DECISION

APPROVAL OF NATIONAL STRATEGY FOR PREVENTING AND CONTROLLING CANCERS, CARDIOVASCULAR DISEASE, DIABETES, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, BRONCHIAL ASTHMA AND OTHER NONINFECTIOUS DISEASES DURING THE 2015 – 2025 PERIOD

THE PRIME MINISTER

Pursuant to the Law on Government Organization dated December 25, 2001;

Pursuant to the National Strategy for public health protection, care and improvement for the period of 2011 – 2020 with vision towards 2030;

Upon the request of the Minister of Health,

HEREBY DECIDES

Article 1. Approval of the national strategy for preventing and controlling cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease, bronchial asthma and other noninfectious diseases during the 2015-2025 period (hereinafter referred to as Strategy), including the followings:

I. VIEWPOINTS

1. Cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease, bronchial asthma and other noninfectious diseases (hereinafter referred to as noninfectious diseases) cause serious impacts on public health and the socio-economic development of the country because of the large number of persons contracting these diseases, high rates of impairment and death caused by these diseases. Effective prevention and control of noninfectious diseases will restrain the number of persons contracting these diseases amongst the public, prevent impairments and early deaths and reduce patient overloads in hospitals.

2. Prevention and control of noninfectious diseases are deemed as responsibilities that must be assumed by all-level regulatory authorities that will take direct control of these tasks, sectoral administrations, especially health regulatory entities playing pivotal roles, and each individual.

3. Control of risk factors for these diseases, such as smoking, alcohol abuse, irrational nutrition, unsafe food and lack of physical activity, and proactive surveillance and early detection of diseases, medical treatment, ongoing and long-term management of patients contracting these diseases at primary healthcare service providers are the deciding factor in the efficacy of the task of prevention and control of noninfectious diseases.

4. Finances for prevention and control of noninfectious diseases are derived from various financial sources, including the state budget expenditures focusing on control of risk factors, prophylaxis, surveillance and early detection of diseases.

II. OBJECTIVES

1. General objectives

Suppressing the increased rate of persons contracting these diseases with a view to reducing the incidence rate of these diseases among the public, limiting disabilities and early deaths inflicted by noninfectious diseases, especially prioritizing the prevention and control of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma with the aim of contributing to protecting, caring for and improving the public health and developing the national economy and society.

2. Specific goals and indices by 2025

a) 1st goal: Improving the conception of all-level regulatory authorities and the awareness among the public of prevention and control of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma.

Indices:

- 100% of People’s Committees of provinces and centrally-affiliated cities are expected to have their plans and investment funds for implementation of the Strategy at their localities;

- 70% of adults are expected to gain knowledge about cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma that cause adverse impacts on the public health, the national economy and society as well as principles of prevention and control thereof.

b) 2nd goal: Reducing key risky health behaviors that may lead to cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma.

Indices:

- Decreasing the prevalence of tobacco use in adults by 30% compared to 2015; reducing the prevalence of tobacco use in the minor’s age group to 3.6%;

- Decreasing the rate of harmful alcohol use in adults by 10% compared to 2015; reducing the rate of alcoholic drinking in the minor’s age group to 20%;

- Decreasing the rate of salt consumption on average/person/day in adults by 30% compared to 2015;

- Decreasing the rate of deficiency in physical activity in adults by 10% compared to 2015.

c) 3rd goal: Restricting increases in the rate of persons with preclinical conditions, the disease incidence rate, the rate of persons with disability and the rate of early deaths in the population caused by cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma.

Indices:

- Suppressing the obesity (BMI≥25) rate among adults below 15%; suppressing the obesity rate among children below 10%;

- Suppressing the rate of high blood cholesterol (>5.0 mmol/L) below 35% in adults;

- Suppressing the rate of hypertension below 30% in adults;

- 50% of persons with high blood pressure will be tested; 50% of persons tested for diseases will be managed and treated according to specialized instructions;

- Suppressing the incidence rate of preclinical diabetes conditions below 16% in persons aged 30-69 years;

- Suppressing the incidence rate of diabetes below 8% in persons aged 30-69 years;

- 50% of persons with diabetes will be tested; 50% of persons tested for diabetes will be managed and treated according to specialized instructions;

