Dự án Bệnh viện Đa khoa Quốc tế Phương Đông tỉnh Bạc Liêu - Bản dịch tiếng anh - 0918755356

Phuong Dong International General Hospital.
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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-----

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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

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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

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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
HOSPITAL.
Location: Bach Dang Boulevard, Nha Mat Hamlet, Nha Mat Ward, Bac
Lieu City, Bac Lieu Province.
Form of management: The investor directly manages the operation and
operation of the project.
The total investment of the project: 5,605,306,449,000 VND, Inside:
+ Own capital: 840,795,967,000 VNĐ
+ Loans (mobilized): 4,764,510,481,000 VND.

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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%.

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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;

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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
Law on Tendering No. 43/2013 / QH13 dated 26 November 2013 of the
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;

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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.

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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.

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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

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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.
I.2.1. Economy
1. Agriculture
a. Crop
Rice
Farmers in the area continue to harvest rice tea in the season 2016. It is
expected that at the end of the month, the province will harvest 74,383 ha, yield is
estimated at 395,330 tons, up 3.98% over the same period.
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

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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.
Disease prevention
I.2.2. Industry - construction
a. Industry
In the past months, enterprises and production establishments stepped up
their production of goods to serve the consumption market during the Lunar New
Year. Therefore, it has contributed to increase production and production value in
the first month of the new year. Focus on processed goods for domestic
consumption such as food, foodstuff, confectionery, beverages, ice, clothes, plastic
utensils ...
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

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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

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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.

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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.

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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;

Page 17
+ 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.
List of services.
 General medical examination and outpatient treatment:
 Internal Examination;
 Foreign Examination;
 Accessories And Products;
 Neurological Examination;
 Dialysis And Dialysis;
 Children;

Page 18
 Facial Teeth;
 Ear, Throat;
 Eyes;
 Contagious;
 Traditional Medicine;
 Dermatological.
 Inpatient treatment unit:
 Internal Medicine;
 Foreign Surgery;
 Maternity Ward;
 Pediatrics;
 Facial And Orthodontic Dentistry;
 Eye Medicine;
 Infectious Diseases;
 Traditional Medicine.
 Subclinical professional technical unit:
 Emergency Department;
 Active And Antiseptic Treatment;
 Surgery, Anesthesia Resuscitation;
 Image Diagnostic Department;
 Laboratory Tests;
 Pathology Department;
 Functional Probes;
 Endoscopic Surgery;
 Pharmaceutical Science.
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.

Page 19
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
. Cost Name Area (m²) Rate
1.
1
Contrucstion
2 Guard house (4 houses) 96 0,12%
3 Grocery store (12 store) 72 0,09%
4 General Service 444 0,56%
5 Pharmacy 90 0,11%
6 Grocery store 120 0,15%
7 Canteen 180 0,23%
8 Newspapers, postage stamps, telephones store 54 0,07%
9 Garage 3.000 3,80%
10 Para-Clinical Departments 9.000 11,41%
11 Outpatient treatment Departments 10.800 13,69%
12 Infectious Diseases Inpatient Departments 4.500 5,71%
13 Nutrition and dietetics 778 0,99%
14 Department of Traditional Medicine 420 0,53%
15 Department of Pathology 570 0,72%
16 Sanatorium 18.500 23,46%
17 Guest House 8.940 11,34%
18 Developing Personal and Professional Capabilities 18.396 23,33%
19 Human resources department 646 0,82%
20 Canteen and service 2.000 2,54%
21
Hazardous waste treatment and detoxification
departments
8.175 10,37%
22 Landscape trees 2.366 3,00%
23 The traffic system 8.918 11,31%
24 Lighting system 1 0,00%
25 Plumbing and Drainage Systems 1 0,00%
Total 78.865 100,00%
IV.2. Analyze the inputs to meet the needs of the project.

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 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.
 Operation phase.
- The machines, equipment and materials used in the production of this
project are relatively favorable, most of which are sold locally.
- When the project is put into operation, the infrastructure works in the project
area will meet the requirements for the project to go into production. The
transportation of materials and products will be very convenient.
- 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.

Page 21
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
CostID Cost Name Unit Quantity
I Contrucstion
1 Public service and logistics
1.1 Guard house (4 houses) m² 96
1.2 Grocery store (12 store) m² 72
1.3 General Service m² 444
1.4 Pharmacy m² 90
1.5 Grocery store m² 120
1.6 Canteen m² 180
1.7 Newspapers, postage stamps, telephones store m² 54
1.8 Garage m² 3.000
2 Para-Clinical Departments m² 9.000
3 Outpatient treatment Departments m² 10.800
4 Infectious Diseases Inpatient Departments m² 4.500
5 Nutrition and dietetics m² 778
7 Department of Traditional Medicine m² 420
8 Department of Pathology m² 570
9 Sanatorium m² 18.500
10 Guest House m² 8.940
11 Developing Personal and Professional Capabilities m² 18.396
12 Human resources department m² 646
13 Canteen and service m² 2.000
14
Hazardous waste treatment and detoxification
departments
m² 8.175
15 Landscape trees m² 2.366
16 The traffic system m² 8.918
17 Lighting system HT 1
18 Plumbing and Drainage Systems HT 1
19 Communication systems HT 1

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CostID Cost Name Unit Quantity
20 Fence m² 1.123
21 Backfill m² 78.865
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

Page 23
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

Page 24
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 three-
dimensional color ultrasound is very necessary and urgent because it:
• 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.

