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Currently, the province has 107 medical examination and treatment facilities, health care for the people, including 75 medical examination and treatment establishments with beds with the

SOCIALIST REPUBLIC OF VIETNAM



INVESTMENT PROJECTS

PHUONG DONG INTERNATIONAL GENERAL HOSPITAL

Location: Bach Dang Boulevard, Nha Mat Village, Ward Nha Mat, Bac Lieu City,

Bac Lieu Province

Investor: Phuong Dong International Joint Stock Company

January 2018 -

CATEGORY

CHAPTER I……… 5

INTRODUCTION ……….5

I Introduction to the investor……… 5

II Preliminary description of the project information ……… 5

III The need for project construction……….5

1 The local health care situation and the ability to provide health care services ……….6

2 The need to care and protect the health of visitors ………7

IV The legal basis……… 8

V Project Objectives……… 9

V.1 Common goals ……… 9

V.2 Detail goal……… 10

Chapter II……… 11

LOCATION AND SCOPE OF PROJECT IMPLEMENTATION ………11

I Socio-economic status of the project implementation area ………11

I.1 Natural conditions in the project area……… 11

I.2 Social conditions of the project area……… … 12

II Production scale of the project ……… 17

II.1 Market Needs Assessment……… 17

1 Population forecast and demand for medical examination and treatment in Bac Lieu province up to 2015-2020: ……… 17

Medical tourism needs ………18

II.2 Investment scale of the project ……… 19

III Location and form of investment in project construction ……… 22

IV Demand for land use and analysis of project inputs……… 22

Chapter III ……….24

ANALYSIS OF SCALE AND BUILDING AREA FOR BUILDING TECHNOLOGY TECHNICAL OPTIONS 24 I Analysis of scale, area of construction works……… 24

II Analysis of selected technical and technological options ………25

Chapter IV ……….36

IMPLEMENTATION PROJECTS ……… 36

I Plans for site clearance, resettlement and support for infrastructure construction ……… 36

I.1 Plan clearance……… 36

I.2 Resettlement plan ………36

I.3 The plan to support the construction of technical infrastructure ………….36

II Construction options ……….36

III Implementation plan ………49

1 Management and exploitation plan……… 49

2 Tasks ……… 50

IV Segment implementation and implementation schedule, project management form ……… 51

Chapter ……… 52

ENVIRONMENTAL IMPACT ASSESSMENT - ANTI-FIRE PREVENTION AND DEFENSE SECURITY SOLUTIONS……… 52

I Environmental Impact Assessment……… .52

I.1 General introduction ………52

I.2 Environmental regulations and guidelines ……… 52

II.1 Impact during the construction phase ………53

II.2 Key impacts during operation……… 55

III Mitigation measures and impacts on the environment ………58

III.1 Minimize impacts during construction phase……… …58

III.2 Minimize impacts during operation……… 59

IV Conclude ……… 64

Chapter VI ……… 65

TOTAL INVESTMENT CAPITAL - CAPITAL CONTRIBUTION AND EFFICIENCY OF PROJECT……… 65

I Total investment capital and capital of the project ………65

II The ability to arrange capital and ability to fund according to progress……67

III An economical analysis of the project ………73

1 Estimated investment capital of the project……….73

2 Loan plan ……… 74

3 Financial parameters of the project……… 75

3.1 Loan repayment plan ……….75

3.2 The ability to pay back and the payback period is simple ……… 75

3.3 Reimbursement capacity and discounted payback period ……….75

3.4 Analysis by net present value (NPV)……… .76

3.5 Analysis by internal rate of return (IRR) ………76

CONCLUSION……… 77

I Conclusion ……….77

II Recommendations and recommendations ………77

APPENDIX: PROJECT FINANCIAL PROPOSALS ……… 78

CHAPTER I INTRODUCTION

I Introduction to The investor

Investor: PHUONG DONG INTERNATIONAL JOINT STOCK

COMPANY

Short name: PDI CORP

Business License No: 1900453861 issued by the Department of Planning and Investment of Bac Lieu Province on 02 March 2011 (the first time)

Address: No.20, Van Tien Dung, Ward 01, Bac Lieu City, Bac Lieu

Province

Phone: +84 781 3 969909; Fax: +84 781 3 923514

Email: phuongdonghospital@gmail.com

M tax number: 1900453861

Legal representative of the company: Mr Nguyen Van Hai

Position: Chairman of the Board cum General Director

II Preliminary description of the project information

Project name: PHUONG DONG INTERNATIONAL GENERAL

III The need for project construction

According to market research firm Business International Monitor, the health spending of more than 90 million people in Vietnam now accounts for 5.8 percent of GDP, the highest in ASEAN and will reach $ 24 billion by 2020 The roadmap for health socialization that the Government is undertaking

Health care is a unique area where people do not want to risk their health to new, lesser-known hospitals Confidence in the quality of domestic hospitals (both public and private) remains very low, contributing to the $ 1-2 billion outflow every year when Vietnamese expatriate

1 The local health care situation and the ability to provide health care services

Bac Lieu is a province in the Ca Mau peninsula, the southernmost land of the Vietnamese nation, with an area of 2585.3 km² The province is bordered by Hau Giang Province, Kien Giang Province in the North West, Soc Trang Province in the Northeast, Ca Mau Province in the South West, and South East Sea in the Southeast Bac Lieu has a coastline of 56 km connecting with important sea such as Ganh Hao, Nha Mat, Cai Cung