- 50% of persons with the chronic obstructive pulmonary disease will be tested at the early stage; 50% of patients tested for such disease will be treated according to specialized instructions;

- 50% of persons with bronchial asthma will be tested and treated early; 50% of patients with bronchial asthma will be treated to keep the disease under control, including 20% of them being able to totally control this disease;

- 40% of people with a few of cancers will be tested at the early stage (with respect to several cancers, if they are detected early, the effectiveness in cancer treatment will be increased);

- Decreasing the rate of persons under 70 years of age that die from cancers, cardiovascular disease, diabetes and chronic obstructive pulmonary disease compared to 2015.

d) 4th goal: Improving the effectiveness and efficiency in prophylaxis, surveillance, detection, treatment and management of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease, bronchial asthma and other noninfectious diseases.

Indices:

- 90% of preventive medicine establishments are expected to have capabilities of rendering essential services to the task of prevention and control of noninfectious diseases in accordance with regulations in force;

- 90% of medical officers in charge of prevention and control of noninfectious diseases will be trained or coached in prophylaxis, surveillance, detection, treatment and management of these diseases in accordance with regulations in force;

- 90% of medical establishments at communes, wards, towns and other equivalents (hereinafter referred to as commune-level healthcare establishment) will be furnished with the adequate number of basic medical equipment and essential drugs that conform to regulations on functions and missions thereof and are suited to the tasks of system-based prophylaxis, surveillance, detection, treatment and management of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma.

III. SOLUTIONS

1. Legislative framework and interagency cooperation

a) Strengthening enforcement, supplementation and perfection of legislative framework on control of risk factors and promoting factors in improving health for prevention and control of noninfectious diseases:

- Grasp and implement the Law on Prevention and Control of Tobacco Harms, the Law on Environmental Protection, the Law on Food Safety and the National Policy on Prevention and Control of Harmful Effects of Alcohol Abuse by 2020 and other relevant legislative documents; draft and petition competent authorities to promulgate legislative documents on the prevention and control of alcohol abuse; strengthen management, supplementation and perfection of legislative regulations and warn of health impacts caused by processed foods, soft drinks, food additives, especially those products intended for children;

- Research, propose and add suitable regulations on control of advertisement, tax policies in order to reduce the use of tobacco, alcoholic drinks, soft drinks, processed foods and other products posing the risk of causing noninfectious diseases;

- Propose and additionally formulate policies in order to stimulate the production, supply and consumption of safe and nutritional food beneficial to health; enable people to access and use public spaces, sports and physical activity centers; develop public transit and non-mechanical transport systems.

b) Making modifications and supplements to the national-to-local level interagency cooperation mechanism and promoting involvement of organizations, individuals and community in implementation of the Strategy.

c) Reviewing, supplementing and perfecting legislative documents so that the task of prevention and control of noninfectious diseases is performed consistently according to the national-to-local level systems; provide drugs and other medical supplies necessary for the prophylaxis, screening tests, early detection, treatment, monitoring and long-term management of patients at grassroots-level medical establishments.

d) Researching and proposing incentive policies intended for private medical establishments and family physicians providing services of prophylaxis and management of treatment for noninfectious diseases at community, especially in remote and isolated areas.

2. Communication and social mobilization

a) Using communication networks at the national and local level to propagate, disseminate and mobilize all-level regulatory authorities, sectoral administrations, associations and people to implement guidelines, policies, lawsoft, instructions and warnings regarding the prevention and control of noninfectious diseases.

b) Researching, designing and providing communication programs and materials about the prevention and control of noninfectious diseases that are suitable for communication methods and groups of target audience.

c) Campaigning for health improvement in the community, depending on the characteristics of specific regions and groups of target audience, with special emphasis on such campaigns as health-promoting schools, workplaces for health and cities for health.

d) Proposing the launch of the movement for all people's leading health-promoting lifestyles associated with the prevention and control of noninfectious diseases.

3. Enhancement of service provision and healthcare technology systems

a) Organizing the system for prophylaxis, early detection, diagnosis, treatment and management of noninfectious diseases at the national and local level nationwide.