Page 25
+ 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

Page 26
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.

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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.

Page 28
+ 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.
 Ovarian tumors
 Open surgery: Partial uterine cleft may be accompanied by 2 sub-sections. A
total uterine cyst can be attached to 2 extra parts.
- Emergency surgery: cystic ovaries break; Cystic ovary cyst; GEU rupture
(ectoplasmal rupture); Uterus after insertion ...
+ Medical therapy for uterine fibroids: Uterine artery embolization (UAE) for
uterine artery emboli in treating uterine fibroids.
+ Counseling on contraception, sexually transmitted diseases on prevention and
treatment; Counseling treatment of infertility; Consultation on maternal and child
health care.
 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

Page 29
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...
 Pathological surgery
+ General: receiving, preservation, surgery, autopsy and funeral services as
prescribed.
+ Microcirculation: receiving biopsies, deaths, surgical specimens from clinical
departments to assess lesions, biopsy and death. Diagnose vaginal laminae.
Diagnostic tests of the lung, peritoneal, pericardial, synovial fluid, follicular
(malignant, cystic), lymph node aspiration, lymph node aspiration, and lymph
node test. Laboratory tests and diagnostic microscopy of deaths, forensic.
+ 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.

Page 30
 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.

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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:
No. Name Area
Emergency department 528
1 Hall 36
2 Admission office 45
3 First Aid Room 36
4 Temporary Emergency Room 135
5 Detox bath for patients 18
6 Wash, Pasteurize Room 18
7 Department head 18
8 On-call Room, Doctor Room 24
9 Nurse's room 24
10 Roles, training room 54
11 Clean store 24
12 Dirty store 48
13 Dressing room 48

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No. Name Area
Resuscitation Positive - Antitoxic 480
1 Waiting room 67,5
2 Active treatment room 112,5
3 Interventional procedure room 36
4 Engine room 36
5 Laboratory toxicology 24
6 Clean room, sterilization 24
7 Clean store 24
8 Dirty store 12
9 Department head 18
10 On-call Room, Doctor Room 24
11 Nurse's room 24
12 Roles, training room 54
13 Dressing room 24
+ Floor 02: Area: 1,500 m2: Department of microbiology, Biochemistry and
Hematology - blood transfusion
Name Area (m²)
A. Department of microbiology 381
- Technical and Professional Park 135
1. Microbiological tests 70
2. Sterile rooms 9
3. Prepare the environment, sample 32
4. Room cleaning / sterilization 24
- Auxiliary area 246
5. Direct + receive / return results 36
6. Sampling room 36
7. General warehouse 36
8. Administrative office, training briefings 18
9. Department heads 36
10 staff rooms, faculty 36
11. Restrooms, dressing staff (male / female) 48
B. Biochemistry 440
Technical area 224
1. Biochemical tests 80
2. Preparation 36
4. Technical support 36
5. Chemical warehouse 36

Page 33
Name Area (m²)
Ancillary area 216
6. Direct + receive / return results 36
7. Sampling room 18
10. Staff room 36
C.Hematology - blood transfusion 458
Technical area 212
1. Hematology - blood transfusion 80
2. Blood storage room 36
3. The blood sample laboratory 36
5. Chemical warehouse 24
Ancillary area 246
6. Receive, receive / return results 36
9. Department of staff, faculty 36
12. Patient toilet (male / female) 36
Hall + Common Hall 221
+ Floor 03: Area: 1,500 m²: Surgical resuscitation surgery
Name Area (m²)
Surgical resuscitation surgery 990
A. Aseptic Area 450
1. General surgery 72
2. Bacterial infection 72
3. Traumatic surgery 36
Emergency surgery 36
5. Permanent 36
6. Other specialized surgery 72
7. Wash your hands aseptically 81
8 sterile corridor 27
9. Supply of materials 18
B. Clean area 258
1. Injury (number of rooms equal to 50% of operating room) 120

Page 34
Name Area (m²)
*)
2. Clean corridor 36
3. Room between surgery 24
4. Sick Room 12
5. Room disinfection 24
6. Disposal room 18
7. Equipment storage 24
C. Auxiliary area 282
1. Receive the patient 36
2. Provincial number (50% of operating room number) 48
Administrative, direct 24
4. Consultation, training 36
5. Change of clothes, hygiene (male / female separately) 48
7. Doctor's office 36
8. Nursing room 36
Lobby + Common corridor 510
+ Floor 04: Area: 1,500 m²: Technical Diagnostic Techniques and Department
probe function
Name Area (m²)
I.Technical Diagnostic Techniques 638
A. Common X-ray room 101
1. Machine location 38
- Studio 20
- Control room 18
2. Preparation area 63
- Chamber, indent 27
- Patient room 36
B. CT scanner 60
- Studio 30
- Control room 12
2. Preparation area 18
- Room preparation 18
C. Ultrasound 90
- Ultrasound room 81
- Room preparation for interventional ultrasound 9
Magnetic Resonance (MRI) 66

