PREVENTIVE MEDICINE- PHC, NATIONAL TARGET PROGRAMS

NEW POLICIES Eleventh Party Congress on Socio-economic development Strategy 2011 – 2020 Food Safety Law 2010 Prime Minister approved 15 National Target Programs in 2011 (4 NTPs managed by the MOH) 3 Health NTPs in preventive medicine (total of 17 component projects) o Food safety o Control of social diseases and epidemics o HIV/AIDS Control 5-year Health sector plan

2010 Prime Minister signed 6 decisions and decrees on preventive medicine Minister of Health issued 33 circulars guiding implementation of preventive medicine work Drafted and submitted to the Prime Minister for approval o Strategy for the Protection, care and promotion of the people’s health and vision to 2030 o Project for medical waste treatment 2010 – 2015 and orientation to 2020 o Tobacco control law to be passed in 2011 or 2012

REVIEW OF IMPLEMENTATION IN RELATION TO TASKS ASSIGNED

Develop preventive medicine, prevent epidemics Results: MOH has directed localities to undertake disease surveillance, detection, treatment of any cases of influenza A(H1N1), influenza A(H5N1) Directed the NIHE and Pasteur Institute to undertake epidemiological investigations of any reported cases. Direct border gates to strengthen surveillance for people entering from epidemic regions. Collaborate with the Veterinary administration of the MARD to prevent an epidemic of influenza A(H5N1)

Develop preventive medicine, prevent epidemics (2) Difficulties, limitations: Some areas have low awareness of epidemic prevention, grassroots preventive health is understaffed, has weak performance. When ill, some people delay seeking care at health facilities Recommended solutions: Strengthen capacity for surveillance, detection of disease by grassroots health care and district health center. Strengthen IEC on prevention of influenza and other communicable disease.

Improve quality and ensure food safety MOH issued 23 national standards in 2010 and 11 more in 2011 related to hygiene and quality of many foodstuffs. Established Central inter-sectoral steering committee on food safety. Collaborated with the Central Party Committee to strengthen leadership in food safety in the new situation. Difficult to control all small and scattered food processing and distribution establishments. Food prices are rising, people’s food consumption habits are unmindful of the dangers, the penalties for violations lack severity. Strengthen capacity for surveillance, control of the food safety system from the central to the local areas Strengthen inter-sectoral collaboratoin, international cooperation in food safety

Environmental health, responding to emergencies and natural disasters, and emerging diseases Inter-sectoral collaboration has improved considerably, especially between the health sector and the MARD, between military and civilian medical establishments, between the health sector and education sector. UNICEF is supporting MARD and MOH to implement the National strategy for clean water and sanitation in rural areas to Many legal documents related to environmental health have been issued in a timely manner by the Government.. The MOH has established the Administration for environmental health management (5/2010) Many issues are inter-sectoral in nature, require effective coordination from the central and local areas. Many problems require investments of substantial amounts of money. Increase resources to respond to new tasks, long-term developments. Increase international cooperation Find ways to resolve situations using local resources, with reinforcment from the Central and provincial levels.

Coordinate with other agencies and strengthen activities to improve environmental, occupational health and safety, prevent traffic accidents and injuries MOH has developed a comprehensive project for medical waste treatment Issued Joint Circular 01/2011/BYT-BLĐTBXH guiding organizatoin and implementation of labour safety. Developed 2011 plan for the program to build a new rural area and healthy cultural villages. Awareness, practice of government workers, the people on these issues remain low, without any major changes.. Economic profits often impede implementation of responsibilities. Make even more concrete the regulations on inter-sectoral collaboration. Promote IEC to improve knowledge of the people, personal responsibility, and responsibility of the community and local authorities.

Strengthen health information and education Knowledge, practice of the people, government leaders at all levels on protection of health, prevention of disease, environmental sanitation, adopting healthy lifestyles have been improved. Preventive medicine administration has collaborated with the Central and local television and radio to develop attractive IEC messages on health protection, prevention of disease in communities. Joint Circular 20/2010/TT-BTTTT-BYT guiding priority in broadcasting on radio and TV and printed mass media on HIV/AIDS control. Modes of IEC have not been deeply developed, and have not reached all difficult to reach target groups. Investments in health education and communication are inadequate for achieving the goals or implementing the assigned tasks. Strengthen inter-sectoral collaboration. Diversify forms of health IEC

Other tasks Strengthen school health activities, care of mother and child health, health care of the elderly Prevent TB, malaria, leprosy, dengue fever, implement EPI. Prevent and control HIV/AIDS. Complete a model of organization and strengthen the grassroots health network

Thank hou!