Currently, the province has 107 medical examination and treatment facilities, health care for the people, including 75 medical examination and treatment establishments with beds with the total number of beds of 1820, provincial hospitals with 12 hospitals In general, for provincial hospitals, it is becoming increasingly overloaded For district-level hospitals, the conditions of material facilities and medical examination and treatment facilities are not up to the present demand for medical examination and treatment high level of local people and surrounding areas, especially for foreign experts working in the locality As a result, the health sector has been forced to invest in state-of-the-art medical equipment and facilities to provide health care for people and foreign experts However, the state budget is limited and can not meet all needs Therefore, the Government has issued a decree on policies to encourage socialization of activities in the fields of education, culture, physical training and sports in order to encourage all economic sectors to invest and contribute capital

to raise the people's life demands Private hospitals in Vietnam currently account for only 3.5% of the total number of hospitals and cover only 2.2% of total beds because of their small size Private hospitals in Thailand account for nearly 30% and account for 22.5% of total hospital beds In the Philippines, the rates are 67% and 50% respectively; Indonesia:42% and 32%; Malaysia: 62% and 16.4%; Korea: 95% and 76.8%

In pursuit of the socialization policy of the Government, we have boldly invested in the health sector in order to have legitimate profitability from the available funds and at the same time contribute to lightening the house budget burden Water has to invest, contributing to health care of people on a better Thereby creating conditions for the people to live healthy, constantly increase production, create more material wealth for society From the above issues, investing in the General Hospital is a very necessary and important task in protecting human health now and in the future

2 The need to care and protect the health of visitors

With two areas of "sweet" "salty" clear, beautiful coastline, green mangrove forests, natural favorable conditions favorable weather, harmonious combination

of rich cultural identity of three people Kinh - Hoa - Khmer, Bac Lieu is trying to become a red address to attract investment in tourism In 2016, Bac Lieu welcomed over 1.2 million tourists to visit, reaching 100% of the plan; including 38,000 international visitors, up 8.5% over the same period in 2015

It has been 10 years since its appearance in Vietnam, the concept of Medical Tourism appears to be one way: Vietnamese people travel abroad combined medical treatment Taking advantage of the province is tourism, so not only do good care and health for people in the area, but in the service of medical examination and treatment for tourists should be developed Forecasting the current development capacity of the locality together with the current situation in the area of interest of the project, it can be seen that the construction of International Nursing Hospital is very suitable with the trend of resort is increasingly open wide, awaken the potential of medical tourism in Bac Lieu province in particular and Bac Lieu province in general

The formation creates conditions for local people as well as tourists, especially foreign tourists, the right to choose their own types of health care, providing quality health services High demand that the current society very need and concern In addition, the project contributes importantly to the cause of medical development, the diversification of medical examination and treatment and the quality of examination and treatment for the people

In view of the above situation, we conducted research and set up an investment project "Building Oriental Hospital - Oriental Hospitality" to provide medical examination and treatment services and resort to meet the needs of people in the province as well as domestic and foreign tourists

IV The legal basis

Construction Law No.50 / 2014 / QH13 dated 18 June 2014 of the National Assembly of the Socialist Republic of Vietnam;

Land Law No 45/2013 / QH13 dated 29 November 2013 of the National Assembly of the Socialist Republic of Vietnam;

Investment Law No 67/2014 / QH13 dated 26 November 2014 of the National Assembly of the Socialist Republic of Vietnam;

Enterprise Law No 68/2014 / QH13 dated 26 November 2014 of the National Assembly of the Socialist Republic of Vietnam;

Law on Tendering No 43/2013 / QH13 dated 26 November 2013 of the National Assembly of the Socialist Republic of Vietnam;

Law on Environmental Protection No 55/2014 / QH13 dated 23/06/2014 of the National Assembly of the Socialist Republic of Vietnam;

Decree No 32/2015 / ND-CP dated March 25, 2015 of the Government on the management of construction investment expenses;

Decree No 46/2015 / ND-CP dated 12/5/2015 of the Government on quality control and maintenance of construction works;

Decree No 59/2015 / ND-CP dated 18/6/2015 of the Government on management of construction investment projects;

Decision No 79 / QD-BXD dated 15/02/2017 of the Ministry of Construction announcing norms of expenses for project management and construction investment consultancy;

Decree No 19/2015 / ND-CP dated 14/02/2015 of the Government detailing the implementation of a number of articles of the Law on Environmental Protection;

Decree No 69/2008 / ND-CP dated 30/5/2008 of the Government on policies to encourage the socialization of activities in education, vocational training, health care, culture, environment;

Decree No 59/2014 / ND-CP of June 16, 2014 on amending and supplementing a number of articles of the Government's Decree No 69/2008 / ND-CP of May 30, 2008, on promotion policies The socialization of activities in the fields of education, vocational training, health care, culture, sports and environment;

Decree No 87/2011 / ND-CP of the Government detailing and guiding the implementation of a number of articles of the Law on Examination and Treatment;

Decision No 1976 / QD-TTg approving the master plan on development of pharmaceutical materials up to 2020 and orientations to 2030;

Decision No 221 / QD-TTg of the Prime Minister approving the master plan for socio-economic development of Bac Lieu province up to 2020;

Decision No 2114 / QD- UBND of Bac Lieu People's Committee dated 30 August 2010 on the planning of the medical care network in Bac Lieu province for the period 2010-2015 and orientation to 2020;

Circular No 02/2007 / TT-BYT of January 24, 2007, detailing the implementation of a number of articles on drug trading conditions under the provisions of the Pharmacy Law and Decree No 79/2006 / ND-CP dated 9 August 2006 of the Government detailing the implementation of some articles of the Pharmacy Law;

Circular No 41/2011 / TT-BYT of November 14, 2011, guiding the granting

of practice certificates to practitioners and granting operation permits to medical examination and treatment establishments;

Circular No 41/2015 / TT-BYT of November 16, 2015 of the Minister of Health amending and supplementing a number of articles of Circular No 41/2011 / TT-BYT dated November 14, 2011 of the Minister The Ministry of Health hereby guides the granting of practice certificates to practitioners and grant operation licenses to medical examination and treatment establishments

