Vietnam - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Vietnam - FY 2009 Approved Funding by Program Area, Agency and Funding Source

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

With a highly concentrated epidemic in high-risk populations, important progress has been at the highest level in the Government of Vietnam to support the expansion of HIV services including medication assisted therapy (MAT). As a result, MAT will be available in 10 additional sites in FY 2009, bringing the total number of MAT sites in Vietnam to 16. The HIV epidemic in Vietnam is a concentrated among MARPs including IDUs, CSWs and MSM. The highest prevalence is among IDUs who represent an estimated 60% of all reported cases. PEPFAR activities in FY 2009 will focus on expanding access to HIV services for all at risk populations. Targeted prevention for MARPs remains the top priority for PEPFAR to identify the individuals with the greatest care and treatment needs, and to prevent the spread of the HIV virus within these high-risk populations. PEPFAR Vietnam has prioritized integration of addictions and relapse prevention services into MARPs programs, including outreach-based education with links to care and treatment and medication assisted therapy, such as methadone. In FY 2009, PEPFAR will bring HIV prevention and addiction treatment to residents of five additional government IDU rehabilitation centers and address the HIV prevention needs of prisoners. Vietnam will continue to expand work with faith-based organizations to provide care and support in the home and community, and to address prevention, stigma and discrimination. PMTCT efforts will continue to focus on service coordination and capacity building at national, provincial and community levels, and strengthening linkages across all levels.

Vietnam has made considerable progress in expanding access to care and support efforts in Vietnam include clinical and home-based care, integration of TB and HIV treatment for co-infected patients and support to OVC. In FY 2009 HIV clinical care and support activities will improve capacity to treat opportunistic infections and symptomatic and related diseases, and will link these services to community-based care. For the residents of government sponsored drug rehabilitation centers PEPFAR will use national palliative care guidelines to support the expansion of integrated services of HIV prevention, treatment, and pre- and post-release programs. PEPFAR will increase collaboration between TB and HIV programs to assure routine HIV testing of TB patients, TB testing for people living with HIV/AIDS, and cross-referral of co-infected persons between TB and HIV care. PEPFAR will also expand IPT, provide HIV and TB screening and care in IDU rehabilitation centers and evaluate multidrug resistant/extensively drug resistant TB rates among HIV-infected persons. OVC partners are piloting foster care models to reintegrate abandoned and institutionalized children, and to prevent further institutionalization of orphans.

PEPFAR treatment support in FY 2009 will include the establishment of more effective drug procurement and dispersal systems, the scale-up of ART in adult and pediatric sites, the strengthening of laboratory infrastructure, human capacity enhancement, and the improvement of program monitoring and evaluation. To assure quality and sustainability, PEPFAR will develop human capacity through clinical mentoring, ongoing supervision, and implementation of a national training curriculum with care and treatment guidelines and protocol. Special attention will be given to addiction treatment training, pre-service training for medical students, substance abuse and ART interactions, and nursing, pharmaceutical, and social support to improve service quality.

Other activities planned for FY 2009 include efforts to improve data quality and data synthesis, which will produce reliable information for program efficiency and improvement. The PEPFAR investment in health systems strengthening will assist Vietnam in strengthening national health delivery systems; develop human capacity; and support coordination and management of technical strategies and health policies. PEPFAR programs will address stigma and discrimination, develop civil society organizations, assist with regulation of private health care providers, and strengthen multi-sectoral engagement. Support for greater involvement of people living with HIV/AIDS will expand with capacity-building support for the Vietnam National Network of People Living with HIV/AIDS. HIV policy development training will be provided for key government leaders, and capacity building for public health managers will raise the overall level of expertise in program implementation.

Additionally, PEPFAR funds will support the development and negotiation of the Partnership Framework and the Partnership Framework Implementation Plan.

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