This report, based on the main findings from a large-scale longitudinal study of rural health care in Viet Nam from 2008 to 2016, aims to develop the basic components of effective commune health center (CHC) models for different rural areas in Viet Nam.CHCs form the grassroots public health care system in rural Viet Nam, where two-thirds of the country's people live. The centers provide basic preventive care along with initial diagnoses, treatments and referrals to public hospitals.The report includes:A toolkit for assessing CHCs in different contexts identifying best practicesAn analysis of three models for the effective CHCPolicy recommendations aimed at developing major components of CHC model