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Improvements at commune health stations

After nearly 4 months of operating under the 2-level local government model, commune and ward health stations have maintained good professional work. Some health stations have had positive and clear changes, meeting the people's needs for medical examination and treatment.

Báo Đồng NaiBáo Đồng Nai23/10/2025

Doctors at Song Ray Commune Health Station examine patients. Photo: Le Thai
Doctors at Song Ray Commune Health Station examine patients. Photo: Le Thai

However, some difficulties in terms of human resources and facilities still exist, requiring early resolution so that commune and ward health stations can truly be the "gatekeepers" in primary health care for the people.

Clear changes

Song Ray Commune Health Station, Dong Nai Province was newly established on the basis of merging Song Ray and Lam San Commune Health Stations and the old Song Ray Regional General Clinic. Song Ray Commune Health Station is currently under the management and operation of Cam My Regional Health Center; at the same time, it is under indirect management and coordination in implementing health work (medical examination and treatment, grassroots health, national health programs, etc.) with the Party Committee and People's Committee of Song Ray Commune.

Deputy Head of Song Ray Commune Health Station, Luong Thi Lan Anh, said: Since 2024, Song Ray Commune Health Station and Lam San Station have been newly built and put into operation. The facilities are spacious, clean, and beautiful, creating convenience and safety for people when coming to examine, treat, and receive primary health care. In addition, Cam My Regional Health Center also arranged and assigned an ambulance at the Health Station to provide emergency care and timely transport of patients.

For the medical staff of villages and hamlets, according to the new regulations of the Ministry of Health , it is necessary to organize the recruitment of people with medical degrees. However, in practice, it is very difficult to implement because the salary allowance is too low, not enough to cover living expenses. Currently, Song Ray Commune Health Station as well as other health stations are still continuing to contract with medical staff of villages and hamlets without professional qualifications, only graduating from high school or other professional degrees. This is not in accordance with regulations and does not meet the conditions and standards according to regulations in the coming time.

Deputy Head of Song Ray Commune Health Station LUONG THI LAN ANH

“Song Ray Commune Health Center currently has 36 staff, including 4 doctors, 3 pharmacists, 8 general practitioners, 2 traditional medicine practitioners, 11 nurses, 1 medical laboratory technician, 4 midwives, 2 population workers, 1 accountant. Currently, 1 general practitioner is studying to become a general practitioner. In addition, Cam My Regional Health Center has also added 1 traditional medicine practitioner and 2 contract workers under Decree 111 to work here to ensure good and continuous medical examination and treatment for people in the area” - Deputy Head of Song Ray Commune Health Center Luong Thi Lan Anh added.

After nearly 4 months of operating under the 2-level local government model, Song Ray Commune Health Station has enough staff and human resources in terms of doctors, organizing full medical examinations according to the following specialties: internal medicine, pediatrics, obstetrics, traditional medicine - physical therapy, testing, ultrasound, pharmacy work... Thanks to that, people increasingly trust in coming to the Commune Health Station for medical examination and treatment and receive comprehensive health care at the grassroots health center; in case the patient exceeds the treatment capacity, the Commune Health Station transfers the patient to Cam My Regional Medical Center or Long Khanh Regional General Hospital. "Thanks to being equipped with an ambulance, the transportation of patients in emergency and critical cases is always timely, ensuring the life and health of the patient" - Deputy Head of Song Ray Commune Health Station Luong Thi Lan Anh shared.

After the merger, Loc Thanh Border Commune Health Station, in addition to the main station, has two more locations: Loc Hoa Military-Civilian Medical Station and the old Loc Hoa Commune Station. According to specialist doctor I Vu Hoang Anh, Deputy Head of the station in charge of Loc Thanh Commune Health Station, after the merger, the Commune Health Station has more human resources and resources to develop and provide primary health care for the people. The stations after the merger have supported each other in knowledge and expertise; more convenient in the process of mobilizing, rotating, and arranging job positions from the main station to the health station and vice versa. From there, they are more proactive in the assigned work in the locality; medical examination and treatment to take care of people's health, and epidemic prevention and control work are carried out continuously...

Increase investment in commune and ward health care

The initial advantages of commune health stations when operating under the 2-level local government model have helped medical staff, doctors, and medical staff feel more excited and secure in their work; and people feel secure in coming for medical examination, treatment, and primary health care. However, in order for this grassroots health system to maximize its role, there are still many limitations that need to be overcome, especially in terms of human resources and facilities.

Doctor Nguyen Thi Lien, Acting Head of Trang Dai Ward Health Station, said: According to the staff assigned to the ward health station, there are 33 employees, but currently there are only 24 employees and no deputy station chief. Therefore, Trang Dai Ward Health Station is looking forward to improving its staff to better meet the increasing workload as it is now. "We also recommend that leaders at all levels pay attention and organize many training programs to improve professional skills for medical staff, doctors and staff of commune health stations in general and Trang Dai Ward Health Station in particular. Only then will health care and service for the people be better and better" - Doctor Nguyen Thi Lien expressed.

In addition to the proposal on personnel, facilities, and equipment, specialist doctor I Tran Van Thi, Head of Loc Quang Commune Health Station, Dong Nai Province, suggested: In order for the Health Station to further improve the quality of its operations in the coming time, we hope that the Ministry of Health will soon issue a new circular to replace Circular No. 33/2015-BYT guiding the functions and tasks of commune, ward, and town health stations to regulate the functions and tasks of commune-level health stations in accordance with the 2-level local government model, thereby being proactive in primary health care for the people, especially preventive medicine work to prevent diseases for people early and from a distance.

Hai Yen

Source: https://baodongnai.com.vn/xa-hoi/202510/khoi-sac-o-tram-y-te-tuyen-xa-f782eb6/


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