health's jurisdiction;

- Circular No. 34/2018/TT-BYT dated November 16, 2018, of the Minister of Health detailing certain provisions of Decree No. 104/2016/NĐ-CP dated July 1, 2016, of the Government on vaccination activities;

- Circular No. 10/2024/TT-BYT dated June 13, 2024, of the Minister of Health promulgating the list of infectious diseases, target groups, and mandatory use of vaccines and medical products.

- Circular No. 51/2017/TT-BYT dated December 29, 2017, issued by the Minister of Health guiding the prevention, diagnosis, and management of anaphylaxis;

- Decision No. 1575/QD-BYT dated March 27, 2023, issued by the Minister of Health promulgating guidelines for pre-vaccination screening for children;

- Decision No. 3384/QD-BYT dated August 3, 2020, issued by the Minister of Health promulgating the vaccine usage coefficient and consumable materials in expanded immunization programs;

- Decision No. 3421/QD-BYT dated July 28, 2017, issued by the Minister of Health promulgating the regulations on managing and using the national vaccination information system;

X. Nutrition Package Service

Service 26

Management of Severe Acute Malnutrition Children in the Community

1.

Place of Implementation: at Commune Health Stations or health facilities or at household residences.

2.

Target Group: children aged 0 to 72 months.

3.

Frequency of Implementation: children diagnosed with severe acute malnutrition according to outpatient treatment standards will be examined and treated at Commune Health Stations once a week until their mid-upper arm circumference is ≥ 125 mm and weight-for-height index ≥ -2 SD in two consecutive examinations (the average duration of community-based severe acute malnutrition management is 6-10 weeks, not exceeding 3 months).

4.

Content:

- Commune Health Stations check, evaluate, and accept children if they meet the diagnostic criteria for severe acute malnutrition;

- Commune Health Stations recheck weekly, provide medication and treatment products according to the Ministry of Health's guidelines; provide nutritional counseling, dispatch village health workers and population collaborators (if available) to visit households if indicated;

- Transfer and refer appropriately when meeting conditions according to the protocol (hospitalization or preventive treatment).

5.

Implementation Procedures and Guidance Follow:

- Decision No. 3779/QD-BYT dated August 26, 2019, issued by the Minister of Health promulgating guidelines for managing severe acute malnutrition in children aged 0 to 72 months;

- Decision No. 4487/QD-BYT dated August 18, 2016, issued by the Minister of Health promulgating guidelines for diagnosing and treating severe acute malnutrition in children aged 0 to 72 months.

XI. Food Safety Assurance Service Package Service 27

Inspection, Supervision, and Training on Food Safety Assurance

Place of Implementation: at food service establishments under local authority jurisdiction and street food vendors within the commune area, Commune Health Stations, and other locations within the commune.

1.

Target Group: food service establishments under local authority jurisdiction and street food vendors within the commune.

2.

- Inspect and supervise at least once per establishment per year;

3.

Frequency of implementation:

- Train at least once per establishment per year and as required by specific public health programs.

- Check compliance with food safety regulations;

4.

Content:

- Monitor food contamination risks using rapid chemical/biological tests and conduct quick tests;

- Train, guide, and update knowledge on ensuring food safety during production and sale, and measures to prevent food poisoning.

- For inspection and supervision content, implement according to Circular No. 48/2015/TT-BYT dated December 1, 2015, issued by the Minister of Health regarding food safety inspection activities in food production and sales under the Ministry of Health's jurisdiction; Circular No. 17/2023/TT-BYT dated September 25, 2023, issued by the Minister of Health amending, supplementing, and abolishing certain legal documents on food safety issued by the Minister of Health;

5.

Implementation Procedures and Guidance Follow:

- For training content on food safety assurance, implement according to Section 5, Article 2 of the Food Safety Law and Clause 2 of Article 2 of Decree No. 155/2018/NĐ-CP dated November 12, 2018, issued by the Government amending and supplementing certain provisions related to investment and business conditions under the Ministry of Health's jurisdiction.

XII. Environmental Health, Accident Prevention, and Occupational Health Service Package

Service 28

Monitoring, Advising, and Training on Environmental Sanitation and Safe Water Usage

Place of Implementation: at Commune Health Stations and household residences.

1.

Target Group: residents.

2.

Frequency of Implementation: once every six months.

3.

- Monitor household sanitation facilities;

4.

Content:

- Advise and train residents on hygienic latrines, personal hygiene, and safe water usage.

- Circular No. 23/2022/TT-BNNPTNT dated December 29, 2022, issued by the Minister of Agriculture and Rural Development guiding the implementation of safe water supply in rural areas;

5.

