Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5106
Country/Region: Vietnam
Year: 2007
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: HHS/CDC
Total Funding: $1,553,685

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $87,272

This activity is linked to MTCT HCMC-PAC (9383) and MTCT MOH/VAAC (9384).

This activity is supported with both Base and GHAI funds and relates to MTCT CDCBASE (9853).

Funds requested between GHAI and Base (GAP) account will support a LES (Pediatric AIDS Specialist) and 50% of 2 USPSCs (Program Officer, Program Management Specialist), including salary, benefits/allowances and official travel costs.

As members of the PEPFAR Care and treatment Team, these staff will provide and HCMC-PAC technical assistance (TA) and program oversight of the MOH/VAAC and HCMC-PAC PMTCT Program in program design, implementation and evaluation in design, implementation and evaluation of PMTCT programs. Technical assistance includes developing training curricula and conducting training to clinicians on PMTCT related issues and conducting quality assurance control on the implementation of protocols.

Funding for Care: Adult Care and Support (HBHC): $95,024

This activity is linked to HBHC CDCBASE (9854) and is supported with both Base and GHAI funds.

Funds requested between GHAI and Base (GAP) accounts will support an LES (Medical Research Scientist), 50% of one USPSC (Medical Officer), and 65% of one USDH including salary, benefits and official travel costs.

As part of the PEPFAR Care and Treatment Team, these staff will provide technical assistance (TA) and program oversight to MOH/VAAC and HCMC-PAC outpatient clinics on all activities related to design, implementation and evaluation of care and the development of training curricula and delivery of training for clinicians and community members working in HIV palliative care activities. TA will be coordinated with all USG partners to maximize impact and efficiency the PEPFAR treatment program across agencies.

Funding for Care: TB/HIV (HVTB): $125,000

This activity is linked to HBHC VAAC (9529), HBHC HCMC-PAC (9533), HLAB VAAC (9505), and HTXS VAAC (9398).

Funding will be provided to partner TBD for an assessment and implementation of infection control practices for TB and other airborne diseases in HIV care and treatment settings.

Hospitals have been documented to serve as powerful amplifiers of TB transmission, particularly in developing countries. As HIV care increasingly shifts from inpatient to outpatient settings, clinics may also serve as amplifiers of transmission, increasing the burden of disease in patients already at high risk of opportunistic infections. PEPFAR will fund an assessment of TB infection control practices, and of baseline TB infection (using tuberculin skin testing [TST]) among healthcare workers in PEPFAR-funded CT and outpatient clinics. This assessment will be performed using a combination of questionnaire, interview, and chart review techniques, and will lead directly to policy recommendations for improving infection control in PEPFAR-funded clinics in Vietnam. Recommendations will address the use of routine screening for cough among all HIV clinic clients, the use of N95 respirators for selected personnel or patients, the use of annual tuberculin skin testing for health care workers, and, if appropriate, TB infection treatment for health care workers. This assessment will be funded and completed in FY07, and will include a representative selection of sites from the 7 focus provinces.

Either HHS/National Institute for Occupational Safety and Health (NIOSH) or a suitable University partner will be selected to perform this assessment. This partner selection is pending an evaluation of the ability to use existing expertise at NIOSH or HHS/CDC Headquarters to accomplish this assessment.

In COP07, PEPFAR/Vietnam will expand capacity for TB culture and drug-susceptibility testing in 6 focus provinces. Because TB diagnostic services are highly specialized and distinct from HIV diagnostic services, a microbiologist with TB laboratory experience is required for monitoring, evaluating, and implementing this activity.

Funding for Prevention: HIV Testing and Counseling (HVCT): $85,433

This activity is supported with both Base and GHAI funds and relates to HVCT CDCBASE (9856).

Funds requested between GHAI and Base (GAP) accounts will support two LES (Research Scientist, Research Technician) and 50% of one USPSC (Program Officer) staff, including their salaries, benefits and official travel costs.

As members of the PEPFAR technical working group on Counseling and Testing, these staff will provide technical assistance (TA) and programmatic oversight to MOH and HCMC-PAC in the design, implementation and evaluation of CT activities as well as development of training curricula and training of counselors and supervisors.

Funds will also support the MOH/VAAC to coordinate and implement a "best practices in CT" experience-sharing meeting in FY07.

Funding for Treatment: Adult Treatment (HTXS): $114,629

This activity is supported with both BASE and GHAI funds and is linked to HTXS CDCBASE (9857).

Funds requested between GHAI and Base (GAP) accounts will support 4 LES (3 Medical Research Scientists and 1 Program Officer) 50% of one Vietnam contractor (Medical Advisor-HCMC), and 50% of one U.S. Contractor (Medical Officer), including salary, benefits and official travel costs.

As part of the PEPFAR Care and Treatment Team, these staff will provide technical assistance (TA) and program oversight to MOH and HCMC-PAC outpatient clinics on all activities related to design, implementation and evaluation of ARV Services for HIV infected individuals. TA will be coordinated with all USG partners to maximize impact and efficiency the PEPFAR treatment program across agencies.

Funding for Laboratory Infrastructure (HLAB): $396,574

This activity is linked to activities in HLAB USLABCO (9719), HLAB NIHE (9506), and HLAB APHL (9499).

This activity is supported with both BASE and GHAI funds and is related to HLAB CDCBASE (9860).

