{
  "Background and Context": "## Background and Context\n\n### Restructuring Public Service Units: Health and Education Sector Adjustments\n\nThe implementation of the 2-tier local government model has necessitated a comprehensive restructuring of public service units, particularly within the health and education sectors. This strategic rearrangement aims to streamline operations, enhance service delivery, and align with the new administrative structure. Directives from central authorities have provided a framework for these changes, emphasizing efficiency and responsiveness to local needs.\n\nA key guiding document, Công văn số 03/CV-BCĐ, issued by the Steering Committee for administrative unit rearrangement and the establishment of the 2-tier local government model on April 15, 2025, provided initial orientations for public service units, including health and education facilities. This document specifically addressed the rearrangement of public service units under district-level People's Committees (UBND) for transfer or establishment of new units under commune-level People's Committees post-rearrangement, in line with Conclusion No. 137-KL/TW and specialized ministerial guidance ([Source 1](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.htm), [Source 4](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.htm)). Following the operationalization of the 2-tier local government, the government is expected to further guide the rearrangement of health and education units ([Source 4](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.htm)).\n\nFurther principles and orientations for rearranging public service units at the local level were outlined in Công văn 68/CV-BCĐ, issued on May 28, 2025, by the Steering Committee. This document emphasized that the rearrangement should not negatively impact the provision of essential public services, ensure no increase in the number of units or state-funded personnel, and be completed before June 15, 2025 ([Source 3](https://baochinhphu.vn/nguyen-tac-dinh-huong-sap-xep-don-vi-su-nghiep-cong-lap-o-dia-phuong-102250529132353752.htm), [Source 7](https://baochinhphu.vn/nguyen-tac-dinh-huong-sap-xep-don-vi-su-nghiep-cong-lap-o-dia-phuong-102250529132353752.htm)). Localities were tasked with proactively developing their rearrangement plans in accordance with these guidelines and adjusting them based on instructions from sector-specific ministries, ensuring synchronous implementation with the 2-tier government model ([Source 7](https://baochinhphu.vn/nguyen-tac-dinh-huong-sap-xep-don-vi-su-nghiep-cong-lap-o-dia-phuong-102250529132353752.htm)). Ministries and ministerial-level agencies were also required to issue circulars guiding functions, tasks, and powers for specialized agencies under provincial and commune-level People's Committees, and to provide guidance on rearranging public service unit networks by June 15, 2025 ([Source 8](https://baochinhphu.vn/nguyen-tac-dinh-huong-sap-xep-don-vi-su-nghiep-cong-lap-o-dia-phuong-102250529132353752.htm)).\n\nProvinces have begun implementing these directives. For instance, Hải Dương province's People's Committee leadership has directed the rearrangement of some public service units towards providing inter-commune/ward services and dissolving units no longer compatible with the 2-tier model. This includes specific plans for health and education facilities, aiming to consolidate services across multiple communes and wards ([Source 2](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), [Source 10](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)). Similarly, Quảng Nam province has undertaken the rearrangement of 741 public service units in anticipation of the dissolution of the district-level administrative units ([Source 7](https://baochinhphu.vn/nguyen-tac-dinh-huong-sap-xep-don-vi-su-nghiep-cong-lap-o-dia-phuong-102250529132353752.htm)). The policy framework emphasizes maintaining essential public services while achieving organizational efficiency, ensuring that the restructuring supports, rather than hinders, the provision of basic and essential public services to citizens ([Source 7](https://baochinhphu.vn/nguyen-tac-dinh-huong-sap-xep-don-vi-su-nghiep-cong-lap-o-dia-phuong-102250529132353752.htm)).\n\n### Human Resources and Staffing at the Commune Level\n\nThe transition to a 2-tier local government model has brought significant changes to human resources and staffing at the commune level, aiming for a more streamlined and professional administrative apparatus. A core principle of this reform is the reallocation and optimization of personnel to ensure efficient operation of the new structure.\n\nOne notable change involves the transfer of staff. The policy directs the transfer of 100% of district-level staff to the commune level, along with projections for commune-level staffing ([Source 5](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-1192504161136103"
}