Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3694
Country/Region: Vietnam
Year: 2008
Main Partner: U.S. Centers for Disease Control and Prevention
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: HHS/CDC
Total Funding: $2,855,000

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $47,522

This is a continuing activity from FY07.

Funds requested between GHAI and Base (GAP) account will support an LES (Pediatric AIDS Specialist)

and 50% of two LES Program Officers, including salary, benefits/allowances and official travel costs. As

members of the Care and Treatment Team, these staff will provide technical assistance (TA) and program

oversight to the Ministry of Health/Vietnam Administration for HIV/AIDS Control (MOH/VAAC) and Ho Chi

Minh City Provincial AIDS Committee (HCMC PAC) PMTCT programs 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 Sexual Prevention: Other Sexual Prevention (HVOP): $197,898

This is a continuing activity from FY08.

Funds requested between GHAI and Base (GAP) accounts will support three LES positions (two Medical

Research Scientists, and one Program Officer), and 50% of a Center Technical Advisor who will provide

expertise in behavioral interventions, behavioral and biologic surveys and will support the PEPFAR

Prevention Technical Working Group. Support requested will include salary, benefits and official travel

costs. As part of the CDC Vulnerable Populations Team, the LES staff will provide technical assistance to

government of Vietnam (GVN) agencies, including the Ministry of Health (MOH) and the Ho Chi Minh City

Provincial AIDS Committee (HCMC-PAC), in close collaboration with other PEPFAR partners and under the

leadership of the PEPFAR Prevention Technical Working Group. This includes coordinating with MOH,

HCMC-PAC, and other PEPFAR partners on all activities related to program design, implementation and

evaluation of prevention interventions targeting MARPs, including IDU and CSW.

Funding for Care: Adult Care and Support (HBHC): $195,983

This is a continuing activity from FY07 and is supported with both Base and GHAI funds.

Funds requested between GHAI and Base (GAP) accounts will support will support 50% of one new LES

(Medical Research Scientist), one full time LES (Medical Research Scientist), 50% of two LES (Medical

Research Scientist, HCMC Program Officer), 50% of one contractor (Medical Officer), and two USDH

Medical Officers (50% and 65% respectively), 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 the Ministry of Health/Vietnam Administration for HIV/AIDS Control (VAAC) and Ho

Chi Minh City Provincial AIDS Committee (HCMC PAC) out-patient 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): $130,323

This is a continuing activity from FY07 and is supported with both Base and GHAI funds.

Funds requested between GHAI and Base (GAP) accounts will support two LES (Medical Research

Scientist, Medical Research technician), 50% of one LES (Project Officer-HCMC), and 50% of one LES

(Medical Officer-HCMC), including salary, benefits and official travel costs. As part of the PEPFAR Care and

Treatment Team, these staff will provide technical assistance and program oversight to Ministry of

Health/Vietnam Administration for HIV/AIDS Control (MOH/VAAC) and Ho Chi Minh City Provincial AIDS

Committee (HCMC PAC) Palliative Care-TB/HIV programs.

Requested funds will also provide travel costs for TB Technical Advisor from the HHS/CDC Asia Regional

Office in Bangkok, and at least three trips of extended duration for HHS/CDC Atlanta-based technical

assistance.

Funding will permit HHS/CDC to conduct a TB infection control assessment in collaboration with VAAC to

document both the quantity and quality of TB screening in HIV care and treatment settings, and will support

short term international technical assistance to MOH/VAAC and HCMC PAC.

Funding for Care: Orphans and Vulnerable Children (HKID): $14,170

This is a continuing activity from FY07.

Funds requested will support 50% of one LES (Project Officer-HCMC), including salary, benefits and official

travel costs. As part of the PEPFAR Care and Treatment Team, this individual will provide technical

assistance and program oversight in program design, implementation and evaluation of OVC-related

activities to Ho Chi Minh City Provincial AIDS Committee (HCMC PAC) out-patient clinics. This will include

implementing core OVC service packages for different partners and service delivery models, providing and

brokering technical assistance and support to ensure quality and continuous program improvement.

Funding for Prevention: HIV Testing and Counseling (HVCT): $83,000

This is a continuing activity from FY07 and is supported with both Base and GHAI funds.

Funds requested between GHAI and Base (GAP) accounts will support two locally employed staff (LES)

research scientists, including their salaries, benefits and official travel costs. As members of the PEPFAR

interagency prevention technical working group, these staff will provide technical assistance (TA) and

programmatic oversight to Ministry of Health/Vietnam Administration for HIV/AIDS Control (MOH/VAAC)

and the Ho Chi Minh City Provincial AIDS Committee (HCMC PAC) in the design, implementation and

evaluation of counseling and testing (CT) activities as well as the development of training curricula and

training of counselors and supervisors. Funds will also support VAAC to coordinate and implement a "best

practices in CT" experience-sharing meeting in FY08.

Funding for Treatment: Adult Treatment (HTXS): $102,430

This is a continuing activity from FY07 and is supported with both BASE and GHAI funds.