Funds requested between GHAI and Base (GAP) accounts will support one new LES (Lab Assistant), 50% of VNPSC (Medical Advisor-HCMC), 50% of 1 ASPH fellow and 2 full-time USPSCs (Senior Laboratory Scientist and Laboratory Information Specialist).

These staff will provide technical assistance (TA) and program oversight for prevention, care and treatment programs in PEPFAR-supported laboratory networks.

Funds will support TA from the laboratory technical working group, HHS/CDC Atlanta to laboratory partners in Vietnam including MOH agencies including VAAC, the National Institute of Hygiene and Epidemiology (NIHE), the National Institute of Infectious and Tropical Diseases (NIITD), and the Ho Chi Minh City Provincial AIDS Committee (HCMC-PAC). TA will consist of guidance on design, implementation and evaluation of laboratory programs, including the development of national standards for reference and provincial laboratories, development of training guidelines and training curricula, training of laboratory staff, and development of quality assurance (QA) systems strengthening for laboratories.

Additional $100,000 of plus-up funds will be used to support the ongoing South-South relationship with the regional CDC lab in Bangkok to provide technical assistance for CD4 EQA, OI diagnostic training, EQA serology, HIV DR and other technical laboratory support as needed. These funds were previously supported by the CDC GAP regional office, but now will be provided through Vietnam funds.

Funding for Strategic Information (HVSI): $311,501

This activity is supported with both Base and GHAI funds and is linked to HVSI CDCBASE (9249).

Funds requested between GHAI and Base (GAP) accounts will support 5 LES (Senior Program Officer, Program Officer, Computer Programmer, Field Officer, SI Assistant), 50% of USDH (Strategic Information Section Chief), a VNPSC (M&E Officer), and 1.50 ASPH fellows, including salary, benefits and official travel costs.

As members of the PEPFAR SI Team, these staff will provide technical assistance (TA) and program oversight GVN Agencies including MOH, HCMC-PAC, NIHE and HSPH and other USG partners in the area of strategic information to strengthen capacity for collecting and analyzing data for program implementation, monitoring, evaluation and planning.

Funds will also support short term TA visits by technical experts to strengthen PEPFAR SI activities.

Some funds ($100,000) will also support IT infrastructure development for the PEPFAR team to facilitate interagency communication and central storage of data and program files. Equipping the PEPFAR Coordinator's office is also planned. Funds will also be used to provide IT solutions to PEPFAR information needs including internet and wide-area network connectivity, GPS hardware for activity mapping, handheld pc equipment for collecting non-facility-based or point-of-service information, and web-based solutions for facilitating information sharing with PEPFAR partners.

Funding for Health Systems Strengthening (OHSS): $12,895

This activity is supported with both Base and GHAI funds and relates to OHPS CDCBASE (9890).

Funds requested between GHAI and Base (GAP) accounts will support 50% of 1 USDH (Strategic Information Chief), including salary, benefits/allowances and official travel costs.

These staff will provide technical assistance (TA) with the MOH/VAAC, HCMC-PAC and other USG partners to strengthen capacity for implementing and evaluating HIV program activities in Vietnam. To coordinate and manage HIV programs the Government of Vietnam established the Vietnam Administration of AIDS Control (VAAC) in 2006, based within the MOH and therefore this is a critically important organization with which to coordinate and collaborate. Much can be done to build human resource capacity and harmonize HIV programming within Vietnam through VAAC.

Funding for Management and Operations (HVMS): $76,522

This activity is supported with both Base and GHAI funds and relates to HVMS CDCBASE (9891).

Funds requested will support overall program management and oversight at HHS/CDC, including operations, management, procurement, coordination and the following staff salaries, benefits and official travel costs. The following positions are currently supported in this program area: Country Director, USDH (100%) Deputy Director, USDH (100%) Associate Director, HCMC office, USDH (50%) Office Manager, LES (100%) Senior Financial Specialist, LES (100%) Financial Assistant, LES (100%) IT Specialist, LES (100%) Secretaries (2), LES (100%) Receptionist, LES (100%) Administrative Assistant, HCMC, LES (100%) Chauffeurs (2), LES (100%)

One new LES (Office Manager) is being requested in FY 07 to better support the management and administrative requirements of the rapidly growing Ho Chi Minh City office. This office is expanding to respond to increased PEPFAR programming in southern Vietnam. Seven PEPFAR staff are currently assigned to the Ho Chi Minh City office to provide support technical assistance to GVN and other partners and programs, but there remains a critical need for additional administrative support. The proposed office manager will be responsible for supervising HCMC support staff, assisting in the development of additional space plans, planning meetings and providing support services including secretarial, budget, procurement and travel.

These funds are also used to pay for related office support including communications, equipment, miscellaneous procurement of supplies and services, etc.

Table 3.3.15:

Funding for Management and Operations (HVMS): $248,835

In FY 07 HHS/CDC Vietnam will continue to pay in to the State Department's OBO Capital Security Cost Sharing (CSCS) program. The funds collected under this program are used to provide the State Department Overseas Buildings Office funding to build and renovate chanceries and consulates throughout the world. HHS/CDC Vietnam's costs are calculated based upon the per capita costs associated with the 5 US direct hire, 7 US contract staff and 20 locally employed staff housed in non controlled access areas within US Embassy.

This cost is being phased in, and while last year the cost was $152,921, this year the cost is $248,835. It is expected to increase over the next several years.

Table 3.3.15: