Joint Circular No. 51/2002/TTLT-BTC-BYT guiding the contents and budget allocation for the National Target Program on preventing and controlling certain social diseases, dangerous epidemics, and HIV/AIDS.

MINISTRY OF FINANCE-MINISTRY OF HEALTH ********	SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness ********
Number: 51/2002/TTLT-BTC-BYT	Hanoi, June 3, 2002

 

JOINT CIRCULAR

JOINT CIRCULAR NO. 51/2002/TT-LT/BTC-BYT OF THE MINISTRY OF FINANCE AND THE MINISTRY OF HEALTH ON JUNE 3, 2002 GUIDING THE CONTENT AND LEVEL OF EXPENSES FOR THE NATIONAL TARGET PROGRAM TO PREVENT AND CONTROL CERTAIN SOCIAL DISEASES, DEADLY DISEASES, AND HIV/AIDS

Pursuant to Decision No. 71/2001/QD-TTg dated May 4, 2001 of the Prime Minister on national target programs for the period 2001-2005;
Pursuant to Decision No. 190/2001/QĐ-TTg dated December 13, 2001 of the Prime Minister approving the National Target Program on Prevention and Control of Certain Social Diseases, Deadly Diseases, and HIV/AIDS for the period 2001-2005;
Pursuant to Decision No. 42/2002/QD-TTg dated March 19, 2002 of the Prime Minister on management and implementation of national target programs;
The Ministry of Finance and the Ministry of Health guide the content and level of expenses for projects under the National Target Program on Prevention and Control of Certain Social Diseases, Deadly Diseases, and HIV/AIDS (hereinafter referred to as the PCMSBXH, BDNH & HIV/AIDS Program) as follows:

A. GENERAL PROVISIONS:

1. The PCMSBXH, BDNH & HIV/AIDS Program includes projects specified in Decision No. 190/2001/QĐ-TTg dated December 13, 2001 of the Prime Minister approving the National Target Program on Prevention and Control of Certain Social Diseases, Deadly Diseases, and HIV/AIDS for the period 2001-2005. The budget for the PCMSBXH, BDNH & HIV/AIDS Program is formed from state budget funds and other sources of capital mobilization as prescribed by the State.

2. The subjects of this Circular are all units using the budget of the PCMSBXH, BDNH & HIV/AIDS Program.

B. FINANCIAL MANAGEMENT WORK OF THE PCMSBXH, BDNH & HIV/AIDS PROGRAM:

I. COMMON EXPENSE ITEMS FOR PROJECTS UNDER THE PCMSBXH, BDNH & HIV/AIDS PROGRAM:

1. Expenses for writing, compiling, and translating specialized materials for each project, with specific levels of expenditure as follows:

- Writing and compiling specialized materials: Maximum expense not exceeding 50,000 VND per standard page of 300 words.

- Translating and proofreading materials from Vietnamese to foreign languages: Maximum expense not exceeding 40,000 VND per standard page of 300 words.

- Translating and proofreading materials from foreign languages to Vietnamese: Maximum expense not exceeding 35,000 VND per standard page of 300 words.

2. Expenses for training and professional skill enhancement courses for each project. The level of expenditure shall be in accordance with the current regulations on conference and training expenses.

3. Training, cooperation, and experience exchange abroad, decided by the Head of the Program. The level of expenditure shall be in accordance with the current regulations on short-term overseas travel expenses.

4. Expenses for communication and education work; printing of communication publications, materials, and forms serving the activities of central and local projects. The level of expenditure for publicizing on mass media such as radio, television, and press shall be in accordance with the prices prescribed by the State.

5. Purchase of transportation means for professional activities such as purchasing dedicated vehicles for the health sector; purchasing motorcycles and bicycles suitable for mountainous areas; purchasing boats and rafts (for areas mainly accessed by waterways) after approval by the competent authority.

6. Repair of equipment and professional tools, maintenance and upkeep of drug warehouses, chemicals, vaccines, and biological products.

7. Expenses for periodic evaluation and supervision of the implementation of professional objectives of each project.

8. Expenses for surveys according to the professional content of each project approved by the Ministry of Health. The content and level of expenditure shall be applied in accordance with Circular No. 114/2000/TT-BTC dated November 27, 2000 of the Ministry of Finance guiding the management of survey expenses from state budget funds.

9. Hiring domestic and foreign experts and expert offices (if any).

10. Expenses for rewards according to the Decision of the Minister of Health or the Head of the PCMSBXH, BDNH & HIV/AIDS Program. The content and level of expenditure shall be applied in accordance with Circular No. 25/2001/TT-BTC dated April 16, 2001 of the Ministry of Finance guiding financial management for implementing outstanding achievement reward systems for economic and social tasks and national defense.

11. Research expenses linked to the content of the project according to the research outline approved by the Ministry of Health. The level of expenditure shall be applied in accordance with Joint Circular No. 45/2001/TTLT/BTC-BKHCNMT dated June 18, 2001 of the Ministry of Finance and the Ministry of Science and Technology and Environment guiding certain expense regimes for scientific and technological tasks.

12. Domestic counterpart funds (if any) of ODA and foreign aid projects as stipulated in agreements between the Government of Vietnam and the governments of other countries or international organizations.

13. Payment for train and bus fares for health workers at village and commune levels attending training sessions at district, provincial, and central levels according to the regular passenger transport fare when the commune does not pay travel expenses from the commune budget.

14. Expenses for staff conducting epidemiological surveillance for projects. The level of expenditure is 8,000 VND/person/day in addition to the current travel allowance.

15. Other expenses (if any).

The Project Management Board is responsible for reviewing and announcing the list of key provinces, districts, counties, and communes annually as a legal basis for managing and supervising project expenditures.

II. SPECIFIC EXPENSE ITEMS FOR EACH PROJECT UNDER THE PCMSBXH, BDNH & HIV/AIDS PROGRAM:

In addition to the common content expenses mentioned above, each project may incur special content expenses as follows:

1. Expense items for the Malaria Prevention and Control Project (PCSR):

1.1. Purchase of antimalarial drugs; supporting drugs (including common antibiotics, anti-diarrhea drugs, pain relievers, fever reducers, vitamins).

1.2. Purchase of mosquito control chemicals and testing chemicals.

1.3. Purchase of spraying equipment, insect investigation equipment, microscopes, and testing equipment.

1.4. Purchase of bed nets for poor malaria-endemic areas.

1.5. Expenses for staff of mobile teams working on malaria prevention and control in malaria-endemic districts outside the current travel allowance. The level of expenditure is 8,000 VND/person/day.

1.6. Expenses for commune-level health workers engaged in malaria prevention and control in malaria-endemic communes. The level of expenditure is 60,000 VND/commune/month.

1.7. Expenses for village and hamlet-level health workers or malaria control volunteers in malaria-endemic villages and hamlets. The level of expenditure is 20,000 VND/village or hamlet/month.

1.8. Expenses for staff conducting blood smear tests for malaria parasites. The level of expenditure is 300 VND/slide.

1.9. Expenses for bait and nighttime mosquito catchers. The level of expenditure is 15,000 VND/person/night.

1.10. Expenses for those directly involved in mosquito control spraying. The level of expenditure is 15,000 VND/person/day.

1.11. Support expenses for microscope operators during malaria outbreaks. The level of expenditure is 10,000 VND/person/day.

2. Expense items for the Goiter Prevention and Control Project:

2.1. Purchase of treatment drugs and chemicals to prevent iodine deficiency disorders.

2.2. Purchase dedicated ultrasound machines for the thyroid gland, iodine urine quantification machines, thyroid hormone quantification machines, pituitary hormone quantification machines, radiation measurement devices, and accompanying accessories to equip centers (stations) responsible for goiter prevention functions in provinces and centrally administered cities.

2.3. Pay for the labor cost of testing iodized salt samples. The payment rate is 1,500 dong per sample.

2.4. Pay for the labor cost of testing urinary iodine quantification. The payment rate is 2,000 dong per sample.

2.5. Pay for the labor cost of testing pituitary hormone quantification (T3, T4, TSH). The payment rate is 2,000 dong per sample.