V Project Objectives

V.1 Common goals

- To consolidate, develop the network organization, material foundations and equipment of Bac Lieu provincial general hospital; To raise the technical and professional capacity of Bac Lieu hospital to take care of the people's health; To

be able to detect and control contagious diseases, food safety and hygiene and community nutrition, reproductive health care, occupational disease prevention, injury and environmental diseases , schools, effectively direct the commune, ward, town

- In our operation and development, we aim to become the best organization for public health In order to unite and guide all activities, we have a clear mission, strategy and vision, so that the whole team of doctors, staffs and employees work together and strive for common goal

Vision: Along with the strong development of medicine, we will constantly learn to provide international standard services to our patients

+ Strategy: Multi-modal and diversified medical services in the whole system of General Hospital - International Orientation At the same time, specialize in focusing on hi-tech medical investment in each member unit

+ Mission: Apply advanced technology with knowledge and enthusiasm to serve patients effectively

Value: We always share with patients the happiness of having great health and looking forward to a bright future

V.2 Detail goal

- To build a new hospital with the capacity of 800 beds, of which 500 beds and 300 beds will be provided in order to serve the patients promptly and promptly, contributing to reducing the overload, To ensure the demand for medical examination and treatment for the people, the people have the need to choose the types of services and doctors they trust to look after their patients and provide services quality resort

- To build a complete and strong hospital with good specialized staffs, to invest in hi-tech equipment in order to quickly and accurately diagnose and shorten treatment duration and reduce treatment costs for patients

CHAPTER II LOCATION AND SCOPE OF PROJECT

IMPLEMENTATION

I Socio-economic status of the project implementation area

I.1 Natural conditions in the project area

1 Geographic location:

Bac Lieu is a province in the Ca Mau peninsula, the southernmost land of the Vietnamese nation, with a natural area of 2585.3 km2 The province is bordered by Hau Giang Province, Kien Giang Province in the North West, Soc Trang Province in the Northeast, Ca Mau Province in the South West, and South East Sea in the Southeast Bac Lieu has a coastline of 56 km connecting with important sea such as Ganh Hao, Nha Mat, Cai Cung

2.Password:

Bac Lieu is in the tropical monsoon climate, with two distinct seasons: rainy season from May to November, dry season from December to April Annual rainfall is 2,000-2,300 mm The average temperature is 260C, the highest is 31.50C, the lowest is 22.50C Hours of sunshine in the year 2,500 - 2,600 hours Average humidity in dry season is 80%, rainy season is 85% This area is less affected by storms and tropical low pressure; Not affected by the floods of the Mekong system, but strongly affected by the East Sea tides and part of the West Sea tide regime

3 Topographic features:

Bac Lieu has relatively flat terrain, mainly at the height of 1.2 m above sea level, the rest are sand dunes and some flooded areas all year round Topography tends to slope from the coast to the interior, from the northeast to the southwest

In the province there are many large canals such as Quan Lo - Phung Hiep, Canh Den channel, Vice-canal, Gia Rai channel

Natural resources:

a Land resources

Land of the province is divided into several groups: saline soil group accounts for 32.6% of the land fund, alkaline land group accounts for 59.9%, sandy land occupies 0.18%, mud land and other land accounts for 4.4% rivers and canals account for 2.9% of the land fund Total natural land area of the province

is 258,247 ha Of which, agricultural land has 98,309 hectares; land for aquaculture and salt land has 120,714 ha; forest land with 4,832 ha of forest; 11,233 hectares of specialized land; land area is 4,176 ha, the rest is unused land Land for cultivation of rice, perennial trees, colors and industrial trees is 98,295

ha, accounting for 38.1% of the total land area; land for reforestation, shrimp

farming, salt making 125,546 ha, accounting for 48.62% The majority of land in Bac Lieu is a permanent and stable alluvial soil, suitable for the development of comprehensive agriculture

b Forest resources

The area of forest and forest land accounts for 1.87% of the natural land area, of which the majority is protective forest (4,657 ha) Bac Lieu is a mangrove forest with high biological productivity and high value for protection and environment Group of trees consists mainly of melaleuca and mangrove trees

c Marine resources

The coast is 56km long, the area of sea area is 4,000km2 Sea animals include 661 species of fish, 319 species of 138 families, many of which have high reserves and values such as shrimp, snapper, fish, starfish, mackerel, bird fish, cod 33 species, can catch more than 10,000 tons per year The stock of fishes and floating fish more than 100,000 tons / year, can become a direct import and export

I.2 Social conditions of the project area

To fill up for the new crop, the farmers actively plow the land, hygienic fields to the winter-spring rice crop according to seasonal calendar It is expected that by the end of the month, the province will have 44,174 ha of winter-spring rice crop, 2016-2017, equivalent to 98.16% over the same period

In this winter-spring rice crop, farmers cultivated high quality rice varieties such as OM 4218, OM 5451, OM 6976, OM 4900, OM 1490, OM 8923, OM

2517, MTL 480 In addition, Rice production is supported by the province and funding, there are the center staff guide the production process closed and "3 reduction - 3 increase" The irrigation system, irrigation in the field for improved irrigation has created a stable psychology, helping farmers peace of rice production

Tree every year

At present, farmers are focusing on cultivating and caring for vegetables and fruits to make good use of the market for Tet Currently, the area of crops such as maize, sweet potato, and cassava has increased significantly over the

same period, due to the fact that farmers have utilized residential land around the house to serve domestic activities and livestock Up to now, the whole province has planted 21 ha of maize, up 16.67%; 132 ha of sweet potato, up 3.13% and 105

ha of cassava, up 2.94% over the same period

Due to the expansion of the production scale, the yield of the winter crop was higher than the same period last year Specifically, the maize output was 93 tons, up 9.41%; yield of sweet potato 756 tons, up 6.03%; The output of cassava was 561 tons, an increase of 4.47%

For vegetables area is 2,045 hectares, up 3.39% the same period; The yield reached 16,534 tons, up 6.13% over the same period During the month, the production of soybean vegetables is favorable because of cool weather conditions

to develop vegetables In addition, the selling price of the product increased, people concentrate production to ensure the amount of food for consumption

