Decree 192/2026/ND-CP stipulates a number of special allowances in the field of health and monthly support for village health workers, residential groups, and village and hamlet midwives. The Decree takes effect from July 15.
According to the decree, the adjusted regimes include on-duty allowances, surgical - procedural allowances, epidemic prevention allowances and monthly support for village health workers, residential groups, village and hamlet midwives. The subjects of application are public employees and laborers at public health facilities, medical forces in the army, police, people participating in epidemic prevention and control and grassroots health workers.
On-duty allowances increase by nearly 185%
Workers on duty 24/24 hours at medical facilities are entitled to allowances from 70,000-325,000 VND/person/duty session, depending on the level of medical facility.
In which, the level of 32.5 million VND/person/session applies to special-class, class I medical facilities and some central forensic psychiatric units; class II is entitled to 255,000 VND; the remaining medical facilities, commune health stations and public out-of-hospital emergency facilities are entitled to 185,000 VND; nursing and care facilities for people with meritorious services and some social assistance facilities are entitled to 70,000 VND.
On-duty staff in special departments and areas are entitled to 1.5 times the prescribed level. On-duty on weekly holidays is calculated as 1.3 times, and on-duty on holidays and Tet is entitled to 1.8 times the normal daily allowance level. In addition, on-duty staff 24/24 hours are also supported with 40,000 VND/person/session for meals.
Compared to current regulations, the on-duty allowance at special grade and grade I hospitals increased from 115,000 VND to 325,000 VND/session, equivalent to an increase of nearly 185%.
Group A epidemic prevention allowance increases to 420,000 VND/day
For people directly involved in monitoring, epidemiological investigation, sampling, testing, examination and treatment of patients with group A infectious diseases, the allowance level is increased to 420,000 VND/person/day. Other supporting forces are entitled to 280,000 VND/person/day.
For group B infectious diseases, the allowance level is 280,000 VND/person/day; group C is 210,000 VND/person/day.
People on duty to fight the epidemic 24/24 hours are entitled to 280,000 VND/person/day and are multiplied by a coefficient when on duty on holidays or Tet holidays, and are also supported with meal money of 40,000 VND/person/duty session.
Thus, the epidemic prevention allowance for group A infectious diseases has increased from a maximum level of 220,000 VND to 420,000 VND/person/day, equivalent to an increase of about 87%.
Surgery allowance doubles
The Decree also strongly adjusts allowances for staff directly participating in surgery and procedures.
Accordingly, the main surgical performer, anesthesiologist or chief anesthesiologist is entitled to 100,000-56,000,000 VND/person/surgery, depending on the type of surgery. The assistant surgeon is entitled to 60,000-400,000 VND, while the assistant for the surgery is entitled to 40,000-240,000 VND/person/surgery. The procedural allowance level is equal to 30% of the surgical allowance level of the same type.
Compared to the regulations applied from 2011, the surgical allowance level has been increased by 100% in all groups. The main surgeon in a special type surgery case has been increased from 280,000 VND to 560,000 VND/case.
Village and residential group health workers are supported up to 0.7 times the base salary
For village and residential group health workers and village and hamlet midwives, the decree stipulates that the monthly support level is 0.7 times the base salary for people working in villages with 350 or more households, villages and hamlets in difficult areas or residential groups with 500 or more households.
The remaining cases are entitled to a support level equal to 0.5 times the base salary during their working time.
Compared to before, the common support level has been increased from 0.3-0.5 times the base salary to 0.5-0.7 times the base salary.