Implementation Procedures and Guidance Follow:

- Circular No. 27/2011/TT-BYT dated June 24, 2011, issued by the Minister of Health promulgating national technical standards for hygienic latrines - conditions for ensuring hygiene;

- Circular No. 15/2006/TT-BYT dated November 30, 2006, issued by the Minister of Health guiding the inspection of clean water, drinking water, and household sanitation facilities;

- Decision No. 1300/QD-BYT dated March 9, 2023, issued by the Minister of Health promulgating national criteria for commune health services up to 2030.

Service

29 Training on Preventing Risk Factors for Accidents and Occupational Diseases

Place of Implementation: at Commune Health Stations or communities or production and business households or household residences. Target Group: residents, informal workers in production and business households or household residences or relevant communal organizations.

1.

- Guide residents and relevant communal organizations about: preventing risk factors for accidents; initial response and first aid; promoting safe community building;

2.

- Guide informal workers in non-structural sectors (agriculture, craft villages) about occupational accident risk factors affecting worker health, occupational diseases, work-related illnesses, and preventive measures.

3.

Frequency of implementation: 01 time/01 year.

4.

Content:

- Decree No. 39/2016/NĐ-CP dated May 15, 2016, issued by the Government detailing the implementation of certain provisions of the Labor Safety and Health Law (Chapter II. Control of Hazardous and Harmful Factors at Workplaces);

- Decision No. 170/QD-BYT dated January 17, 2006, issued by the Minister of Health promulgating guidelines for building safe communities and preventing accidents.

5.

Implementation Procedures and Guidance Follow:

XIII. Pre-marriage Health Care, Population, and Family Planning Service Package

Service 30

XIII. Pre-marriage health care service package, population, and family planning services

Service 30

Pre-marriage health care

30.1.

Psychological and health counseling before marriage

1.

Place of implementation: at the Commune Health Station or service provision point.

2.

Target group: male and female young adults before marriage; parents.

3.

Frequency of implementation: 01 time/01 individual.

4.

Content: counseling on issues related to psychology, friendship, love, safe sex, family planning, nutrition, prevention of sexual violence, common hereditary diseases, diseases of parents that may affect congenital disabilities in newborns, and related matters.

5.

Implementation process and guidance according to Decision No. 25/QD-BYT dated January 7, 2011, issued by the Minister of Health on professional guidelines for pre-marriage counseling and health examination.

30.2.

Pre-marriage health examination

1.

Place of implementation: at the Commune Health Station or service provision point.

2.

Target group: male and female young adults before marriage.

3.

Frequency of implementation: 01 time/01 individual.

4.

Content:

- Clinical examination includes: inquiry about medical history related to reproductive health; physical examination, gynecological examination, dermatology examination;

- Ancillary clinical examination includes: Blood sample collection for screening tests to identify individuals with high risk of carrying the Thalassemia gene at the Commune Health Station; rapid hepatitis B test: HBsAg rapid test; rapid HIV test: anti-HIV rapid test; rapid syphilis test: Treponema pallidum TPHA qualitative test.

5.

Implementation Procedures and Guidance Follow:

- Circular No. 32/2023/TT-BYT dated December 31, 2023 issued by the Minister of Health detailing certain provisions of the Law on Medical Examination and Treatment;

Decision No. 25/QD-BYT dated January 7, 2011, issued by the Minister of Health on professional guidelines for pre-marriage counseling and health examination.

30.3.

Management of individuals with high risk after pre-marriage health examination

1.

Place of implementation: at the Commune Health Station or service provision point.

2.

Target group: male and female young adults with high risk after pre-marriage health examination.

3.

Frequency of implementation: 01 time/01 individual.

4.

Content:

- Counseling on skills to understand and prevent genetic diseases for couples with high risk after pre-marriage health examination;

- Counseling and guidance for specialized examinations to determine disease and treatment;

- Updating follow-up and management records of the target group.

5.

Implementation Procedures and Guidance Follow:

- Circular No. 32/2023/TT-BYT dated December 31, 2023 issued by the Minister of Health detailing certain provisions of the Law on Medical Examination and Treatment;

Decision No. 25/QD-BYT dated January 7, 2011, issued by the Minister of Health on professional guidelines for pre-marriage counseling and health examination.

29 Case 31

Collecting population information from households; updating and managing specialized population information Target group: all residents living in households within the administrative area, regardless of whether they have registered permanent residence.

1.

Place of Implementation: At the Health Station at commune or at home or at community service points.

2.