- Design and issue professional instructions for the prophylaxis, early detection, diagnosis, treatment and management of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma which are appropriate for functions, duties and technical levels of medical establishments;

- (Public or non-public) preventive medicine establishments and healthcare service providers at the national and communal level shall undertake the tasks of prophylaxis, early detection, diagnosis, treatment and management of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma within their legally prescribed duties and powers;

- Combine and integrate tests for detection of noninfectious diseases with such activities as periodic medical examination and management of health at schools, factories and companies.

b) Strengthening the detection, treatment and management of these diseases at healthcare stations at the communal level and in the community for persons with cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease, bronchial asthma and other noninfectious diseases in accordance with regulations in force, ensuring provision of patient management, monitoring and care services on an ongoing basis.

- Conduct researches into applying proper forms of detection, treatment and management of noninfectious diseases at the communal level. For the time being, carry out testing, prophylactic treatment and maintenance therapy according to the prescription of medical establishments at the higher level and gradually reach the goal of self-managing medical treatment for certain of those noninfectious diseases at accredited healthcare stations;

- Provide an adequate supply of essential drugs used for curing cardiovascular disease, diabetes, chronic obstructive pulmonary disease, bronchial asthma and other noninfectious diseases at the communal level in accordance with regulations in force.

c) Enhancing effective prophylactic activities that help control risk factors and preclinical conditions for the purposes of preventing cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma.

- Issue specialized instructions about and carry out interventions aimed at preventing and controlling harmful effects of tobacco, abuse of alcoholic drinks, assuring reasonable nutrition, reducing salt consumption, increasing physical activities at education institutions, workplaces and in the community; early detection, management, counseling and prophylactic treatment for persons with obesity, high blood pressure, high blood sugar level, lipid disorder and at risk of cardiovascular disease; implement health improvement models for prevention and control of noninfectious diseases;

- Effectively carry out the immunization for prevention of cancers; guarantee that children under 1 year of age will take the full dose of hepatitis B vaccine, step-by-step extend the administration of HPV vaccine to prevent women in the immunization age group from the cervical cancer and other vaccines (if any);

- Provide instructions on, support, check and monitor the prophylaxis, early detection, treatment, management and self-management of treatment for cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma at medical establishments at the communal level and in the community as per regulations in force. Promote the capabilities of district-level medical centers of managing and giving technical support to those medical establishments at the communal level;

- Strengthening professional and technical support for interagency activities associated with the prevention and control of noninfectious diseases in the community.

d) Improving the system of healthcare establishments to provide comprehensive, intensive and hi-tech medical services to meet the needs for diagnosis and treatment of patients with noninfectious diseases, and providing specialized support for medical establishments at the inferior level with the aim of assuring the early detection, effective treatment and management of patients on a continual and long-term basis.

- Upgrade and perfect medical establishments specialized in diagnostic testing and treatment for cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma;

- Implement proper and effective screening methods in order to enable the early detection and management of treatment for cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma;

- Perfectly design and implement service packages to be rendered by medical establishments at all levels in order to ensure this system’s ongoing management of treatment of patients with cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma.

4. Resources

a) Workforce development

- Make personnel arrangements for all-level medical establishments for the prevention and control of noninfectious diseases.

- Integrate training in the prevention and control of noninfectious diseases into the training programs of medicine postsecondary schools, colleges and universities; pay attention to training programs in family physicians, public health bachelors, nursery and dietetics bachelors;

- Provide training and capability improvement courses for health officers of ministries or sectoral administrations who are involved in the control of risk factors in causing noninfectious diseases;

- Providing more training courses in improvement of capabilities of preventing and controlling noninfectious diseases for health officers in order to meet demands and requirements of specific medical establishments at all levels. Assure training and continuous training to get updated knowledge and skills about the prevention and control of noninfectious diseases;

- Prioritize re-training of health officers at communes, medical establishments of schools, factories or companies, medical establishments of (mountainous) villages through training programs which are comprehensive and are integrated with the task of prevention and control of noninfectious diseases in order to assure rendering of services necessary for the prophylaxis, management of treatment and care for patients with noninfectious diseases at healthcare stations and in the community;

