Vietnam – FY 2010 Approved Funding by Program Area, Agency and Funding Source*
*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.
In FY 2010, PEPFAR will continue working with government leaders to support policy reforms in order to strengthen the Vietnam’s healthcare system. Prevention services will continue to be focused on peer outreach-based education, with linkages to HCT, HIV care and treatment services, sexual and reproductive health services, reducation of vulnerability and risk factors, and access to condoms and treatment for STIs. Drug addiction and relapse prevention services will be made available to drug users who are currently in government-run rehabilitation centers, during their detention, and also after their release. The government proposes to expand the methadone program to sixteen clinics, which are expected to open by the end of 2010. Funding will cover costs associated with the rapid expansion of the methadone treatment program, including procurement of methadone and technical assistance to support the growth.
PEPFAR will also address the risks associated with multiple sexual partnerships and transactional sex by supporting expanded condom social marketing and HIV education efforts in locations where transactional partners often meet. Addressing male norms and behaviors is an important part of PEPFAR’s prevention strategy. Blood safety and injection safety will continue to be funded in FY 2010 by DoD. PEPFAR supports five military hospitals to screen blood products, promote a volunteer donor system and expand counseling and testing, to the military and civilians. PEPFAR will continue to improve PMTCT services at the 600 sites it supports, with community outreach and the referral network between PMTCT, pediatric and adult outpatient clinics.
Care and support efforts include clinical and home-based care, integration of TB and HIV treatment and support of OVC. PEPFAR Vietnam has identified partners and specific bodies of work to improve access to quality services in these fields in the immediate term, guide evidence-based programming in the medium term, and improve the sustainability of the program in the long term. PEPFAR is working with the government to expand PITC services at TB and sexually transmitted infections clinics. In FY 2010, PEPFAR will explore opportunities to support mobile services in areas with significant concentrations of high-risk populations. PEPFAR will also continue the assessment and expansion of TB infection control practices in PEPFAR-supported HIV/AIDS care and treatment and national TB program service sites; build and expand laboratory capacity for improved TB diagnosis; and provide HIV and TB screening and care in residential drug rehabilitation centers. PEPFAR will support the GVN to integrate pediatric services into adult clinics.
In FY 2010, PEPFAR will increase treatment services through the expansion into areas with the highest HIV prevalence and the most difficult-to-reach populations. A pilot task-shifting model to increase clinical capacity for nurses will be supported. Routine programmatic evaluation and monitoring for emergence of drug resistance among patients on ART will continue. PEPFAR will also support the development of HMIS strategies and systems implementation for improved data collection, exchange, and utilization.
Finally, PEPFAR funds in support the Parternship Framework which was signed by the USG and Governemnt of Vietnam (GVN) in July 2010; the document is available online at http://www.pepfar.gov/frameworks/vietnam/index.htm. PEPFAR Vietnam designated funds to be used across programmatic areas to support priorities in the PF that were developed in collaboration with the GVN. The PF provides the foundation upon which future collaboration and resource allocation will be based, and represents joint-strategic planning between the Vietnam and US governments. Funding provides increased support for: prevention targeting injecting drug users, health systems strengthening, and technical support to the GVN and partners to support the expansion of and improve information systems. This includes a heightened focus on data collection, synthesis, and dissemination, improving the institutional and human capacity to manage high-quality research systems, and training on data quality assurance and routine monitoring systems.
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