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MINISTRY OF HEALTH No 2010/QD-BYT Socialist Republic of Vietnam Independence- Freedom-Happiness June 7th, 2006 DECISION ON APPROVING NATIONAL MASTER PLAN FOR PROTECTION, CARE AND PROMOTION OF ADOLESCENT AND YOUTH HEALTH FOR THE PERIOD 2006-2010 AND STRATEGIC ORIENTATION UNTIL 2020 THE MINISTER OF HEALTH DECIDES: Article To approve the “National Master Plan for Protection, Care and Promotion of adolescent and youth health for the period 2006-2010 and strategic orientation until 2020” with the following principal contents: Objectives a General objective To maintain and promote the physical and mental health of young people Specifically, to improve and increase access to quality health care services, especially for sexual and reproductive health and prevention of STDs and HIV/AIDS, to reduce unwanted abortion, to prevent accidents and injuries, decrease the prevalence of substance abuse, and reduce rmental health problems Targets for 2010 include: - the reduction of the number of unwanted pregnancies among adolescents and youth (A and Y) by 30% - the reduction of the number of new HIV infections among A and Y by 30% - the reduction of the number of injuries among A & Y by 30% - the reduction of the number of A & Y using substances (drugs, alcohol and cigarettes) by 30% 40% of A & Y experiencing psychological disorders are able to speak with others about their disorders b Specific objectives - To enhance the knowledge, skills, and behavior of young people to enable them to promote and protect their health - To develop policies and guidelines that support programs for the protection, care, and promotion of adolescent and youth health - To create a supportive social environment for the protection, care and promotion of adolescent and youth health - To improve access to appropriate and specific services to meet the needs of adolescents and youth and ensure equity in health care - To provide special support for disadvantaged and vulnerable young people Main solutions a IEC and BCC measures b Social measures c Technical measures d Financial measures Action plan a 2006-2007 This is the preparation and pilot phase These activities need to be completed by the end of 2007: - Build capacity in terms of professionalism and management skills for staff at central level and selected provinces to implement project activities - Complete the development of the YFS models and evaluate models nationally and internationally to inform the scaling up in phase II - Planning and implementing BCC activities to improve the knowledge and understanding of the general society about adolescent and youth health issues to create a more supportive environment for adolescent and youth health - Creating and implementing a detailed plan for budget mobilization that considers the state budget and international aid for the implementation of the National Masterplan b 2008-2010 Period Activities in this period will include the scaling up of intervention models based on experiences gathered in the first phase and the provision of technical support, supervision, and refresher trainings by the central level to the lower levels to improve capacity c Vision for the period 2010-2020: Creating supportive environment and minimizing health risks will continue to create opportunities for A and Y to improve their health and develop in such a way to make positive contributions to society as well as the country and ensure their individual happiness Interventions for this period should focus on seeking solutions through activities as follows: - Strengthening IEC and BCC - Extending the model of comprehensive friendly services (provision of information, counselling and clinical services) to disadvantaged and remote areas - Improving research, supervision and evaluation skills for central and provincial levels to support the adjustment and updating of policies and interventions Budget The estimated minimum budget for the Master Plan implementation for the period 2006-2010 is 6,290,000 USD equal to 100,640,000,000 VND This budget will be mobilized from the following sources: - State budget, - Foreign aid, - Charity funds, - Community funds and insurance which supports school students, and, - Individual contributions Implementation a Coordination and management Establishing coordinating bodies at various levels for the protection, care and promotion of A and Y health To implement the National Strategy for Reproductive Health being approved by the Prime Minister, coordinating bodies for the protection, care and promotion of A and Y health will be established within committees from the central to peripheral levels These coordinating bodies will include administrators from different MoH related departments and representatives of other ministries/ sectors/ social organizations A secretariat will be created to work for the central coordinating body and the Ministry of Health to coordinate the implementation of the master plan Technical support: There shall be a technical assistance group established that will include representatives from various health sector fields such as OB/Gyn physicians, pediatricians, public health specialists, IEC experts, social scientists, psychologists and international and national experts from various international and national NGOs b Integrated mechanisms Programs, projects and activities in the health sector related to the protection, care, and promotion of A and Y health should be coordinated and integrated Examples include reproductive health programs, safe motherhood programs, family planning programs, youth friendly health services, HIV/AIDS prevention, accident and injury prevention as well as IEC/BCC programs that target A&Y run by other agencies Other agencies will implement programs/projects related to A & Y health through their vertical systems This coordination requires technical assistance, comments for plan of action, management, supervision and monitoring/evaluation to ensure that the objectives of the MP will be followed Programs, projects and activities that have to be carried out at the primary health care level, should be in accordance with the guidelines and direction of the MoH for the implementation of concrete interventions Article The Reproductive