{
  "Implications and Effects": "## Implications and Effects\n\n### Reorganization of Public Service Units: Education and Healthcare\n\nThe implementation of the 2-tier local government model has significantly impacted the structure and management of public service units, particularly in the education and healthcare sectors. A key directive is the rearrangement of these units to enhance service delivery efficiency and align with the new administrative framework.\n\nIn the education sector, the policy maintains the existing public primary, secondary, and preschools, transferring their management directly to the commune-level People's Committees ([in-text citation](https://thuvienphapluat.vn/banan/tin-tuc/phuong-an-sap-xep-co-so-y-te-giao-duc-thuoc-ubnd-cap-huyen-sau-sap-nhap-15052), [in-text citation](https://xaydungchinhsach.chinhphu.vn/dinh-huong-sap-xep-co-so-y-te-giao-duc-va-don-vi-su-nghiep-cong-lap-truc-thuoc-ubnd-cap-huyen-119250416113610383)). This aims to bring educational administration closer to the local communities it serves. Conversely, vocational education centers and continuing education centers, which were previously under the district-level People's Committees, are being transferred to the provincial Department of Education and Training. These centers are slated for reorganization to provide services across multiple communes and wards, fostering a more regional approach to specialized education ([in-text citation](https://thuvienphapluat.vn/banan/tin-tuc/phuong-an-sap-xep-co-so-y-te-giao-duc-thuoc-ubnd-cap-huyen-sau-sap-nhap-15052), [in-text citation](https://xaydungchinhsach.chinhphu.vn/dinh-huong-sap-xep-co-so-y-te-giao-duc-va-don-vi-su-nghiep-cong-lap-truc-thuoc-ubnd-cap-huyen-119250416113610383)). For instance, Hải Dương province is specifically addressing the rearrangement of high-quality secondary schools and vocational education-continuing education centers, including their management transfer and operational roadmaps ([in-text citation](https://xaydungchinhsach.chinhphu.vn/dinh-huong-sap-xep-co-so-giao-duc-y-te-don-vi-su-nghiep-cung-cap-dich-vu-lien-xa-phuong-119250514172045306.htm)).\n\nIn the healthcare sector, the policy emphasizes maintaining existing commune/ward health stations to ensure continued primary healthcare access for residents ([in-text citation](https://thuvienphapluat.vn/banan/tin-tuc/phuong-an-sap-xep-co-so-y-te-giao-duc-thuoc-ubnd-cap-huyen-sau-sap-nhap-15052), [in-text citation](https://xaydungchinhsach.chinhphu.vn/dinh-huong-sap-xep-co-so-y-te-giao-duc-va-don-vi-su-nghiep-cong-lap-truc-thuoc-ubnd-cap-huyen-119250416113610383)). Provincial People's Committees are granted the authority to reorganize these stations into single public service units under the new commune-level People's Committees, taking into account the area and population scale of the newly merged administrative units ([in"
}