Quyết định 659/QĐ-TTg 2020 Chương trình chăm sóc và nâng cao sức khỏe người lao động

DECISION

On approving the Program on care and improvement of employees’ health and occupational disease prevention in the 2020 - 2030 period

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THE PRIME MINISTER

Pursuant to the Law on Organization of the Government dated June 19, 2015;

Pursuant to the Labor Code dated November 20, 2019;

Pursuant to the Law on Occupational Safety and Health dated June 25, 2015;

Pursuant to the Directive No. 29-CT/TW dated September 18, 2013 of the Central Executive Committee on promoting occupational safety and hygiene in the period of industrialization, modernization and international integration;

Pursuant to the Government’s Resolution No. 139/NQ-CP dated December 31, 2017 on the implementation of the Resolution No. 20-NQ/TW dated October 25, 2017 of the  Central Committee of the Communist Party of Vietnam on the enhancement of people s health protection, care and improvement in new circumstances;

At the proposal of the Minister of Health,

DECIDES:

Article 1.To approve the Program on “care and improvement of employees’ health and occupational disease prevention in the 2020 - 2030 period” (hereinafter referred to as the Program) with the following contents:

I. VIEWPOINTS

1. Protecting, providing health care and health improvement for workers is an investment in national development. It also is the duty and responsibility of every employee, employer, the political system and the whole society, requiring the active participation of the committees, authorities, Fatherland Front, unions and sectors, of which the health sector plays a role as the core factor.

2. The State shall play a role of managing, formulating and perfecting policies; create a favorable environment; mobilize and use effectively financial resources, encourage public-private cooperation and private investment.

3. Employers shall be responsible for fully comply with regulations on occupational safety and hygiene in accordance with law provisions.

4. Towards the implementation of protection, care and improvement of employees health regularly, continuously and comprehensively, especially female employees, elderly employees and employees without labor contracts in the fields of agriculture, forestry, fishery, trade villages, etc.; integrating with primary health management and care activities at the grassroots level.

5. To comprehensively invest in prevention and treatment according to the motto of active prevention and control of workplace illnesses by controlling and eliminating harmful factors in the working environment, changing perceptions and behaviors of employees and employers in protecting and improving health, developing and maintaining daily habits, healthy nutrition and clean hygiene; early detection, timely treatment of occupational diseases and other diseases related to occupational disease.

II. PROGRAM S OBJECTIVES

1. General objectives:To protect, take care of and improve employees health, encourage the healthy lifestyle and nutrition at the workplace, prevent and control diseases and occupational diseases for employees, ensuring the quality of human resources, contributing to the sustainable development of the country.

2. Specific objectives

a) Localities shall complete the construction of a database of the working environment and occupational disease monitoring by 2025 and connect to the national data system by 2030.

b) To manage labor facilities with harmful factors causing occupational diseases: To manage 50% of the labor facilities by 2025 and 80% of the labor facilities by 2030.

c) To inspect the monitoring of working environment: To inspect 30% of the labor facilities with harmful factors causing occupational diseases by 2025 and 50% of the labor facilities with harmful factors causing occupational diseases by 2030; 100% of the labor facilities using asbestos shall have their working environment supervised and monitored as prescribed by 2025.

d) By 2025: To integrate the health care services for employees without labor contracts to the primary health care activities at health facilities at the grassroots level (in accordance with the Scheme on construction and development of health facilities in the new circumstances). 100% of the labor facilities shall be consulted about noninfectious diseases, take preventive measures, improve health, practice hygienic nutrition, suit working conditions and increase mobilization at workplaces.

dd) To manage employees health at labor facilities at risk of occupational diseases (including employees exposed to asbestos): 50% of employees working for labor facilities at risk of occupational diseases shall be provided information about harmful factors, preventive measures and shall be examined to early detect occupational diseases by 2025 and 100% of employees working for labor facilities at risk of occupational diseases shall be provided information about harmful factors, preventive measures and shall be examined to early detect occupational diseases by 2030.

e) By 2025: 100% of employees exposing to asbestos shall be managed health, the examination of occupational diseases; 100% of labor facilities using asbestos shall be supervised and monitored the working environment as prescribed.

g) 100% of people suffering from labor accidents and occupational diseases shall be given first aid at the workplace, examined, treated and rehabilitated.

h) By 2030: 100% of employees at industrial parks and export processing zones shall be consulted and provided reproductive health care, HIV/AIDS prevention and breastfeeding (for female employees).

i) By 2025, to reduce 15% of collective food poisoning cases at labor facilities and by 2030, to reduce by 25% in comparison to the period of 2010 - 2018.

