Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3112
Country/Region: Vietnam
Year: 2008
Main Partner: Armed Forces Research Institute of Medical Sciences
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: USDOD
Total Funding: $350,000

Funding for Treatment: Adult Treatment (HTXS): $350,000

This is a continuing activity from FY07. The only changes to the activity since approval in the FY07 COP

are:

• The Armed Forces Research Institute of Medical Sciences (AFRIMS) will provide laboratory-related

technical assistance (TA) in order to assure accurate clinical monitoring of patients in four existing sites and

assist in the development of five new sites: four Ministry of Defense (MOD) and one Ministry of Public

Security (MOPS) sites.

• AFRIMS will work with MOD staff and other PEPFAR partners to ensure greater linkages between

treatment sites and other services.

• AFRIMS will work with MOD and other PEPFAR partners on shifting tasks to ensure necessary support is

available for sustaining and expanding the treatment program.

FY07 Activity Narrative:

In an ongoing partnership, the US Pacific Command Center of Excellence (COE) and its 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 healthcare

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 AFRIMS

extend this capacity to the high-prevalence province of Can Tho and to a central province. Components of

this activity will include continued logistical support (provision of test kits and reagents) for previously

established sites, and expansion of the 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 include routine inspection, standard operating procedure (SOP) development, and

development of a unified system of "testing panels." Related activities 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 Quality

Assurance (QA) unit during the first year of operation.

AFRIMS will work with the 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.

AFRIMS also will use FY07 funds to continue to support capacity for the diagnostic and clinical monitoring

of the HIV/AIDS patients at military 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.