THE PRIME MINISTER

DECIDES:

Article 1.- To approve the national target program to prevent and combat some social diseases, dangerous epidemics and HIV/AIDS in the 2001-2005 period, with the following main contents:

1. The program�s name: The Program to prevent and combat some social diseases, dangerous epidemics and HIV/AIDS.

2. The managing agency: The Ministry of Health.

3. Coordinating agencies: The concerned ministries and branches as well as localities which manage and organize the implementation of projects under the program.

4. The program�s scope: Provinces and cities throughout the country.

5. Overall objectives: To firmly maintain the results obtained in the past years. To take initiative in preventing, fighting and promptly stamping out epidemics if they occur. To reduce the morbidity and mortality rates of some social diseases, dangerous epidemics and HIV/AIDS, increase the people�s life expectancy and develop our race, thus contributing to achieving social justice in healthcare and economic growth, firmly maintaining political security in all geographical areas, especially in mountainous, deep-lying and remote areas, as well as border regions and off-shore islands.

6. By 2005-targets of projects under the Program to prevent and combat some social diseases, dangerous epidemics and HIV/AIDS:

6.1. The project to prevent and fight malaria:

- To reduce the malaria morbidity rate to below 0.41% of the population, to reduce the malaria mortality rate to 0.15/100,000 persons.

- 60-70 million tours of people shall be protected with chemicals (spraying and impregnating mosquito nets with chemicals); 15-20 million tours of malaria patients shall be treated.

6.2. The project to prevent and fight tuberculosis:

- To control and repell the new tuberculosis morbidity, to the rate of 72/100,000 new tuberculosis sufferers tested AFB (+).

- To cure about 92% of tuberculosis patients.

- To reduce the mortality rate of tuberculosis patients.

6.3. The project to prevent and fight dengue:

- To reduce the dengue morbility rate to 109/100,000 persons.

- To reduce the dengue mortality rate to 0.17%.

6.4. The project to prevent and fight leprosy:

- To firmly maintain the gained achievements.

- To wipe out leprosy in the district-level localities according to the standards of the World Health Organization (WHO) and Vietnam.

- To provide medical examination to 30,000,000 persons, detecting at least 5,000 new patients.

- To provide multi-chemical therapy to 6,800 patients.

- To help 5,000 patients rehabilitate their functions through surgery.

6.5. The project to prevent and fight goiter:

- To firmly maintain and promote the achievements in areas where the set objectives have been attained.

- To achieve the objective of eliminating disorders caused by iodine deficiency, with three following contents:

+ The rate of households using iodized salt shall reach over 90%;

+ The level of iodine content in urine shall be 10-20mcg/dl;

+ The rate of children aged between 8 and 10 years infected with goiter shall reduce to 5% (or under 5%).

6.6. The project to prevent and fight child malnutrition:

- To reduce the rate of malnourished under - 5 children to below 25%.

- To reduce the rate of newborns weighing under 2,500 grams to below 7%.

6.7. The project on expanded vaccination:

- To continue implementing the vaccination program to over 90% of children.

- To maintain and protect the results of polio elimination, not to let wild polio virus penetrating into Vietnam from foreign countries. To continue providing oral polio vaccine to children.

- To continue reducing neonatal tetanus ratio to 0.14/100,000 persons.

- To reduce measle morbidity ratio to 4/100,000 persons.

- To reduce diphtheria morbidity ratio to 0.05/100,000 persons.

- To step by step effect the nationwide vaccination against cholera, typhoid, B encephalitis and B hepatitis.

- To additionally implement the injection of Hib (Haemophilus influenzae) vaccine to prevent child choriomeningitis and acute pneumonia.

6.8. The project to protect the community�s mental health

- To build a network and deploy the model of integrating the mental healthcare with other healthcare contents in health stations of 6,120 communes and wards.

- To detect, manage and provide treatment to 50,000 schizophrenic patients, of whom 35,000 shall be managed and treated so as to prevent recrudescence and help them re-integrate into community.

6.9. The project to ensure food safety, hygiene and quality

- To reduce by 30% the number of massive food poisoning cases (involving about 30 persons in each case) as compared with the average figure of 1999-2000.

- To reduce by 30% the number of people dying of/suffering from food poisoning, as compared with the average figure of 1999-2000.

- 70% of licensed foodstuff production establishments shall meet safety and hygiene standards prescribed by the Ministry of Health.

- 100% of foreign-invested foodstuff production establishment shall meet safety and hygiene standards prescribed by the Ministry of Health.

- 50% of wards in grade I- or II- urban centers shall meet food safety and hygiene standards.

- 40% of district-managed markets shall meet food safety and hygiene standards.

- To provide basic knowledge on food safety and hygiene as well as regular medical examination to 90% of those who are directly engaged in the production and processing at licensed foodstuff establishments and 50% of those who are working in catering-service establishments with fixed business addresses.

- 80% of the urban inhabitants and 50% of the rural inhabitants shall have access to information on food quality, hygiene and safety, prevent food poisoning.

- 30% of foreign-invested foodstuff enterprises shall apply HACCP, GMP, ISO systems.

6.10. The project to prevent and fight HIV/AIDS:

- To curb the spead of HIV/AIDS among the community.

- To slow down the process of HIV development into AIDS

- To reduce the adverse impacts of HIV/AIDS on socio-economic development.

7. Organization of the implementation of the national target program to prevent and combat some social diseases, dangerous epidemics and HIV/AIDS

The Minister of Health shall set up:

- The Management Board for the national target program to prevent and combat some social diseases, dangerous epidemics and HIV/AIDS, which shall be composed of a Vice Minister of Health as its Chairman and directors of the concerned departments as its members.

- The managing boards of the projects under this program.

The Minister of Health shall direct the managers of component projects in elaborating and submitting component projects for approval as prescribed.

The Ministry of Health shall assume the prime responsibility and coordinate with the concerned ministries, branches and localities in organizing the execution of this program. During the course of implementation, this program should be integrated into other socio-economic programs in order to raise the efficiency thereof.

8. On capital sources for the program:

Investment capital sources for the implementation of projects under the program include:

- State budget capital including capital construction capital and public-service capital;

- ODA loan capital and international non-refundable aids;

- Capital apportioned from local budget;

- Other lawful capital sources.

Annually, the Ministry of Planning and Investment, the Ministry of Finance and the Ministry of Health shall apportion capital sources and work out mechanisms and policies to mobilize resources for the implementation of the program.

Article 2.- Mechanisms for managing and administering the program:

Mechanisms for managing and administering the national target program to prevent and combat some social diseases, dangerous epidemics and HIV/AIDS shall comply with the Prime Minister�s Decisions No. 531/TTg of August 8, 1996 on the management of national programs, No. 38/2000/QD-TTg of March 24, 2000 amending and supplementing Decision No. 531/TTg of August 8, 1996, No. 71/2001/QD-TTg of May 4, 2001 on the national target programs in the 2001-2005 period, and other current regulations of the State on construction and investment management.

The Ministry of Health, the Ministry of Planning and Investment and the Ministry of Finance shall, basing themselves on the current regulation and their respective functions and powers, provide detailed guidance for other ministries, branches and localities to organize the implementation of this Program.

Article 3.- This Decision takes effect 15 days after its signing.

Article 4.- The ministers, the heads of the ministerial-level agencies, the heads of agencies attached to the Government and the presidents of the People�s Committees of the provinces and centrally-run cities shall have to implement this Decision.

For the Prime Minister
Deputy Prime Minister
PHAM GIA KHIEM