III. SCOPE, SUBJECTS AND TIME FOR IMPLEMENTING THE PROGRAM

1. Scope and subjects:The Program shall be implemented nationwide, including labor facilities, employers and employees. Priority should be given to small and medium-sized labor facilities, agricultural areas, trade villages, female employees, elderly employees and employees without labor contracts and health facilities.

2. Implementation period:From 2020 to 2030.

IV. KEY SOLUTIONS AND TASKS

1. To strengthen the inter-sectoral leadership, direction and coordination

a) To strengthen the leadership, direction and coordination of all levels and branches from central to local levels, among relevant agencies, political and social organizations, professional associations, enterprises and non-governmental organizations in implementing the Program s objectives.

b) To mobilize the participation of all political systems, ministries, branches, localities, agencies, enterprise community, mass organizations and population communities to implement the Program s objectives.

2. To perfect the legal and policy systems

a) To review, adjust, supplement and perfect the legal system and policy mechanism on labor health and occupational hygiene.

b) To review, amend and supplement professional regulations; inspect, supervise and monitor the implementation of law regulations on occupational hygiene, take care of and improve employees’ health, prevent and control the occupational disease, provide treatment and rehabilitation.

3. To improve the system providing professional services in medical engineering and computerization

a) To invest and upgrade equipment, facilities and human resources for the calibration - reference system to ensure the quality of working environment monitoring, health monitoring, screening, early detection, early diagnosis of occupational diseases; provision of first aid at the workplace; treatment, assessment and rehabilitation of occupational diseases and occupational accidents.

b) To perfect professional and technical guidelines, national standards and technical regulations on occupational hygiene, limitation of occupational exposure, examination and diagnosis, treatment and rehabilitation of occupational accidents and occupational diseases.

c) To strengthen training to improve management capacity and professional skills for staff in accordance with task requirements for each Program objective; to give priority to retraining for grassroots health officials and health staff in labor facilities on health care services for employees.

d) To deploy computerization for management activities of caring and improving employees’ health; synchronize and connect the information system from the labor facility to the district, provincial and central levels.

dd) To strengthen health organizations providing health care services for employees and control harmful factors at workplaces.

e) To formulate guidance on providing health care services for employees, managing harmful factors and personal health records; improve employees’ health at the grassroots level for small and medium-sized enterprises, craft villages and for employees without labor contracts.

g) To deploy and expand the effective models of prevention and control of infectious and non-communicable diseases (such as cancer, cardiovascular disease, diabetes mellitus, chronic obstructive pulmonary disease and bronchial asthma, etc.) in the workplace.

h) To effectively prevent and control occupational diseases in a number of industries (occupational infections in health and agriculture; occupational deafness in mechanical engineering, machinery manufacturing; occupational asbestos in the construction; occupational poisoning in the production of leather and footwear, chemicals, electronic components; occupational dust exposure in mining, mechanics and metallurgy, etc.); minimize exposure to harmful factors in at-risk workplaces.

i) To assess occupational hygiene factors and occupational diseases arising under new working conditions; check and manage information about facilities using asbestos, supervise and monitor the working environment, make health monitoring records, carry out periodic health examinations and annually occupational disease examination; update national records for asbestos-related diseases at the National Cancer Registry.

k) To review and provide guidelines for the following issues: (i) Female employees’ industrial parks and export processing zones; (ii) overtime medical examination and treatment for employees and payment of occupational disease benefits for employees; (iii) the labor health system at all levels including production and business establishments; (iv) using funds for the prevention of occupational diseases from the labor accident and occupational disease insurance fund; (v) health care for employees without labor contracts and elderly employees.

l) To improve capacity for first aid in the workplace, respond to treatment and rehabilitation for occupational diseases and occupational accidents.

4. Regarding communication and social mobilization

a) To establish an information and communication system, improve the communication network for health education from central to local levels.

b) To disseminate and propagate undertakings, policies and laws on employee health care and promotion for all levels, sectors, unions and people.

c) To diverse and effective use of channels and forms of communication to enhance effective access to the subjects in care and improvement of employees health.