2.6. Pay for medical staff traveling to collect iodized salt samples at households, production sites, storage locations, retail points, and field urine samples. The payment rate is 1,000 dong per sample.

2.7. Pay for medical staff traveling to collect blood samples at field locations and transporting blood samples for testing. The payment rate is 2,000 dong per sample.

2.8. Provide support for each county with a fixed allowance for full-time staff engaged in iodine deficiency disorder prevention work if they maintain a minimum household coverage rate of 70%. The payment rate is 50,000 dong per fixed allowance per month.

2.9. Pay for the labor cost of monitoring iodized salt quality at households, production sites, and retail points to determine factors affecting iodized salt quality and reasons for non-use, based on the supervision form issued by the Ministry of Health. The specific payment rates (including travel expenses and data collection costs) are as follows:

- The payment rate for mountainous, border, and island areas is 12,000 dong per supervision form (household), while for other regions it is 10,000 dong per supervision form (household).

- The payment rate for monitoring iodized salt quality at production sites and retail points is 5,000 dong per supervision form.

- Pay for data entry into computers, analysis, and processing of data. The payment rate is 2,000 dong per household supervision form; 1,000 dong per production site or retail point supervision form.

- Pay for the labor cost of medical staff guiding the organization and monitoring of iodized salt quality supervision work. The payment rate is 30,000 dong per commune supervised per round. The list of communes to be supervised is decided by the Project Management Board.

3. Contents of the Expanded Immunization Program (EIP) project funding:

3.1. Purchase, receive, store, and transport vaccines to district and commune levels to serve the EIP.

3.2. Purchase equipment and tools for vaccine storage and transportation, injection supplies, and safety assurance tools for EIP operations.

3.3. Support the purchase of equipment, tools, diagnostic reagents, and chemicals for laboratories serving EIP work at central and regional institutes.

3.4. Pay for the labor cost of testing stool samples to detect polio. The payment rate is 3,000 dong per double sample.

3.5. Pay for the labor cost of testing measles serum samples. The payment rate is 2,000 dong per sample.

3.6. Provide support for full-time medical staff engaged in EIP work in particularly difficult communes as specified by the Government, with a fixed allowance per commune. The payment rate is 20,000 dong per fixed allowance per month.

3.7. Pay for medical staff traveling to administer vaccinations that include giving children eight doses of vaccine within nine to twelve months. The payment rate for mountainous, remote, and island areas is 3,000 dong per fully vaccinated child, while for other areas it is 1,500 dong per fully vaccinated child.

3.8. Pay for medical staff traveling to administer tetanus toxoid vaccinations to pregnant women and women of reproductive age (15-35 years) in key districts. The payment rate for mountainous, remote, and island areas is 2,000 dong per fully vaccinated person, while for other areas it is 1,000 dong per fully vaccinated person.

3.9. Pay for medical staff traveling to administer two doses of oral polio vaccine spaced one month apart during national or regional vaccination campaigns. The payment rate for mountainous, remote, and island areas is 1,000 dong per fully vaccinated child, while for other areas it is 500 dong per fully vaccinated child.

3.10. Pay for surveillance of one acute flaccid paralysis case from onset of illness to day 60, including specimen collection and transfer according to regulations. The payment rate for mountainous, remote, and island areas is 150,000 dong per case, while for other areas it is 50,000 dong per case.

3.11. Pay for surveillance of one suspected neonatal tetanus, measles, or other disease cases within the scope of the EIP project. The payment rate for mountainous, remote, and island areas is 15,000 dong per case, while for other areas it is 5,000 dong per case.

3.12. Pay for medical staff participating in disease control efforts for diseases within the scope of the EIP project. The payment rate is 12,000 dong per person per day.

3.13. Pay for medical staff traveling to administer one of the following vaccines: Hepatitis B virus, Encephalitis, Cholera, Typhoid, Measles second dose. The payment rate for mountainous, remote, and island areas is 1,000 dong per dose per child, while for other areas it is 500 dong per dose per child.