Monthly industrial production index rose 2.68% over the previous month and up 4.87% over the same period last year Of which, electricity and gas distribution increased the most with 12.06%; water supply, waste management and treatment increased by 10.72%; the mining sector increased by 8.05%; processing and manufacturing increased 4.20%

Many industrial products increased over the same period, such as commercial electricity reached 71 million kwh, up 12.08%; commercial water 670 thousand m3, up 11.67%; frozen seafood reached 2,690 tons, up 5.48%; Some products increased relatively stable such as Iodine Salt 440 tons, up 4.76%; Rice husking reached 46 thousand tons, up 2.22%; 5.7 million liters of beer, up 3.07%

Regarding business licensing: In January 2017, the Department of Planning and Investment licensed 20 registered businesses (mostly small and medium enterprises), with a total registered capital of 35 billion VND , down 7 enterprises, registered capital decreased 52.38% over the same period

b Build

Most of the priority capital is for urban renewal, street decorations, trees, office repairs, housing, etc., to celebrate the 20th anniversary of the re-establishment of Bac Lieu province ( 01/01 / 1997-01 / 01/2017) and welcome the new spring 2017

At present, contractors are speeding up the construction progress to complete the construction works before Tet A number of projects and projects have moved positively, together with the business sector, households focused on improving ponds and lakes, procuring machinery and repairing houses in preparation for activities production and activities in the new year contributed to bring the total investment capital to continue to grow steadily

Estimated total investment capital for social development in January reached 456.04 billion, up 13.60% over the same period Of which, state capital was 105.95 billion VND, equaling 98% of the same period; non-state capital: 348.06 billion, up 19.37%; Foreign direct investment (FDI): 2.02 billion, up 16.20% over the same period

In addition, the province also strengthens the management of construction investment as planned, linking urban development investment with construction planning Continue to develop and implement adaptation programs for climate change in urban areas in the affected area Review of new rural commune planning

in conjunction with agricultural sector restructuring and adaptation to climate change; attracting resources to invest in rural infrastructure, building new rural areas associated with urbanization; Encouraging enterprises to invest in agriculture, rural areas and difficult areas

In attracting investment, the province promotes internal strength and diversifies forms of capital mobilization Strengthening the attraction of external forces for socio-economic development by improving the investment environment, production and business environment Continue to reform the investment procedures in a way that is neat, transparent, open, and facilitates infrastructure to

be ready to receive investment projects The "one-stop shop" mechanism for business registration certificates continues to be implemented in order to create a favorable investment environment for domestic and foreign economic groups and corporations to invest in the industry , areas where the province needs through investment forms BOT, BT, PPP, bring benefits equally and reasonable between the two parties

II Production scale of the project

II.1 Market Needs Assessment

1 Population forecast and demand for medical examination and treatment in Bac Lieu province up to 2015-2020:

1.1 Forecast of population growth and socio-economic development:

Although the population growth rate in general and the country's fertility rate are rapidly declining, the population of Vietnam is still growing at about 1.2% annually Bac Lieu population will continue to increase in the next 10 years, according to the forecast population of Bac Lieu will reach 975,200 people by the end of 2020 Population pressure will lead to pressure on medical examination and treatment, health care of people people are getting higher and higher

By 2010, the per capita income of the province will be about US $ 900 - US

$ 1,000 / person / year By 2020 Vietnam basically becomes an industrialized country The rate of poor households in the whole country has fallen from 24% in

2005 to 11-13% (according to the new poverty line applied in 2006-2010) The health care needs of people in 2015-2020 will increase

1.2 Forecast of people's demand for medical examination and treatment to 2015-2020:

From now to 2015-2020, the disease situation and people's demand for medical examination and treatment will be shifted in the new direction

Infectious diseases such as: Malaria, dengue fever, tuberculosis, HIV / AIDS, sexually transmitted diseases, pneumonia, diarrhea, typhoid fever, hepatitis, Japanese encephalitis B, influenza A (H5N1), A (H1N1) and other dangerous diseases will continue to circulate

Nutritional and metabolic diseases continue to develop Blood disorders, diabetes, kidney disease tend to increase

Some new health problems have not been adequately researched and prevention is not high such as: Food poisoning, drug poisoning, including addictive drugs, medicines and cosmetics

The types of injuries in traffic, in work, in the community, at leisure and at home will increase Trauma will also be the leading cause of death in Vietnam; Smoking and smoking cessation; Alcohol abuse and alcohol-related diseases still account for high frequency

Non-infectious diseases are increasing in the province in the coming time: cardiovascular disease, mental and mental illness, cancer, occupational diseases, inherited diseases Congenital, including the consequences of Agent Orange, geriatric and elderly health care Diseases related to environmental pollution should be considered

In the period until 2020, when Vietnam basically becomes an industrialized country, the demand for health care of the community will shift to prevention, rehabilitation and treatment At this point, the mission of NAR and NSC will shift from solving mainly infectious diseases to dealing with non-communicable diseases, accidents, injuries, poisoning and partial infectious diseases

It is forecasted that by 2020 Vietnam's health indicators will reach the level achieved by industrial countries in the current period On that basis, the re-planning of the network of medical examination and treatment establishments, orientation of upgrading equipment, preparation of infrastructure, knowledge, professional skills to meet the province of Silver Liao becomes an industrial province until 2020 is needed

