The Government of Vietnam has officially promulgated Decree No. 192/2026/NĐ-CP, regulating specific allowance regimes within the healthcare sector and monthly financial support for village medical staff, neighborhood health workers, and village birth attendants. This updated statutory framework is scheduled to officially take effect on July 15, concluding a near 15-year period of stagnant medical compensation to structurally enhance the minimum living standards and wages for medical professionals. The newly enacted mandates drive substantial upward adjustments across on-duty allowances, surgical and procedural allowances, epidemic prevention incentives, and grassroots healthcare support mechanisms.
The validated fiscal benchmarks, eligible staffing demographics, and growth ratios compiled under the new decree feature:
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Scope of Eligible Beneficiaries: The decree encompasses public health sector officials and employees; medical personnel operating within the military and public security forces; active task forces directly involved in epidemic control; and localized village, hamlet, and neighborhood health workers or birth attendants.
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Recalibration of 24-Hour On-Duty Allowances (approximate 185% surge):
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Tiered Reimbursement Matrix: Personnel fulfilling 24-hour shifts are entitled to an on-duty stipend ranging from 70.000 VND to 325.000 VND per person per shift, contingent upon institutional classification. The maximum ceiling of 325.000 VND is reserved for special-grade and Class I medical institutions, alongside designated central psychiatric forensic units. Class II facilities will disburse 255.000 VND; alternative basic facilities, commune health stations, and public pre-hospital emergency units are assigned a 185.000 VND rate; while nursing centers for meritorious individuals or social assistance facilities will disburse 70.000 VND.
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Special Factor Multiplying Mechanisms: Shifts managed within specialized departments or localized high-risk zones will receive a 1.5x multiplier on the baseline rate. On-duty shifts executed during weekly rest days trigger a 1.3x multiplier, while holiday and Lunar New Year shifts scale to a 1.8x multiplier. Furthermore, a daily meal stipend of 40.000 VND per person is guaranteed for each 24-hour shift.
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Doubling of Surgical and Medical Procedure Compensations (100% flat increase):
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Per-Operation Outlays: Allowances for primary surgeons, chief anesthesiologists, or chief acupunctural anesthetists span from 100.000 VND to 560.000 VND per person per operation based on procedural complexity. Assistant surgeons or assistant anesthesiologists receive between 60.000 VND and 400.000 VND, while surgical aides are allocated 40.000 VND to 240.000 VND.
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For special-category surgeries, the allowance for the primary surgeon scales from 280.000 VND to 560.000 VND; assistants increase from 200.000 VND to 400.000 VND; and surgical aides rise from 120.000 VND to 240.000 VND. Allowances for minor non-surgical clinical procedures are fixed at 30% of the corresponding surgical category.
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Escalation of Epidemic Prevention Stipends (approximate 87% increase for Class A):
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For Class A infectious pathologies, medical personnel directly executing epidemiological surveillance, sample collection, testing, diagnostics, and patient treatment will secure 420.000 VND per person per day; secondary support forces are assigned 280.000 VND per day.
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Class B disease control tracks an allowance of 280.000 VND per day, and Class C sits at 210.000 VND per day. Full-time 24-hour epidemic control personnel receive 280.000 VND per day (subject to holiday multipliers) alongside a 40.000 VND meal voucher per shift.
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Enhanced Monthly Subsidies for Grassroots and Village Health Workers:
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A monthly subsidy equivalent to 0.7 times the statutory base salary is mandated for village and neighborhood health workers or birth attendants operating inside hamlets containing 350 or more households, urban residential blocks with 500 or more households, or designated socio-economically disadvantaged zones. Alternate conventional sectors will receive a 0.5 multiplier of the base salary. The directive effectively transitions the historical monthly framework from the legacy 0.3 – 0.5 base salary bracket up to an updated 0.5 – 0.7 spectrum.
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