5. Regarding financial resources

a) To effectively use funding sources, including: The State budget included in the expenditure estimates of branches, localities and units according to the provisions of the Law on State Budget; ODA, aid from non-governmental organizations and other lawful mobilizing sources.

b) To ensure a regular budget for information, propaganda, training, research, prevention of occupational diseases and data collection, and report progress on the achievement of the objectives.

c) To coordinate and integrate the Program financial resources with existing resources (health insurance fund, occupational accident and disease insurance fund, etc.) and socialization resource.

6. Researching, monitoring and supervising

a) To promote scientific research, especially in-depth studies; mobilize the broad participation of the scientist community, agencies and other organizations.

d) To establish a national monitoring system on managing employees’ health, occupational accidents, occupational diseases, treatment and rehabilitation; to strengthen the application of information technology in the direction, administration, monitoring and reporting of occupational health and occupational diseases at all levels.

7. International cooperation

To strengthen international cooperation, mobilize the support on finance, technology and experience to implement health care programs for employees and occupational disease prevention programs of international organizations, governments of other countries and foreign non-governmental organizations.

V. ACTIVITIES AND PROJECTS OF THE PROGRAM:Activities and projects of the Program are prescribed in the Appendix attached to this Decision.

VI. ORGANIZATION OF IMPLEMENTATION

1. The Ministry of Health shall

a) To assume the prime responsibility for and coordinate with relevant ministries and branches, People’s Committees of provinces and centrally-run cities, agencies and organizations in formulating the master plan and annual plans, provide guidance on formulating Projects and detailed activities, organize and implement the Program nationwide.

b) On an annual or irregular basis, to summarize and report to the Prime Minister and competent authorities on the implementation of the Program.

2. The Ministry of Labor, War Invalid and Social Affairs shall

a) To provide guidance for enterprises to implement the Labor Code, the Law on Occupational Safety and Health, documents on detailing Laws and relevant regulations of the Program.

b) To assume the prime responsibility for and coordinate in implementing assigned Projects in the Program.

3. The Ministry of Finance and the Ministry of Planning and Investment shall balance and allocate enough funding for the implementation of the Program as prescribed by law.

The Ministry of Planning and Investment shall mobilize domestic and foreign support resources to implement the Program.

4. Other ministries, ministerial-level agencies and government-attached agencies shall assume the prime responsibility for and coordinate with the Ministry of Health and relevant ministries and branches in organizing and implementing the Program with the assigned tasks and their competence.

5. People’s Committees of provinces and centrally-run cities shall

a) To prepare and implement an action plan based on the Program s content and conditions and specific characteristics of each locality.

b) To ensure to allocate funding and mobilize financial resources for the implementation of the Program s tasks.

c) To report the implementation results to the Ministry of Health.

6. To request the Central Committee of Vietnam Fatherland Front, Vietnam General Confederation of Labor, Vietnam Chamber of Commerce and Industry, Vietnam Central Farmers Union, Vietnam Cooperative Alliance, Vietnam Association of Small and Medium Enterprises, Vietnam Association of Occupational Health, Vietnam Occupational Safety and Health Association and other member organizations of the Vietnam Fatherland Front, social organizations, within their functions and tasks, to participate in organizing the implementation of the Program, promoting communication, education and upgrading awareness, monitoring, supervision, inspection of strengthening work, taking care and improving employees’ health and prevention of occupational diseases.

7. Employers shall

a) To comply with law regulations and contents as prescribed in the Program s objectives;

b) To coordinate with ministries, branches and professional units in implementing related projects;

c) To report the implementation to the state management agencies in accordance with law provisions.

Article 2.This Decision takes effect on the date of its signing.

Article 3.The Minister of Health, other ministers, heads of ministerial-level agencies, heads of government-attached agencies, Chairpersons of People s Committees of provinces and centrally-run cities and relevant agencies and organizations shall be responsible for the implementation of this Decision./.

The Prime Minister

Nguyen Xuan Phuc

LIST OF PRIORITY PROJECTS FOR IMPLEMENTING THE PROGRAM CARE AND IMPROVEMENT OF EMPLOYEES’ HEALTH AND OCCUPATIONAL DISEASE PREVENTION IN THE 2020 - 2030 PERIOD

(Attached to the Decision No. 659/QD-TTg dated May 20, 2020)