Vietnam FY 2006 Country Operational Plan (COP)


VIETNAM

Project Title: Vietnam FY 2006 Country Operational Plan (COP)

Budget Summary:

 
Field Programs Funding by Account
Central Programs Funding by Account
 
 
Notified as of May 2006
Current Notification August 2006
Current Notification August 2006
 
Implementing Agency

GAP

GHAI

Subtotal:
Field Programs Funding by Account

GHAI

GAP

New Subtotal: Field Programs Funding by Account

GHAI Central Programs

Total Dollars Allocated: Field & Central Funding

DOD

-

1,875,000

1,875,000

-

-

1,875,000

-

1,875,000

DOL

-

-

-

-

-

-

-

-

HHS

2,855,000

8,911,000

11,766,000

100,000

-

11,866,000

-

11,866,000

Peace Corps

-

-

-

-

-

-

-

-

State

-

-

-

-

-

-

-

-

USAID

-

20,003,000

20,003,000

325,000

-

20,328,000

-

20,328,000

TOTAL Approved

2,855,000

30,789,000

33,644,000

425,000

-

34,069,000

-

34,069,000

HIV/AIDS Epidemic in Vietnam:

Estimated Number of HIV-Infected People: 260,000 [150,000-430,000] (UNAIDS 2006)
Estimated Number of AIDS Orphans: N/A

Targets to Achieve 2-7-10 Goals:**

Vietnam Total # Individuals Receiving Care and Support Total # Individuals Receiving ART
FY 2004*** 1,060 0
FY 2005**** 13,100 700
FY 2006 20,400 1,950
FY 2007 40,820 5,000

** Targets may be revised.
*** "Bringing Hope and Saving Lives: Building Sustainable HIV/AIDS Treatment�; The President's Emergency Plan for AIDS Relief Report on Current Activities Underway to Expand Treatment for HIV/AIDS; Submitted by the Office of the U.S. Global AIDS Coordinator, U. S. Department of State, August 2004
**** FY 2005 Targets are in the process of being reviewed based on modified funding allocations.

Program Description:

Vietnam is a densely populated country with a total population of 82 million and an estimated 260,000 [150,000-430,000] HIV infected individuals in 2006. Based on sentinel surveillance data (2004), approximately 0.44% of the general population is infected with HIV/AIDS. There are great differences in prevalence between provinces, with much higher prevalence reported in provinces with significant numbers of injecting drug users (IDUs); and with Ho Chi Minh City (HCMC) having by far the largest number of infected people, at approximately 50,000 (est. 2004).

Vietnam has a concentrated epidemic, with HIV transmission primarily still occurring among Most-At-Risk Populations (MARPs) including IDUs, commercial sex workers (CSWs), and men who have sex with men (MSMs), with the highest prevalence among IDUs (60% of all reported HIV/AIDS cases are among IDUs). Vietnam is a high-burden tuberculosis (TB) country, and HIV prevalence among TB patients is high (4.55% nationally; 24.05% in HCMC, 2005) and has been rising steadily. Vietnam remains a poor country, with per capita GDP of $2,500 (2003). However, per capita GDP has risen rapidly from $98 in 1990 and economic development and urbanization have increased dramatically in major urban areas throughout Vietnam, leading to subsequent increases in high-risk behavior associated with this demographic change.

The following programmatic areas will be included in the United States Government (USG) FY2006 Emergency Plan activities to mitigate the impact of the epidemic in Vietnam:

Prevention: $7,017,053 as of August 2006 ($7,017,053 Field and $0 Central) (25.9% of prevention, care, and treatment budget)

Prevention activities in Vietnam include targeted abstinence and faithfulness programs, other behavioral prevention initiatives, prevention of mother-to-child transmission (PMTCT), and blood safety. FY 2006 funds will be used to support cooperative agreement programs with the Government of Vietnam and other partners to target in-school youth with appropriate prevention messages and life skills education. The USG will work with the Ministry of Health (MOH) and the Vietnam Youth Union to scale up an integrated behavior change communication initiative that combines mass media and community-based peer education among young men to promote fidelity and social responsibility. Over 5 million young people are expected to be reached by March 2007.