Page 35
- Studio 30
- Control room 12
2, Reading room and image processing 24
3. Preparation room 18
E. Film processing and classification 18
Additional administrative area 291
1. Department of Registration of numbers, results 36
2. Patient toilet (male, female) 48
3. Wait for the screen, m2 / place / unit of diagnosis 24
Department heads 18
7. Equipment, equipment 24
8. Film store, chemicals 24
9. Restrooms, dressing staff (male / female
separately)
48
II. Department probe function 550
Waiting room 48
-Technical Department 502
1. Probe of digestive function (with sterile procedure
and preparation)
48
2. Prophylaxis of urinary function (with sterile
procedure and preparation)
48
3. Prophylaxis of cardiovascular function 36
4. Erode room 32
5. Electromechanical Chamber 36
6, cerebrovascular disease 32
7. Prophylaxis of respiratory function, basic
metabolic measurement and weighing
36
8. Prophylaxis of urinary tract function 36
9. Test your blood sugar and urine 36
10. Neurological probe 36
11. Allergy, immune 36
12. Administration department 54
13. Students practice 36
Lobby + reception hall 312
Floor 5: Area: 1,500 m²:
Name Area (m²)
Endoscopy 543,12

Page 36
Name Area (m²)
Wash + Treatment 24
Home screening 336
Training department 24
Keep picking up 15,18
Administrative 15,18
P. preparation 13,2
Warehouse equipment 43,56
Dirty stacks 24
WC 24
Bath + change 24
Pharmacy 611
A. Production area 297
1. Steam room 66
- Bottled water 24
- Soak, wash 24
- Drying, steaming 18
2. Western medicine rooms 84
- Room with water 12
- Water dispenser 24
- 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
- Grinding 15
- Practice packing, loading medicine 36
- Cooking kitchen, cooking high 15
- temporary storage facilities 15
B. Area for preservation and allocation 192
1. Counters 36
- Seat 12
- Counters 24
2. Drug stores 45
3. Warehouse - cold room 18
4. Medical tapes, medical instruments 45
5. Medical equipment store 36
6. Scrap warehouse 12

Page 37
Name Area (m²)
C. Administrative and living rooms 122
2. Statistics and accounting sections 24
3. Living room 32
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:
No. Name Area (m²)
1 Reception 138
1.2 Counters 30
1.2 Procedures - payment 36
1.3 Toilet area 48
1.4 Waiting, waiting for examination 24
3 Business department 435
- Medicine dispensary, drug store 18
- Drug store 18
- Department of diagnosis, quick assessment 276
- Record room of the clinic 24
- Clean store 21
- Department of equipment management 18
- Chemical storage 30
- Dirty stacks 30
4 Receiving department 51
4.1 Room to send clothes 9
4.2 Reception room 12
4.3 Stocking clothes 30
5 Administrative division 102
5.1 Chair of the department 18
5.2 Living room 24
5.3 Change employee clothes 12
5.4 Toilet 48
6 Hall welcome - common hall 174
+ Floor 02: Area: 900 m2: Pediatrics

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No. Name Area (m²)
1 Pediatrics 96
2 Eye 480
- Clinic (bright part) 144
- Clinic (dark section) 144
- Treatment room 192
+ Floor 03: Area: 900 m²: Dentomaxillofacial and Ear, nose and throat
No. Name Area (m²)
1 Dentomaxillofacial 414
- Clinic (1 chair) 120
- Minor surgery 120
- Orthopedic room 96
- Dental implant 30
- Washing steamer drying tool 48
2 Ear, nose and throat 78
- Clinic 30
- Treatment room 48
+ Floor 04: Area: 900 m²: Internal examination and Foreign visit
No. Name Area (m²)
1 Internal examination 132
- Clinic 96
- First Aid Room 36
2 Foreign visit 432
- Clinic 96
- Foreign tricks 240
- Preparing instruments 96
+ Floor 05: Area: 900 m²: Department of Physiotherapy - Rehabilitation
No. Name Area (m²)
Department of Physiotherapy - Rehabilitation 752
1 Phototherapy room 153
- Infrared treatment 27
- Venereal treatment 18
- Electrical treatment 63
- Treatment with other machines 45

Page 39
No. Name Area (m²)
2 Room heat treatment 45
- Bunch of paraffin, wormwood 27
- Burning 18
5 Administration - reception 78
- Doctor of Science 18
- Administration 24
- Staff and storage of cloth 18
- Restrooms, dressing staff 18
- Seat
6 Photovoltaic treatment room 30
- Nursing workplace 12
- Treatment room 18
Room with heat treatment 42
- Nursing workplace 12
- The paraffin bundle 18
- Fire department 12
7 Gym and exercise room 160
- Training room 70
- Massage room 18
- changing rooms and storage 12
- Exercise yard 60
8 Hydrotherapy department 84
- Bathing, soaking 48
- Mud bath 36
9 Place of treatment 160
- 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
No. Name Area (m²)
INTERNAL TREATMENT PLAN
Obstetrics 714
1 Clean area 108
1.1 Pregnancy clinic 18
1.2 Birth room 45
1.3 Prematural toilet 9
1.4 Room after abortion 36