- Adopt appropriate incentive policies to encourage communal-level health officers to take part in such activities as the early detection, surveillance and management of treatment for noninfectious diseases in the community.

b) Financial resources

Funding sources for implementation of the Strategy shall include:

- State budget expenditures concentrating on the control of risk factors, prophylaxis, surveillance and early detection of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma;

- Health insurance funds;

- Funds contributed by the private sector;

- Other legitimate funding sources.

c) Drugs and medical equipment

- Promoting investment in and upgrade of medical equipment and physical facilities necessary for the surveillance, prophylaxis, early detection and diagnosis, treatment and management of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma;

- Provide the adequate supply of drugs and medical equipment necessary for the diagnosis and treatment for noninfectious diseases at communal-level healthcare stations eligible for health insurance covers;

- Provide the adequate supply of vaccines and biological products used for prophylaxis of cancers that may be prevented by vaccines.

5. Research, monitoring and surveillance

a) Promoting capabilities of conducting, and enhancing, scientific researches in the prevention and control of noninfectious diseases. Establishing the network of institutions carrying out the intensive training and research in noninfectious diseases with participation of schools and academies. Enhancing the use of information and scientific evidence in formulating policies, plans, programs and projects for the prevention and control of noninfectious diseases, especially public interventions.

b) Establishing the system for surveillance of noninfectious diseases integrated into the national health communication system with the aim of monitoring, forecast and surveillance of risk factors, the number of persons with these diseases and deaths, demand satisfaction of the health system and effectiveness in methods of prevention and control of noninfectious diseases.

- Update and complete the set of national indices, procedures and supervisory tools that is consistently applied nationwide, in combination with fortifying the system for collection of reporting information about noninfectious diseases;

- Periodically organize national surveys on risk factors in causing noninfectious diseases by using the set of procedures and standardized toolkits for collection, monitoring and surveillance of the extents and tendencies of risk factors in causing noninfectious diseases in the community;

- Research, propose and carry out the surveillance of deaths in the community on the basis of collection of information from death statistics systems of communal-level healthcare stations. Promote the quality and extent of coverage of the network used for keeping record of cancers, research the launch of systems for recording stroke. Collect a full amount of information about incidence of and deaths caused by noninfectious diseases from the hospital statistics reporting system;

- Bolster the surveillance and assessment of activities carried out in the prevention and control of noninfectious diseases, progress of implementation of the Strategy and other relevant policies of Ministries and sectoral administrations;

- Recommend the building of the national database of noninfectious diseases, agree on liaison entities in charge of management and public disclosure of information and data on noninfectious diseases. Strengthen IT application over the management and connection between medical establishments at all levels in order to support care for and monitoring of patients on an ongoing and long-term basis.

6. Promotion of international cooperation

a) Proactively get ready for cooperating with countries, institutions, schools and associations within the region and in the globe in researches and training in order to boost and improve the quality of personnel performing the tasks of prevention and control of noninfectious diseases.

b) Strengthening comprehensive cooperation with World Health Organization and other international bodies to support and encourage the implementation of the Strategy; integrating international cooperation projects with activities included in the Strategy with a view to attaining predetermined goals.

IV. PROGRAMS AND PROJECTS FOR IMPLEMENTATIO OF THE STRATEGY

Preparing programs and projects for the 2015-2020 period for implementation of the Strategy for submission to competent entities to seek their approval, including:

1. Social communication and mobilization project for prevention and control of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease, bronchial asthma and other noninfectious diseases during the 2015 – 2020 period.

- Presiding body: Ministry of Health.

- Cooperating bodies: Ministry of Information and Communications, ministries, sectoral administrations, related entities or authorities and People’s Committees of provinces and centrally-affiliated cities;

2. Project for proactive prophylaxis, early detection, diagnosis, treatment and management of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease, bronchial asthma and other noninfectious diseases during the 2015 – 2020 period.

- Presiding body: Ministry of Health.

- Cooperating bodies: Ministries, sectoral administrations, related entities or authorities and People’s Committees of provinces and centrally-affiliated cities.

3. Project for management and surveillance of contents of salt, sugar, fat and additives in processed food and interventions in reduction of salt consumption in the community for prevention and control of cardiovascular disease, cancers and diabetes during the 2015-2020 period.

