Village health workers, including midwives, play a crucial role in providing healthcare services in communes, wards, and neighborhoods across Vietnam. These dedicated individuals are often the first point of contact for villagers, ensuring they receive essential primary healthcare and promoting overall community well-being.
Recognizing their importance, the government ensures that each commune, ward, and neighborhood has at least one village health worker or midwife, depending on the population size and geographical scope. These healthcare providers are entitled to receive monthly allowances as a token of appreciation for their invaluable contributions to public health.
The monthly allowance provided to village health workers and midwives is calculated using a coefficient based on the regional minimum wage. The following image illustrates the minimum monthly allowance they can expect to receive:
The regions corresponding to Region I, Region II, Region III, and Region IV are specified in the Appendix of Decree No. 74/2024/ND-CP, dated June 30, 2024. This decree, issued by the government, outlines the minimum wage rates for laborers working under labor contracts.
The funding for these monthly allowances originates from the state budget, as stipulated by the Law on State Budget and its guiding documents. This ensures a consistent and reliable source of financial support for these vital healthcare workers.
The Ministry of Health is responsible for setting the standards, functions, and tasks that village health workers and midwives must adhere to. Additionally, the Provincial People’s Committees are empowered to determine the specific number of village health workers and midwives required, taking into account the unique economic, social, and budgetary circumstances of their respective localities.
They also have the autonomy to decide on the monthly allowance amounts, ensuring that they do not fall below the minimum level specified above. The following image provides a visual representation of this dedicated team of healthcare professionals:
In the picture above, Deputy Minister of Health Tran Van Thuân is seen engaging in conversation with village health workers and midwives in Mu Sang commune, Phong Thô district, Lai Châu province. This captures the essence of the dedicated individuals who form the backbone of primary healthcare in rural and mountainous areas.
According to the Department of Mother and Child Health (Ministry of Health), Vietnam’s village health network has a long history and plays a crucial role in safeguarding the health of ethnic minorities and residents in mountainous regions.
Currently, the allowances for village health workers are governed by the Decision No. 75/2009/QD-TTg, dated May 11, 2009. This decision stipulates that village health workers shall receive a monthly allowance equivalent to 0.5 and 0.3 of the basic salary during their tenure.
Furthermore, village health workers and midwives may be eligible for additional support, depending on the specific circumstances and needs of their localities.
With regards to their scope of practice, Circular No. 27/2023/TT-BYT outlines the standards, functions, tasks, scope of medical examination and treatment, and professional training requirements for village health workers and midwives. Notably, they are exempt from the requirement of holding a medical practice certificate. Their responsibilities include providing primary healthcare, maternal and child healthcare, and performing medical examinations and treatments as per the defined technical guidelines within their village health stations.
In terms of financial support, the Departments of Health in provinces and centrally-run cities are responsible for advising and proposing to the competent authorities to decide on the legal sources of funding and the monthly allowance amounts for village health workers and midwives, in accordance with the provisions of Decree No. 33/2023/ND-CP, dated June 10, 2023, pertaining to the regulations for commune-level officials, civil servants, and non-specialized staff in communes, wards, and townships.
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