Health Department is assigned by the Ministry of Health to be the focal point for the coordination and implementation of the Master Plan approved in Article of this decision and should report periodically to the Minister of Health about the implementation process Article This decision will have full effect 15 days after being issued Article The Director of the Office of Ministry of Health, Directors of VAAC, VAPM, RH Department, Science and Training, Financial and Planning, International Cooperation, Therapy Departments and related organizations are to implement this decision For the Minister of Health Vice Minister Signed Tran Chi Liem Preface In accordance with the WHO report, the world population now accounts for billions Of those, there are 1.2 billions adolescent and youth totaling one fifth of the population The Vietnam, Demographic and Health Survey 1999 (DHS 1999) reports the adolescent and youth groups combined make up one third of the population Young people are a vital resource of the society and will play an important role in determining the countries future Therefore, adolescent and youth health and development have been paid special attention from the Government of Vietnam However, due to a lack of adequate knowledge and life skills, this age group faces numerous risks and challenges These include RSH, HIV/AIDS, early pregnancy, unwanted pregnancy, unsafe abortion, traffic accidents and substance abuse The Prime Minister’s decision No: 136/2000/QD-TTg dated November 28, 2000 approves the National Strategy on Reproductive Health Care for the period 2001-2010 In this document, reproductive health care (RH care) for adolescents and youth including RTIs/STIs is one of the prioritized interventions that should be implemented at all levels More over, the strategy also points out the strategic measures to improve reproductive and sexual health in adolescent and youth through education and counseling as well as provision of Youth Friendly Services (YFS) To implement this strategy, the MOH has issued National Standard Guideline (NSGs) on RH care and the provision of YFS including counseling on RSH, appropriate contraceptive distribution, safe motherhood, safe abortion, prevention of RTIs/STIs The development and promulgation of the National Master Plan on Protection, Care, and Promotion of Adolescent and Youth Health (MP on ADHD) provides a significant focus to guide interventions to improve the reproductive health status for the adolescent and youth group in the years to come The MP on ADHD will contribute to achieving the National Strategy on RH Care objectives that were approved by the Prime Minister This is the first time the MOH has developed a comprehensive and long term Plan for protection, care, and promotion of adolescent and youth health This plan provides clear objectives, targets, indicators, strategic measures, implementing measures, and a budget estimation to carry out the Plans’ activities This is an important document facilitating decision makers and managers to have clear guidance in carrying out the interventions related to protection, care, and promotion of adolescent and youth health The Master Plan is also a background for agencies dealing with adolescent and youth health to wisely plan and select the most appropriate areas for investment in adolescent and youth health The MOH would like to take this opportunity to express our special thanks to SIDA and WHO for their financial and technical supports, and all the related agencies during the process of the development of this Master Plan Dr Tran Chi Liem Vice Minister of Health NATIONAL MASTER PLAN FOR PROTECTION, CARE AND PROMOTION OF ADOLESCENT AND YOUTH HEALTH FOR THE PERIOD 2006-2010 AND STRATEGIC ORIENTATION UNTIL 2020 Introduction Issues related to adolescent and youth health are becoming a common concern in Vietnam as well as in many other countries This National Master Plan for Protection, Care and Promotion of Adolescent and Youth Health for the period of 2006-2010 (referred to as MPAYH) deals with health concerns surrounding this very important human transition time, which has in the past received limited attention Commitment by the Vietnam Government to adolescent and youth health has been expressed clearly in various strategic documents on youth and health These strategies confirm the important role of young people both adolescent and youth (A & Y) in the industrialization and modernization process as well as in the development of future generations for the country At the same time, the strategies raise issues for Vietnam during its integration and globalization process, which lead to new opportunities and challenges for young people These opportunities and challenges include education, occupation, work, promotion, family life and health concerns such as HIV/AIDS, accident injuries, use and abuse of alcohol, tobacco, drugs and other social problems Definitions of adolescence and youth According to the WHO, “adolescents” are young people aged 10-19 years “Youth” include young people in the age group 15-24 The term “young people” is an umbrella term that includes both adolescents and youth thereby including those 10-24 years of age This Master Plan concerns the age group 10-24 acknowledging the three sub-groups 10-14, 1519 and 20-24 Rationale and background for the development of the Master Plan The 4th Resolution of The VII Party Congress on youth development in the new period confirms that: "Youth development is a vital issue of the nation, one of the factors determining the success of the revolution" The Strategy for Socio-economic Development of the Vietnam Communist Party for the period 2001-2010 has clearly stated aims: "To improve capacity and to provide opportunities for all so that everybody could work at the best of the acquired competency contributing to the development process and could enjoy products of the development” "To develop rapidly Vietnamese human resources to meet higher and higher standards” and "To enhance the reform in order to motivate the liberation and the use of all resources "1, in which it is important that A & Y be considered as key factors for future socio-economic development and as a potentially great force for the growth and the prosperity of the country Recently, Resolution No 46 of the Politic Bureau also mentions limitations and constraints for the protection, care and promotion of people’s health to include A & Y health Health protection and care in our country still have many constraints and weaknesses The quality of health services has not yet met people’s health needs, which are becoming more and more diversified A proportion of the - Strategy for socio-economic development 2001-2010.