4. Contents of the Tuberculosis Prevention and Control Project funding:

4.1. Purchase, receive, store, and transport anti-tuberculosis drugs and tuberculin to commune and ward levels.

4.2. Purchase, receive, store, mix, and transport chemical reagents for testing to provincial and district levels.

4.3. Purchase, receive, store, and transport microscopes, safety slides, microscope slides, sputum cups, X-ray machines, X-ray films, gloves, masks, protective coats, and testing equipment to provincial, district, and commune levels.

4.4. Pay for commune medical staff (one fixed allowance per commune) directly examining and referring tuberculosis patients to the tuberculosis control team. The payment rate is 10,000 dong per fixed allowance per month.

4.5. Pay for laboratory technicians performing three sputum tests for suspected tuberculosis patients who come for examination. The payment rate is 3,000 dong per patient.

4.6. Pay for medical staff conducting screening activities to identify primary sources of infection (smear-positive pulmonary tuberculosis). The payment rate is 10,000 dong per smear-positive tuberculosis patient.

4.7. Pay for commune, ward, and village medical staff directly distributing daily medication to tuberculosis patients during an 8 or 9-month treatment period. The payment rate for mountainous, remote, and island areas is 100,000 dong per patient, while for other areas it is 60,000 dong per patient.

4.8. Pay for medical staff conducting monitoring, supervision, health education, and awareness-raising activities for tuberculosis patients during treatment. The payment rate for mountainous, remote, and island areas is 10,000 dong per patient per month, while for other areas it is 5,000 dong per patient per month.

4.9. Pay for staff conducting slide quality control (mixing and examining slides). The payment rate is 1,000 dong per slide examined.

5. Contents of the Leprosy Prevention and Control Project funding:

5.1. Purchase of medicines and chemicals for leprosy detection and treatment work.

5.2. Purchase of specialized medical equipment and drug storage facilities for leprosy detection and rehabilitation work. Purchase of raw materials and production of essential items such as corrective shoes and sandals for deformed patients.

5.3. Surgical treatment for deformed leprosy patients. The subsidy level for corrective surgery for deformed leprosy patients is as follows:

Recipient	Subsidy rate per surgery day
	Type I surgery	Type II surgery	Type III surgery
- Principal surgeon	23.000	15.000	11.000
- Assistant surgeon	15.000	11.000	8.000
- Support staff	11.000	8.000	4.000

5.4. Support expenses for healthcare workers and volunteers directly involved in mobile outreach activities for leprosy patient care at home. The expense rate is 10,000 VND per person per day.

5.5. Expenses for healthcare workers directly distributing medication and monitoring leprosy patients at home, detailed as follows:

- Patients with low bacterial load, treated for 6 to 9 months: 84,000 VND per patient.

- Patients with high bacterial load, treated for 12 months in remote areas with high prevalence rates: 240,000 VND per patient.

- Patients with high bacterial load, treated for 24 to 36 months: 240,000 VND per patient.

5.6. Expenses for healthcare workers diagnosing new leprosy patients. The expense rate is 100,000 VND per patient.

5.7. Expenses for healthcare workers treating leprosy patients with healed ulcers. The expense rate is 50,000 VND per non-bone-inflamed patient, 100,000 VND per bone-inflamed patient.

5.8. Subsidies for health workers during mass screening campaigns to detect leprosy patients. The expense rate is 120,000 VND per 1,000 people screened in plains areas, 240,000 VND per 1,000 people screened in mountainous, remote, and island areas.

5.9. Expenses for leprosy control workers who have achieved early detection of leprosy reactions and timely treatment to prevent disability. The expense rate is 50,000 VND per patient.

5.10. Rental of transportation means for transporting extremely poor leprosy patients from their homes to health stations, leprosariums, or regional hospitals due to severe leprosy reactions or treatment complications. The expense rate is 3,000 VND per kilometer.

