Joint Circular No. 36/2010/TTLT-BTC-BYT guiding the management and use of funds for implementing projects on dengue fever prevention and control; diabetes prevention and control; and hypertension prevention and control under the National Target Program to prevent and control certain social diseases, epidemics, and HIV/AIDS for the period of 2006-2010.

JOINT CIRCULAR

GUIDELINES FOR THE MANAGEMENT AND USE OF FUNDS TO IMPLEMENT PROJECTS ON PREVENTION AND CONTROL OF DENGUE FEVER; PREVENTION AND CONTROL OF DIABETES; AND PREVENTION AND CONTROL OF HYPERTENSION UNDER THE NATIONAL TARGET PROGRAM ON PREVENTION AND CONTROL OF CERTAIN SOCIAL DISEASES, DEADLY DISEASES, AND HIV/AIDS FOR THE 2006-2010 PERIOD

dengue fever; Prevention and control of diabetes and prevention and control of hypertension under the Target Program on Prevention and Control of Certain Social Diseases, Epidemic Diseases, and HIV/AIDS for the 2006-2010 period

 social diseases, epidemic diseases, and HIV/AIDS for the 2006-2010 period

 period

______________________

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, Deadly Diseases, and HIV/AIDS for the 2006-2010 period;

Pursuant to Decision No. 172/2008/QĐ-TTg dated December 19, 2008 of the Prime Minister supplementing 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, Deadly Diseases, and HIV/AIDS for the 2006-2010 period;

The Ministry of Finance and the Ministry of Health jointly issue guidelines for the management and use of funds to implement projects on prevention and control of dengue fever; prevention and control of diabetes; and prevention and control of hypertension under the National Target Program on Prevention and Control of Certain Social Diseases, Deadly Diseases, and HIV/AIDS for the 2006-2010 period as follows:

Article 1. General Provisions

1. The Circular applies to agencies and units using funds for the projects on prevention and control of dengue fever; prevention and control of diabetes; and prevention and control of hypertension under the National Target Program on Prevention and Control of Certain Social Diseases, Deadly Diseases, and HIV/AIDS for the 2006-2010 period as specified in Article 1 of Decision No. 172/2008/QĐ-TTg dated December 19, 2008 of the

2. This Circular applies to expenditures from state budget funds for the implementation of the three projects. Projects funded by non-reimbursable aid shall be implemented according to the expenditure levels stipulated in the funding agreements or agreed upon by the representative of the donor, the Ministry of Finance, and the project’s supervising agency; if there is no agreement between the donor or its representative and the Ministry of Finance regarding the expenditure level, then this Circular's stipulated expenditure levels shall apply.

3. The funds for implementing the three projects (including domestic counterpart funds for ODA projects already specified in agreements between the Government of Vietnam and governments of other countries or international organizations) shall be allocated from the state budget within the annual budget estimates of relevant ministries, sectors, and localities according to the current state budget decentralization.

4. In addition to the contents and expenditure levels prescribed in this Circular, depending on financial resources and specific conditions, localities may integrate with national target program funds on their territory, proactively allocate local budgets and lawful financial sources to implement local policies and improve the effectiveness of the three projects.

5. Annually at the time of developing economic and social development plans and state budget estimates, the Head of the Central Project Management Board shall be responsible for publishing a list of key communes and wards as a legal basis for preparing budget estimates, managing, and monitoring project expenditures.

Article 2. Common Contents and Expenditure Levels for the Projects:

The common contents and expenditure levels for the projects shall be carried out in accordance with Section II of Joint Circular No. 147/2007/TTLT-BTC-BYT dated December 12, 2007 of the Ministry of Finance and the Ministry of Health guiding the management and use of funds for the implementation of the National Target Program on Prevention and Control of Certain Social Diseases, Deadly Diseases, and HIV/AIDS for the 2006-2010 period.

Article 3. Special content and expenditure of each project

1. Project on Prevention and Control of Dengue Fever:

a) Expenditure for supporting staff conducting vector identification tests: VND 3,000/sample.

b) Expenditure for supporting staff performing procedures to determine chemical sensitivity and mosquito eradication efficacy of each type of chemical: VND 400,000/sample.

c) Expenditure for supporting staff conducting serological diagnostic tests for dengue fever (from blood collection, transportation to preservation and testing): VND 15,000/sample.

d) Expenditure for supporting staff conducting viral culture and isolation: VND 30,000/sample.

đ) Expenditure for supporting individuals directly spraying and treating chemicals to kill mosquitoes: VND 60,000/person/day.

e) Expenditure for supporting volunteers and individuals directly carrying out environmental sanitation activities, mosquito larvae eradication, and breeding site elimination at household level (excluding household members): VND 1,000/household/month.

g) Expenditure for hiring guides to serve specialized work related to dengue fever prevention and control in delta communes: VND 25,000/person/day.

h) Expenditure for supporting volunteers engaged in health education, mobilization, supervision, vector control, and case detection in key communes and wards: VND 50,000/person/month. The Ministry of Health sets volunteer standards for key communes and wards. The Chairman of the People's Committee of the commune or ward decides the list of key commune and ward volunteers.

i) Expenditure for supporting health station staff in implementing dengue fever prevention and control in key communes and wards: - For Class A provinces: VND 100,000/commune/month. - For Class B and C provinces: VND 70,000/commune/month. The Ministry of Health determines the classification of provinces into Classes A, B, and C for each specific period.

