Voters of Ky Son district propose to add doctors and nurses in the area

Reply:

-Regarding financial support content:

Annually, based on Resolution 21/2021/NQ-HDND dated December 9, 2021 of the People's Council of Nghe An province on promulgating regulations on principles, criteria and norms for allocating regular expenditure estimates for the local budget in 2022, stable until 2025 in Nghe An province.On the basis of the regular expenditure estimates prepared by the People's Committee of Ky Son district, the Department of Finance synthesizes; the Provincial People's Committee submits to the Provincial People's Council for decision on the regular expenditure estimates according to regulations.

The regular operating expenses of the Na Loi, Nam Can, My Ly Commune Health Stations and Muong Xen Town are assigned by the People's Committee of Ky Son District to the Ky Son District Health Center for management, payment and settlement.

300 children were given antibiotics to prevent diphtheria in Huu Lap commune (Ky Son). Photo: Thanh Chung

The annual budget of health stations in mountainous communes is regulated at 145 million VND/staff/year (including: Salary; salary contributions; other expenses outside the salary fund to perform tasks such as: expenses for purchasing and repairing minor assets, expenses for caring for the elderly, expenses for renting technology software, expenses for maintaining the operation of treatment facilities and Methadone distribution points).

The maximum rate of salary, allowances and contributions is 85%. If it exceeds 85%, it will be compensated for with other expenses.

Therefore, the annual regular expenditure budget has been balanced sufficiently for medical stations in accordance with the current norms in Resolution No. 21 mentioned above.

-Regarding support for medical equipment, machinery and supplies:

In 2018, the survey was conducted to propose new construction, renovation and investment in equipment under the Investment Program for Developing the Primary Health Network in Difficult Areas using ADB's ODA capital. Ky Son Medical Center proposed and was prioritized by the Department of Health to submit to the Ministry of Health for approval to build 3 new commune health stations: Muong Long, Doc May and Bao Thang; repair 2 communes: Na Loi and Muong Ai. At the same time, it proposed to invest in equipment for all 5 communes above. The above communes will be deployed when the central government provides capital.

Currently, the Department of Health has requested units to review the need for equipment and machinery to invest from the source of the Socio-Economic Recovery and Development Program in the health sector.

However, as a result of the review, Ky Son Medical Center did not propose equipment for commune health stations. It is recommended that communes review the need for equipment, machinery, and medical supplies and send the Ky Son Medical Center a proposal to the Department of Health.

The purchase of medical supplies used in medical facilities is carried out based on health insurance funds. The purchased medical supplies basically meet the needs of medical examination, treatment and health care for the people and are paid for by the health insurance fund in accordance with regulations.

- Regarding the content of adding more doctors and medical staff to serve the people's health care work:

In order to strengthen the medical staff and doctors serving the medical examination and treatment for the people in recent years, the Provincial People's Committee has directed the Health sector to implement many important solutions. These include strengthening the work of attracting, recruiting, and training from local sources and increasing rotation from the District Health Center to commune, ward, and town facilities. In 2021, the Health sector actively encouraged, attracted, and recruited 2 doctors to work at the Commune Health Stations in Ky Son district.

Sending doctors from the provincial level to the district level, from the district level to the commune level, especially to communes without doctors. In 2021, 154 doctors were sent to reinforce communes without doctors, of which Ky Son district sent 6 doctors to reinforce 3 communes without doctors.

Doctors and nurses at Nghe An Trauma and Orthopedics Hospital also provided free medicine and advice on how to care for and ensure health for people in Binh Son 2 village, Ta Ca commune, Ky Son district. Photo courtesy of PV

The Provincial People's Committee also issued Decision No. 01/2015/QD-UBND dated January 6, 2015 on promulgating regulations on a number of specific policies to support the development of public health human resources in Nghe An province with many policies to support training and attract human resources for the development of mountainous areas, creating favorable conditions and reducing initial difficulties for doctors and pharmacists. Developing medical human resources in both quantity and quality, contributing to improving the quality of medical examination and treatment for the people of the province in general and mountainous districts in particular.

After 6 years of implementation, it has attracted 237 doctors and pharmacists, of which 18 are from Ky Son district.

The Military-Civilian Medical Station in Huoi Bac village (My Ly commune) is a trusted medical examination and treatment address for the people. Photo: Hai Thuong

However, recruiting doctors to work at health stations in recent years has been very difficult, especially in remote areas. The health sector has been implementing many solutions to increase human resources for the grassroots health system, with special attention to medical staff.

The sector has allocated many staffing targets to recruit doctors, strengthen the training of doctors from local medical staff, and increase the number of doctors working at the district level to work at the commune level. By 2025, the whole province is striving to achieve a rate of over 90%, of which, Ky Son district will have over 80% of commune health stations with doctors working.