- Official document of the IX Commuist Pary Congress- Notioanl Politic Editions 2001 pp 163-165 (ChiÕn lợc phát triển kinh tế xà hội 2001-2010 - Văn kiện đại hội đại biểu toàn quốc lần thứ IX Đảng Cộng sản Việt Nam, Nhà Xuất Chính trị Quèc gia, Hµ Néi, 2001, trang 163, 165) population has not yet developed in their mind the habit for self-health protection, care and promotion There are not yet effective measures for the mobilization of community and social resources for health protection and care Some authorities of the party and government have not yet taken into consideration their leadership and guidance responsibilities for the protection, care and promotion of people health The WHO in the Western Pacific Region recommends to regional policy makers that adolescent and youth health and development issues should be prioritized by strategies: To develop national policies for health and development of young people To integrate issues of health and development of A & Y into national policies for the protection, care and promotion of public health To integrate issues of health and development of A & Y into national policies for national development Vietnam has implemented strategies and by the integration of A&Y health into many national health and development policies However, a specific policy for the protection, care and promotion of A&Y has not yet been developed The National Strategy on Reproductive Health Care for the period 2001-2010 issued by the Prime Minister dated November 28, 2000 (decision No:136/2000/QD-TTg) has identified that reproductive health care and prevention of reproductive tract infections including STDs in the adolescent group are the main components that need to be implemented The strategy also suggested possible solutions to improving adolescent RSH (Reproductive and Sexual Health) including IEC (Information, Education and Communication), counseling and the provision of YFS (Youth Friendly Services) Based on health directives and orientations of the Vietnam Communist Party and on the current status of A & Y health, the Ministry of Health has decided to develop a “National Master Plan for the Protection, Care and Promotion of Adolescent and Youth Health for the period 2006-2010 and strategic orientations until 2010” To develop and issue this Master Plan are the key steps to guiding the protection, care and promotion of health for the A&Y in the years to come The Master Plan also contributes to achieving the objectives of the National Strategy on Reproductive Health Care promulgated by the Prime Minister This is the first time that MOH has developed a long term, comprehensive and concrete plan that has clear objectives, targets and indicators and the budget estimation needed to reach those objectives The Master Plan not only solves health problems but also identifies opportunities for the government and communities to contribute to the development of A & Y more comprehensively One important purpose of this plan is to strengthen the co-ordination between families, schools, ministries, sectors, social organizations and communities The development of the Master Plan has been based on results of “The National Health Survey 2000-2001”, “Survey Assessment of Vietnamese Youth 2003 (SAVY)” This plan aims to guide common efforts of ministries, sectors, social institutions and organizations to serve the specific health needs of A & Y The plan suggests policy makers identify significant and appropriate interventions for A & Y health, to make plans to implement interventions and to mobilize resources for those interventions in the years to come - SAVY (Survey Assesment of Vietnamese Youth), Eds MoH and GSO (do Tổng cục Thống kê Bộ Y tÕ tiÕn hµnh) The Master Plan is also based on previous research results particularly the draft documents of Strategies for Adolescent and Youth Health prepared by the Centre for Rural Population and Health (not yet approved) This Master Plan addresses related elements raised by previous existing strategies including the Strategy for Adolescents and Youth 20023, Strategy for Care and Protection of People’s Health, National Strategy for Reproductive Health Care for the period 2001-1010, National Strategy for nutrition, Strategy for Population Development, Strategy for the Prevention of HIV/AIDS until 2010 and vision until 2020, National Policy for tobacco control, and National Policy for the Prevention and Control of Accidents and Injuries The Master Plan could contribute to the implementation of The Youth Laws, which were passed and issued by the National Assembly The Master Plan is concerned with concepts pertaining to general health and includes reproductive health According to the WHO definition, “Health is not only a state free of diseases and disabilities, but also a state of well being physically, mentally and socially” Reproductive health is defined as “a state of total physical, mental and social well being, free of diseases and disabilities of the reproductive system” This implies that people have the right to receive information and have access to health services and safe, effective and acceptable family planning services according to their choice This would ensure women have safe pregnancies and deliveries, providing the best opportunities for couples to have healthy babies In the Master Plan, reproductive health (RH) is understood to include sexual health The Master Plan is built on the understanding of Vietnamese young people’s personality and demography characteristics This assures the focus to youth development and the influence of this group to the future of our nation This plan could also response to the reform and the globalisation of Vietnam in the industrialization and modernization process The Master Plan is also built on an analysis of A&Y’s physical and emotional changes Puberty used to be determined only