5.11. Expenses for laboratory technicians performing two smear tests for Mycobacterium leprae in suspected leprosy patients or those currently undergoing treatment and under surveillance (one sample from the earlobe, two samples from skin lesions). The expense rate is 5,000 VND per patient.

6. Contents of the Dengue Fever Prevention and Control Project:

6.1. Purchase of mosquito eradication chemicals, diagnostic serological reagents, and viral isolation chemicals.

6.2. Purchase of chemical spraying machines and replacement parts, entomological investigation tools, microscopes, laboratory equipment, and diagnostic devices for grassroots levels.

6.3. Expenses for entomology laboratory technicians identifying mosquito species that transmit disease. The expense rate is 1,000 VND per sample.

6.4. Expenses for entomology laboratory technicians testing chemical sensitivity and mosquito eradication effectiveness. The expense rate is 200,000 VND per sample.

6.5. Expenses for serology laboratory technicians diagnosing dengue fever. The expense rate is 6,000 VND per sample.

6.6. Expenses for blood collectors and sample transporters. The expense rate is 2,000 VND per sample.

6.7. Expenses for personnel conducting viral isolation (cell culture, cultivation, virus identification). The expense rate is 15,000 VND per sample.

6.8. Expenses for personnel directly applying and spraying chemicals to eradicate mosquitoes and implementing measures to eliminate mosquito larvae. The expense rate is 15,000 VND per person per day.

6.9. Expenses for community collaborators engaged in dengue fever prevention and vector control activities, including case detection in key urban districts. The expense rate is 25,000 VND per person per month.

6.10. Remuneration for healthcare workers concurrently responsible for dengue fever prevention and control in:

- Central cities and provinces implementing the project: 40,000 VND per quota per month (maximum of 2 quotas per province/city).

- Key districts and counties of the project: 20,000 VND per quota per month (maximum of 2 quotas per district/county).

- Key communes and wards of the project: One quota per commune. The expense rate is 20,000 VND per quota per month.

7. Contents of the Community Mental Health Protection Project:

7.1. Purchase of specialized medications for mental health treatment in communes and wards implementing the project (list of communes and wards implementing the project determined by the Project Management Board).

7.2. Purchase of specialized medical equipment for project operations, such as electroencephalogram machines, cerebral blood flow machines, electroconvulsive therapy machines, etc.

7.3. Expenses for healthcare workers assigned to regularly distribute medication to patients, one worker per commune. The expense rate is 20,000 VND per person per month.

7.4. Expenses for community collaborators participating in functional rehabilitation for patients in communes and wards. The expense rate is 10,000 VND per patient per month in mountainous, remote, and island areas, and 5,000 VND per patient per month in other regions.

7.5. Expenses for healthcare workers examining and creating medical records for newly diagnosed schizophrenia patients in communes and wards implementing the project. The expense rate is 30,000 VND per medical record.

7.6. Expenses for model communes implementing integrated mental health protection programs. The expense rate is 60,000 VND per commune per month.

7.7. Expenses for county-level healthcare workers tasked with supervising mental health patients in communes implementing the project. The expense rate is 20,000 VND per commune per inspection visit.

7.8. Expenses for mental health promotion activities at various levels. Specific expense rates are as follows:

- In provinces implementing the project: 800,000 VND per province per year.

- In districts implementing the project: 500,000 VND per district per year.

- In communes implementing the project: 100,000 VND per commune per year.

7.9. Expenses for hiring guides to escort first-time mental health patient visits at home. The expense rate is 15,000 VND per person per day in mountainous, remote, and island areas, and 10,000 VND per person per day in other regions.

8. Contents of the Child Malnutrition Prevention and Control Project:

8.1. Purchase of measuring tapes and scales for children's health.

8.2. Remuneration for dedicated nutrition officers in key communes and wards, one quota per commune/ward. The expense rate is 20,000 VND per quota per month.

8.3. The remuneration for nutrition cooperators who are health workers at village and commune levels in key villages and communes; each village and commune has one quota. The expenditure level is 10,000 VND/quota/month.

8.4. Expenditure to support children under 2 years old who have not gained weight in three consecutive months. The expenditure level is 36,000 VND/child/three months.