2. Project on Prevention and Control of Diabetes:

a) Expenditure for supporting screening to detect diabetic patients in the community:

- Expenditure for supporting volunteers in compiling lists, selecting samples, sending invitations, and urging screened individuals: VND 50,000/community/day; each community maximum 5 days/screening session.

- Expenditure for supporting individuals conducting screening to detect diabetic patients (in addition to existing travel expenses):

+ For those directly involved: VND 50,000/person/day (maximum 10 people/session).

+ For those providing support: VND 30,000/person/day (maximum 4 people/session). The duration of a screening session in a cluster (community) is a maximum of 5 days. The minimum number of people to be screened is 250 per session.

- Expenditure for drinking water for individuals undergoing glucose tolerance tests: VND 5,000/person.

- Expenditure for testing to detect diabetes and risk factors according to medical expertise. The expenditure level shall be implemented according to the current regulations on hospital fees.

- Support for staff to perform the venipuncture blood collection process and centrifuge the blood sample to obtain serum (from the blood collection stage, transportation to storage and testing): VND 15,000/sample.

- Costs for data compilation and writing reports on the results of screening to detect diabetes patients and risk factors in the community: up to VND 1,000,000/report.

- Costs for renting tables, chairs, backdrops, tents, etc., to serve the screening work (if applicable): up to VND 1,000,000/screening session.

b) Patient management costs: Support for healthcare facilities directly managing patients to establish medical records, provide counseling, and regularly follow up with diabetic patients: VND 5,000/patient/month; up to VND 200,000/healthcare facility/month.

c) Statistical and data consolidation costs for diabetes and risk factors according to the Central Project Management Board's regulations:

- Updating data onto coding forms, entering data into machines, cleaning data, and verifying the reliability of the data: carried out in accordance with Circular No. 137/2007/TT-BTC dated November 28, 2007, of the Ministry of Finance on guidelines for information creation costs.

- Data consolidation and report writing: The cost level for the central level is VND 500,000/year, for provincial level is VND 300,000/year, for district level is VND 200,000/year, and for commune level is VND 100,000/year.

3. Hypertension Prevention and Control Project:

a) Support costs for screening to detect hypertension and risk factors in the community:

- Expenditure for supporting volunteers in compiling lists, selecting samples, sending invitations, and urging screened individuals: VND 50,000/community/day; each community maximum 5 days/screening session.

- Support for personnel involved in screening for hypertension (outside the current travel allowance):

+ For those directly involved: VND 50,000/person/day (maximum 10 people/session).

+ For service personnel: VND 30,000/person/day (maximum 4 people/screening session). The duration of one screening session for one cluster (commune, ward) is a maximum of 5 days. The minimum number of people to be screened per session is 500 people.

- Costs for electrocardiogram and blood tests to assess cardiovascular risk factors according to medical expertise. The cost level is implemented according to the current hospital fee schedule.

- Costs for data compilation and writing reports on the results of screening to detect hypertension and risk factors in the community: up to VND 1,000,000/report.

- Costs for renting tables, chairs, backdrops, tents, etc., to serve the screening work (if applicable): up to VND 1,000,000/screening session.

b) Patient management costs: Costs for establishing medical records, providing counseling, and regularly following up with hypertensive patients and risk factors at healthcare facilities directly managing patients is VND 5,000/patient/month; up to VND 200,000/healthcare facility/month.

c) Costs for supporting technology transfer activities to localities: Implemented according to Circular No. 51/2008/TT-BTC dated June 16, 2008, of the Ministry of Finance guiding the management and use of training and capacity building funds for civil servants.

d) Statistical and data consolidation costs for hypertension and risk factors according to the Central Project Management Board's regulations:

- Updating data onto coding forms, entering data into machines, cleaning data, and verifying the reliability of the data: carried out in accordance with Circular No. 137/2007/TT-BTC dated November 28, 2007, of the Ministry of Finance on guidelines for information creation costs.

- Data consolidation and report writing: The cost level for the central level is VND 500,000/year, for provincial level is VND 300,000/year, for district level is VND 200,000/year, and for commune level is VND 100,000/year.

Article 4. Budget preparation, allocation, management, and settlement

The preparation, allocation, management, and settlement of project budgets shall be carried out in accordance with the provisions of Section IV of Circular No. 147/2007/TTLT-BTC-BYT dated December 12, 2007, jointly issued by the Ministry of Finance and the Ministry of Health.

Article 5. Implementation

This Circular takes effect forty-five days from the date of signature.

During implementation, if there are any difficulties, please promptly reflect them to the Ministry of Finance and the Ministry of Health for research and appropriate supplementation or amendment.