2 The need for medical tourism

With around 14 million patients seeking transnational care services each year, medical tourism has become a potential field According to statistics from the Ministry of Health, foreigners coming to Vietnam each year receive nearly $ 1 billion in revenue, while in developed countries such as Korea or Singapore, The profit from medical tourism is about $ 900 million However, the move to develop medical tourism in Vietnam seems to be rather slow Medical tourism or medical tourism is a growing trend in many countries around the world According to information from the Internet, the service appeared thousands of years ago, when Greek pilgrims traveled from the Mediterranean to Epidauria (Ephraim) in the Gulf Saronic, a land that is considered the place of worship of the goddess of Asclepius (Calvary) Since then, Epidauria has become the world's first medical tourism destination The simplest and most common form of this service is known to people coming to the mineral springs for rest, bathing and rehabilitation, as they view mineral water as a cure for some diseases Thus, it is possible to understand that medical tourism is a form of tourist to another area combining sightseeing with the use of medical treatment, health care and convalescence

According to data from Deloitte, the world's leading medical tourism company, the global medical tourism industry is worth no less than $ 60 billion According to the company, in recent years in Asia, medical tourism revenue is very positive, with growth of 20 to 30% per year In 2017, it is forecasted that there will be a change in the trend of tourism, whereby visitors no longer prefer the form of tourism to eat, sleep well, but instead is combined tourism treat the disease, or use a health care or convalescence service

According to market research firm TMR (USA), in 2019, the world medical tourism market will increase to $ 32.5 billion (more than triple in 2015) This is because of the practical benefits that tourists get, such as going to another place using medical care not only to meet the needs of sightseeing, travel, cultural experiences In a new land, but also combined medical examination, convalescence with a faster time, convenient, cheaper costs where they live In many countries, especially in the West, without health insurance, people will have

a hard time getting medical treatment, even if there is insurance, the costs are still much higher than for a service the same in some Asian countries Therefore, the optimum option for those who do not have insurance in these countries is to travel abroad in conjunction with a surgical procedure or expensive medical surgery Thus, the construction of International Nursing Hospital is very suitable with the trend of relaxation is increasingly expanding, awakening the potential of medical tourism in Bac Lieu province in particular and Bac Lieu province in general

II.2 Investment scale of the project

The project will be built at 800 beds Inside:

- 500 inpatient beds, including the following:

+ Emergency department, examination and diagnosis, outpatient department, obstetric and interdisciplinary department, internal and external medicine, pediatrics, pharmacy, eye, TMH, RHM, corridor;

+ Nutrition Department;

+ Pediatrics;

+ Traditional medicine, physiotherapy, functional rehabilitation, eye surgery;

+ Department of infection prevention;

+ Infectious diseases;

+ Pathological anatomy;

- 300 beds

 Products and services of the project

Equipped with modern and high-tech equipment, Phuong Dong International Hospital provides comprehensive medical services to meet the needs of patients Our goal is to provide patients with the most comprehensive health care services through direct coordination between the specialties in the hospital Helping patients with peace of mind does not have to be time-consuming and laborious to move between the private clinic and the medical center specialized in the General Hospital - International Orientation has most of the most basic faculties of a general hospital as prescribed

Oriental Hospital - Oriental Hospitality provides a diverse range of medical services for outpatient treatment The physician examines the outpatient and thoroughly explains the condition, as well as all laboratory requirements, test results and prescriptions

Costs are calculated separately for each service in the Outpatient Department, such as medical examinations, x-rays, tests and medications However, according to the hospital's clear pricing system, doctors will inform the patient in advance about the total cost of the medical services and update the patient information on all items of the invoice need payment

 Active And Antiseptic Treatment;

 Surgery, Anesthesia Resuscitation;

 Image Diagnostic Department;

III Location and form of investment in project construction

III.1 Building site

Investment project "Building General Hospital - Orient International Resort"

at Bach Dang Boulevard, Nha Mat Hamlet, Nha Mat Ward, Bac Lieu City, Bac Lieu Province

III.2 Form of investment

The project "Building General Hospital - Orient International Resort" invested in the form of new construction

IV Demand for land use and analysis of project inputs

IV.1 Land use needs of the project

A summary of land use requirements:

No

1

1 Contrucstion

12 Infectious Diseases Inpatient Departments 4.500 5,71%

18 Developing Personal and Professional Capabilities 18.396 23,33%

21 Hazardous waste treatment and detoxification

 Construction phase

- Raw materials for construction work are sold in the locality

- Some specialized equipment and machinery are available from local or in HCMC Ho Chi Minh Some are imported from abroad

- Conditions for supplying manpower in the production stage: Using specialists in combination with on-the-job training for the labor force of the production area

Chapter III ANALYSIS OF SCALE, AREA OF BUILDING WORKS,

SELECTION OF TECHNICAL TECHNOLOGY PLANTS

I Analysis of scale, area of construction works

The list of construction works of the project

4 Infectious Diseases Inpatient Departments m² 4.500

11 Developing Personal and Professional Capabilities m² 18.396

14 Hazardous waste treatment and detoxification

CostID Cost Name Unit Quantity

II Analysis of selected technical and technological options

1 Technical process of prescribing and outpatient treatment

To implement the new regulations on outpatient prescription issued by the Ministry of Health The contents are as follows:

 Doctors must prescribe and sell drugs according to the list of 30 types of drugs

as follows: addictive drugs, anesthetics, antibiotics, helminthic drugs, drugs for

TB treatment, drugs for cancer treatment and impact In the immune system, drugs used in diagnosis, blood- preparations from blood, drugs that affect blood clotting, cardiovascular drugs, diuretics, medicines to elastic pupils, asthma medications, dyslipidemic drugs, intravenous fluids, diuretics, stomach ulcers For drug-addictive groups, the prescriber must also comply with the following regulations: the first name of the drug must be capitalized, the number 0 in front

of the drug quantity Particularly functional foods because they are not considered medicinal so they will not be listed in these prescriptions

 In order to get rid of sloppy prescriptions, the new regulation requires the prescriber to write the name clearly so that the patient and the seller can read it The name of the medicine must be written according to the international name, with the correct content, dosage and quantity, including the address of the patient and prescriptions in this new way are only valid for 5 days, less than 5 days in comparison with previous regulations In particular, for prescriptions for children under 6 or under 72 months of age, must to write their old and the name of mother and farther should be written

