On September 12, leaders of the Department of Health of Khanh Hoa province said that the Department is seeking opinions from departments, branches, and localities on the draft Submission and Resolution of the Provincial People's Council stipulating the number and level of monthly support for village and residential group health workers and village and hamlet midwives in the area.
According to the Department of Health, after implementing the arrangement of administrative units and rearranging villages and residential groups, the population size, number of households and management scope in many areas have changed significantly.
The whole province currently has 64 communes and wards with 877 villages and residential groups, including 518 villages and 359 residential groups.
The scale of households between areas is largely different, many villages and residential groups after arrangement have a high increase in the number of households, leading to an increase in the workload of village and residential group health workers.
The draft proposes that each village and residential group arrange at least 1 health worker. For villages with over 700 households, for every additional 350 households, 1 health worker is arranged. For residential groups with over 1,000 households, for every additional 500 households, 1 health worker is arranged. The whole province is expected to need 898 village and residential group health workers.
For village and hamlet midwives, the draft proposes that villages subject to regulations with 350 or more households be allocated a maximum of 1 midwife. The whole province is expected to have 24 villages eligible for this title.
Regarding the monthly support level, the draft proposes to support 0.7 times the basic salary level for health workers and village and hamlet midwives working in villages with 350 or more households, villages and hamlets in difficult communes according to the Government's regulations and residential groups with 500 or more households.
The level of 0.5 times applies to the remaining areas.
In case village and residential group health workers concurrently serve as village and hamlet midwives, the draft proposes to enjoy 50% of the support level of the concurrent position.
It is expected that 804 people will receive a support level of 0.7 times and 94 people will receive a level of 0.5 times. Policy implementation costs are guaranteed from the state budget.
According to the draft, with a base salary of 2.53 million VND/month, the option of arranging separate village and hamlet midwives has a total budget of about 19.02 billion VND/year.
The midwife-concurrent medical staff plan has a total cost of about 18.77 billion VND/year.
The Commune Health Station directly manages, directs, provides professional guidance and implements the payment of support regimes. The Commune People's Committee, ward, special zone and village heads, residential groups manage and supervise the activities of this force.