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2 Birth area 132
1.1 Aseptic 87
- Hand wash, change clothes 9
- Delivery of sterile 24
- Delivery of pathology 36
- Prevent abortion, set the ring 18
1.2 Bacterial zone 45
- Prematural toilet 9
- Stick to bacteria 36
3 Logistics area 45
3.1 Clean store 21
3.2 Washing, steaming, drying, preparation tools 9
3.3 Damage to the dirty table 15
4 Postpartum 180
4.1 Maternity room for caesarean section 72
4.2 Maternity ward 72
4.3 Room for pregnant women infected 36
5 Gynecological treatment area 120
5.1 Gynecology 54
5.2 Trial room 66
- Drugstore 24
- Fireplace 24
- Steam room, washing, preparation tools 18
6 Birth control room plan birth 24
7 Laboratory 24
8 Department of postpartum 81
10 Corridor + reception hall 186
+ Floor 3,4: Area: 900 m2: Pediatric
No. Name Area (m²)
Pediatric 639
1 Treatment room 150
2 Living room 258
2.1 Milk phase 18
2.2 Breast-feeding 30
2.3 Prepare rice and eat 36
2.4 Playground 36
2.5 Take a shower 24
2.6 Urine 12
2.7 wash 24
2.8 Clean store 36

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No. Name Area (m²)
2.9 Collection of dirty things 42
3 Baby sitting 231
3.1 Infant Room 120
- Newborn baby months 60
- Neonatal ward 60
3.2 Additional rooms 111
- Bathroom wash 12
- Wash basin 12
- Milk phase 9
- On duty midwife 12
- Breastfeeding 15
- Reception of the hospital 12
- Clean store 18
- Dirt collectors 21
4 Corridor + reception area 261
 Infectious Disease + Inpatient Treatment 2
+ Floor 1: Area: 900 m2: Internal Medicine
No. Name Area (m²)
Internal Medicine 864
1 General (6 rooms) 216
2 Cardiopulmonary bypass (6 rooms) 216
3 Gastrointestinal (6 rooms) 216
4 Musculoskeletal joints (6 rooms) 216
+ Floor 02: Area: 900 m2:
No. Name Area (m²)
I.2 Surgery 648
1 General outlook 216
2 Neurological 216
3 Gastrointestinal 216
+ Floor 03: Area: 900 m2:
No. Name Area (m²)
Eye check 93
1 Eye clinic 45
- Bright part 24

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No. Name Area (m²)
- Dark section 21
2 Treatment room 48
- Seat change, small drug treatment 30
- Drying, drying, tools 18
Facial teeth 203
1 Clinic 45
2 Paolo dentures 45
3 Treatment room 75
4 Drying tool drying area 18
5 X-ray room 20
I.7 Infectious diseases
1 Treatment room 120
2 Living room 53
1.1 Eating utensils, sterilizing utensils 12
1 Clean store 8
2 Recovery of dirt and preliminary purge 9
3 Toilet 24
- Corridor + reception area 308
Note: The detailed list of equipment is shown in the Appendix.
The construction lists must meet the standards and regulations on
construction design. Details are shown during the design phase of the building
permit.
III. Implementation plan.
1. Management and exploitation plan.
Phuong Dong International Joint Stock Company has legal status and
capacity, joint stock company with 100% capital contribution, operating under the
Enterprise Law.
Have own seal and account. Phuong Dong General Hospital - Orient
International Resort is a medical facility providing accommodation services for
residential areas of Bach Lieu province and neighboring provinces and both
domestic and foreign visitors.
Regarding the organizational structure and arrangement of labor, the executive
management capacity of the Board of Management: Operating in the form of a
joint stock company, the highest decision-making power is the General Meeting
of Shareholders under the control of the Inspection Committee. followed by the
Board of Directors and assign the tasks to the direct leaders of the company such
as the General Director, the Deputy General Directors in charge of each section
and the professional sections.

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2. Tasks.
a / Medical examination.
+ Emergency, medical examination and health care as required.
+ To receive all cases, the patients from outside to the hospital directly, or from
the district and commune to move up for emergency, medical examination and
treatment outpatient. Resolves all most illnesses in the province that the hospital
is responsible for, including surgical, obstetric, rectal, burn, facial, and
maxillofacial diseases.
+ Organizing periodical health checks and forensic assessment when the law
enforcement agencies request and issue health certificates according to the State's
regulations.
+ Functional repetition.
+ Move to the upper level when the hospital is not able to solve.
+ Provide high-quality resort accommodation.
b / Training.
+ The hospital is a practical facility for the training of middle-level health
workers for the province
+ Coordinate training for staffs of hospitals in district and commune medical
centers and regularly examine and hire top experts in the sector to invigorate the
staff of the hospital.
c / Scientific and medical research. To organize research and cooperate in the
study of the ministerial-level and grassroots scientific subjects in the field of
healthcare.
+ Research on community epidemic in primary health care.
+ To study and apply advanced technologies from major hospitals and specialized
hospitals in order to raise the capacity of hospitals.
d / Prevention.
Coordinate with preventive medicine units to regularly carry out disease
prevention, epidemic prevention and environmental protection tasks. Implement
and guide the implementation of environmental sanitation, waste water treatment,
waste treatment, hospital waste.
e / International cooperation in medicine.
Cooperate with organizations and individuals in the country in accordance
with state regulations to constantly develop hospitals.
f / Economic management in hospitals.
+ Make independent economic accounting, pay taxes according to regulations.
+ Expenses for medical examination and treatment according to the common
regulations of the State.

