Cao Bang Health Sector gradually stabilizes the organization and human resources of the grassroots health system to ensure effective and efficient operation of assigned functions and tasks.

To ensure uninterrupted provision of medical services at commune and ward health stations and health points after implementing the two-level local government model, the Cao Bang health sector has been implementing many solutions to quickly stabilize the organization and human resources so that the grassroots health system can operate effectively and smoothly, ensuring the best service for the people.

Medical examination for children at Quang Lam Commune Health Station.

From July 1, 2025, the two-level government model will be operated nationwide. Previously, many people were worried that after the merger of communes, access to health services in the locality would be affected. In order to promptly and effectively deploy the grassroots health system according to the two-level local government model, the Cao Bang Health sector has closely followed the resolutions and directives of the Central Government and the Ministry of Health to ensure the provision of continuous, stable, smooth, uninterrupted, and effective health services. The Department of Health has paid attention to and focused on directing the Health Centers and Health Stations in the area to proactively coordinate closely and promptly with local Party committees and authorities in ensuring the provision of continuous, stable, smooth, uninterrupted, and effective health and social protection services in the commune. At the same time, ensure the legitimate rights of health insurance participants and the continuous and smooth medical examination and treatment of health insurance before, during and after the administrative units are organized into two levels (provincial and communal levels). Focus on advising local Party committees and authorities on professional health work, develop health sector indicators for the Party Committee, People's Council, People's Committee and synthesize, report data, and evaluate the health performance of Health Stations and Health Points. Initially overcome difficulties when the existing human resources are not enough to meet the requirements of the tasks in the new situation.

In order for the provincial health system to operate stably, ensure effective and smooth operations, and serve the people in the best way. The Department of Health has drafted a Project to reorganize the Department of Health and public service units under the Cao Bang Department of Health and a Project to reorganize the health stations of communes, wards, and towns, health stations, and end the operations of 2 regional polyclinics to suit the requirements and tasks of providing health services in the new period according to the instructions of the Ministry of Health to submit to the competent authority for promulgation. Develop a plan to assign health centers to send human resources to support health stations, ensuring that the arrangement of administrative units does not affect the provision of health services and social protection work for people, especially in remote areas. At the same time, direct the Health Centers, Commune and Ward Health Stations to rearrange the organizational structure, review and transfer human resources from the Health Centers to the Commune Health Stations to meet the requirements of primary health care tasks for people in the area continuously and without interruption.

Comrade Nong Tuan Phong - Director of the Department of Health spoke at the Conference on implementing the Decision on mobilizing, seconding, and assigning officials to manage and operate new commune and ward health stations. Photo: Thao Van

On August 24, the Department of Health held a conference to deploy the decision to mobilize, second, and assign officials to manage and operate the Commune and Ward Health Stations established under Decision 1333/QD-UBND dated August 11, 2025 of the Provincial People's Committee due to the arrangement of commune-level administrative units according to the resolution of the National Assembly Standing Committee to perform the task of advising local Party committees and authorities. in implementing primary health care for people in the commune. This demonstrates the determination to comprehensively restructure the grassroots health system, creating synchronization in the implementation of health programs, aiming to improve the effectiveness, efficiency and quality of health care for the people in the new situation. This is considered a strategic step, synchronizing the health system with the new government organization model.

  Quang Lam commune was established on the basis of merging 2 communes: Quang Lam commune and Thach Lam commune. In the beginning after the merger, the Health Stations of the 2 old communes still maintained their operations according to the previous model and location. At Quang Lam Commune Health Station, people coming to see a doctor here are all welcomed, guided and examined enthusiastically and thoughtfully by doctors and nurses. According to the statistical report of Quang Lam Commune Health Station, since the beginning of the year, has examined and treated over 3,000 people, reaching over 86.8% of the yearly plan. On average, it examines and treats 375 patients/month, including 68 chronic disease records. such as: high blood pressure, diabetes, epilepsy are maintained with regular examination, consultation, and medication.

Officials of Quang Lam Commune Health Station perform blood sugar test for Mr. Luc Van Hien, Tong Ngoang hamlet, Quang Lam commune.

Mr. Luc Van Hien, Tong Ngoang hamlet, Quang Lam commune Share: I have diabetes, I have to go to the health station for regular check-ups and get medicine every month. Maintaining the operation of the health station and health points after The merger has made it convenient for me and other patients to come to the clinic for examination, treatment and regular medication without having to travel far. Every time I come for examination, I am guided very enthusiastically by the doctors and nurses. The examination procedure is quick and convenient, without having to wait long. I feel very secure and satisfied.

