DECISION

APPROVING THE PROGRAM FOR REHABILITATION SYSTEM DEVELOPMENT DURING 2023 – 2030, WITH A VISION TOWARDS 2050

THE PRIME MINISTER

Pursuant to the Law on Government Organization dated June 19, 2015; the Law dated November 22, 2019 on Amendments to the Law on Government Organization and the Law on Local Government Organization;

Pursuant to the Law on Medical examination and treatment;

Pursuant to the Law on Persons with Disabilities dated June 17, 2010;

Pursuant to the Law on Health insurance dated November 14, 2008 and the Law dated June 13, 2014 on Amendments to the Law on Health insurance;

Pursuant to the 13^th National Assembly’s Resolution No. 84/2014/QH13 dated November 28, 2014 on Ratification of the United Nations Convention on the Rights of Persons with Disabilities;

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Pursuant to the Prime Minister’s Decision No. No. 753/QD-TTg dated June 03, 2023 promulgating the Plan for Implementation of Directive No. 39-CT/TW dated November 01, 2019 of the 12^th Secretariat of the Central Committee of the Communist Party on heightened leadership of the Communist Party over disability affairs;

At request of Minister of Health (MOH),

DECIDES:

Article 1. Approving the Program for Rehabilitation System Development during 2023 – 2030, with a vision towards 2050 (hereinafter referred to as "the Program") with the following contents:

I. SCOPE AND REGULATED ENTITIES

- Subjects of the Program: rehabilitation hospitals, rehabilitation wards, general and specialized hospitals, health stations of communes, wards and commune-level towns (hereinafter referred to as "communes"); persons with disabilities and people that need rehabilitation.

- Scope of implementation: nationwide

II. VIEWPOINTS

Rehabilitation is one of the essential parts of a complete healthcare system; is medical services for people with disabilities and anyone who has acute or chronic injuries, impairments or health issues that hinder physical activities, giving them access to rehabilitation services with high quality, inclusivity and fairness in order to improve health and contribute to sustainable development of society.

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II. Targets

1. Overall targets

Make sure people with disabilities and people in need have access to rehabilitation services with high quality, inclusivity and fairness; reduce the disability rates in the community; contribute to the protection and improvement of the people's health, and assurance of social welfare.

2. Specific objectives by 2030

a) Strengthen prevention of birth defects, early detection and intervention of disabilities, reduce disability rates in the community; ensure that over 90% of children from newborn to 6 years old are screened for early detection and intervention of disability; 90% of provinces and cities implement the community-based rehabilitation model.

b) Maintain, strengthen and develop the system of rehabilitation facilities; make sure over 90% of rehabilitation facilities (including rehabilitation hospitals; rehabilitation centers, rehabilitation wards of health facilities) are maintained, improved and invested in.

c) Improve the quality of rehabilitation services. It is expected that more than 90% of rehabilitation hospitals have good quality according to MOH's rating; 100% of hospitals, orthopedics - rehabilitation centers, units providing rehabilitation services of ministries and central authorities achieved their targets in terms of development of orthopedics - rehabilitation equipment and techniques under plans and planning approved by competent authorities.

d) Develop human resources for rehabilitation in order to have at least 0,5 health workers in rehabilitation per 10.000 people.

3. Vision towards 2050

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b) Community-based rehabilitation becomes a strategic measure for resolving disability issues in Vietnam; community-based rehabilitation is implemented in all communes, districts and provinces and integrated in other social services outside health facilities.

c) All people have access to services including screening, early detection, early intervention of disabilities, essential rehabilitation techniques that meet for their needs

IV. OBJECTIVES AND SOLUTIONS

1. Complete regulations and policies; increase intersectoral cooperation.

a) Continue to review, study, amend, complete regulations of law on rehabilitation for people with disabilities, satisfying practical needs, ensuring people with disabilities and people in need receive care and rehabilitation services.

b) Formulate policies on health insurance coverage for disabled people using rehabilitation instruments, support technology, rehabilitation materials and equipment, customized medical devices, and community-based rehabilitation.

c) Establish and develop rehabilitation majors and professions with their own codes. Introduce job positions in rehabilitation (physiotherapy, occupational therapy, speech therapy, psychotherapy, rehabilitation instruments) and competency standards for rehabilitation professions. Develop rehabilitation-related job positions.

d) Increase cooperation between ministries and central authorities in direction, guidance, inspection, supervision of operations of rehabilitation facilities.

