2. FUNCTION To advise the Minister of Health in the two main areas : Designing of Health Care System Structure HRH management

3. H ealth care system structure 1. Advise Minister on designing and regulating the guideline on functions, duties, staffing and organizational structure  Central level : MOH ( Decree No 188/2007/ND-CP )  Local health care system ( Joint Circular No 03/ 2008/TTLT) 2. Provide guideline on criteria, procedures to establish, merger, re-organize or dissolve of the health organizations 3. Advise Minister on regulating the criteria for classification of health facilities 4. Monitor, inspect the implementation of policies related to organizational issues

4. HRH management 1. Involve in developing the National Health policy and HRH strategy/ plan 2. Prescribe rules, procedure and standards for HRH management in accordance with the Law of Civil servant and Government regulation Eg: - Decision 28/2006/QĐ-BYT regulating procedure of evaluation of health staffs - Decision 10/2007/QĐ-BYT regulating criteria for leaders of health organizations

5. HRH management (cont.) 3. To formulate incentive policies for health workers Eg: - The Decree No 64/2009/NĐ-CP on the incentive for health staffs working in the hardship areas; - Decision No 75/ 2009/QĐ-TTg on allowance for village health workers; - Decree No 56/2011/ NĐ-CP on the special professional allowance for public health staffs

6. 4. To determine a required type of health professional Eg: Joint Circular N0 06/2011/TT-BNV regulating the title, government employee code and grade of midwife 5. To set up staffing norms Eg: Joint- circular No 08/ 2007/TTLT regulating staffing norm for public health facilities HRH management (cont.)

7. 6. To monitor, inspect of implementation of HRH policies ( in term of recruitment, HRH using, promotion, rotation, salary/ allowance…) 7. To make plan and organize the continuing training on administrative management, HRH planning and management skills…

8. HRH management (cont.) 8. To collect and analyze data on HRH 9. To conduct researchs related to Health system structure and HRH policies 10. To carry out other assigned duties ( management of the professional associations; the health professional ethics…)

9. Actively involve in the HRH activities in the region

10. Joint AAAH-WHO-MOH Vietnam Conference on HRH, Nov 2009 Output Joint AAAH. WHO Conference. Hanoi.09 : http://www.who.int/hrh/migration/full_expert_group_hanoi.pdf

11. The Second Global Health Workforce Alliance Forum on HRH, Bangkok, Feb, 2011

13. HRH challenge in Vietnam Shortage - Shortage staffs in the preventive service and less attractive specialties - Shortage qualified staffs at local health facilities Structural and skill imbalances - Ratio doctor/nurse: 1: 1.4 - Low percentage of preventive staffs: 13% Inadequate management skills Retention Limited capacity of health training institution Governance - Low capacity of HRH information system - HRH plan/ projection

14. The influence factors Economic status changes Demographic and epidemiological changes ( Aging, new epidemic…) New health policies ( Law of Health insurance, Law of examination and treatment, Law of civil servant, Decree 43 on autonomous …. Re-organization health system International trade policy; Implementation of ASEAN Agreement in health services

15. HRH priorities Key areasPriority activities Health Workforce Plan/ strategy Improve HRH planning skill for different level Strengthen HRH information system, HRH minimum data HRH projection HRH management and retention Improve HRH management skill Provide guideline on standard performance procedures ( job descriptions, monitoring, supervision) Review existing incentive policies and develop new policy to attract and retain HRH in rural areas HRH production Improve capacity of training institutions Accreditation HRH governance, partnerships Implement new related HRH policies ( LET on licensing, Law of Civil Services..) Strengthen coordination within ministries and departments in developing and implementing HRH policies ( MOHF, MOF, MOET…) Set up the HRHG under HPG to get support to address HRH challenges in Vietnam

16. Thank you very much