by physiological factors, however the puberty definition needs to be widened to include all physical, social and emotional changes A & Y usually try to develop and sustain their own value systems They become more independent, more resilient to face physical, social and emotional changes in an effort to assert their own value in their journey through the transition years to maturity This is a period in which A & Y could experience potentially risk-taking behaviors While many A & Y successfully navigate this period, some of them will engage in such behaviors that are potentially harmful to their health6 The second decade of life is the time when young people develop to maturity Young people no longer face children’s diseases, instead they are confronted by new risks relating to their physiological, psychological and social well being Physical changes in puberty and sexual development raise many emotional issues This is a period full of paradox and conflicts requiring strong support from families and communities Master Plan development process In 2003 the Department of Reproductive Health - MOH established a working group to co-ordinate the drafting of the national Master Plan The process of development Ho Chi Minh Youth Federation, 2002, Strategy for rhe development of youth and children (Đoàn Thanh niên Cộng sản Hồ Chí Minh, 2002, Chiến lợc thiếu niên nhi đồng) WHO, Alma Ata declaration, 1978 (Tuyên ng«n Alma Ata, 1978) UNICEF (2002) Adolescent: A time that matters Located at www.unicef.org/program/adap/assets/adolescence.pdf - SAVY, 2005 included a review of national and international documents, a rapid field study in provinces (Ninh Binh, Hue, Ho Chi Minh City and An Giang), consultative meetings with the participation of adolescents and youth and meetings with the participation of policy makers and researchers The working group has also developed research tools for the collection of reliable and significant data The Master Plan includes the participation of many national organizations and international agencies with interests in A & Y health 10 • • • Strengthening of the BCC Extending the model of comprehensive friendly services (provision of information, counseling and clinical services) into disadvantaged and remote areas Improving research, supervision and evaluation skills for central and provincial levels to support adjustment and updating of policies and to adjust interventions 41 Part Co-ordination, Management, and Organization for Implementation The implementation of this Master Plan is not only the responsibility of the health sector, but also that of various ministries/sectors/Party authorities/administrators at various levels and communities The health sector carries out technical and professional activities, advises and guides health related activities for the various ministries/sectors/other social organizations Other institutions conduct activities to reduce health risk factors, increase the effect of protective factors and carry out interventions for specific A&Y groups according to the functions and tasks of each institution The main orientations of the MPAYH are minimizing health problems, disease and the national disease burden - not only for today but also the future These orientations require not only specification of techniques, but also the participation of ministries/ sectors/Party authorities/administrators at various levels, parents, teachers and communities CO-ORDINATION AND MANAGEMENT 1.1 Establishing co-ordinating bodies at various levels for the protection, care and promotion of A & Y health Co-ordinating bodies for the protection, care and promotion of A & Y health will be established within committees from central to peripheral levels created for the implementation of the National Strategy for Reproductive Health approved by the Prime Minister At the central level, the co-ordinating body will have the participation of administrators from different health related departments and representatives of other ministries, sectors and social organizations (Committee for Population, Family and Children, Ministry of Information and Culture, Ministry of Education and Training, Ministry of Labor and Welfare, Youth Union, Women’s’ Union and the Ministries of Defense and Police to respond to youth seeking work in these military fields) At local levels, co-ordinating bodies have the participation of administrators from related sectors such as Health, Education and Training, Labor, Invalids and Social Affairs, Youth Union, Women’s’ Union and the Committee for Population, Family and Children As well, a secretariat will be created to work for the central co-ordinating body and the Ministry of Health to co-ordinate the implementation of the Master Plan 1.2 Technical support: To ensure the provision of effective and adequate technical assistance for programs/projects for the protection, care and promotion of A & Y health, a technical assistance group will be established Group members will include representatives of sectors in the health field such as OB/Gyn doctors, pediatrics, public health specialists as well as IEC experts, social scientists, psychologists and international and national experts from various international and national NGOs 1.3 Integrated mechanisms: The protection, care and promotion of A & Y health is a large field related to many sectors and specialist agencies Implementation of the Master Plan requires the involvement of many sectors at various levels Even within the health sector, there is a need for the co-ordination and integration of different departments within MOH as well as between MOH and local health authorities 42 Health sector: To avoid overlap and wasted resources it is essential that programs, projects and activities related to the protection, care and promotion of A & Y health be co-ordinated and integrated e.g RH programs, safe motherhood, FP programs, Youth Friendly health services, prevention of HIV/AIDS and accidents and injuries As well IEC/BCC programs that target A&Y run by other agencies should also be integrated in the implementation The range of co-operation and integration may begin at an early stage to include design, budgeting and planning as well as in later stages to include implementation, supervision and final evaluation Other