2 Overview of the application of technical services

PHACO cataract surgery: This is a surgical replacement of the vitreous by ultrasound of the ophthalmic ophthalmic emulsion and implanted artificial glass

in the eye, the time taken in the ring 30 minutes, after surgery, the patient only need hospitalization 1 day instead of previously hospitalized from 7-10 days The ability to restore the eyes and function is very good This is the most modern technique of the world and has been widely applied in the Eye Hospital

Laparoscopic surgery includes the technique of surgery for gastrointestinal endoscopy, urology, obstetric and sinus surgery This is a surgical technique with instructions of the screen, the surgeon needs to have the hand level The

surgery and the very sensitive to perform, the incision is very small, not as much damage as conventional surgery techniques, so the patient early recovery

Craniofacial Neurosurgery: Cases of brain tumors, neuroma, traumatic brain injury that can not be treated through the use of modern advanced surgical techniques

Plastic surgery: Using micro surgical techniques to solve the cases of pathological deformation of parts of the body to return function and bring beauty to people with cleft palate cleft lips congenital malformations, scars and scars or using this technique to enhance the beauty of the human body, such as lip, face, nose, chest, lip treatment, and so on is a potential service in the coming years 

Diagnostic imaging: Using equipment such as color ultrasound, Doppler, CT Scancer for accurate diagnosis, increased efficiency and quality of treatment 

Artificial Insemination: Using sperm filtration techniques, hormone quantitative techniques, in vitro embryo culture techniques to assist in infertility cases, contributing to improving the quality of health care delivery Products In addition, some other applications such as high-tech testing, bone marrow biology, microbiology; Application of information technology in hospital management, pharmaceutical management; emergency medical and surgical resuscitation techniques, and a number of hospital support services, contributing to a significant improvement in the quality of health care for the population

3 CT scanner systems

 According to the structure of disease is increasingly complicated, patients need

to be diagnosed early and timely treatment such as diseases such as cardiovascular, joint, neurological, traumatic injuries, traffic accidents, labor accidents

 Particularly in Vietnam, the rate of traffic accidents and occupational accidents

is very high, so locating the injuries is very necessary

 The introduction of CT scanners is a new step in the diagnosis of common diseases of the internal organs of the body

 Although the cost for a CT scan is 20 times higher than routine X-rays, people are willing to meet the need for diagnostic due to the high diagnostic results of this service

 The morbidity and mortality in the society is becoming more complicated The patients need to be diagnosed early and timely treatment will bring high economic effect to the society as well as the patient in particular

4 For 3D color ultrasound

Every year, deaths from heart disease, vascular disease and obstetrics and gynecology in hospitals across the country are huge Patients come to ultrasound

in medical facilities a lot, but the success rate is not high because the ultrasound machine is difficult to detect cardiovascular disease, because it is only one-dimensional ultrasound

- With three-dimensional color ultrasound machine is the latest generation today, using 3D imaging technology, the ability to create 18 images/s, using 3-dimensional ultrasound technology expansion

• Ultrasound at the request of all specialties

• Pregnancy ultrasound, gynecological ultrasound;

• Color Doppler ultrasound for both heart and circuits

To successfully diagnose and treat the above diseases, investing in dimensional color ultrasound is very necessary and urgent because it:

three-• Helps patients with a history of cardiovascular disease to avoid direct effects on their disease (because they have cardiovascular doppler)

• Helps patients with gynecologic and cervical cancer and ovarian cancer to cope with the disease and affects the following generations (because the device has a common probe for obstetric and gynecological);

• Help the woman to know how the fetus develops and prepare to pick up her baby when she is born

5 Technology of the major departments and departments of the hospital

 Personnel Department

+ Planning on organizing and arranging human resources, training human resources, organizing recruitment exams for staff

+ Manpower management, staff records

+ Establish working regulations, working relationships between departments, mass organizations

+ Protecting internal politics, close relations with party organizations and local governments

+ Recruitment, appointment, emulation, discipline, labor safety and other policies and regimes  General Planning Department

+ Make plans to help the Directorate to direct, monitor and summarize all major programs and projects of the hospital such as investment plans for equipment, machinery, medicine upgrading hospitals, foreign projects science and technology research programs at grassroots level, Ministry of Health and State level Develop a plan for professional development in the hospital as well as the treatment and care of patients

+ Foreign relations: Focal points of foreign relations, aid reception, scientific and technical exchange and training

+ Scientific research: To monitor the implementation of the State-level scientific research projects, the Ministry of Health and hospitals Organizing national scientific seminars and international conferences Organizing the implementation

of organ transplant surgery organ transplantation

+ Manage and monitor training programs for students studying in hospitals

+ Library: Managing and operating a specialized library (Surgical) in large categories with medical books, hospital management, nursing are always updated and added

+ Health care administrative work: Organizing the work of directing the whole hospital To harmonize the work between hospital departments, between hospitals and relevant agencies to improve the effectiveness of medical examination and treatment and treatment of patients

+ To archive medical records: To serve the treatment, training, scientific research, certificate and forensic medicine

+ Information technology: setting up a hospital-wide LAN for patient management and scientific research, Internet information exchange

 Medical Equipment and Supplies Division

+ Supply of equipment, tools, medical supplies, statistics and management of all medical equipment - machines of the hospital

+ Participating in the project to aid and improve the hospital + Monitor the management of maintenance contracts, repair the equipment of the hospital + Make plans to purchase, repair equipment, medical supplies for professional services Repairing medical equipment and machines in hospitals

+ Management of liquid oxygen supply system, compressed air station, vacuum Emergency medical gas supply (oxygen, compressed air, suction center) 24 / 24h + Power system management, distribution room of high voltage power cutter, transformer station Direct electric power: high voltage, voltage generator, voltage stabilizer 24 / 24h + repair Small and medium power in the hospital Participating in the "Hospital Labor Protection Council" examines labor safety, periodically inspects safety equipment according to state regulations

