The Tom Lantos and Henry J. Hyde United States Global Leadership Against HIV/AIDS, Tuberculosis and Malaria Reauthorization Act (P.L. 110-293) provides support for the U.S. Government (USG) to enter into Partnership Frameworks (PFs) with partner governments as a means of promoting national ownership of sustainable HIV programs under the President’s Emergency Plan For AIDS Relief (PEPFAR). Partnership Frameworks seek to more closely align USG-funded HIV/AIDS efforts with national programs and the efforts of other international partners and civil society at the country level. Partnership Frameworks provide a five-year joint strategic framework focused on service delivery, HIV/AIDS policy reform, and shared financial and/or in-kind contributions. After each PF is signed, a more detailed five-year PF Implementation Plan follows, with annual benchmarks for progress against the Framework and a matrix detailing partner inputs to the PF objectives.
On July 22nd, the United States signed the “Partnership Framework between the Government of the Socialist Republic of Vietnam and the Government of the United States for HIV/AIDS Prevention and Control.” Though HIV prevalence in the general population in Vietnam is an estimated 0.43%, it continues at unacceptably high levels among most-at-risk populations. Priorities in the PF include promoting sustainability through a multi-sectoral approach, as well as targeting programming to effectively meet the health needs of the most vulnerable populations.
The Partnership Framework provides a five-year joint strategic plan for cooperation between the Government of Vietnam, the U.S. Government, and other stakeholders to support a collaborative response to HIV, while also supporting health services for people living with HIV/AIDS in Vietnam. The Partnership Framework, which was developed over six months of continuous consultation involving representatives from the two governments, outlines and describes the mutual goals of the United States and Vietnam to strengthen the national response to HIV/AIDS. The activities prioritized for support from the United States are intended to achieve the maximum feasible impact, while also building local capacity to support the increasing shift to host country ownership.
The Partnership Framework is presented in five sections: strategic overview and principles, purpose and goals, partners’ roles and responsibilities, development of the Partnership Framework Implementation Plan, and implementation and management.
The Partnership Framework includes three broad goals, under each of which are associated objectives to further describe the priority areas within each goal. The first goal aims to improve services and strengthen access for most-at-risk populations by prioritizing targeted geographic areas and reaching agreed-upon targets through a multi-sectoral approach that helps ensure adequate coverage. The second goal promotes sustainable HIV/AIDS services by increasing collaboration across national programs and bolstering the national system of workforce development to improve service delivery. The third goal broadens and strengthens the national response to HIV/AIDS by supporting the adoption and implementation of policies that address emerging health issues and strengthen the capacity of and involve mass organizations, NGOs, multilateral organizations, and the Global Fund to Fight AIDS, TB and Malaria.
In the spirit of continued collaboration and planning, and to ensure effective coordination and joint oversight of the Partnership Framework and Implementation Plan, a steering committee has been formed to help develop the Implementation Plan. The steering committee is comprised of officials from several ministries of the government of Vietnam, representatives of the USG, representatives from the United Nations, and other relevant stakeholders.
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