8.5. Expenditure to support pregnant women who have gained less than 2.5 kg after six months of pregnancy. The expenditure level is 30,000 VND/pregnant woman/three months.

8.6. Expenditure for practical nutrition activities and food preparation techniques for pregnant women, with an expenditure level of 2,000 VND/pregnant woman/session and for under-two-year-old children with slow weight gain, with an expenditure level of 2,000 VND/child/session.

8.7. Expenditure to support part of the activities related to breastfeeding and appropriate complementary feeding.

8.8. Expenditure for nutritional care counseling activities for pregnant women (weight monitoring, dietary guidance, micronutrient supplementation...).

8.9. Purchase of nutritional products to be provided to pregnant women and children under five years old suffering from malnutrition in model communes and wards.

8.10. Support for regular weighing activities for children under five years old twice/year. The expenditure level is 500,000 VND/commune/year for mountainous, remote, and island communes and 300,000 VND/commune/year for other communes.

8.11. Expenditure to support some model activities on child health care. The expenditure level is 5,000,000 VND/model/year.

8.12. Expenditure for remuneration of staff performing concurrent duties in the Prevention and Control of Child Malnutrition Project at:

- Provincial level, centrally-administered cities implementing the Project: 40,000 VND/quota/month (maximum not exceeding two quotas/provincial-level centrally-administered city).

- District level, centrally-administered towns implementing the Project: 20,000 VND/quota/month (maximum not exceeding two quotas/district-level centrally-administered town).

9. Contents of expenditure for the Project on Ensuring Quality and Food Safety:

9.1. Purchase of equipment, tools, chemicals for testing contaminated food, serving sampling, preservation, and transportation of food samples during specialized inspections and checks.

9.2. Expenditure for purchasing food samples for testing and inspection of food safety and hygiene.

9.3. Expenditure for hiring laboratories to test chemical, biological pollution indicators, veterinary drugs in food according to the price set by the competent authority.

9.4. Expenditure to support staff participating in inter-sectoral coordination activities such as regular or spot inspections, sample collection, testing of food, surveying chemical, biological pollution indicators, veterinary drugs in food outside the current travel allowance system. The expenditure level is 8,000 VND/person/day.

9.5. Expenditure for hiring local laborers to participate in food poisoning investigations, detection of violations of food quality and safety regulations. The expenditure level is 15,000 VND/person/day.

9.6. Expenditure for the activities of model projects on quality management and food safety; food poisoning surveillance in key communes and wards. The expenditure level is 5,000,000 VND/commune/ward/year.

9.7. Expenditure for the construction of technical standards for food quality and safety testing; inter-sectoral cooperation in the construction and review of food safety standards. The expenditure level applies according to Circular Joint No. 45/2001/TTLT/BTC-BKHCNMT dated June 18, 2001, issued by the Ministry of Finance and the Ministry of Science and Technology and Environment guiding certain expenditure regulations for scientific and technological tasks.

9.8. Expenditure to support food safety cooperators in key communes and wards. The expenditure level is 20,000 VND/commune/ward/month.

9.9. Expenditure for staff performing concurrent duties in food safety at various levels:

- Provincial level, centrally-administered cities implementing the Project: 40,000 VND/quota/month (maximum not exceeding two quotas/provincial-level centrally-administered city).

- District level, centrally-administered towns implementing the Project: 20,000 VND/quota/month (maximum not exceeding two quotas/district-level centrally-administered town).

10. Contents of expenditure for the HIV/AIDS Prevention and Control Project:

10.1. Expenditure for purchasing equipment, medicines, chemicals, biological materials serving professional work.

10.2. Expenditure to support peer education or group intervention activities aimed at reducing harm in provinces. Each province receives one quota, and provinces with a high HIV/AIDS infection rate of over 40 people per 100,000 population receive two quotas. The expenditure level is 80,000 VND/quota/month.