Behavior change interventions with most at risk populations will reach IDU, CSW and MSM. Referrals to voluntary counseling and testing (VCT) and appropriate health care will also be made. Programs will extend prevention interventions to peers and family members of these targeted high-risk populations. Efforts to reduce new infections among other potentially high-risk populations (such as uniformed services and mobile populations) will be expanded. The USG will also continue to engage business, government and labor leaders to establish HIV/AIDS workplace policies and programs at enterprise and national level; increase counseling and testing (CT); address stigma and discrimination towards workers infected and affected by HIV/AIDS; improve access to treatment; and strengthen local and national networks. Current PMTCT activities aim to provide services and build capacity from the tiered national, regional, provincial and community levels, as well as increase linkages among all levels. Services will be expanded to support adjoining districts not currently covered in the program. Funds will also continue to be used to build capacity by providing technical support to the National OB/GYN hospital in order to expand PMTCT through collaborations with other partners to non-focus provinces nationwide. In FY2006 the USG will work with the Armed Forces Research Institute of Medical Sciences (AFRIMS) to support the development and maintenance of the Blood Safety Program in the Ministry of Defense (MOD)�s health care system focusing on two military hospitals. In August 2006, there was no change in the amount of funding allocated for prevention.

Principal Partners: MOH, HCMC Provincial AIDS Committee (HCMC/PAC), MOD, AED, University of Hawaii, PACT, CARE International, Medecin du Monde (MdM) France, Pathfinder International, Save the Children U.S., STI and HIV/AIDS Prevention Center (SHAPC), UNAIDS, and AFRIMS.

Care: $9,769,302 as of August 2006 ($9,769,302 Field and $0 Central) (36.0% of prevention, care, and treatment budget)

Care activities in Vietnam include voluntary HIV/AIDS counseling and testing (VCT), clinical/palliative care, support for integration of TB and HIV programs, and support for orphans and vulnerable children (OVC). The USG will provide technical assistance to MOH and UNAIDS in order to form national VCT guidelines. In Vietnam, FY 2006 funding will support and improve current VCT programs and to introduce new interventions targeting those most at-risk. USG support will promote and provide testing, training and quality assurance, and will use multiple methods including peer-based and healthcare worker outreach, and social marketing to reach a greater number of at-risk populations. Collaborative work to build a continuum-of-care from the community to the tertiary level will continue with USG partners supporting all levels of service delivery. HIV clinical care and support activities focus on improving the capacity to provide non-antiretroviral therapy (ART) and opportunistic infection (OI) care and treatment, and linking non-ART care to prevention counseling, testing, and referral services. Palliative care activities focus on clinic-based activities through government, as well as home and community-based programs through nongovernmental and faith-based organizations (NGO and FBO). The USG will continue to support HIV testing of TB patients, TB screening of people living with HIV/AIDS (PLWHA), and improve the collaboration between the TB and HIV programs.

With FY 2006 funds, the USG will continue supporting OVC, capacity building for families, ensuring access to essential services, and mobilizing community-based responses through both governmental and non-governmental organizations. The USG will also support the development and implementation of national guidelines for care giving and protection of OVC. In August 2006, there was no change in the amount of funding allocated for care.

Principal Partners: MOH, HCMC/PAC, MOD, Vietnam-CDC-Harvard Medical School AIDS Partnership (VCHAP), University of Hawaii, PACT, CARE International, Medecin du Monde (MdM) France, Pathfinder International, Worldwide Orphans Foundation (WWO), Mai Hoa AIDS Center, Center for Community Health and Development (COHED), UN Volunteers, UNAIDS, WHO.

