THE PRIME MINISTER | SOCIALIST REPUBLIC OF VIETNAM |
No. 659/QD-TTg | Hanoi, May 20, 2020 |
THE PRIME MINISTER
Pursuant to the Law on Government Organization dated June 19, 2015;
Pursuant to the Labor Code dated November 20, 2019;
Pursuant to the Law on Occupational Safety and Sanitation dated June 25, 2015;
Pursuant to Directive No. 29-CT/TW dated September 18, 2013 of the Party Central Committee on promoting occupational safety and sanitation in the period of industrialization, modernization and international integration;
Pursuant to the Government's Resolution No. 139/NQ-CP dated December 31, 2017 on the implementation of Resolution No. 20-NQ/TW dated October 25, 2017 of the Party Central Committee on strengthening protection, care and promotion of the people's health in the new context;
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HEREBY DECIDES:
Article 1.Approve the Program of employee health promotion and occupational disease prevention for the period of 2020-2030 (hereinafter referred to as Program) with the following contents:
1. Protection, care and promotion of workers' health is an investment in the national development; is the obligation and responsibility of each employee, employer, of the political system and the entire society, requiring active participation of all levels of Party executive committees, authorities, the Fatherland Front and unions, sectors, in which the health branch plays the key role.
2. The State plays the role of managing, formulating and improving policies; creating a favorable environment; mobilizing and effectively using resources, encouraging public-private partnerships and private investment.
3. The employer has the responsibility to fully implement the regulations on labor safety and hygiene according to law.
4. It is aimed at providing protection, care, and promotion of employee’s health on a regular, continuous and comprehensive manner, especially female workers, elderly workers, workers without employment contracts in agriculture, forestry, fishery, trade villages, etc.; combined with primary health care and management at the grassroots level.
5. Comprehensive investment is made in prevention and treatment according to the motto of actively preventing diseases in the workplace by controlling, eliminating harmful factors in the working environment, changing perceptions and behavior of employees and employers in health protection and promotion, developing and maintaining living habits, healthy nutrition, and clean hygiene; early detecting and promptly treating occupational diseases and related diseases.
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2. Specific objectives
a) The local governments shall complete the development of the database on monitoring of the working environment and occupational diseases by 2025 and connect it to the national data system by 2030.
b) Management of the workplaces with harmful factors causing occupational diseases: manage 50% of these workplaces by 2025 and 80% of these workplaces by 2030.
c) Inspection of the working environment monitoring: inspecting 30% of workplaces having harmful factors causing occupational diseases by 2025 and 50% of these workplaces by 2030; 100% of workplaces using asbestos must have working environment monitored in accordance with regulations by 2025.
d) By 2025: Integrate healthcare services for employees without employment contracts into primary health care at grassroots health facilities (according to the Scheme on building and developing grassroots healthcare facilities in new context). 100% of workplaces are consulted about non-communicable diseases, taking measures to prevent and improve health, nutrition, hygiene, suitable with working conditions, and increasing mobility at workplace.
dd) Health management of workers at workplaces at risk of occupational diseases (including workers exposed to asbestos): 50% of workers at workplaces who are at risk of occupational diseases have access to information on harmful factors, preventive measures and early detection of occupational diseases by 2025, and this rate is 100% by 2030.
e) By 2025: 100% of employees exposed to asbestos will receive health management and occupational disease examination; 100% of workplaces using asbestos have working environment monitored according to regulations.
g) 100% of people suffering from occupational accidents and diseases may receive first aid at the workplace, and may receive medical examination, treatment and functional rehabilitation thereafter.
h) By 2030: 100% of workers in industrial zones and export processing zones will be consulted and provided with reproductive health care, HIV/AIDS prevention and breastfeeding (female workers).
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III. SCOPE, REGULATED ENTITIES AND TIME FOR PERFORMANCE
1. Scope and regulated entities: The Program shall be initiated nationwide, including workplaces, employers and employees; priority is given to small and medium workplaces, agricultural sectors, trade villages, female workers, elderly workers and workers without employment contracts and health facilities.
2. Time for performance: From 2020 to 2030.
1. Strengthen the leadership, direction and inter-agency coordination
a) Strengthen the leadership, direction and coordination of all levels and sectors from central to local levels, between relevant agencies, political and social organizations, professional associations, enterprises and non-governmental organizations in the realization of the Program's objectives.
b) Mobilize the involvement of the entire political system, ministries, central authorities, local governments, agencies, business communities, social organizations, and communities to realize the objectives of the Chapter.
2. Improve the system of legal policies
a) Review, adjust, supplement and improve the legal system, mechanisms and policies on occupational health and occupational hygiene.