10.3. Payment for remuneration of full-time staff working on HIV/AIDS prevention, healthcare workers, and prison officers directly caring for, treating, and managing education for HIV/AIDS-infected individuals in the following facilities: Key communes and wards; Centers 05, 06; Prisons; Educational institutions, juvenile detention centers. Facilities with up to 50 infected individuals receive one quota; facilities with 51 to 100 infected individuals receive two quotas; facilities with 101 or more infected individuals receive three quotas. The expenditure level is 80,000 VND/quota/month.

10.4. Expenditure to support staff engaged in supervision, investigation, and organization of interventions to prevent the spread of HIV/AIDS in epidemic areas beyond the current travel allowance system. The expenditure level is 12,000 VND/person/day.

10.5. Expenditure for staff directly involved in testing activities (including organizing tests and other related costs, the number of surveillance samples assigned by the Project Management Board to the facility) as follows:

- Priority surveillance, HIV/STD detection surveillance, expenditure level is 5,000 VND/sample.

- Blood screening testing in blood transfusion, expenditure level is 3,000 VND/sample.

10.6. Expenditure to support medical staff directly treating and caring for AIDS patients in state-run healthcare facilities, social welfare institutions managed by the Ministry of Labor, Invalids and Social Affairs, prisons, temporary detention centers, educational institutions, juvenile detention centers managed by the Ministry of Public Security, or at home based on actual treatment days. The expenditure level is 5,000 VND/treatment day/patient.

10.7. Expenditure to support antiretroviral drugs for opportunistic infections for poor HIV/AIDS patients and doctors directly caring for HIV/AIDS patients who have been infected and are currently being treated in state-run healthcare facilities. The expenditure level is 100,000 VND/patient/year.

10.8. Support for management, care, and counseling activities for people infected with HIV/AIDS in the community and at Centers 05, 06; prisons, educational facilities, and rehabilitation schools shall be provided at the following levels:

- Support for organizing social activities, learning, and information exchange counseling for individuals infected with HIV/AIDS. The level of support is 50,000 VND per HIV/AIDS patient per year.

- Provision of certain preventive tools against HIV/AIDS infection for HIV/AIDS patients such as condoms and syringe pumps. The level of support is 20,000 VND per person infected per year.

- Support for providing regular medication to treat opportunistic infections for AIDS patients at least once every three months. The level of support is 60,000 VND per AIDS patient per year.

- Support for visiting when an AIDS patient dies. The level of support is 50,000 VND per deceased AIDS patient.

10.9. Support for medical facilities, Centers 05, 06, prisons, temporary detention centers, educational facilities, and rehabilitation schools to carry out hygiene and epidemic prevention work when there is a death of a person infected with HIV/AIDS. The level of support is 100,000 VND per deceased AIDS patient.

10.10. Partial support for food expenses for HIV/AIDS-infected individuals who are no longer capable of working at Centers 05, 06 under the Ministry of Labor, Invalids, and Social Affairs when they have exceeded the duration of their allowance from Programs 05, 06. The support period does not exceed six months. The level of support is 50,000 VND per person per month.

10.11. Support for educational and promotional activities for people infected with HIV/AIDS at Centers 05, 06, prisons, and rehabilitation schools. The support is provided through communication materials valued at 5,000 VND per patient per month.

10.12. Payment for staff performing part-time work on HIV/AIDS prevention tasks at various levels:

- Provinces and centrally-administered cities implementing the Project: 40,000 VND per standard unit per month (maximum two standard units per province or centrally-administered city).

- Districts, counties, and towns implementing the Project: 20,000 VND per standard unit per month (maximum two standard units per district, county, or town).

10.13. Support for teams of volunteers conducting promotional and behavioral change activities in key communes and wards (maximum two volunteers per commune or ward). The level of support is 20,000 VND per person per month.