sectors: Other agencies implement programs/projects related to A & Y health through their vertical systems Co-ordination could be achieved only through technical assistance, comments for plan of action, management, supervision and monitoring/evaluation to ensure that objectives of the MP will be followed Programs/projects that include activities carried out at primary health care level should be in line with the guidelines and direction of MoH Co-ordination and integration mechanisms of the above-mentioned aim at better use of resources and investment whilst reducing excessive workloads on health staff ORGANIZATION FOR IMPLEMENTATION The Master Plan will be divided into phases for effective implementation: 2.1 Phase 2006 to 2007 This is the preparation and pilot phase The main objectives of this phase are focused on capacity building to implement project activities, BCC to enhance society awareness and support for the program and lessons learned from pilot models to scale up in phase Specific guidelines for this phase to the end of 2007 are as follows: - Improve capacities in both management and technique for central level and selected provinces to implement the project effectively and to provide technical assistance when scaling up in phase Capacities could be built up through development of the National Youth Friendly Health Service Guidelines, retraining, expansion of pilot interventions at health facilities, Youth Corners in Universities, college vocations and training centers and industrial zones The intervention sites will be selected based on criteria as follows: urgent health need (particularly RSH), A&Y needs, capacities of the health facilities responding to needs for services (staff quality, facility, equipment, etc.) - Continue to complete and evaluate intervention models so as to register the lessons learned for scaling up in the second phase - Carry out BCC activities to enhance social and community awareness and support in order to create supportive environments in implementing programs/projects to reach objectives of protection, care and promotion of A & Y health 43 - Develop concrete action plan and carry out advocacy activities to mobilize national and international investment for the implementation of the Master Plan 2.2 Phase 2008-2010 In this phase, models that have been developed in Phase will be scaled up nationwide based on lessons of experiences learned During this phase, the central level will play only the roles of technical assistance, supervision and training to improve the capacities at lower levels Objectives and targets to be achieved in this period are the main objectives and targets of the Master Plan until 2010 In terms of program dimensions, each province needs its own project development, based on local situations The number of provincial projects as well as their budgets will depend on state finances (both central and local government) and donors By the end of the period 2006 to 2010, MOH will review and evaluate the implementation of the Master Plan Instruction on interventions or further prioritizations will be proposed for the period 2010-2020 44 ANNEX 1: ACTIVITY DETAIL (TABLES) The above mentioned objectives are broken down into “objective details”, then into “activity areas” and then further into “concrete activities” Objective 1: To enhance the knowledge, skills and behaviors of A & Y in the protection, care and promotion of health Objective detail: IEC (campaigns) Activity areas Concrete activities Heightening IEC effectiveness: Urban IEC campaigns: Integration of messages on health and Improving IEC for the social affairs into entertainment programs and activities such as protection, care and promotion of movies, games, books, journals, newspapers etc to strengthen A & Y health based on evidence protective factors and to minimize risk factors by the use of various communication channels such as TV, radio, journals, newsletters, brochures etc These campaigns should include activities in schools, working places, clubs and communities Rural IEC campaigns: Use of simple and attractive materials for health issues of rural young people in the format of printed documents in order to reach the target group on a larger scale; the distribution of these documents to be done by a network of volunteers; this activity would be complemented by the distribution of the documents in public places Direct IEC activities: Reaching special target groups: Communication activities would reach special target groups through youth clubs, sports competitions, excursions etc to reach special young people such as street A&Y, undefined job A&Y; use of some health messages specifically for this group Follow up evaluation: Systematic follow up of IEC activities to get experiences for continuous improvement (research activities) Objective detail: Life skill education Activity areas Concrete activities Education in schools: To develop Development of Life Skills teaching curriculum: The working the teaching of life skills in group conducts conferences and meetings with MOET to review schools (including reproductive the current situation of teaching materials for the teaching of life health, HIV, accident and injury skills (reproductive health, HIV, etc.) in schools and develop new prevention, substance use and materials more appropriate for current practices coping skills for mental health) on Training of trainers for the teaching of life skills: Training of integration with the educational young trainers able to participate in various school activities on program of the Ministry of this issue Education and Training Dissemination of life skills among school children and students e.g.: How to say no to partners (in classes), prevention of mental disorders etc Education in rehabilitation Education of life skills for vulnerable groups: Working sessions centres: To develop education and seminars for the working group to meet experts from programs for rehabilitation MOLISA and related partners for exchanges in the development centres (in collaboration with of teaching programs and in the running of courses (for non lawMOET, MOLISA and Ministry of abiding groups) Security) Education of life skills for criminals: Working sessions and seminars for the working group to meet experts