Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008

Details for Mechanism ID: 5412
Country/Region: Vietnam
Year: 2007
Main Partner: IntraHealth International, Inc.
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $500,000

Funding for Health Systems Strengthening (OHSS): $500,000

This activity is linked to OHPS MOH/VAAC (9414).

Funding in this activity will be used to conduct a health workforce human capacity assessment for HIV/AIDS programs in Vietnam.

In consultation with the OGAC human capacity technical working group, PEPFAR will support the Government of Vietnam (GVN) to conduct a health workforce human capacity assessment to identify the human resources needed to achieve HIV/AIDS prevention and care program goals, to document the gaps in resources which cannot be realigned from the overall workforce and to determine how to identify, train and sustain health workers engaged in HIV/AIDS services without compromising the budget or manpower for other health services.

Current MOH, Provincial Health Department, and related ministries charged with working in HIV/AIDS have stretched human resource capacity. Despite GVN commitment to increasing the public health workforce, there is substantial variation in the degree to which public health positions are available within Vietnam, particularly at the provincial and district levels. Moreover, those few health professionals that are available are challenged to provide a range of public health services including Avian Influenza, outbreak control and HIV/AIDS. This need has been exacerbated by the increase in PEPFAR funding coupled with changes in host nation policies, including the provision of free ARV drugs. Consequently, patient loads and demand for treatment, counseling and testing, care, and prevention services in clinics have increased substantially. Given GVN ministries, including Health, and Labor, Invalids and Social Affairs, are the most inherently sustainable organizations implementing HIV/AIDS programs, it is important to assure that PEPFAR programs do not inadvertently compromise this sustainability.

In the medium-term, the GVN will need to increase staffing levels and strengthen human capacity in the areas of basic public health sciences, analytical assessment, policy development, program planning, communication, financial and program management, leadership, and community development to adjust the structure of the health care system to address the HIV/AIDS crisis. The proposed human capacity assessment will assist in developing a human resources strategy to address the needs identified in the assessment.

In the short-term, in addition to the proposed assessment, PEPFAR will support strategies to allow quality program expansion to take place including formulation of a short and long term human capacity development strategy hiring temporary contract staff, providing targeted incentives, supporting short and long-term training, and funding overtime.

Plus up will support funds approved in COP07 to expand assessment of health workforce human capacity including additional workforce estimates and service delivery time analysis. Further, it will be used to support development of implementation plan, based on recommendations from the assessment. Support can be given to perform initial steps of the implementation plan once the plan is approved.

Targets

Target Target Value Not Applicable Number of local organizations provided with technical assistance for  HIV-related policy development Number of local organizations provided with technical assistance for  HIV-related institutional capacity building Number of individuals trained in HIV-related policy development  Number of individuals trained in HIV-related institutional capacity  building Number of individuals trained in HIV-related stigma and  discrimination reduction Number of individuals trained in HIV-related community  mobilization for prevention, care and/or treatment

Key Legislative Issues Wrap Arounds

Democracy & Government

Table 3.3.14: