Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 5177
Country/Region: Vietnam
Year: 2007
Main Partner: Armed Forces Research Institute of Medical Sciences
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: USDOD
Total Funding: $738,500

Funding for Treatment: Adult Treatment (HTXS): $275,000

This activity is linked to HVCT MOD (9510), HBHC MOD (9546), HBHC UH (9555), HBHC COE (9595), HTXS UH (9397), and HMBL COE (9496).

In ongoing partnership, the US Pacific Command Center of Excellence (COE) and prime partner the Armed Forces Research Institute of Medical Sciences (AFRIMS) will collaborate with the Vietnam Ministry of Defense (MOD) to develop human and infrastructural capacity within the Vietnamese military health care system to scale up high-quality ARV services to 1,300 people at MOD sites.

Through previous PEPFAR activities, AFRIMS has developed clinical and laboratory infrastructure and technical capacity to support ARV within the MOD system. In FY07, the MOD is proposing that this capacity be extended to the high-prevalence province of Can Tho and to a central province. Components of this activity will include continued logistical support (provision of kits and reagents) for previously established sites, and expansion of MOD's HIV treatment support network. Two new sites will be added in FY07, Military Hospital 121 in Can Tho City and Military Hospital 17 in Danang province, which will result in military coverage of all provinces in the central region. DOD and MOD will jointly evaluate program needs in Can Tho City and Danang province, and initiate a limited Counseling and Testing (CT) and blood safety program.

A critical element for this year is the establishment of an appropriate quality management program. For laboratories, this will also include routine inspection, standard operating procedure (SOP) development, and development of a unified system of "testing panels." Related activities will include establishing a Laboratory Quality Management Program at the Military Institute for Hygiene and Epidemiology and at Military Hospital 175 in Hanoi with extensive training and interaction with AFRIMS Department of Retrovirology QA unit during the first year of operation.

Other activities will include working with DOD to develop a logistical system akin to the system that exists for ARV, to ensure that appropriate diagnostic kits, reagents, and necessary consumables are available to the MOD laboratories involved in PEPFAR.

FY07 funds will also be used to continue to support capacity for the diagnostic and clinical monitoring of the HIV/AIDS patients at hospitals and preventive medicine laboratories. Clinical laboratories supported under this activity will be linked to other activities within the DOD PEPFAR program: laboratory infrastructure, VCT, blood safety, ARV drugs, and palliative care. This activity will contribute to the ARV scale-up as well as prevention and care and treatment activities for both the military and civilian sectors of the country.

Funding for Laboratory Infrastructure (HLAB): $463,500

This activity is linked to other activities in HVCT MOD (9510), HMBL COE (9496), HTXS AFRIMS (9393), and HVCT MOD (9510).

In FY07, PEPFAR will continue to collaborate with Vietnam Ministry of Defense (MOD) to improve comprehensive HIV laboratory capacity within the MOD health care delivery system. Activities will target human and infrastructural capacity building at 8 sites: 3 existing MOD sites in Hanoi and Ho Chi Minh City (HCMC) and 5 new sites in Can Tho and Danang regions. Specific activities will include training of trainers and laboratory personnel, supervision of laboratory services, infrastructure support, and logistical support.

To improve human capacity for HIV testing, PEPFAR will train 3 trainers in comprehensive HIV laboratory services (including diagnostic testing, CD4/CD8, viral load, hematology, and quality assurance/quality control). These trainers, in turn, will train 75 MOD personnel from 8 sites in HIV diagnostic testing. Personnel from 3 of these 8 sites will also receive supplemental training in CD4/lymphocyte testing.

Following the training of laboratory personnel, PEPFAR will ensure the regular supervision of laboratory services at all 8 MOD sites to verify that trained personnel are implementing the correct procedures for HIV testing and systematically referring clients to care and treatment services at nearby military medical facilities supported by PEPFAR. Supervisory site visits will be jointly coordinated by AFRIMS and COE.

To increase the number of sites providing full HIV diagnostic services within the MOD network, PEPFAR will equip 2 of the 8 targeted sites - Military Hospital 175 in HCMC and Military Hospital 121 in Can Tho - with CD4 machines. Finally, to ensure the safe transport and timely delivery of samples and specimens between MOD facilities, PEPFAR will support the development and implementation of a network-wide shipment and results reporting system.