Doctor Do Thi Yen - In charge, managing and operating Quang Lam Commune Health Station shared: After implementing the 2-level local government model, the Health Station also advised the Commune People's Committee to develop and immediately implement plans for people's health care; disease prevention, food safety; maternal and child health care; reassigning tasks to officials of the Station and Health Points so that emergency care, medical examination and treatment, and medicine dispensing at the Health Station as well as the Health Points are guaranteed to be maintained 24/24 hours... to meet the health care needs of people in the area.

Hung Dao commune was established on the basis of arranging the entire natural area and population of Hung Dao, Hung Thinh and Kim Cuc communes. Currently, the commune health station is located in Hung Dao commune (old) and 02 health points include: Hung Thinh health point located at the headquarters of Hung Thinh commune health station (old), Kim Cuc health point located at the headquarters of Kim Cuc commune health station (old). After nearly 2 months of implementing health activities in the 2-level local government model, currently professional activities such as disease prevention and control, vaccination, medical examination and treatment and other activities are still operating normally. People are examined and receive health insurance drugs at the health station and 2 health points located in 2 old communes after the merger, creating convenience in accessing health services. Since the beginning of the year, Hung Dao Commune Health Station has examined and treated over 5,800 people, reaching 70.4% of the yearly plan (of which Hung Thinh Health Station examined and treated over 1,900 people, reaching 74.5% of the plan, Kim Cuc Health Station examined and treated nearly 1,800 patients, reaching 66.8% of the plan); managed and treated 460 chronic outpatients, including 425 patients with high blood pressure, 18 patients with diabetes and 17 patients with epilepsy and schizophrenia.

Medical examination for people at Hung Dao Commune Health Station

Ms. Hoang Thi Thuy, Khuoi Tac hamlet, Hung Dao commune, came to Hung Dao Medical Station for medical examination. Ms. Pham said: I often go to the Medical Station for health insurance medical examination. After implementing the 2-level local government model, I found that the medical examination procedures are still very fast, convenient, and convenient, creating favorable conditions for people to come for medical examination and treatment, without making people wait long.

The newly established Tan Giang Ward was established on the basis of merging 4 communes of Chu Trinh, Duyet Chung, Hoa Chung, Le Chung and the old Tan Giang Ward. After the merger, the Health Stations of the 5 old communes/wards still maintain their operations according to the previous model and location. According to statistics from Duyet Trung Health Station, on average, the Health Station examines and treats 125 patients per month, including 73 chronic diseases such as high blood pressure, diabetes, epilepsy that are regularly examined, consulted, and dispensed medicine.

Mr. Ma Van Lan, in Duyet Trung 5 Group, Tan Giang Ward shared: I was treated for chronic hypertension and mixed hyperlipidemia at the Provincial General Hospital. Since February 2025, I have been transferred to Duyet Trung Medical Station (now Duyet Trung Medical Point). Maintaining the operation of the Medical Station and Medical Point after the establishment of the new Tan Giang Ward has made it convenient for me and patients to come for medical examination, treatment and regular medication without having to travel far.

  Maintaining the Health Points after merging administrative units at the commune and ward levels is an important policy of the Ministry of Health and localities, aiming to ensure the goal of serving people in the best way, avoiding disruption in people's access to primary health care services as well as the management of medical examination and treatment of the Health Station, helping to reduce the burden on the upper level.

According to Director of the Department of Health Nong Tuan Phong, the implementation of the arrangement of medical facilities according to the 2-level local government model is not only an administrative reform but also an important step in the thinking of management and provision of public services. The health sector is determined not to interrupt the work of taking care of people's health when implementing the 2-level local government model. Based on the requirements, tasks, specific situations, and job positions , in the coming time, the Department of Health will continue to review, consider, decide, assign, and arrange human resources at affiliated public service units appropriately, ensuring human resources working at commune-level health stations and health points so that the provision of health services is continuous, smooth, and uninterrupted, and people continue to have access to fair and convenient health services. Although there are still many difficulties and challenges in terms of human resources, facilities and management, with the strong direction from the province, the proactiveness and flexibility of the health sector and local authorities, maintaining stability and improving the quality and efficiency of the operations of health stations and health points in communes and wards not only helps people feel secure but also contributes to maintaining the grassroots health system - the frontline in disease prevention and control and health care for the whole population in the new period.

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Source: https://soyte.caobang.gov.vn/tin-tuc-66446/nganh-y-te-cao-bang-tung-buoc-on-dinh-ve-to-chuc-nhan-luc-he-thong-y-te-co-so-nham-dam-bao-hoat--1025705