{
  "Consolidation and Efficiency in Service Delivery Models": "## Consolidation and Efficiency in Service Delivery Models\n\n### Reorganization of Public Non-Business Units: Health and Education Sectors\n\nThe transition to a two-tier local government model in Vietnam has necessitated a significant reorganization of public non-business units, particularly within the health and education sectors, to enhance service delivery efficiency and align with the new administrative structure. At the provincial level, the restructuring involves the consolidation of existing Health Departments. Specifically, in provinces and centrally-run cities that undergo administrative rearrangement or merger, a new Provincial Health Department (Sở Y tế) is established by merging the pre-existing Health Departments. This newly formed entity functions as a specialized agency under the provincial-level People's Committee (Ủy ban nhân dân cấp tỉnh, thành phố sau sắp xếp), with its functions, tasks, and powers guided by Circular 37/2021/TT-BYT of the Ministry of Health ([in-text citation](https://xaydungchinhsach.chinhphu.vn/huong-dan-sap-xep-co-so-y-te-cac-cap-thuc-hien-mo-hinh-to-chuc-chinh-quyen-dia-phuong-2-cap-119250416085846019.htm)). This aims to create a more streamlined and unified health administration across larger, consolidated provincial units.\n\nAt the commune level, which now assumes expanded responsibilities, specific directives have been issued for health and education facilities. For education, public primary schools, secondary schools, and kindergartens are to be maintained and transferred to the management of the new commune-level People's Committees (UBND cấp xã) ([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 decentralization aims to bring educational management closer to the community. In the health sector, existing commune health stations (Trạm Y tế xã, phường) are to be maintained to ensure continued healthcare access for residents. Depending on the area and population scale of the newly arranged commune-level administrative units, the provincial-level People's Committees have the authority to reorganize these stations into a single public non-business unit directly under the commune-level People's Committee ([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 approach allows for flexibility in structuring local healthcare services while ensuring basic provision.\n\nFurthermore, the rearrangement extends to vocational and continuing education. Centers for vocational education and continuing education, previously under district-level People's Committees, are now being transferred to the management of the provincial Department of Education and Training. These centers are then reorganized to provide services across multiple communes or wards (liên xã, phường), fostering a more integrated and resource-efficient approach to adult education and skills training ([in-text citation](https://xaydungchinhsach.chinhphu.vn/dinh-huong-sap-xep-co-so-"
}