The Ministry of Health is seeking opinions on the Draft Circular amending and supplementing a number of articles of Circular No. 03/2023/TT-BYT on guiding job positions, norms for the number of employees and the structure of public employees according to professional titles in public health non-business units.
According to the draft, many regulations related to the organizational structure and personnel at commune, ward, and special zone health stations will be adjusted to better meet the initial health care needs of the people.
It is expected that each health station will have 15 people working.
The draft regulation stipulates that commune, ward, and special zone health stations under provinces and centrally-run cities will have a basic norm of 15 people working for each health station.
However, the number of personnel can be adjusted depending on the population size and geographical conditions of each locality.
Specifically, for health stations in region I and region II, if the population exceeds 6,000 people, for every increase from 2,000 to 3,000 people, 1 person will be added to work.
For commune health stations in region III, if the population exceeds 5,000 people, for every 1,000 people added, 1 person will be added to work.
In addition to population factors, the draft also applies adjustment coefficients according to geographical conditions. Accordingly, the regional health station II is increased with a coefficient of 1.2; the regional health station III is increased with a coefficient of 1.3.
The Ministry of Health said that localities can proactively adjust the number of personnel to suit the actual socio-economic conditions. The Director of the health station will develop a job position project and propose the number of employees to submit to competent authorities for consideration in order to ensure the full and timely provision of basic and essential health services to people in the area.
Job position structure at health stations
The job structure at health stations is divided into two main groups: the leadership and management group and the professional group.
The leadership and management group includes positions such as: Director of health station, Deputy Director of health station, Chief of Office, head of department, head of department, Deputy Chief of Office, deputy head of department, deputy head of department and Head of station point.
Meanwhile, the professional group includes many titles such as general practitioner, traditional medicine doctor, dentist, preventive medicine doctor, physician, pharmacist, nurse, midwife, laboratory technician, diagnostic imaging, rehabilitation, public health, nutrition, population, social work, clinical psychology and medical equipment techniques.
Job positions will be classified by professional level from level 1 to level 4, corresponding to the complexity of the task.
Regulations on professional qualifications
According to the draft, level 1 applies to positions performing basic tasks according to available guidelines and procedures.
Level 2 are positions capable of performing independent tasks according to professional procedures.
Level 3 requires employees to be able to analyze, synthesize information, handle arising situations and be independently responsible for work results.
Meanwhile, level 4 is a higher level, including tasks of presiding over, organizing implementation, assigning, inspecting and evaluating work.
If promulgated, the amended Circular is expected to take effect from August 15, 2026.