- Assign each population collaborator to manage and be responsible for a specific area, ensuring that each village, hamlet, ward, commune, tribe, village, phum, soc, residential quarter has at least 01 population collaborator. Population collaborators visit each household to collect and update specialized population information (births, deaths, marriages, divorces, migration) and population services - family planning services;

3.

Frequency of Implementation: monthly.

4.

Content:

- Collect initial information from households regarding basic information (address, full name, head of household relationship, date of birth, gender, ethnicity, educational level, marital status, residency status);

- Collect dynamic information from households regarding births, deaths, marriages, divorces, migration, and population services;

- Collect information on household splits or mergers (if applicable);

- Commune-level population officers update collected household information from population collaborators into the specialized population database;

- Commune-level population officers verify and check the information collection forms of population collaborators;

- Update initial information from households with basic information and regularly update dynamic information.

Implementation process and guidance according to Circular No. 01/2022/TT-BYT dated January 10, 2022, issued by the Minister of Health on initial recording and reporting system for specialized population statistics.

5.

Case 32

29 Insertion or removal of intrauterine devices, injection of contraceptive drugs, and distribution of oral contraceptives and condoms

Insertion or removal of intrauterine devices Place of implementation: at the Commune Health Station or community service provision point.

32.1.

Target group: women of reproductive age (15-49 years old) who need insertion or removal of intrauterine devices.

1.

Frequency of implementation: 4.5 years/01 time.

2.

- Provide direct counseling to each individual on family planning according to national guidelines for reproductive health services;

3.

- Perform insertion or removal of intrauterine devices according to national guidelines for reproductive health services.

4.

Content:

Implementation process and guidance according to Decision No. 4128/QD-BYT dated July 29, 2016, issued by the Minister of Health on national guidelines for reproductive health services.

Target group: women of reproductive age (15-49 years old) who need injection of contraceptive drugs.

5.

Frequency of implementation: 01 time/03 months.

32.2.

Injectable contraceptives

1.

Frequency of implementation: 4.5 years/01 time.

2.

- Perform injection of contraceptive drugs according to national guidelines for reproductive health services.

3.

Distribution of oral contraceptives and condoms

4.

Content:

Implementation process and guidance according to Decision No. 4128/QD-BYT dated July 29, 2016, issued by the Minister of Health on national guidelines for reproductive health services.

Target group: women of reproductive age (15-49 years old) who need to use oral contraceptives or condoms.

5.

Frequency of implementation: 01 time/03 months.

32.3.

- Distribute oral contraceptives or condoms according to national guidelines for reproductive health services.

1.

Place of Implementation: At the Health Station at commune or at home or at community service points.

2.

Service 33

3.

Frequency of implementation: once per month.

4.

Content:

Implementation process and guidance according to Decision No. 4128/QD-BYT dated July 29, 2016, issued by the Minister of Health on national guidelines for reproductive health services.

Health education and population communication at the Commune Health Station

5.

Frequency of implementation: 01 time/03 months.

XIV. Health Communication-Population Package

Target group: residents and patients visiting the Commune Health Station.

33.1.

Frequency of implementation: weekly or as required by specific health and population programs.

1.

Place of implementation: at the Commune Health Station.

2.

Content: counseling residents and patients on healthcare policies, health insurance, care, treatment, prevention, and improvement of health, nutrition, population, and family planning.

3.

Implementation process and guidance according to specific program guidelines of the Ministry of Health.

4.

Group counseling, special topic talks, and health club activities at the Commune Health Station

5.

Frequency of implementation: at least 02 times/01 month or as required by specific health and population programs.

33.2.

Content: group counseling, special topic talks, and health club activities for residents and patients visiting the Commune Health Station on healthcare policies, health insurance, care, treatment, prevention, and improvement of health, nutrition, population, and family planning.

1.

Place of implementation: at the Commune Health Station.

2.

Content: counseling residents and patients on healthcare policies, health insurance, care, treatment, prevention, and improvement of health, nutrition, population, and family planning.

3.

Service 34

4.

Community health and population communication

5.

Frequency of implementation: at least 02 times/01 month or as required by specific health and population programs.

Household visits and counseling

Place of implementation: at the household.

34.1.

Target group: residents and those suffering from illness in the commune.

1.

Frequency of implementation: weekly or as required by specific health and population programs.

2.

Target group: residents, people suffering from diseases in the commune.

3.

Frequency of implementation: weekly or according to the specific requirements of the health and population programs.

4.

Content: on-site visits, home consultations, subject investigations, environmental health inspections, disease surveillance, monitoring patients under management and treatment at home, promoting health policies, medical insurance, care, treatment, prevention, health improvement, nutrition, population planning and family planning.