C. WORK ON ESTABLISHING BUDGETS, ISSUING FUNDS, SETTLING ACCOUNTS, AND REPORTING SYSTEMS:

The financial resources of the National Target Program on Prevention and Control of Certain Social Diseases, Dangerous Epidemics, and HIV/AIDS are managed, budgeted, issued, and settled according to the provisions of the State Budget Law and current guiding documents. Units using the program's funds must maintain accounting books to record, account for, and settle the program's funds according to the regulations of the Government Accounting System. In addition, the inter-ministry will provide specific guidance on the following additional matters:

1. Reporting System:

Each year, the Health Departments of provinces and centrally-administered cities are responsible for compiling and reporting the allocation and budgeting situation of the Prevention and Control of Social Diseases, Dangerous Epidemics, and HIV/AIDS Program to the Ministry of Health (according to the attached form), and sending it to the Ministry of Finance and the Ministry of Planning and Investment.

Heads of Ministries, sectors, and Chairpersons of People's Committees of provinces and centrally-administered cities are responsible for reporting financial situations and results of project implementation according to current regulations.

2. Due to the special nature of the Prevention and Control of Social Diseases, Dangerous Epidemics, and HIV/AIDS Program, from the beginning of the first quarter each year, the financial authority has the responsibility to pre-fund according to the projects' requests to implement activities.

3. In exceptional cases, according to the decision of the Program Director, the Central Project Management Board transfers funds to ministries, sectors, and localities to fulfill contracts regarding professional responsibilities. The Head of the Project Management Board or the head of the unit assigned to manage the project's funds must approve the budget expenditure according to the current national standards and rates. Ministries, sectors, and localities are responsible for spending according to the standards and rates and preparing a final report on the allocated funds sent to the Project Management Board (with copies of expenditure vouchers) for the Project Management Board to review and consolidate into the project's final report.

4. For funds allocated in kind:

- Central Projects must inform the Health Department (for local health) and the supervising agency (for ministries and sectors) about the quantity and unit price of each type of item distributed each time so that the Health Department and supervising agencies can monitor and manage. For fixed assets, there must be a handover document between the Project Management Board, the recipient representative, the Health Department (or supervising agency), and the Department of Finance and Price. The Health Department and supervising agencies are responsible for guiding units to properly track, manage, and use the items received for their intended purpose effectively.

- Central Projects are responsible for summarizing and settling the value of items distributed to ministries, sectors, and localities in the final report of the project to be consolidated by the Ministry of Health for settlement with the central budget. Ministries, sectors, and localities receiving funds in kind from the Central Project Management Board do not need to settle accounts with their own budgets but must maintain records to closely monitor the issuance, use, and inventory of the items received.

D. EFFECTIVE DATE:

This Circular takes effect 15 days after its signing and replaces Circular Joint No. 30/1999/TT-LT dated March 23, 1999, and No. 14/2000/TT-LT dated February 22, 2000, of the Ministry of Finance and Health; Circular No. 128/1999/TT-BTC dated October 26, 1999, and Circular No. 19/2001/TT-BTC dated March 30, 2001, of the Ministry of Finance. Previous regulations inconsistent with this Circular are abolished. The funds to implement this Circular are allocated in the annual budget of the Program assigned by the State. For the year 2002, it is proposed to allocate within the already assigned budget. During implementation, if there are difficulties, please reflect them to the inter-ministries for consideration and resolution.

Le Ngoc Trong (Signed)

Nguyễn Thị Kim Ngân (Signed)

 

REPORT

BUDGET ALLOCATION OF THE PREVENTION AND CONTROL PROGRAM FOR CERTAIN SOCIAL DISEASES, DANGEROUS EPIDEMICS, AND HIV/AIDS.

Year:...

(According to the Decision of the Provincial People's Committee)

Unit: VND

Project Name	Implementation in previous year			Next Year's Budget Estimate			Remarks
	(thousand dong/year)	Central Funding	Raised funds	(thousand dong/year)	Central Funding	Raised funds
1-Malaria Prevention
2-Goiter Prevention
3-Expanded Immunization
4-Tuberculosis Prevention
5-Polio Prevention
6-Dengue Fever Prevention
7-Early Childhood Development Disorder Prevention
8-HIV/AIDS Prevention
9-Assuring Food Safety and Public Health Quality
10-Community Mental Health Protection
Total

Date...

Director of Health Department

(Signature, stamp)