from the Ministry of Security and related partners for exchanges on the development of teaching programs and in the running of courses (for addicts and criminals) 45 Education outside schools: To review and develop programs for the teaching of life skills outside schools (clubs, cultural sites, working places.) Education of life skills for street young people: Working sessions and seminars for the working group to meet related experts of the Youth Union and related partners for exchanges on the development of teaching programs and in the running of courses (for young people attending street clubs) Education of life skills for free-job young people: Working sessions and seminars for the working group to meet experts from the Labour Union and related partners for exchanges on the development of teaching programs and in the running of courses (at the working places) for the implementation of this activity Objective 2:To develop policies and guidelines to support the protection, care and promotion of A & Y health Objective detail: update current health policies for youth Master Plan priority areas Activity areas Policy Update To identify health policies in need of adjustment and updating responding to requirements of the protection, care and promotion of A&Y health Concrete activities Set-up of the working group on A&Y health to carry out following activities: Review of current policies on priority areas for integration of input to future actions of the Master Plan such as: injury prevention, reproductive health, HIV prevention, substance use and abuse prevention Policy analysis: Analysis of the Youth Law from youth health perspective and update of policies, programs and guidelines for consistency with Youth Law (experts, working groups) Policy Advocacy: Focus on decision makers involved in the policy process related to A & Y health in order to issue feasible changes and to suggest the formulation of new policies to cope with emerging issues on A&Y health Participation of A&Y beneficiaries: Create appropriate opportunities for A&Y (focus group discussions) to take part Development of New Policies Development of National Guidelines for Youth Friendly Health Development of new policies and Services guidelines for technical issues Dissemination of the guidelines to all provinces and activity framework for Monitoring and evaluation of the implementation protection, care and promotion of A&Y health Objective 3: To develop supportive social environments Objective detail: Social environment Activity areas Concrete activities Develop supportive social Analysis of protective and risk factors: Workshops for the environments to enhance the working group to meet experts from related various agencies on protection, care and promotion issues of protection, care and promotion of A & Y health in order of A&Y health to analyse protective and risk factors and to suggest interventions IEC enhancing community awareness on protective and risk factors related to the protection, care and promotion of A&Y health Inter-sectoral action using various mass media channels at central and provincial levels such as TV, radio and magazines to improve community awareness 46 Community environment Development of various IEC activities: Use of “people of high reputation” and “activities of high social effect” such as youth clubs, competitions, contests and sporting activities Use of “social models” enabling environments for the protection of A & Y against health risks Establishment of the community counseling network: Selection of motivated and capable volunteers to be trained for their participation to the community counseling network Diversify counseling activities: Telephone, online contact, hot line Objective detail: Specific environments (family, school, work place) Activity areas Family environment: To improve communicatio n between parents and young people School environment: As well as teaching life skills, school environments with the support of teachers and managers can be positive sites for the protection, care and promotion of A & Y health Working place environment: Concrete activities Development of guidelines to help enhance awareness, knowledge and skills of parents: Helping parents to make families/homes more reliable sources for information about the protection, care and promotion of A&Y health Establishment of parents’ clubs: Being places for parents to exchange ideas on how families can develop to be good environments for the protection, care and promotion of health for future generations Development of training/materials to assist teachers in counseling: Helping teachers to make the school/class a site of reliability and encouragement for the protection, care and promotion of A&Y health Communication to enhance school support for the protection, care and promotion of A&Y health: Mass media channels could be used for this purpose IEC to encourage workplace support for the protection, care and promotion of A & Y health: Helping key administrators in working places understand and support the protection, care and promotion of A&Y health Clubs: Could be Friends’ Corners for A & Y workers to exchange information on the protection, care and promotion of their health 47 Objective 4: To improve the accessibility to appropriate and specific services to meet the need of AYH, special attention to equity in health care Objective detail: To develop youth friendly health services and other friendly services Activity areas Youth Friendly Health Services Concrete activities Development of a training materials and guidelines for the provision of friendly services Training health workers at various levels for both public and private services including clinical and counseling services Scaling up, monitoring and supervision Objective detail: To develop other friendly services Activity areas Concrete activities “Friends’ Corners” services Development of guidelines: “Friends’ Corner” is the provision of a simple service (e.g condom supply); there is sometimes the participation of village health workers and schoolteachers Training of guides: Guides could be members of the Youth Union from central to peripheral levels, could be social workers or volunteers; the training should be done in collaboration with health facilities Pilots and