Circular No. 5/BYT-TT guiding the implementation of Decision No. 203-HĐBT dated December 28, 1988 on the salary and living expenses of health workers at commune, ward, and town levels.

CIRCULAR

OF THE MINISTRY OF HEALTH NO. 5/BYT-TT ON APRIL 3, 1989

GUIDELINES FOR IMPLEMENTING DECISION NO. 203/HĐBT ON DECEMBER 28, 1988

REGARDING SALARIES AND LIVING ALLOWANCES FOR HEALTH WORKERS IN COMMUNES, WARD, AND TOWNHOODS.

Pursuant to Decision No. 123/HĐBT dated August 19, 1987 of the Council of Ministers on the salary and policy for health workers in communes, wards, and townhoods.

Pursuant to Decision No. 203-HĐBT dated December 28, 1988 of the Council of Ministers and Circular No. 2-TT/LĐTBXH dated January 12, 1989 of the Ministry of Labor, Invalids, and Social Affairs regarding salaries for civil servants and public employees.

Pursuant to Circular No. 244-TC/HCVX dated March 23, 1989 of the Ministry of Finance regarding guidance on Decision No. 203-HĐBT on the salary system for commune health workers.

The Ministry of Health guides the recalculation of new salaries and living allowances for health workers in communes, wards, and townhoods as follows:

I - OBJECTS, PRINCIPLES, AND METHODS FOR RECALCULATING NEW SALARIES AND LIVING ALLOWANCES.

1. Recipients.

Article 2 of Decision No. 123-HĐBT dated August 19, 1987 of the Council of Ministers stipulates: "Health workers in communes who have been trained according to a unified national program but have not yet been recruited into state staff shall be entitled to living allowances according to the salary table for state health workers with the same level of expertise and years of service, and shall enjoy regional subsidies, price differential allowances, and food and goods purchases as prescribed in Decisions No. 156-CP dated October 7, 1968 of the Council of Ministers and Decision No. 111-HĐBT dated October 13, 1981 of the Council of Ministers; they shall also enjoy industry-specific benefits, responsibility allowances, infection and hazardous work allowances, study allowances, social insurance benefits such as retirement, disability, resignation, illness, childbirth, death, and hardship assistance... as provided for state health workers."

- Points 1 and 3 of Circular No. 26-TT/LB dated October 28, 1987 of the Ministry of Health and Ministry of Finance guiding Decision No. 123-HĐBT of the Council of Ministers stipulate:

Health workers in communes, wards, and townhoods shall be assigned living allowances according to the D1/5 salary table for state health workers as prescribed in Decree No. 235-HĐBT dated September 18, 1985 of the Council of Ministers, and "when the state changes the salary, allowance, and subsidy systems for civil servants and public employees, these changes shall also apply to commune health workers." According to Circular No. 2-TT/LĐTBXH dated January 12, 1989 of the Ministry of Labor, Invalids, and Social Affairs, "health workers receiving salaries working in communes, wards, and townhoods belong to the category recalculating new salaries."

Therefore, health workers in communes, wards, and townhoods (including health workers from county health departments assigned to communes), newly recruited health workers into state staff, those not yet recruited into state staff, currently receiving salaries and living allowances according to Decision No. 123-HĐBT dated August 19, 1987 of the Council of Ministers and Circular No. 26-TT/LB dated October 28, 1987 of the Ministry of Health and Ministry of Finance all fall within the category eligible for recalculating new salaries and living allowances according to Decision No. 203-HĐBT dated December 28, 1988 of the Council of Ministers.

2. Method for Recalculating New Salaries:

The salaries, living allowances, and responsibility, infection, hazardous work, and industry-specific allowances for commune health workers shall be recalculated as follows:

- Salaries and living allowances according to position based on the D1/5 health worker salary table of Decree No. 235-HĐBT dated September 18, 1985 and Decision No. 123-HĐBT dated August 19, 1987 of the Council of Ministers divided by 220 dong, multiplied by 22,500 dong.

256đ x 22.500

Example: ---------------- = 26,182 dong

220

Specific levels are as follows:

³ ³ ³

The recalculated salary and living allowance paid in cash still allows for the purchase of rice and the difference in price is subsidized according to Circular No. 13-TT/LB dated July 18, 1988 of the Ministry of Agriculture, Ministry of Industry and Foodstuffs, and Ministry of Health.

- Allowances for village, hamlet, tribe, and settlement health workers in highland mountainous areas, border regions, remote islands, and the Central Highlands region are half the level of allowances for commune health workers with the same level of expertise, funded by the provincial or district state budget and specifically decided by the Provincial People's Committee. Allowances for village, ward, cooperative, and production group health workers in plains and midlands regions are paid for days spent on health work from the commune health service fund, contributions from the people, or income from health services.

- Allowances at a percentage of salary (5-7%) such as responsibility, preference, infection, and hazardous work allowances are calculated based on the newly recalculated salary and living allowance:

For example, a chief health station assistant with a salary of 290 dong and a responsibility allowance of 7% would be calculated as follows: (290 : 220) x 22,500 đ x 7% = 2,076 dong).

- On-call allowances continue to be implemented according to Circular No. 12-LĐTBXH/TT dated August 3, 1988 of the Ministry of Labor, Invalids, and Social Affairs, specifically each shift entitles the recipient to one meal, with the following quantities:

Rice 150 grams

Pork loin 40 grams

Vegetables 200 grams

Other expenses 20% of the value of the above quantities

Currently, many localities are promoting payment in cash. Calculating the above quantities based on current retail prices results in allowances ranging from 300 dong to 450 dong. Therefore, allowances should be adjusted reasonably based on local financial capacity and price levels.

Each health station has one on-call allowance. In places where beds are brought back to the commune and there are 5 to 10 beds with patients and pregnant women staying for treatment, two on-call allowances can be arranged.

II - SOURCES OF FUNDS TO COVER EXPENSES

Still implemented according to Point III of Circular No. 26-TT/LB dated October 28, 1987 of the Ministry of Health and Ministry of Finance. Currently, three-quarters of provinces and cities implement the form of the provincial or district state budget paying salaries, so this remains unchanged and continues to be implemented.

In places where economic conditions are difficult, the provincial or district state budget pays. In places where the state budget pays half and the commune budget pays half, it is advisable to adopt the form:

The district pays salaries and living allowances.

The commune shall pay allowances for responsibility, benefits, permanent duty, infection, food sale, subsidized food prices, subsistence allowance (if any), travel expenses, short-term and long-term study allowances, and allowances for village and ward health officers.

III- IMPLEMENTATION PROVISIONS

This Circular takes effect from January 1, 1989.

The Director of the Department of Health is responsible for guiding, supervising, and reporting the implementation results effectively to the Ministry of Health.

It is requested that the People's Committees of provinces, cities, special administrative regions, districts, towns, and communes pay close attention to the implementation of Decision No. 123-HĐBT dated August 19, 1987 of the Council of Ministers and this Circular.

Any difficulties encountered during implementation should be reported to the Ministry of Health for research and resolution.