From July 15th, a special allowance system will be applied in the healthcare sector.

The government has just issued Decree No. 192/2026/ND-CP stipulating a number of specific allowances in the health sector; monthly support for village and neighborhood health workers and village midwives.

This decree stipulates several specific allowances in the healthcare sector, including: on-call allowance; surgical and procedural allowance; epidemic control allowance; and monthly support for village and neighborhood health workers and village midwives.

The applicable subjects include officials and employees working at public health facilities; commune, ward, and special zone health stations; public outpatient emergency medical facilities; facilities for caring for and nursing war veterans; public social assistance facilities; public forensic and psychiatric forensic examination organizations; and the National Coordination Center for Organ Transplantation.

The decree also applies to officers, professional soldiers, non-commissioned officers, soldiers, civil servants, public employees, defense workers, and workers in medical facilities of the People's Army; salaried officers and non-commissioned officers, police workers, and contract workers performing medical professional duties in the People's Public Security; members of the National Civil Defense Steering Committee and Civil Defense Commands at all levels participating in epidemic control; village and neighborhood health workers and village midwives.

According to the decree, employees on duty 24/7 during working days are entitled to an allowance ranging from 70,000 VND to 325,000 VND per person per shift, depending on the type and category of the medical facility.

Specifically, the rate of 325,000 VND/person/shift applies to medical facilities of special and first class; the Central Institute of Forensic Psychiatry and the Central Institute of Forensic Psychiatry Bien Hoa.

A rate of 255,000 VND per person per shift applies to Grade II medical facilities; regional forensic psychiatric centers; the Military Forensic Institute under the Ministry of National Defense; the Forensic Examination Center under the Institute of Criminal Science, Ministry of Public Security ; and the National Coordination Center for Organ Transplantation for coordinating the procurement, transportation, and preservation of human tissues and organs.

The rate of 185,000 VND/person/shift applies to the remaining medical facilities; forensic departments under the Criminal Technical Department of the Provincial Police; public outpatient emergency medical facilities; commune-level health stations; military-civilian health stations; military-civilian infirmaries; infirmaries of the People's Police and public social assistance facilities under the Ministry of Health .

The rate of 70,000 VND/person/shift applies to facilities caring for and nursing war veterans and other public social assistance facilities.

For on-call duty in departments or special areas, the allowance is calculated at 1.5 times the prescribed rate. On-call duty on weekly days off is calculated at 1.3 times; on-call duty on public holidays is calculated at 1.8 times the regular daily allowance.

Workers on 12/24 hour or 16/24 hour shifts are entitled to corresponding allowances as prescribed. Those on duty under the resident on-call system receive an allowance ranging from 35,000 VND to 160,000 VND per person per shift, depending on the category of the medical facility.

In addition, employees working 24/7 shifts receive a meal allowance of 40,000 VND per person per shift.

Regarding surgical allowances, the main surgeon, anesthesiologist, or acupuncturist receives between 100,000 VND and 560,000 VND per person per surgery, depending on the type of surgery.

Surgical assistants, anesthesia and resuscitation assistants, or acupuncture assistants receive between 60,000 and 400,000 VND per person per surgery. Assistants to the surgical team receive between 40,000 and 240,000 VND per person per surgery.

The procedure allowance is 0.3 times the allowance for similar surgical procedures.

Regarding epidemic prevention allowances, the decree specifies two groups of individuals directly involved in epidemic prevention and control work.

For infectious diseases in group A, the allowance is VND 420,000/day/person for group 1 and VND 280,000/day/person for group 2.

For infectious diseases in group B, the allowance is 280,000 VND/day/person. For infectious diseases in group C, the allowance is 210,000 VND/day/person.

Those participating in round-the-clock epidemic control efforts are entitled to 280,000 VND/day/person on weekdays; the allowance for weekly days off is 1.3 times and for holidays and Tet (Lunar New Year) is 1.8 times the regular daily rate.

Workers who are on duty 24/7 to combat the epidemic or directly involved in monitoring, investigating, collecting and processing samples, and verifying the disease will receive a meal allowance of 40,000 VND/person/day.

Collaborators and volunteers mobilized to participate in combating Group A epidemics during an outbreak will receive a daily allowance ranging from 170,000 VND to 280,000 VND per person.

The decree also stipulates a monthly allowance for village and neighborhood health workers and village midwives during their term of service.

The support level is 0.7 times the basic salary applicable to village and neighborhood health workers and village midwives working in villages with 350 or more households; villages in disadvantaged areas as defined by the Government; and neighborhoods with 500 or more households.

The support level is 0.5 times the basic salary applicable to the remaining villages, hamlets, and residential areas.

The provincial People's Committee, based on actual conditions and local budget capacity, shall submit to the People's Council at the same level a decision on the number of village/neighborhood health workers and village/hamlet midwives; and shall also stipulate the specific support level, but not lower than the level prescribed in the decree.

Specifically, the Decree will take effect from July 15, 2026.

Source: https://daibieunhandan.vn/tu-15-7-ap-dung-che-do-phu-cap-dac-thu-trong-linh-vuc-y-te-10419037.html