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+ Signing contracts with health insurance organizations at home and abroad.
+ Free medical examination and treatment with subjects prescribed by the State.
IV. Segment implementation and implementation schedule, project
management.
- Production starting from the first quarter of 2018 is divided into 2 phases:
 Phase 1 (2018): Construction of resort and auxiliary areas.
 Phase 2 (2019): Building the General Hospital Items.
- The investor directly manages and exploits the project.

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CHAPTER V. ENVIRONMENTAL IMPACT ASSESSMENT -
ANTI-FIRE PREVENTION AND DEFENSE SECURITY SOLUTIONS
I. Environmental Impact Assessment.
I.1. General introduction.
The purpose of the environmental impact assessment of the "Eastern
Hospital of Oriental Hospitals" is to evaluate the positive and negative factors
affecting the environment in the hospital. The International Orientation and
Neighborhood, in order to develop solutions to reduce pollution to improve the
quality of the environment, to limit the risks to the environment and the disease
itself. when the project is implemented, meets the requirements of environmental
standards.
I.2. Environmental regulations and guidelines.
The following rules and guidelines are used for reference:
- The Law on Environmental Protection No. 52/2005 / QH11 was passed
by the National Assembly of the Socialist Republic of Vietnam, XI, 8th session in
November 2005;
- Decree No. 80/2006 / ND-CP dated August 09, 2006 of the Government
detailing and guiding the implementation of a number of articles of the Law on
Environmental Protection;
Decree No. 21/2008 / ND-CP dated February 28, 2008, amending and
supplementing a number of articles of the Government's Decree No. 80/2006 /
ND-CP of August 9, 2006, on detailing and guiding the implementation of a
number of articles of the Law on Environmental Protection; Decree No. 29/2011 /
ND-CP dated 18 April 2011 of the Government on the Regulation on Strategic
Environmental Assessment The environmental impact assessment; environmental
Protection commitments;
- Circular No. 26/2011 / TT-BTNMT dated July 18, 2011 of the Ministry
of Natural Resources and Environment detailing a number of articles of Decree
No. 29/2011 / ND-CP dated 18 April 2011 the regulations on strategic
environmental assessment, environmental impact assessment, environmental
protection commitments;
- Decision No. 35 / QD-BKHCNMT dated June 25, 2002 of the Minister
of Science, Technology and Environment on the promulgation of the list of
Vietnam standards on compulsory environment;
- Decision No. 23/2006 / QD-BTNMT dated 26/12/2006 on the
promulgation of the list of hazardous waste attached to the list of hazardous
wastes;

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- Environmental standards promulgated by Ministry of Science,
Technology and Environment 1995, 2001 & 2005;
- Decision No. 22/2006 / QD-BTNMT dated December 18, 2006 of the
Ministry of Natural Resources and Environment on compulsory application of 05
Vietnamese Standards on Environment and abolishing the application of a
number of norms Decision No. 35/2002 / QD-BKHCNMT of June 25, 2002 of
the Minister of Science, Technology and Environment.
II.1. Impact during the construction phase.
Dust pollution caused by transportation of construction materials: During
ground leveling and during construction works; Dust arising from the transport of
sand, stone, soil, cement, steel, building materials, decorative materials ..., in
addition dust can be released from the pile of materials, sand dust generated from
these activities will affect the people around the project area. - Dust from the
sanding process after painting the wall: The paint dust will be generated during
the sanding of the surface after painting and will be diffused into the wind that
pollutes the environment. However, the surface sanding process has been painted
only in a short time and the process is shielded so this effect is negligible,
affecting directly to the health of workers at the site. .
- Contamination of construction waste water and domestic waste water:
 In the excavation of the foundation, the pile of sand and
especially the oil leakage from the construction machine to pollute the
water source to a certain extent;
 Domestic waste water is generated from the activities of
construction workers on the site. The composition of domestic wastewater
mainly consists of:
+Suspended solids (SS);
+Organic substances (COD, BOD);
+Nutrition (N, P ...);
+Microorganisms (viruses, bacteria, fungi ...).
 Estimated number of workers at the construction site is about 150
people. If construction workers are allowed to bathe at the site and the
maximum water consumption is 80 liters / person / day, the daily effluent
volume will be about 12 m3 / day. Without pollutant control measures,
pollutant load will be about 12 kgCOD / day (maximum discharge load is
about 80 gCOD / person / day).
 In the case of construction sites 1.5 - 2.0 years, the septic tanks,
toilets for women and bathrooms shall be arranged to minimize pollution
load.

