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Phuong Dong International General Hospital.

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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Phuong Dong International General Hospital.

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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Phuong Dong International General Hospital.

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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Phuong Dong International General Hospital.

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:
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
National Assembly of the Socialist Republic of Vietnam;
Law on Tendering No. 43/2013 / QH13 dated 26 November 2013 of the
National Assembly of the Socialist Republic of Vietnam;
Law on Environmental Protection No. 55/2014 / QH13 dated 23/06/2014 of
the National Assembly of the Socialist Republic of Vietnam;
Decree No. 32/2015 / ND-CP dated March 25, 2015 of the Government on
the management of construction investment expenses;
Decree No. 46/2015 / ND-CP dated 12/5/2015 of the Government on quality
control and maintenance of construction works;
Decree No. 59/2015 / ND-CP dated 18/6/2015 of the Government on
management of construction investment projects;
Decision No. 79 / QD-BXD dated 15/02/2017 of the Ministry of
Construction announcing norms of expenses for project management and
construction investment consultancy;
Decree No. 19/2015 / ND-CP dated 14/02/2015 of the Government detailing

the implementation of a number of articles of the Law on Environmental
Protection;
Decree No. 69/2008 / ND-CP dated 30/5/2008 of the Government on
policies to encourage the socialization of activities in education, vocational
training, health care, culture, environment;
Decree No. 59/2014 / ND-CP of June 16, 2014 on amending and
supplementing a number of articles of the Government's Decree No. 69/2008 /
ND-CP of May 30, 2008, on promotion policies The socialization of activities in
the fields of education, vocational training, health care, culture, sports and
environment;
Decree No. 87/2011 / ND-CP of the Government detailing and guiding the
implementation of a number of articles of the Law on Examination and
Treatment;
Decision No. 1976 / QD-TTg approving the master plan on development of
pharmaceutical materials up to 2020 and orientations to 2030;
Decision No. 221 / QD-TTg of the Prime Minister approving the master plan
for socio-economic development of Bac Lieu province up to 2020;

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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 reestablishment 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 replanning 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;
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Phuong Dong International General Hospital.

+ 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;
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Phuong Dong International General Hospital.








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.

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Phuong Dong International General Hospital.

The project "Building General Hospital - Orient International Resort"
invested in the form of new construction.
IV. Demand for land use and analysis of project inputs.
IV.1. Land use needs of the project.
A summary of land use requirements:
No
.

1.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Cost Name

Area (m²)

Rate

Contrucstion
Guard house (4 houses)
Grocery store (12 store)
General Service
Pharmacy
Grocery store
Canteen
Newspapers, postage stamps, telephones store
Garage
Para-Clinical Departments
Outpatient treatment Departments
Infectious Diseases Inpatient Departments
Nutrition and dietetics
Department of Traditional Medicine
Department of Pathology
Sanatorium
Guest House
Developing Personal and Professional Capabilities
Human resources department
Canteen and service
Hazardous waste treatment and detoxification
departments
Landscape trees
The traffic system
Lighting system
Plumbing and Drainage Systems
Total

96
72
444
90
120
180
54
3.000
9.000
10.800
4.500
778
420
570
18.500
8.940
18.396
646
2.000

0,12%
0,09%
0,56%
0,11%
0,15%
0,23%
0,07%
3,80%
11,41%
13,69%

5,71%
0,99%
0,53%
0,72%
23,46%
11,34%
23,33%
0,82%
2,54%

8.175

10,37%

2.366
8.918
1
1
78.865

3,00%
11,31%
0,00%
0,00%
100,00%

IV.2. Analyze the inputs to meet the needs of the project.
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Phuong Dong International General Hospital.

 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.

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Phuong Dong International General Hospital.

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
I
1
1.1

1.2
1.3
1.4
1.5
1.6
1.7
1.8
2
3
4
5
7
8
9
10
11
12
13
14
15
16
17
18
19

Cost Name
Contrucstion
Public service and logistics
Guard house (4 houses)
Grocery store (12 store)

General Service
Pharmacy
Grocery store
Canteen
Newspapers, postage stamps, telephones store
Garage
Para-Clinical Departments
Outpatient treatment Departments
Infectious Diseases Inpatient Departments
Nutrition and dietetics
Department of Traditional Medicine
Department of Pathology
Sanatorium
Guest House
Developing Personal and Professional Capabilities
Human resources department
Canteen and service
Hazardous waste treatment and detoxification
departments
Landscape trees
The traffic system
Lighting system
Plumbing and Drainage Systems
Communication systems

Unit Quantity

m²
m²
m²

m²
m²
m²
m²
m²
m²
m²
m²
m²
m²
m²
m²
m²
m²
m²
m²

96
72
444
90
120
180
54
3.000
9.000
10.800
4.500
778
420

570
18.500
8.940
18.396
646
2.000

m²

8.175

m²
m²
HT
HT
HT

2.366
8.918
1
1
1
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Phuong Dong International General Hospital.

CostID
20
21

Cost Name
Fence
Backfill

Unit Quantity
m²
m²

1.123
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
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Phuong Dong International General Hospital.

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
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Phuong Dong International General Hospital.

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 onedimensional ultrasound.
- With three-dimensional color ultrasound machine is the latest generation today,
using 3D imaging technology, the ability to create 18 images/s, using 3dimensional 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 threedimensional 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.
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Phuong Dong International General Hospital.

+ 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 25