 Administration Administration Department

+ Management of archives, seals, official dispatch to the hospital

+ Supply of common materials: stationery, clothes, cloth for the whole hospital Associate relevant departments to formulate norms Ensure the supply of norms, the right type and assurance of economic management procedures Ensure communication in the hospital, ensure the transportation of emergency patients, pick up the professor, doctor to consult and participate in emergency

management Managing the maintenance of bicycles and motorcycles for employees

+ Management, maintenance, and minor repairs of infrastructure Management and distribution of administrative goods

+ Provide clean water in the hospital To ensure the external hygiene and treatment of daily-life wastes and medical wastes according to regulations

+ Ensuring the reception of domestic and international delegations to work with the hospital, serving the large conferences and meetings of the hospital

 Accounting Department

Collect, reflect, process and synthesize information on the funding sources to be allocated, financed, formed and the use of funds Use of revenues arising in the units

+ Inspecting and controlling the execution of revenue and expenditure estimates

in the implementation of economic and financial criteria on the basis of standards and norms To inspect the management and use of various kinds of supplies and assets in the units To inspect the implementation of the discipline of budget collection and remittance, the observance of the payment discipline and the financial regimes and policies for the State

+ Prepare and submit timely financial statements to the upper management agencies and financial agencies as prescribed Providing necessary information and materials for the preparation of cost estimates, development of cost norms Analyzing and evaluating the effectiveness of the use of capital sources and funds

in the units

+ To organize the collection of hospital fees with the guideline of ensuring that the revenues are collected in a proper and sufficient manner and control the use of revenues according to the current policies and regimes so as to meet the requirements for professional operation and high efficiency

 Line Guidance Room

+ Planning to direct the route to the hospital director for approval to organize the implementation

+ Monitoring, examining and evaluating the professional and technical performance of lower levels

+ Coordinate with specialists to organize the support activities, training staff lower

+ Maintain 2-way information with downline

+ Periodically reviewing, summing up, drawing experience on the direction of the route to the Board of Directors and report to the higher level

 Traditional Medicine

The Department is responsible for the application of traditional medicine treatment to patients, such as acupuncture, acupuncture, research and verification

of treatment and treatment of traditional drugs on chronic muscular diseases Modern medicine, the bridge between Western and Western medicine

 Microbiology Department + Testing on germs and parasites

+ Training on micro-parasite testing Support some tests for lower levels

+ Guidelines for the deployment of micro-organism testing techniques for lower levels

+ Participate in the infection control in the hospital

 Ear, nose and throat department

+ Examination and treatment of ENT in adults and children such as: wall scabs; Laryngitis; Middle ear infection; Sinusitis

+ ENT surgery such as Amygdales; Sinusitis surgery; Rectangular partition; Laryngoscope; Dancing VA Full laryngectomy, partial laryngectomy, surgical laryngectomy, retrograde rhinoplasty Endoscopic sinus surgery, laryngectomy surgery, atrial surgery

 facial teeth surgery

+ Examination and treatment of dental diseases:

 To fill teeth such as amalgam, glassionomer, cosmetic fillings of broken teeth, chipped composite photosensitive composite, put sealant prevent tooth decay for children

 Endodontic treatment: cases of tooth pain due to myelitis, necrosis Complications caused by pulp pathology, treatment of the root canal treatment is not good

 Extraction of large broken teeth, wide shaking

 Sub-surgery of the teeth deviated, underground, cystic surgery, dental granuloma Periodontal: Tooth extraction, polishing, periodontal treatment, periodontal treatment for cases of gingivitis, periodontitis

 Treatment of bad breath is successful in some cases

- Tooth for children: Tooth filling, tooth decay, orthodontic

 Teeth whitening: In cases of tooth decay color change, teeth sharp

+ Restorations:

 Plastic restraint, plastic frame, biosoft jaw, soft rubber cushion with teeth such

as plastic teeth, composite teeth, porcelain teeth Fixed fixation with plastic pins, ceramic pins, metal crowns, composite crowns, porcelain crowns, metal surface bridges, plastic porcelain, porcelain bridges, plastic bridge, porcelain bridge

 Obstetrics and Gynecology

+ Examination and treatment

 Examination and treatment of obstetric and gynecological diseases: Endometritis, uterine inflammation, uterine endometrium, uterine cancer, ectopic pregnancy, uterine cysts, unexplained Early ovaries

 Antenatal care  Perform the following procedures:

* Pap'smear (Pap smear for early detection of cervical cancer) Cervical lavage in case of widespread inflammation

* IUD

* Endometrial biopsy

* Erotic beauty salon

* Colposcopy, biopsy if abnormal

 Pregnancy check up, periodic gynecological examination

 Screening and detection of cervical disease

+ Surgery:

 Laparoscopy: Cystic ovary (large, u)

 Infertility in the treatment of infertility

 Resuscitation Department

+ Infertility in surgery and postoperative analgesia

+ Resuscitation in postoperative Claes for severe patients

+ Scientific research and training

+ Being an internship and rehearsal center of technicians and anesthetists in the whole province

 Pediatrics

+ All internal diseases from birth to 15 years old, including diseases such as: Dengue from level I to level IV, respiratory disease, cardiovascular disease, neuropathy, urinary tract, neonatal pathology, pediatric diseases such as: poisoning, asphyxia, shock Application of cage ventilation, and respiratory

support measures such as continuous positive pressure ventilation, mechanical ventilation

 Foreign Studies

The Department has specialized clinics, timely medical examination and treatment for patients In addition to gastrointestinal surgery, the department also performed thoracic surgery, urology, intraperitoneal and peritoneal dialysis, and blood vessel surgery