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- Construction solid waste and daily life:
 Solid waste of daily life
If construction workers are allowed to organize food and drink at
the construction site and with a maximum emission level of 0.20 kg /
person / day, the total volume of solid waste generated at the project area in
the construction phase is 30 kg / day. In particular, the organic content (for
food waste only) accounts for 60-70% of the total volume of waste, ie
about 18 to 21 kg / day. The remaining components are mainly cans, food
packaging ... all garbage will be collapsed on daily delivery to city
environmental sanitation company to handle.
Construction waste
Construction waste includes cement packaging, scrap steel, stone bricks ... If
not collected, will affect the environment and urban beauty. Construction
waste will be regularly cleaned up in the work of industrial hygiene.
 Waste oil
+ Waste oil and grease shall be classified as hazardous waste according to
the regulations on hazardous waste management (Code: A3020, Basel code:
Y8).
+ Waste oil from the maintenance and repair of means of transport and
construction in the project area is unavoidable.
+ The amount of waste oil generated in the project area depends on the
following factors:
o Number of means of transport and mechanical construction on the site;
o Cycle of oil change and maintenance of machinery.
o The amount of lubricant discharged during a change of lubricant /
maintenance.
+ Results of investigations of waste oil in the area of Ho Chi Minh City
showed that:
o The amount of lubricant discharged from the vehicle and
mechanized construction on average 7 liters / time instead
o Oil change interval and maintenance: 3 to 6 months on average,
depending on the intensity of the vehicle.
o Based on this, the estimated amount of grease generated at the site is
about 12 - 23 liters per day.
Noise in the construction phase is mainly due to the operation of
means of transport and construction such as bulldozers, rollers, tractors,
scraper ... The noise level will be reduced by the distance, noise level from

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source 1m and the maximum noise level of the vehicles and construction is
shown in the following table:
TT
Vehicles
Noise level from
source 1m (dBA)
Noise
level from
source
20m
(dBA)
Noise level
from source
50m (dBA)Approx Medium
1 Bulldozers 93.0 67.0 59.0
2 Rollers 72.0 ¸ 74.0 73.0 47.0 39.0
3 Tractor 77.0 ¸ 96.0 86.5 60.5 52.5
4 Scraper 80.0 ¸ 93.0 86.5 60.5 52.5
5 Truck 82.0 ¸ 94.0 88.0 62.0 54.0
6 Concrete mixers 75.0 ¸ 88.0 81.5 55.5 47.5
7 Compressor 75.0 ¸ 87.0 81.0 55.0 47.0
VNS 5949-1998 (6 ¸ 18h) 50 ¸ 75 dBA
The maximum noise level due to the operation of the means of transport
and construction is located at a distance of 20 meters within the limits of TCVN
5949-1998. However, the noise will significantly affect the surrounding
population if these activities are implemented after 22 hours.
II.2. Key impacts during operation.
 Impact of medical waste
As a rule, waste at hospitals and health centers will be as follows:
 Infectious waste:
- Sharp waste (type A): Waste that can cause cuts or punctures,
which can be contaminated, including: needle and syringe tip, sharp knife
blade, surgical blade, saws, syringes, fragments of glass and other sharp
objects used in medical activities.
- Non-sharp infectious waste (type B): Waste is infiltrated with
blood, the body's bioavailability and waste arising from the isolation
chamber.
- Highly contagious waste (type C): Waste is generated in the
laboratories such as: clinical specimens and containers, infected specimens.
- Surgical wastes (type D): Including tissues, organs and organs of
human body; fetus, fetus and laboratory animals.
 Chemical wastes:
- Overdue, inferior pharmaceutical products are no longer usable.
- Hazardous chemicals used in medicine

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- Cellular toxins, including the capsules of bottles, vials, cytotoxic
drugs and secretions from patients treated with chemotherapy.
- Waste containing heavy metals: mercury (from thermometer,
broken mercury vial, dental waste), cadmium (Cd) (from batteries,
batteries), lead Lead or coated material used only in radiographs from
radiology departments.
 Radioactive waste:
- Radioactive wastes: These include radioactive solid, liquid and
gaseous wastes arising from the activities of diagnosis, treatment, research
and production.
- List of radioactive drugs and marking compounds used in
diagnosis and treatment issued in conjunction with the Minister of Health's
Decision No. 33/2006 / QD-BYT dated October 24, 2006.
 Pressure vessel:
Contain oxygen cylinders, CO2, gas cylinders, aerosol cylinders.
These flammable, explosive when burned.
 General waste:
General wastes are wastes that do not contain infectious,
hazardous, radioactive, inflammable or explosive elements, including:
- Domestic wastes are generated from disease rooms (excluding
isolation rooms).
- Waste arising from medical activities such as glass bottles, serum
bottles, plastic materials, and bundles of broken bones. These wastes are
not contaminated by blood, biological fluids or harmful chemicals.
- Waste arising from administrative work: paper, newspapers,
documents, packaging materials, cardboard boxes, plastic bags and film
bags.
- External wastes: leaves and rubbish from outdoor areas.
+ Impact due to medical wastewater
On average, each day, the amount of waste water incurred on a bed
is 750 liters. Hospital effluents include pathogenic microorganisms, drugs,
radioactive elements, and other toxic chemicals. The contaminants arising
from the hospital are mainly cancer treatment chemicals, antibiotics,
halogen compounds, ... Along with these pollutants, pathogenic
microorganisms in NTBV cause severe pollution to the natural
environment, especially for species and receiving sources. Waste water
quality in some hospitals as shown in the following table:

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Standard Medium VNS
1 pH (mg/l)
a- Central 6.1 6.5-
8.5**b- Province 7.2
3 H2S (mg/l)
a- Central 4.5
≤ 1.0**
b- Province 8.1
4 BOD5 (mg/l)
a- Central 89.7
≤ 30**
b- Province 169.1
5 COD (mg/l)
a- Central 130.0
≤ 80*
b- Province 222.8
6 Total nitrogen (mg / l)
a- Central 13.4
≤ 40*
b- Province 18.6
7 Suspended Solids (mg) (mg/l)
a- Central 21.6
≤ 100**
b- Province 35.0
8 Total phosphorus (mg/l)
a- Central 2.0
≤ 6**
b- Province 1.4
III. Mitigation measures and impacts on the environment.
III.1. Minimize impacts during the construction phase.
1/ Reduce dust pollution.
 Control of emission for dust generated by combustion of internal
combustion engines from transportation vehicles:
+ All vehicles and equipment must be inspected and registered at the
Register of Quality in accordance with current regulations.
+ The construction contractor is required to provide a list of equipment that
has been inspected and registered for the project owner.
+ Periodic maintenance of construction vehicles and equipment.
 Diffuse dust control from construction activities: Collecting and
transporting materials for bulldozing: Applying measures to prevent wind from
fencing or watering.
 Transportation trucks:
+ Cover sheet (effective control of 2%).
+ Water twice a day (effective control of 37%).
+ Clean the facilities and equipment before leaving the construction site.
2/ - Waste oil management during construction
 Waste oil and grease arising from the maintenance and repair of vehicles,
machinery and construction equipment are classified as hazardous waste
according to Circular No. 12/2011 / TT-BTNMT with the code A3020 , Mă Basel
Y8. Therefore, waste oil must be collected and managed appropriately.
Specifically, the measures to control the effects of grease are as follows:

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+ Do not bury / burn / dispose of waste oil in the project area.
+ Restricting the repair of vehicles and machinery in the project area.
+ The maintenance area is temporarily located in an appropriate area and
has a system for collecting grease from the maintenance process.
+Waste oil is collected and stored in appropriate containers in the
project area. Investors will sign contracts with companies and units with
functions to collect and transport to process under Circular No. 12/2011 /
TT-BTNMT.
3 / -. Collection and treatment of domestic waste
+ All household waste arising from the operation of the works shall be
collected in containers with lids and contracted with the local collection units
to collect daily.
+ In addition, construction contractors are responsible for collecting all
waste within the site to ensure that no spontaneous defecation is generated in
the responsible contractor area.
III.2. Minimize impacts during operation.
1 / Minimize impact due to solid waste
The hospital will fully and seriously implement its regulations on medical
waste management, specifically as follows:
 Regulate the color coding of medical waste
+ Yellow for contaminated waste.
+ Black for hazardous chemical waste and radioactive waste.
+ Blue for ordinary waste and small pressure vessels.
+ White for recycling waste.
 Waste bags
+ Yellow and black bags must be made of PE or PP, not PVC.
+ Medical waste bags with a minimum thickness of 0.1mm, bag size
suitable for the amount of waste generated, the maximum volume of the bag is
0.1 m3.
+ Outside the bag must have horizontal line at the level of 3/4 pocket and
the words "not over this line".
 Sharp waste containers
+ Sharp waste containers must be compatible with the final disposal
method.
+ Shredded waste bins must meet the following standards:
o Hard and hard bottom not penetrated.
o Waterproof.
o suitable size.

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o Easy to open lid.
o The mouth of the box is large enough to allow sharp objects to enter without
using thrust.
o There is "only sharp waste" and there is a line marking 3/4 of the box
and the words "do not exceed this mark".
o Yellow.
o Have a handle or a fixed system.
o When moving sharp objects inside do not spill out.
+ For medical facilities using syringes, needle and syringe cutting
machines, sharp waste containers must be made of metal or hard plastic, reusable
and must be part of the design. of the shredder, cut the needle.
+ For reusable plastic containers, reusable plastic containers must be
cleaned and sterilized according to medical disinfection procedures. Plastic boxes
after disinfection for reuse must have enough original features.
 Waste bin
+ Must be made of high density plastic, thick and hard or metal with a lid
covered by foot pedal. Containers with a capacity of 50 liters or more must have a
wheel.
+ Yellow bins for collecting yellow waste bags and boxes.
+ Black bin for collecting black waste bags. For radioactive waste, the
container must be made of metal.
+ Blue bin to collect the green waste bags.
+ White bins for collection of white waste bags.
+ The volume of barrel depends on the amount of waste generated, from 10
liters to 250 liters.
+ Outside the barrel, there must be a signal line at the level of 3/4 barrel
and inscribe "not over this line".
 Symbol of waste type:
The outer surface of the bag, the bin containing some types of hazardous
waste and the waste for recycling must have a symbol indicating the appropriate
type of waste (Appendix 3 to this Regulation):
+ Yellow bag or bin containing contaminated waste symbolized biological
hazard.
+ Black bags containing toxic cytotoxic waste with "cytotoxic" signs.
+ Black bags containing radioactive waste containing radioactive
substances and the words "radioactive waste"
+ Recycled white recyclable waste bin with recyclable waste icon.
+ Solid waste collection in health facilities