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3. Strengthen the system of health services and computerization
a) Invest and upgrade equipment, facilities and human resources for the system of calibration and reference which ensures the quality of working environment monitoring, health monitoring, screening, early detection and diagnosis of occupational diseases; first aid at workplace; treatment, assessment and functional rehabilitation for occupational diseases and occupational accidents.
b) Improve professional instructions; national technical standards and regulations on occupational hygiene, occupational exposure limits, examination, diagnosis, treatment and functional rehabilitation of occupational accidents and diseases.
c) Strengthen the training to improve the managerial and professional capacity of the staff in accordance with the requirements of the Program for each objective of the Program; give priority to retraining for grassroots health workers, health workers at the workplaces in health care services for employees.
d) Initiate computerization of activities related to management of employees' health promotion; synchronize and connect the information system from the workplaces to the district, provincial and central levels.
dd) Reinforce the grassroots health facilities to provide healthcare services for workers, control harmful factors at the workplace.
e) Develop instructions for healthcare services for workers, management of harmful factors, and personal health records; improve the health of workers at the grassroots level for small and medium enterprises, trade villages, and for workers without employment contracts.
g) Implement and multiply models for effective prevention of infectious and non-communicable diseases (cancer, cardiovascular disease, diabetes, chronic obstructive pulmonary disease, bronchial asthma, etc.) at the workplace. h) Effectively prevent occupational diseases in certain sectors and industries (occupational infections in the health sector, agriculture; occupational deafness in mechanical engineering and machine manufacturing; asbestosis in the construction industry) construction; occupational chemical poisoning in footwear, chemicals, electronic parts; pneumoconiosis in mining, mechanics, metallurgy, etc.); minimize exposure to harmful factors in at-risk workplaces.
i) Assess factors of occupational hygiene and occupational diseases arising in new working conditions; inspect and manage information on workplaces using asbestos, monitor and observe the working environment, make health monitoring records, do periodic health check-ups and do annual occupational disease examinations according to regulations; update national records of asbestos-related diseases at cancer registries nationwide.
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l) Improve the capacity of first-aid at the workplace, response to treatment and rehabilitation for occupational diseases and occupational accidents.
4. Communication and social advocacy
a) Establish a communication system and strengthen the health education and communication network from the central to local levels.
b) Raise awareness of all levels, sectors, unions and the people about guidelines, policies and laws on employees' health promotion.
c) Using varied and effective communication channels and means to increase effective access to regulated entities in employees' health promotion.
5. As for resources
a) Efficiently use funding sources, including: the state budget allocated in the expenditure estimates of branches, local governments and units according to the provisions of the State Budget Law; ODA, aid from non-governmental organizations and other lawful sources.
b) Ensure regular expenditure budget for communication, training, research, occupational disease prevention, and data collection, and progress reports on the realization of objectives.
c) Coordinate and combine the Program's resources with existing resources (Health Insurance Fund, Insurance Fund for Occupational Accidents and Diseases, etc.) and private sector involvement sources.
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a) Promote scientific research, especially in-depth studies; mobilize the wide involvement of the community of scientists, other agencies and organizations.
b) Establish a national surveillance system for management of information on employees' health, occupational accidents and diseases, treatment and rehabilitation; strengthen the application of information technology in directing, administering, monitoring and reporting on occupational health and occupational diseases at all levels.
7. International cooperation
Strengthen international cooperation, mobilize financial, technical support and experience in implementing health care programs for employees, prevention of occupational diseases of international organizations and governments. and foreign non-governmental organizations.
V. ACTIVITIES AND PROJECTS OF THE PROGRAM: Issued in the Appendix to this Decision.
1. The Ministry of Health
a) Take charge and cooperate with relevant ministries and central authorities, the People’s Committees of provinces and other agencies in formulating master plan and annual plan and providing guidelines for formulation of projects or activities and implementation of the Program nationwide.
b) Send annual or irregular reports to the Prime Minister and competent authorities on implementation of the Program.
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a) Guide enterprises to implement the Labor Code, the Law on Occupational Safety and Health, guiding documents and relevant contents of the Program.
b) Take charge and cooperate in implementing projects assigned in the Program.
3. The Ministry of Finance and the Ministry of Planning and Investment shall balance and allocate sufficient funds for the Program implementation according to law provisions.
The Ministry of Planning and Investment shall mobilize domestic and foreign financial sources for the implementation of the Program.
4. Ministries, ministerial-level agencies and governmental agencies shall take charge and cooperate with the Health Ministry and concerned ministries and central authorities in organizing the implementation of the Program within their assigned functions and tasks.
5. The People’s Committees of provinces
a) Develop and implement an action plan on the basis of the Program's orientation contents and specific conditions and circumstances of each province.
b) Ensure the allocation of funds and mobilization of resources for the implementation of the Program's tasks.
c) Report the implementation results to the Ministry of Health.
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Mọi chi tiết xin liên hệ: ĐT:(028) 3930 3279DĐ:0906 22 99 66
7. Employers.
a) Comply with the provisions of law and the contents of the Program's Objectives;
b) Coordinate with ministries, central authorities and specialized units in implementing relevant projects;
c) Report the implementation of the Program to regulatory agencies in accordance with the law.