 Internal Medicine

Medical examination and treatment of liver and gallbladder diseases, respiratory diseases, blood clots, otorhinolaryngology and some other diseases such as hepatitis, dengue fever In the diagnosis and treatment of gastrointestinal disorders Examination and treatment for patients under the specialty: Neurology, Endocrinology, Dermatology

 Medical and outpatient clinics

+ General examination for the detection and treatment of diseases of the internal system: cardiovascular, endocrine, digestive, dermatological, Eye, Ear-Nose-Throat, Tooth-Facial, Traditional Medicine, Foreign , Orthopedic Trauma, Obstetrics and Gynecology, Pediatrics, Psychiatric

+ Medical examination for subjects wishing to recruit labor, registration of marriages with foreigners, labor export, driver's license examinations

+ Periodical health examinations and classification of health for officials and employees of companies, enterprises, foreign experts

 Biochemistry

+ Perform biochemical tests in blood, urine and body fluids

+ Assess the functions of organs such as liver, kidney, cardiovascular, pancreas

+ Forensic work:

 Forensic medicine: percentage of injuries

 With corpses: combined with the provincial, district and township procuratorates; provincial police office, district, town; Provincial criminal psychology examinations for medical examinations

 Pharmaceutical science

+ Make plans to provide and ensure the quantity and quality of common and specialty medicines, chemicals and medical supplies: gauze cotton bandage for inpatient and outpatient treatment, reasonable treatment

+ Prepare some medicines for use in the hospital To monitor the use of safe, reasonable drugs throughout the hospital + To participate in the management of drug costs, to achieve high efficiency in the service of patients

CHAPTER IV PROJECT IMPLEMENTATION PLANS

I Plans for site clearance, resettlement and support for infrastructure construction

I.1 Plan clearance

Investors will complete all land procedures in accordance with current regulations In addition, the project is committed to comply with the direction of the authorities and the law

I.2 Resettlement plan

The land belongs to public land for project implementation, so the project does not have to compensate for clearance and resettlement plan

I.3 The plan to support the construction of technical infrastructure

The project will only invest in the construction of infrastructure related to the

project such as external roads and internal traffic systems in the area

II Các phương án xây dựng công trình

 Para-Clinical Departments

+ Basement: Area: 1500 m2 Layout: Parking

+ Floor 01: Area: 1500 m2: Emergency departments and Resuscitation Positive - Antitoxic:

4 Temporary Emergency Room 135

5 Detox bath for patients 18

6 Wash, Pasteurize Room 18

No Name Area

Resuscitation Positive - Antitoxic 480

11 Restrooms, dressing staff (male / female) 48

12 Restrooms, dressing staff (male / female) 48

6 Receive, receive / return results 36

7 Administrative office, training briefings 36

11 Restrooms, dressing staff (male / female) 48

+ Floor 03: Area: 1,500 m²: Surgical resuscitation surgery

6 Other specialized surgery 72

7 Wash your hands aseptically 81

1 Receive the patient 36

2 Provincial number (50% of operating room number) 48

Lobby + Common corridor 510

+ Floor 04: Area: 1,500 m²: Technical Diagnostic Techniques and Department probe function

- Room preparation for interventional ultrasound 9

- Studio 30

2, Reading room and image processing 24

E Film processing and classification 18

1 Department of Registration of numbers, results 36

3 Wait for the screen, m2 / place / unit of diagnosis 24

9 Restrooms, dressing staff (male / female

2 Prophylaxis of urinary function (with sterile

3 Prophylaxis of cardiovascular function 36

7 Prophylaxis of respiratory function, basic

8 Prophylaxis of urinary tract function 36

2 Western medicine rooms 84

- Department of other drugs 18

- Testing laboratory 18

- The room is labeled 12

3 New drug stores, traditional medicine 66

- Room for fresh material 36

- Soaking, washing, rubbing 15

- Place drying, drying 15

4 Prevention of herbal medicine 81

- Practice packing, loading medicine 36

- Cooking kitchen, cooking high 15

- temporary storage facilities 15

B Area for preservation and allocation 192

3 Warehouse - cold room 18

4 Medical tapes, medical instruments 45

5 Medical equipment store 36

4 Restrooms, dressing staff (male / female) 48

Reception hall + common hall 346

13 Students practice 36

Lobby + reception hall 312

 Outpatient clinic

+ Basement: Area: 900 m²: Parking for staff and guests

+ Floor 1: Area: 900 m²: Reception block + reception + reception +

administrative department, details:

- Department of diagnosis, quick assessment 276

- Record room of the clinic 24

6 Hall welcome - common hall 174

+ Floor 02: Area: 900 m2: Pediatrics

No Name Area (m²)

- Clinic (bright part) 144

- Clinic (dark section) 144

3 Hall welcome - common hall 324

+ Floor 03: Area: 900 m²: Dentomaxillofacial and Ear, nose and throat

- Washing steamer drying tool 48

2 Ear, nose and throat 78

3 Hall welcome - common hall 408

+ Floor 04: Area: 900 m²: Internal examination and Foreign visit

3 Hall welcome - common hall 336

+ Floor 05: Area: 900 m²: Department of Physiotherapy - Rehabilitation

Department of Physiotherapy - Rehabilitation 752

No Name Area (m²)

2 Room heat treatment 45

- Bunch of paraffin, wormwood 27

5 Administration - reception 78

- Doctor of Science 18

- Staff and storage of cloth 18

- Restrooms, dressing staff 18

- Accommodation is located, m2 / seat 80

- Place in the sitting position, m2 / seat 40

- Accommodation after treatment or exercise, m2 / seat 40

10 Reception hall + common hall 148

 Infectious Disease + Inpatient Treatment 1

+ Floor 1,2: Area: 900 m2:Internal treatment plan

3.2 Washing, steaming, drying, preparation tools 9

4.1 Maternity room for caesarean section 72

4.3 Room for pregnant women infected 36

- Steam room, washing, preparation tools 18

+ Floor 3,4: Area: 900 m2: Pediatric