{
  "Current State Analysis": "## Current State Analysis\n\n### Restructuring Public Service Units: Health and Education\n\nThe implementation of the 2-tier local government model has necessitated a significant restructuring of public service units (ĐVSNCL) across various sectors, with a particular focus on health and education. This strategic reorganization aims to streamline the administrative apparatus, enhance service delivery, and optimize resource allocation at the local level.\n\n**General Directives and Implementation**\nA core directive involves the rearrangement of public service units currently under the management of district-level People's Committees (UBND cấp huyện). These units are being transferred or newly established under the direct management of commune-level People's Committees (UBND cấp xã) following the administrative rearrangement ([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.htm)). This process is guided by the conclusions of the Central Committee (Kết luận số 137-KL/TW) and specific instructions from specialized ministries and sectors ([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.htm)).\n\nThe Steering Committee for the rearrangement of administrative units at all levels and the establishment of the 2-tier local government model has played a pivotal role in providing overarching guidance. For instance, Official Letter No. 03/CV-BCĐ, dated April 15, 2025, from the Steering Committee, was dispatched to provincial Party Committees and People's Committees. This document outlined key orientations for the restructuring of public service units, including those in health and education, emphasizing organizational structure, staffing, and operational mandates ([in-text citation](https://ancofi.com.vn/dinh-huong-sap-xep-co-so-y-te-giao-duc-va-don-vi-su-nghiep-cong-lap-truc-thuoc-ubnd-cap-huyen/)). A subsequent directive, Official Letter 68/CV-BCĐ, issued on May 28, 2025, further detailed the principles for reorganizing public service units at the local level, aligning with Resolution No. 60-NQ/TW of the 11th Central Committee, 13th tenure ([in-text citation](https://baochinhphu.vn/nguyen-tac-dinh-huong-sap-xep-don-vi-su-nghiep-cong-lap-o-dia-phuong-102250529132353752.htm)). These principles underscore that the restructuring should not adversely affect the quality of public services or the socio-economic development of localities ([in-text citation](https://baochinhphu.vn/nguyen-tac-dinh-huong-sap-xep-don-vi-su-nghiep-cong-lap-o-dia-phuong-102250529132353752.htm)).\n\n**Sector-Specific Arrangements**\nIn the **education sector**, the current policy dictates maintaining public primary schools, secondary schools, and kindergartens, transferring their management directly to the commune-level local government ([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.htm)). Conversely, vocational education centers and continuing education centers, previously under district-level People's Committees, are slated for transfer to the provincial Department of Education and Training (Sở Giáo dục và Đào tạo). These centers will then be reorganized to provide services across multiple communes or wards, promoting a more integrated and efficient service delivery model ([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.htm)).\n\nFor the **health sector**, the existing commune/ward health stations are to be maintained to ensure continuous healthcare provision for local populations ([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.htm)). Provincial-level People's Committees are empowered to reorganize these stations into a single public service unit directly under the commune-level People's Committee, taking into account the area and population size of the newly formed commune-level administrative units ([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-1192504"
}