5.

Frequency of implementation: at least 02 times/01 month or as required by specific health and population programs.

34.2.

Direct communication and counseling in the community

1.

Implementation location: community service points.

2.

Target group: residents, people suffering from diseases in the commune.

3.

Implementation process and guidance according to specific program guidelines of the Ministry of Health.

4

Content: counseling and guiding residents on health policies, medical insurance, care, treatment, prevention, health improvement, nutrition, population planning and family planning.

5.

Frequency of implementation: at least 02 times/01 month or as required by specific health and population programs.

34.3.

Group counseling, specialized talks, community health club activities

1.

Place of implementation: in the community.

2.

Target group: residents, people suffering from diseases in the commune.

3.

Implementation process and guidance according to specific program guidelines of the Ministry of Health.

4.

Content: organizing specialized talks or health club activities on topics related to counseling and guiding residents on home disease management, prevention, health improvement, health policies, medical insurance, care, treatment, prevention, health improvement, population planning and family planning.

5.

Frequency of implementation: at least 02 times/01 month or as required by specific health and population programs.

Service 35

Communication through village-level broadcasting systems

35.1.

Editing news and articles for broadcasting on village loudspeakers or social media pages of the village

1.

Implementation location: at the village level.

2.

Target group: all residents of the village.

3.

Frequency of implementation: at least 02 articles/month or as required by specific health and population programs.

4.

Content: writing and editing news and articles to be broadcast on village loudspeakers or social media pages about health policies, medical insurance, care, treatment, disease prevention, health improvement, nutrition, population planning and family planning.

5.

Frequency of implementation: at least 02 times/01 month or as required by specific health and population programs.

35.2.

Broadcasting communications on village loudspeakers

1.

Implementation location: at the village level.

2.

Target group: all residents of the village.

3.

Frequency of implementation: at least 02 times/week and daily during campaigns or as required by specific health, population, and nutrition programs.

4.

Content: broadcasting on village loudspeakers the promotional articles edited or the communication materials from higher levels.

5.

Frequency of implementation: at least 02 times/01 month or as required by specific health and population programs.

Service 36

Organizing events and campaigns for communication in the area

1.

Implementation location: at the village level.

2.

Target group: all residents of the village.

3.

Frequency of implementation: as required by superiors and specific health and population programs.

4.

Content: organizing and supervising the implementation of communication activities, events, and campaigns according to themes and guidelines from central, provincial, and district levels.

5.

Frequency of implementation: at least 02 times/01 month or as required by specific health and population programs.

Service 37

Organizing health education communication contests and exchanges in the community

1.

Implementation location: at the village level or other locations decided by competent authorities.

2.

Target group: the community.

3.

Frequency of implementation: as required by superiors and specific health and population programs.

4.

Content: organizing and supervising the implementation of health education communication contests and exchanges according to themes and guidelines from central, provincial, and district levels.

5.

Frequency of implementation: at least 02 times/01 month or as required by specific health and population programs.

XV. Information Technology Application Package

Managing residents' health records

1.

Place of implementation: at commune health centers or healthcare facilities.

2.

Target group: residents or patients with permanent residence or temporary registration within the village.

3.

Frequency of implementation:

- Establish initial health records: 01 time/per individual;

- Update and manage health records: periodically or as needed according to professional guidance from the Ministry of Health and other relevant laws.

4.

Content:

- Establish initial health records: collecting information and establishing health records for residents or patients who visit for the first time or do not have established health records as required;

- Update and manage health records: updating health information of residents or patients during their visits to the Village Health Station and other healthcare facilities;

- Promoting and guiding residents to use the health record management application.

5.

Implementation procedures and guidelines follow: professional guidance from the Ministry of Health.

Service 39

Counseling residents using the Remote Consultation and Treatment Support Platform

1.

Place of implementation: at commune health centers or healthcare facilities.

2.

Target group: residents or patients with permanent residence or temporary registration within the village.

3.

Frequency of implementation:

- 100% of residents receive remote health counseling after seeking medical treatment;

- Each resident receives remote health counseling 02 times/year.

4.

Content:

- Promoting and guiding residents to install and use the Remote Consultation and Treatment Support Application (VTelehealth), ensuring 100% of residents with smartphones have installed and use the remote consultation and treatment application;

- Providing proactive health counseling to residents after they seek medical treatment at healthcare facilities;

- Implementing remote health counseling based on the needs of residents in the village.

5.

Implementation procedures and guidelines follow: professional guidance from the Ministry of Health.