- Presiding body: The Ministry of Industry and Trade.

- Cooperating bodies: Ministry of Health, other Ministries, sectoral administrations, related entities or authorities and People’s Committees of provinces and centrally-affiliated cities;

4. Project for assurance of rational nutrition and enhancement of physical activity for children, pupils and students with the aim of promotion of health, prophylaxis of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma in the 2015-2020 period.

- Presiding body: Ministry of Education and Training

- Cooperating bodies: Ministry of Health, other Ministries, sectoral administrations, related entities or authorities and People’s Committees of provinces and centrally-affiliated cities;

5. Project for enhancement of physical activity for prevention and control of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma in the 2015-2020 period.

- Presiding body: Ministry of Culture, Sports and Tourism.

- Cooperating bodies: Ministry of Transport, Ministry of Construction, Ministry of Health, other Ministries, sectoral administrations, related entities or authorities and People’s Committees of provinces and centrally-affiliated cities.

By 2020, holding the meeting on final review of results of programs and projects executed in the 2015-2020 period and preparing programs and projects to be executed in the 2021-2025 period for the purpose of implementation of the Strategy for submission to the Prime Minister to seek approval.

V. IMPLEMENTATION PROVISIONS

According to the Strategy, Ministries, sectoral administrations and People's Committees of provinces and centrally-affiliated cities shall prepare plans, take charge of implementing the Strategy within their delegated powers and assigned duties and submit periodic reports to the Ministry of Health before it prepares the final one for submission to the Prime Minister.

1. Ministry of Health

a) Preside over and cooperate with other Ministries, sectoral administrations concerned, People’s Committees of provinces and centrally-affiliated cities and relevant entities in formulating plans, projects and implementing the Strategy throughout the nation.

b) Preside over and cooperate with other Ministries, sectoral administrations concerned in researching, formulating and issuing, within the delegated powers, or petitioning competent authorities to issue, policies and legislative documents related to prevention and control of cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma.

c) Preside over and cooperate with other Ministries and sectoral administration concerned in preparing the Project No. 1 and 2 in the Strategy for submission to competent authorities to seek their approval and implementing such Projects.

d) Provide instructions on, inspect and monitor the implementation of the Strategy. Submit periodic reports to the Prime Minister on progress and results of implementation of the Strategy.

dd) Preside over and cooperate with the Ministry of Finance and other entities concerned in researching and petitioning competent authorities to decide establishment of the Public Health Promotion Fund (on the basis of integrating it with the Fund for Prevention and Control of Harmful Effects of Tobacco) with the aim of directly assisting in the prevention and control of noninfectious diseases.

2. Ministry of Planning and Investment

a) Disburse investment funds for implementation of Projects in the Strategy.

b) Mobilize and call for domestic and foreign grants and aids for implementation of the Strategy.

3. Ministry of Finance

a) Allocate funds for the prevention and control of noninfectious diseases for the purpose of implementation of the Strategy; provide instructions on, inspect and supervise the management and use of expenditures on implementation of the Strategy in accordance with regulations in force.

b) Research and give recommendations about suitable tax rates applied to products subject to trading requirements in order to restrict the use of those products that are not beneficial to health, and adopt financial incentives to stimulate the production and consumption of healthy products. 4. Ministry of Industry and Trade

a) Intensify the management of business in tobacco, alcoholic drinks and other products in order to minimize risk factors in causing noninfectious diseases by these products.

b) Cooperate with other Ministries and sectoral administrations concerned in reviewing, revising and issuing, within the respective jurisdiction, legislative documents prescribing attachment of transparent labels to products, printing of health-related warnings on tobacco products, alcoholic drinks and other products having risk factors in causing noninfectious diseases.

c) Preside over and cooperate with the Ministry of Health and other Ministries and sectoral administration concerned in preparing the Project No. 3 in the Strategy for submission to competent authorities to seek their approval and implementing such Project.