2. Execution of the community-based rehabilitation program

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b) Organize prevention of birth defects; early detection and early intervention of disabilities.

c) Develop a community-based rehabilitation network and deploy the community-based rehabilitation model nationwide.

d) Organize community-based rehabilitation for disabled people who are: revolutionary contributors, dioxin victims, old people, mentally ill people, autistic children.

3. Maintain, strengthen, upgrade, develop the rehabilitation system and rehabilitation techniques.

a) Maintain, improve and develop existing rehabilitation hospitals; invest more in leading and regional rehabilitation hospitals according to planning; develop rehabilitation centers and rehabilitation wards of health facilities of provinces and districts. Encourage development of the network of non-public rehabilitation facilities.

b) Strengthen and develop commune-level health stations to ensure provision of rehabilitation services according to professional and technical levels, and community-based rehabilitation.

c) Maintain, strengthen, upgrade and develop orthopedics - rehabilitation centers, hospitals, units providing rehabilitation services of the Ministry of Labor, War Invalid and Social Affairs, other Ministries and central authorities on the basis of planning approved by the Government or competent authorities.

d) Develop professional techniques; increase application of new and in-depth methods and techniques, cooperate treatment, referral in rehabilitation; execute rehabilitation programs, schemes, projects, in which early detection and early intervention of disabilities in children must be focused on.

4. Assurance of human resources

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b) Increase continuous training; update rehabilitation knowledge and skills of health workers specialized in rehabilitation in a manner that is suitable for their job titles and positions.

5. Complete the system for management of information about health of people with disabilities connected to the personal health information management system; apply information technology in production and supply of rehabilitation instruments.

6. Scientific research and international cooperation

a) Develop programs and plans for cooperation with international organizations and non-governmental organizations in rehabilitation.

b) Research, assess and provide scientific evidence for the following models: early detection, early intervention of disabilities in children aged 0 to 6 and autistic children; early intervention and rehabilitation for patients in intensive care, emergency, stroke, orthopedics - rehabilitation units/centers in hospitals and health facilities; consider medical insurance coverage for rehabilitation services.

7. Increasing communication and social mobilization

a) Encourage authorities, organizations and people to implement policies, regulations of law, professional instructions on rehabilitation, recommendations about prevention, early detection, early intervention of disabilities.

b) Develop and provide programs and educational materials on rehabilitation; diversify methods on communication channels.

c) Encourage organizations and individuals in Vietnam and other countries to run programs for assisting people with disabilities.

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a) Develop a system for inspection and supervision of rehabilitation which is integrated into the national health information system in order to monitor, forecast, supervise risk factors, number of disabled people and fatalities, responsiveness of the health system, and effectiveness of rehabilitation measures.

b) Update, complete, and uniformly apply the instruments for information collection and supervision nationwide; combine with strengthening of the system for collecting information and reports on disabled people's health.

c) Intensify supervision and assessment of rehabilitation activities, prevention of disabilities, progress of the Program and relevant policies of Ministries and central authorities.

d) Annually assess of the implementation of the Program and implementation of the models; promptly propose appropriate revisions to the Program.

V. FUNDING

1. From state budget within the budget estimate for regular spending and annual medium-term public investment plan of ministries and central authorities, relevant associations and local authorities; national target programs, other relevant programs, projects and schemes for execution of activities of the Program in accordance with regulations of law on state budget.