dissemination: Each guide should establish and run some “Friends’ Corners” to gain experiences before taking the role of a guide This is a new activity so that guides should use guidelines and their creativity (including the seeking of supportive resources) Expand Friendly pharmacies Development of guidelines: Branding of the term “Friendly Pharmacy ” to them from other private and state pharmacies in Vietnam Training of guides Dissemination of guidelines on “Friendly Pharmacy” : Guidelines are disseminated to all drug spots through the system of drug administration (and administration of private pharmacies) of various provincial health offices Pilot and dissemination, monitoring and evaluation: “Friendly Pharmacy” as a concept be applied by all public and private pharmacies Therefore, implementation should be done step by step Objective 5: To give special support to A&Y in difficulties and in particular conditions A & Y in difficulties and in particular conditions include street A & Y, undefined (free job) A & Y, A & Y in rehabilitation centres, homosexual A & Y, disabled A & Y, minority ethnic A & Y, A & Y living in remote areas and A & Y orphaned from losing parents to AIDS 48 Objective detail: Adapting friendly health services and counseling to the needs of disadvantage groups: Activity areas Concrete activities Identify priority issues: Mainly Identification of A & Y in difficulties and in special conditions in needs for YFS (RSH and some need of services: In this context, there is a need to identify other health and counseling the prioritized group for YFS (Not identification of the groups in services) general) Identification of prioritized services for A & Y in difficulties and in special conditions: In this context, there is a need to identify definite need (health/counseling services) for each specific group Meet the needs on services: Development YFS guideline adapting for A&Y in difficulties Focus on the needs of YFS and in particular conditions: Analysis and identification of facility capacities for provision of YFS Then develop guidelines for the specific needs of each group according to need and possibility Dissemination and support for health facility to provide services Objective detail: Development of projects for some specific groups Activity areas Identify group in need of projects Development of some intervention projects for emerging issues Projects could be the provision of health services and others as required Concrete activities Identification of group in need of special projects (Not only health services): In this context, it has to identify priority groups in need of projects for urgent purposes Identification of service needs (Not only health services) of each specific group In this context, non-health services must be included Advocacy for projects (Not only health projects) for specific groups: This activity seeks resources and mobilizes the development of projects for each specific group Such mobilization will be easier when need has been identified in the Master Plan Projects for ethnic minority A&Y: Some ethnic minorities are in particular difficulty, they need special support for their A & Y; such projects require the analysis of the specific ethnic minority Projects for A&Y in disadvantaged areas: Some disadvantaged areas (remote areas) have no possibility to support their A & Y health; such projects also require the analysis of young people in the district Projects for street A&Y: Street A&Y are mainly in cities including those who have travelled from rural areas seeking work They have special needs Projects for impaired A & Y groups: This group has the special need of psychological and emotional support; each type of disability requires specific projects to meet their needs 49 ANNEX BUDGET Budget for the National Master Plan for the period 2006-2010 For the protection, care and promotion of adolescent and youth health in Vietnam Total budget for the Master Plan Unit: USD Areas Objective 1: IEC IEC campaigns Education of life skills Objective 2: Policies Health policies Inter-sector policies Objective 3: Social environment Social environment in general Specific environment (school, family, work place) Social work, counseling Objective 4: Services Friendly health services and counseling Other services Objective 5: Disadvantaged A & Y in difficulties and in special situations Need for health services and counseling Need for projects Total 2006 2007 Year 2008 160000 50000 130000 200000 200000 150000 20000 30000 20000 40000 40000 Total 2009 2010 200000 100000 200000 100000 1490000 890000 600000 30000 40000 280000 150000 130000 30000 30000 20000 20000 20000 120000 60000 820000 240000 20000 80000 40000 80000 40000 80000 40000 80000 40000 80000 180000 400000 2420000 60000 60000 260000 360000 420000 190000 420000 130000 390000 130000 1550000 870000 1280000 20000 180000 180000 180000 80000 160000 80000 160000 440000 840000 670000 150000 142000 1390000 1310000 6290000 50 80000 160000 Budget for the National Master Plan for the period 2006-2010 For the protection, care and promotion of adolescent and youth health in Vietnam Budget for objective 1: IEC Activities Objective detail: IEC Urban IEC campaigns based on mass media Rural IEC campaigns based on direct communication IEC access for specific groups Evaluation, follow up and IEC (messages) adjustment Objective detail: Life skills education Area: Education in schools Course (curriculum) development Training of trainers Area: Education in rehabilitation centres Education for non law-abiding groups Education for criminal groups Area: Education outside school Education for street children Education for free-job young people Total Unit: USD Year 2006 2007 2008 2009 2010 160000 130000 200000 200000 200000 100000 100000 100000 100000 100000 60000 30000 50000 200000 50000 50000 50000 60000 30000 60000 30000 240000 120000 10000 10000 10000 30000 15000 100000 100000 600000 50000 100000 100000 50000 50000 50000 50000 100000 100000 50000 100000 100000 50000 50000 51 890000 500000 60000 30000 50000 210000 330000 Total 35000 300000 300000 1490000 Budget for the National Master Plan for the period 2006-2010 For the protection, care and promotion of adolescent and youth health in Vietnam Budget for objective 2: Policy development