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+ Location of waste bins.
o Each department or ward must specify the location of the medical waste
bins for each kind of waste, where the waste is generated must have the
corresponding collection bins.
o Where the waste bins are located, there should be guidance on how to sort
and collect waste.
o Use waste containers in accordance with specified standards and must be
cleaned daily.
o A clean waste collection bag must always be available at the place where
waste is generated to replace the bag of the same type that has been collected and
disposed of to the temporary storage facility of the health facility.
+ -Each type of waste shall be collected into collection devices according to
the prescribed color codes and labeled or inscribed on the outside of the bags
where the waste is generated.
+ Hazardous medical wastes must not be mixed in conventional waste. If
accidentally putting hazardous medical waste into conventional waste, such waste
mixture must be treated and destroyed like hazardous medical waste.
+ The amount of waste in each bag is only up to 3/4 bags, then tie the neck
back.
+ Frequency of collection: The day-care worker or staff member is
responsible for collecting hazardous medical waste and ordinary waste from the
waste site to the waste facility of the faculty at least 1 times of the day and when
needed.
+ High-risk wastes before being collected at the places where the wastes in
the medical establishments are concentrated must be initially treated at the places
where waste is generated.
 Solid waste transportation in health facilities
+ The hazardous waste and ordinary waste generated at departments /
sections must be transported separately to the medical facility at least once a day
and when necessary.
+ The medical establishment shall specify the transportation route and the
time of transportation of the waste. Avoid transporting waste through patient care
and other clean areas.
+ Waste bags must be tightly closed and transported by specialized
vehicles. Do not drop, dispose of wastes, wastewater and odor during transport.
 Solid waste storage in health facilities
+ Hazardous medical wastes and ordinary wastes must be kept in separate
chambers.

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+ Waste for re-use and recycling must be kept separately.
+ Waste storage places at medical establishments must fully meet the
following conditions:
- A minimum of 10 meters away from the canteen, chambers, public aisles
and crowded areas.
- There is a way for vehicles to transport waste from outside.
- The tailings store must have a roof, a fence, a door and a lock. No
animals, rodents and non-intrusive people.
- Area appropriate to the amount of waste generated by health facilities.
- There are hand washing facilities, staff protection equipment, tools and
cleaning chemicals.
- Sewer system, wall and waterproofing, good ventilation.
- Encourage health care facilities to store waste in a cold storage facility.
- Storage time of hazardous medical waste at medical facility.
- The storage time of waste in medical facilities is not more than 48 hours.
- Storage of waste in the cold storage or cold storage: the storage time can
be up to 72 hours.
- Surgical waste must be buried or destroyed daily.
- For medical establishments with less than 5 kg of hazardous waste, the
collection time is at least twice a week.
2 / Minimize impact due to wastewater
The hospital waste treatment process is shown in Figure 1. With this
treatment technology, the hospital wastewater will meet current standards. Waste
water discharged into the public sewage system is controlled according to QCVN
28: 2010 / BTNMT - Medical wastewater.
IV. Conclussion
Formation of the project from the construction stage to the stage of putting the
project into use more or less also affect the regional environment. But the project
will analyze the sources of pollution and propose measures to minimize negative
impacts, ensuring the quality of the production environment and surrounding
environment in the project area is healthy and airy. and confirmed that the project
is environmentally feasible.

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CHAPTER VI. TOTAL INVESTMENT CAPITAL - CAPITAL
CONTRIBUTION AND EFFICIENCY OF PROJECT
I. Total investment capital and capital of the project.
Total investment budget of the project
CostI
D
Cost Name Unit Quantity Price Total cost
I Contrucstion 3.355.125.406
1
Public service and
logistics
1.1
Guard house (4
houses)
m² 96 25.000 2.400.000
1.2
Grocery store (12
store)
m² 72 25.000 1.800.000
1.3 General Service m² 444 25.000 11.100.000
1.4 Pharmacy m² 90 25.000 2.250.000
1.5 Grocery store m² 120 25.000 3.000.000
1.6 Canteen m² 180 25.000 4.500.000
1.7
Newspapers,
postage stamps,
telephones store
m² 54 25.000 1.350.000
1.8 Garage m² 3.000 25.000 75.000.000
2
Para-Clinical
Departments
m² 9.000 38.000 342.000.000
3
Outpatient
treatment
Departments
m² 10.800 38.000 410.400.000
4
Infectious
Diseases Inpatient
Departments
m² 4.500 38.000 171.000.000
5
Nutrition and
dietetics
m² 778 38.000 29.564.000
7
Department of
Traditional
Medicine
m² 420 38.000 15.960.000
8
Department of
Pathology
m² 570 38.000 21.660.000
9 Sanatorium m² 18.500 38.000 703.000.000
10 Guest House m² 8.940 38.000 339.720.000
11 Developing m² 18.396 38.000 699.048.000

Dự án Bệnh viện Đa khoa Quốc tế Phương Đông tỉnh Bạc Liêu - Bản dịch tiếng anh - 0918755356

Dự án Bệnh viện Đa khoa Quốc tế Phương Đông tỉnh Bạc Liêu - Bản dịch tiếng anh - 0918755356

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Dự án Bệnh viện Đa khoa Quốc tế Phương Đông tỉnh Bạc Liêu - Bản dịch tiếng anh - 0918755356