2. Lawful assistance and contributions from enterprises, organizations, individuals in Vietnam and other countries.

3. Ministries, central authorities and local governments shall prepare annual budget estimates for execution of the Program, manage and use the funding in accordance with regulations of law on state budget and public investment.

VI. IMPLEMENTATION ORGANIZATION

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a) Organize the implementation, operate activities of the Program and perform the assigned tasks.

b) Take charge and cooperate with relevant Ministries and central authorities in researching, formulating and promulgating or proposing promulgation of policies, legislative documents, mechanism for intersectoral cooperation in rehabilitation for disabled people; provide professional guidelines for rehabilitation and community-based rehabilitation.

c) Take charge and cooperate with the Ministry of Education and Training, the Ministry of Labor, War Invalid and Social Affairs, relevant Ministries and central authorities, the People’s Committees of provinces in formulating a Plan for execution of the Program within their jurisdiction and capacity.

d) Instruct, inspect, expedite, supervise, assess, summarize the execution of the Program. Provide instructions on reporting the progress and results of the Program; consolidate reports and promptly propose practical adjustments to the targets, objectives, solutions for execution of the Program, report to the Prime Minister.

2. The Ministry of Labor, War Invalid and Social Affairs shall:

a) Communicate the roles and importance of rehabilitation; carry out activities for improvement of health, prevention, early detection, management of treatment, rehabilitation for workers under its management.

b) Take charge and cooperate with the Ministry of Health in opening new majors in production of  rehabilitation instruments.

c) Take charge and cooperate with the Ministry of Health, relevant Ministries, authorities, the People’s Committees of provinces in implementing the Prime Minister’s Decision No. 1942/QD-TTg dated November 18, 2021 approving the Program for improvement of quality of protection and health care for revolutionary contributors, elderly people, children, disabled people and people who need social support during 2021 - 2030.

3. The Ministry of Education and Training shall:

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b) Cooperate with the Ministry of Health in communicating the roles and importance of community-based rehabilitation; carry out activities for improvement of health, prevention, early detection, management of treatment, rehabilitation for disabled children at schools.

4. The Ministry of Finance, the Ministry of Planning and Investment shall preside and request competent authorities to provide funding from annual regular spending estimates and medium-term public investment plans of Ministries, central authorities and local governments to execute the Program in accordance with regulations of law on state budget and public investment.

5. Vietnam Social Security shall cooperate with the Ministry of Health in revising guidance on health insurance coverage for rehabilitation services according to applicable regulations; cooperate in reviewing and amending relevant Articles of the Law on Health insurance regarding health insurance coverage of rehabilitation techniques, instruments, materials, supplies, customized medical devices.

6. Ministries, ministerial agencies, governmental agencies shall, within their jurisdiction, allocate budget, personnel, physical facilities and equipment to execute ht e Program; submit periodic report on the progress and results of the Program according to instructions of the Ministry of Health.

7. The People’s Committees of provinces shall:

a) Direct the execution of the Program as instructed by the Ministry of Health; include the targets of the Programs into their own socio-economic development plans and programs.

b) Allocate adequate personnel and physical facilities; integrate this Program with other programs, objectives, schemes and projects for execution in their provinces.

c) Direct the People’s Committees of districts and communes in their provinces to develop and organize the execution of community-based rehabilitation programs; enable organizations and individuals to organize or participate in community-based rehabilitation.

d) Organize, monitor, inspect, supervise the execution of the Program. Submit annual reports as instructed on the progress and results of the Program to the Ministry of Health for consolidation and reporting to the Prime Minister.

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Article 3. Ministers, heads of ministerial-level agencies, heads of governmental agencies, Presidents of the People’s Committees of provinces, relevant organizations and individuals are responsible for the implementation of this Decision./.

PP THE PRIME MINISTER
DEPUTY PRIME MINISTER




Tran Hong Ha