Unit: USD Activities 2006 Health policies Policy update Workshops of related experts Policy analysis Youth participation Policy advocacy Policy implementation Development of guidelines for the provision of friendly services - training for policy implementation Development of guidelines Training for the use of guidelines 2007 20000 30000 Year Total 2008 2009 2010 4000 30000 30000 150000 10000 10000 10000 20000 30000 10000 10000 10000 10000 10000 10000 10000 10000 10000 10000 20000 20000 Inter-sector policies Advocacy for the development of intersectoral policies Workshop of related experts IEC for policy advocacy Visiting tours for policy makers Visiting tours for Youth Outside school education Workshop of related experts Policy analysis Youth participation Policy advocacy 20000 4000 30000 4000 130000 10000 10000 10000 10000 10000 20000 10000 10000 10000 10000 10000 10000 Total 20000 52 5000 30000 10000 40000 10000 40000 20000 10000 10000 10000 10000 20000 8000 60000 70000 280000 Budget for the National Master Plan for the period 2006-2010 For the protection, care and promotion of adolescent and youth health in Vietnam Budget for objective 3: Development of supportive environments for the protection, care and promotion of A & Y health Activities Objective detail: Social environment Area: Establishing mechanism for cooperation Creation of the working group Analysis of protective and risk factors Area: Training for the co-operative network Training of staff for the network Establishing the network Establishing “club” activities and sports Objective detail: Specific environment Area: Family environment Development of guidelines for parents Establishing parents’ clubs Area: School environment Development of teaching materials IEC targeted at schools Area: Working environment IEC targeted at working places Youth clubs Objective detail: Socail work Area: social workers Training of social workers Establishing community counseling Area: Counseling Hotlines Total 2006 20000 2007 20000 Unit: USD Year 2008 2009 20000 120000 Total 2010 60000 240000 10000 10000 10000 10000 60000 20000 20000 20000 100000 20000 60000 100000 60000 40000 40000 40000 40000 180000 10000 10000 10000 40000 10000 10000 10000 10000 10000 10000 10000 10000 10000 40000 10000 10000 10000 10000 10000 10000 10000 10000 40000 40000 80000 80000 80000 80000 80000 400000 40000 20000 40000 20000 40000 20000 40000 20000 40000 200000 20000 100000 20000 20000 20000 20000 20000 100000 120000 14000 14000 24000 18000 820000 53 Budget for the National Master Plan for the period 2006-2010 For the protection, care and promotion of adolescent and youth health in Vietnam Budget for objective 4: Improving access to health care and counseling Activities 2006 Objective detail: Development of friendly services and counseling Area: Friendly health services Development of teaching materials and guidelines Training of guides Dissemination seminars Pilot implementation Extension of friendly services Evaluation and monitoring Area: Counseling Development of teaching materials and guidelines Training of trainers Training courses Implementation of counseling Other friendly services Area: “Friend’ Corners” services Development of guidelines Training of guides Piloting and disseminating Area “Friendly pharmacies” Development of guidelines Training of guides Dissemination seminars (courses) Piloting and extending Evaluation and monitoring Total 2007 60000 260000 Unit: USD Year 2008 42000 Total 2009 2010 42000 390000 30000 1550000 250000 250000 250000 30000 30000 30000 30000 30000 60000 120000 30000 750000 120000 30000 30000 50000 30000 50000 30000 90000 120000 200000 60000 360000 190000 130000 130000 870000 30000 50000 30000 60000 200000 60000 30000 30000 30000 30000 30000 30000 30000 30000 50000 30000 30000 50000 30000 50000 30000 50000 50000 30000 200000 50000 30000 30000 50000 30000 50000 50000 30000 30000 120000 200000 200000 60000 55000 52000 2420000 30000 120000 620000 610000 54 Budget for the National Master Plan for the period 2006-2010 For the protection, care and promotion of adolescent and youth health in Vietnam Budget for objective 5: Support to disadvantaged A & Y in difficult situations Activities Objective detail: Adapting health services and counseling to the context of disadvantage young people Area: need for health services Identification of young peoples’ groups in need of health services Identification of health needs for each group Area: Responding to need for services 2006 2007 Year 2008 2009 2010 20000 18000 80000 80000 80000 Total Total 10000 10000 Development of guidelines to adapt friendly services to the context of each group of disadvantaged young people Dissemination of guidelines to all health facilities in the country Support to health facilities implementing the guidelines Objective detail: Development of projects for disadvantaged groups Area: need for projects Identification of disadvantaged groups in need of projects Identification of specific need of disadvantage groups Process for projects Arae: Some specific projects Projects for young people from ethnic minority groups Projects for young people from disadvantaged areas Projects for young people working in freejobs (includes street labourers) Projects for disabled young people Unit: USD 440000 10000 20000 80000 80000 18000 80000 80000 80000 320000 18000 160000 160000 160000 840000 10000 10000 10000 10000 20000 20000 40000 40000 40000 40000 40000 200000 40000 40000 40000 40000 40000 200000 40000 40000 40000 40000 40000 40000 40000 40000 40000 40000 200000 200000 200000 360000 24000 24000 24000 1280000 55 ... 60000 82 0000 240000 20000 80 000 40000 80 000 40000 80 000 40000 80 000 40000 80 000 180 000 400000 2420000 60000 60000 260000 360000 420000 190000 420000 130000 390000 130000 1550000 87 0000 1 280 000... 390000 130000 1550000 87 0000 1 280 000 20000 180 000 180 000 180 000 80 000 160000 80 000 160000 440000 84 0000 670000 150000 142000 1390000 1310000 6290000 50 80 000 160000 Budget for the National Master... 2005 stated that up to that date there were 90 ,84 4 HIV infected people, 14,560 AIDS cases and 8, 494 deaths Of the deaths, 0 .84 % were under 13 years, 8. 36% 13-19 years and 55.76% 20- 29 years24 Awareness
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