According to Circular 43, commune-level health stations are identified as public health service units under the People's Committees at the commune and ward levels, with legal status, their own seal and account, and can open accounts at the State Treasury and banks.
From January 1, 2026, the organizational structure of commune health stations will be improved in the direction of professionalization and becoming clearer.
According to the circular, the station's leaders include directors and deputy directors, in which the number of deputy directors is determined according to legal regulations and actual needs of each locality.
The appointment, reappointment, extension of the term of office, dismissal or removal of the management position for the director and deputy director of the commune health station is under the decision-making authority of the Chairman of the People's Committee at the commune and ward levels.
Each commune and ward-level health station will have to organize at least 5 departments, professional departments and a system of affiliated station points. Including office or administrative - general department; population, children's, social protection department; disease prevention and food safety department; medical examination and treatment department; pharmacy, medical equipment, paraclinical department.
In addition, stations will be arranged in suitable residential areas, in order to implement all or part of the tasks of commune-level health stations, ensuring continuous and closer delivery of health services to the people.
The director of the commune and ward health station is the person who directly issued regulations on the functions, tasks and working relationships between departments, branches and station locations.
Regarding human resources, the circular clearly stipulates that commune health stations must develop a job position project based on the functions, tasks and scope of activities of the unit.
The project is submitted to competent authorities for appraisal and approval and is used as a basis for recruiting, arranging and managing civil servants.
The list of job positions is determined according to the instructions of the Ministry of Health and the Ministry of Home Affairs, ensuring compliance with practical requirements. The number of employees and the structure according to professional titles are calculated based on the volume of work and assigned tasks.
Every year, the station must develop a human resource plan and submit it to the competent authority for consideration and decision.