5. Ministry of Natural Resources and Environment

a) Cooperate with the Ministry of Health in synthesizing, monitoring and assessing environmental factors affecting human health and diseases, including cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma; propose and implement measures to monitor and minimize these factors.

b) Promote the enforcement of the Law on Environmental Protection, perfect legislative framework in order to minimize risk factors in causing adverse impacts on public health in general and noninfectious diseases in particular within its jurisdiction, and attain the Strategy’s goals.

6. Ministry of Education and Training

a) Execute communication and educational campaigns for changing nutrition-related behaviors relevant to specific age groups and enhance physical activity for children, pupils and students to take prophylactic actions against noninfectious diseases; integrate the tasks of prevention and control of risk factors in causing noninfectious diseases in activities at the different educational levels.

b) Preside over and cooperate with the Ministry of Health and other Ministries and sectoral administration concerned in preparing the Project No. 4 in the Strategy for submission to competent authorities to seek their approval and implementing such Project.

7. Ministry of Transport

Intensify the management and control of mechanical means of transport with gas emissions posing risks of causing noninfectious diseases in accordance with regulations in force; research and propose measures to develop public transit and basic infrastructure of non-mechanical transport.

8. Ministry of Construction

a) Preside over and cooperate with other Ministries and sectoral administrations concerned in reviewing and supplementing legislative framework and planning schemes, and enhance the inspection and examination of urban development in order to assure living spaces and facilities for physical activities, improve living standards of urban dwellers.

b) Adopt relevant policies to encourage the use of safe and eco-friendly materials in construction projects.

9. Ministry of Culture, Sports and Tourism

a) Preside over formulating and promulgating laws and regulations in order to promote facilities for public physical and fitness activities; launch physical activity programs and movements in the community.

b) Preside over and cooperate with the Ministry of Health and other Ministries and sectoral administration concerned in preparing the Project No. 5 in the Strategy for submission to competent authorities to seek their approval and implementing such Project.

10. Ministry of Information and Communications

a) Cooperate with the Ministry of Health in, take control of and organize communication and dissemination programs for the prevention and control of noninfectious diseases and risk factors in causing cancers, cardiovascular disease, diabetes, chronic obstructive pulmonary disease and bronchial asthma.

b) Cooperate with the Ministry of Health and other Ministries and sectoral administration concerned in preparing the Project No. 1 in the Strategy for submission to competent authorities to seek their approval and implementing such Project.

11. Ministry of Agriculture and Rural Development

Preside over and cooperate with other Ministries and sectoral administrations concerned in enhancing the management, inspection and surveillance of assurance of hygiene food and clean water at rural areas; control residues of fertilizers, growth stimulants, antibiotics and pesticides contained in agricultural produce.

12. Ministry of Labor, War Invalids and Social Affairs

a) Cooperate with other Ministries and sectoral administrations concerned in enhancing the management, inspection and surveillance of assurance of workplace environment to promote employee’s health, minimize risk factors in causing noninfectious diseases.

b) Cooperate with the Ministry of Health in conducting periodic health check-ups and screening tests aimed at the early detection and management of treatment and functional rehabilitation for employees with noninfectious diseases.

13. People’s Committees of centrally-affiliated cities and provinces

a) Take responsibility for planning and directing the implementation of the Strategy at localities.

b) Allocate the adequate amount of expenditures, personnel and facilities for implementation of the Strategy at localities.

c) Inspect, supervise and make reports on the progress and results of implementation of the Strategy.

14. Other Ministries, Ministry-level bodies and Governmental agencies

Perform tasks included in the Strategy in the sectors of which they are in charge.

15. Establish the National Steering Committee on prevention and control of noninfectious diseases on the basis of consolidation of existing steering committees in programs and activities belonging to the tasks of prevention and control of noninfectious diseases in order to agree on the sole steering committee. The National Steering Committee shall be headed by the Minister of Health and attended by representatives of Ministries, sectoral administrations and other mass organizations concerned, and shall be responsible for drawing up and implementing plans for implementation of this Strategy. The standing office serving as an assistant to this Committee shall be based at the Ministry of Health.

Article 2. This Decision shall enter into force from the signature date.

Article 3. Ministers, Heads of Ministry-level agencies, Heads of Governmental bodies, Chairpersons of People’s Committees of centrally-affiliated cities and provinces, and other organizations and individuals involved, shall be responsible for implementing this Decision./.