Treatment: $10,342,824 as of August 2006 ($10,9342,824 Field and $0 Central) (38.1% of prevention, care, and treatment budget)

Treatment activities in Vietnam include the provision of an ARV drug and treatment program including patient monitoring, training for health care workers, and laboratory support. The USG will use FY 2006 funds to support ART including: ARV drug procurement; establishment of effective drug procurement and dispersal systems; policy and guidelines development; developing adequate laboratory infrastructure; enhanced human capacity; and effective monitoring and evaluation systems. Currently, 36 sites in 6 provinces with high HIV prevalence were selected for initiation and scale up of adult, pediatric and PMTCT plus ARV services. With FY 2006 funds, ARV services for adults and children will be expanded in the 6 focus provinces at provincial and district level sites. Funding will also support improvement of referral networks between these sites and the national level as well as the community level through home-based care and community support. The USG will also expand resistance surveillance and education. Education in addiction treatment and its interactions with ART, and nursing, pharmaceutical, and social support will continue to be funded in order to improve the overall quality of services. Specialized training, including individual clinical mentoring, on-going close clinical supervision and working with specific vulnerable populations will also be supported. The USG will use FY 2006 funds to continue to build laboratory capacity within the Government of Vietnam including the procurement of necessary laboratory equipment and test kits for HIV-related care and treatment activities.

In August 2006, an additional $425,000 was allocated for treatment activities for the purchase of ARVs and other commodities. The funding will be used to purchase ARVs to put additional people on treatment and to strengthen laboratory services through the procurement of critical commodities and supplies. Please note that pediatric AIDS funding that is attributed to OVC programs is included in the care program area total and is deducted from the treatment program area total.

Principal Partners: MOH, HCMC/PAC, National Institute of Hygiene and Epidemiology (NIHE), MOD, VCHAP, Management Science for Health/Rational Pharmaceutical Management plus (MSH/RPMplus), University of Hawaii, PACT, Medecin du Monde (MdM) France, World Wide Orphans (WWO), Mai Hoa AIDS Center, and AFRIMS.

Other Costs: $6,939,821 as of August 2006

These FY 2006 funds will be used to support on-going health information systems, surveillance, and quality assessment consistent with the priority areas in the Vietnam National Strategy on HIV/AIDS. The USG is supporting the MOH in achieving one national monitoring and evaluation (M&E) system through a steering committee comprised of international donors providing technical assistance. The USG will continue to address the current strategic information challenges in coordination with international donors, the central GVN and provincial implementing bodies. USG will support institutional and human capacity building for SI by supporting training of technical skills. USG will support MOH to implement the national M&E system; improve the quality of surveillance activities; validate estimations and projections; conduct size-estimation among most at-risk populations; collect HIV/AIDS related mortality data; and strengthen the health management information system (HMIS) infrastructure for ARV care and treatment.

Management and staffing costs will support the in-country personnel needed for the Centers for Disease Control and Prevention, the Substance Abuse and Mental Health Services Administration, the United States Agency for International Development, and the Department of Defense. In August 2006, there was no change in the amount of funding allocated for other costs.

Principal Partners: HCMS/PAC, Hanoi School of Public Health (HSPH), NIHE, Population Council, University of North Carolina/MEASURE Evaluation, Tulane University/UTAP, UNAIDS, U.S. Census Bureau, and University of Washington/ITECH

Other Donors, Global Fund Activities, Coordination Mechanisms:

There are roughly 30 NGOs, over five government-sanctioned technical local non-governmental organizations, seven UN organizations, five major bilateral agencies and the GFATM concentrating resources on HIV/AIDS programs in Vietnam. The USG works closely with MOH, other ministries (including Defense and Labor) and the Country coordinating mechanism (CCM) in addition to the UN to coordinate on major initiatives, to maximize impact and to strengthen efforts to treat and care for those already infected and affected by HIV/AIDS.

The GFATM project has been implemented in Vietnam since February 2004 and currently runs to June 2008. The main mission of the GFATM in Vietnam is to strengthen care, counseling, and support to people living with HIV/AIDS and their communities. The Ministry of Health is the Principal Recipient and the total funding of this project is $12 million over four years. The USG is working to improve coordination with the GFATM MOH counterpart this year specifically in order to conjoin treatment targets and share funding for the provision of OI and ARV drugs to maximize impact.

Program Contact: Vietnam Deputy Chief of Mission John Boardman

Timeframe: FY2006- FY2007

Approved Funding by Program Area: Vietnam

August 2006 Operational Plan Main Page

Back to Top

USA.gov U.S. Government interagency website managed by the Office of U.S. Global AIDS Coordinator
and the Bureau of Public Affairs, U.S. State Department.
External Link Policy | Copyright Information | Privacy | FOIA