Article 2.This Decision comes into force as of the date of signing.
Article 3.Minister of Health, Ministers, Heads of ministerial-level agencies, Heads of Governmental agencies, Presidents of People's Committees of provinces, and relevant entities shall implement this Decision./.
THE PRIME MINISTER
Nguyen Xuan Phuc
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Mọi chi tiết xin liên hệ: ĐT:(028) 3930 3279DĐ:0906 22 99 66
OF PRIORITIZED PROJECTS FOR PROGRAM OF EMPLOYEE’S HEALTH PROMOTION AND OCCUPATIONAL DISEASE PREVENTION FOR THE PERIOD OF 2020 – 2030
(Issued together with Decision No. 659/QD-TTg dated May 20, 2020)
No.
Project
Lead agency
Coordinating agency
Time for performance
Sources of fund
1.
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The Ministry of Health
Units qualified for training
2020-2030
State budget, other legal sources of fund
2.
Reinforce labor health organizations, health workers and first aid activities at manufacturing and business establishments.
The Ministry of Health
Ministry of Labor, Invalids and Social Affairs, Vietnam General Confederation of Labor, relevant ministries and central authorities
2020-2025
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Mọi chi tiết xin liên hệ: ĐT:(028) 3930 3279DĐ:0906 22 99 66
3.
Build a system of calibration and reference centers to ensure the quality of working environment monitoring results nationwide.
The Ministry of Health
Ministry of Labor, Invalids and Social Affairs, Vietnam General Confederation of Labor, relevant ministries and central authorities
2020-2030
State budget, other legal sources of fund
4.
Improve labor burden, prolonged working time, stress factor in some occupations, jobs in some workplaces such as textiles, health care, electronics, and leather shoes.
The Ministry of Labor, War Invalids and Social Affairs
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Mọi chi tiết xin liên hệ: ĐT:(028) 3930 3279DĐ:0906 22 99 66
2020-2025
State budget, other legal sources of fund
5.
Ensure payout to employees suffering from occupational diseases and upon after-hours medical care regarding to workplaces registered with health insurance agencies.
The Ministry of Labor, War Invalids and Social Affairs
Ministry of Labor, Invalids and Social Affairs, Vietnam General Confederation of Labor, relevant ministries and central authorities
2020-2022
State budget, other legal sources of fund
6.
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The Ministry of Health
Ministry of Labor, Invalids and Social Affairs, Vietnam General Confederation of Labor, relevant ministries and central authorities
2020-2022
State budget, other legal sources of fund
7.
Initiate the basic health service package for small and medium enterprises, trade villages and employees without employment contracts on a trial basis.
The Ministry of Health
Vietnam General Confederation of Labor, relevant ministries and central authorities
2020-2025
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8.
Manage occupational health combined with the personal healthcare profiles at the commune level.
The Ministry of Health
Vietnam General Confederation of Labor, relevant ministries and central authorities
2020-2025
State budget, other legal sources of fund
9.
Improve the quality of workers' shift meals in some industries.
The Ministry of Health
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Mọi chi tiết xin liên hệ: ĐT:(028) 3930 3279DĐ:0906 22 99 66
2020-2025
State budget, enterprise capital and other legal sources of fund
10.
Build and multiply models for prevention of infectious and non-communicable diseases in the workplace.
The Ministry of Health
Ministry of Labor, Invalids and Social Affairs, Vietnam General Confederation of Labor, relevant ministries and central authorities
2020-2030
State budget, enterprise capital and other legal sources of fund
11.
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Vietnam General Confederation of Labor
Ministry of Labor, Invalids and Social Affairs, Vietnam General Confederation of Labor, relevant ministries and central authorities
2020-2030
State budget, enterprise capital and other legal sources of fund
12.
Develop and multiply prevention models for a number of common occupational diseases; strengthen capacity for treatment and functional rehabilitation for occupational diseases and occupational accidents.
The Ministry of Health
Ministry of Labor, Invalids and Social Affairs, Vietnam General Confederation of Labor, relevant ministries and central authorities
2020-2030
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Mọi chi tiết xin liên hệ: ĐT:(028) 3930 3279DĐ:0906 22 99 66
13.
Build a national database on monitoring the working environment and occupational diseases.
The Ministry of Health
Ministry of Labor, Invalids and Social Affairs, Vietnam General Confederation of Labor, relevant ministries and central authorities
2020-2025
State budget, other legal sources of fund
14.
Research on factors of labor hygiene and occupational diseases that arise in new context.
The Ministry of Health
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Mọi chi tiết xin liên hệ: ĐT:(028) 3930 3279DĐ:0906 22 99 66
2020-2030
State budget, other legal sources of fund
15.
Update national records of asbestos and human health.
The Ministry of Health
Ministry of Labor, Invalids and Social Affairs, Vietnam General Confederation of Labor, relevant ministries and central authorities
2020-2025
State budget, other legal sources of fund