Funds requested between GHAI and Base (GAP) accounts will support two LES (Medical Research

Scientist, Program Officer), 50% of one LES (Medical Research Scientist), 50% of one Vietnam contractor

(Medical Advisor-HCMC), and 50% of one USDH (Medical Officer), including salary, benefits and official

travel costs.

As part of the PEPFAR interagency Care and Treatment technical working group, these staff will provide

technical assistance (TA) and program oversight to Ministry of Health (MOH) and Ho Chi Minh City

Provincial AIDS Committee (HCMC PAC) out-patient 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): $63,601

This is a continuing activity from FY07.

Funds requested between GHAI and Base (GAP) accounts will support one locally-employed LES (Lab

Program Officer), 50% of an LES (Project Officer-HCMC), 50% of a VNPSC (Senior Medical Officer-

HCMC), one USPSC (Senior Lab Advisor),and one contractor (Lab Information Specialist), including salary,

benefits, and official travel costs.

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 support to laboratory partners

in Vietnam, particularly to those in the Ministry of Health (VAAC, NIHE, NIITD, and 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.

These funds also include support for the ongoing South-South relationship with the regional CDC lab in

Bangkok to provide technical assistance for CD4 EQA, opportunistic infections diagnostic training, EQA

serology, HIV drug resistance, and other technical laboratory support as needed. These funds were

previously supported by the CDC GAP regional office, but now will be funded through Vietnam.

Funding for Strategic Information (HVSI): $496,558

This is a continuing activity from FY07 and is supported with both Base and GHAI funds.

Funds requested between GHAI and Base (GAP) accounts will support five LES (Applications Development

Manager, Computer Programmer, two Program Officers, SI Assistant), one USDH (Strategic Information

Section Chief), and one VNPSC (M&E Officer), including salary, benefits and official travel costs. As

members of the PEPFAR SI working group, these staff will provide technical assistance (TA) and program

oversight to government of Vietnam (GVN) agencies including the Ministry of Health (MOH), Ho Chi Minh

City Provincial AIDS Committee (HCMC PAC), the National Institute of Hygiene and Epidemiology (NIHE)

and Hanoi School of Public Health (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 support short-term TA visits by technical experts to strengthen PEPFAR SI

activities, and will support IT infrastructure development for the PEPFAR team to facilitate interagency

communication and central storage of data and program files. 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. Finally,

these funds will support participation in information-sharing within the region for SI best practices and

lessons learned.

Funding for Management and Operations (HVMS): $1,409,765

This is a continuing activity from FY07 and is supported with both Base and GHAI funds.

Funds requested between GHAI and Base (GAP) accounts will support staff salaries/allowances and

related office support, including travel, communications, equipment, and miscellaneous procurement, etc.

The following positions are currently supported with Management and Staffing funding:

Existing positions:

Country Director, US direct-hire (100%)

Deputy Director, US direct-hire (100%)

Associate Director, HCMC office, US direct-hire (35%)

Two Office Managers, LES (100%)

Senior Financial Specialist, LES (100%)

Financial Assistant, LES (100%)

IT Specialist, LES (100%)

Two Secretaries, LES (100%)

Receptionist, LES (100%)

Administrative Assistant, HCMC, LES (100%)

Two drivers, LES (100%)

Senior Medical Officer (50%)

Newly requested positions for FY08:

06 Center Technical Advisor (50%)

Public Health Advisor (100%)

Senior Project Officer, LES (100%)

Project Officer, LES (100%)

1.5 Administrative Assistant, LES (100%)

In FY08, CDC will establish a program management unit to better manage and monitor the rapidly growing

HHS/CDC cooperative agreement portfolio with the government of Vietnam (GVN). Individuals in this unit

will be responsible for working closely with GVN counterparts to develop their management and

administration capacity by providing support to partners in the development, implementation and monitoring

of budgets, work plans, and activities in the field. These responsibilities had previously been assigned as

collateral duty to the technical officers, with oversight from the Deputy Director for Management. But as the

program has grown, technical staff has had work full time on expansion activities. This unit will also be

responsible for assisting in the development of funding opportunity announcements, conducting technical

reviews of cooperative agreement applications, assuring that grantees submit continuation applications in a

timely manner, and providing overall management/administrative support to partners. The staffing of this

unit, which will consist of one USDH Public Health Advisor, and four locally employed staff (one senior

project officer, three project officers) will be phased in over the next two years. The request for FY08 is for

the PHA manager and two locally employed project officers.

CDC is requesting a USDH position to serve as an Associate Director for Science as a subject matter

expert for human subjects' issues. The incumbent will plan, direct, analyze, and implement a variety of

human subject research-related programmatic, technical, and administrative efforts in support of the day-to-

day operations of PEPFAR programs. This position will fill an unmet interagency technical need for a senior

scientist, and support various surveillance activities including size estimation, behavioral and biologic

surveys, and sentinel surveillance strengthening. The incumbent will also have expertise in behavioral

interventions, and will support the PEPFAR Interagency Prevention working group chaired by the USAID

Senior Prevention Advisor. Seventy-five percent of his/her time will be devoted to IRB/human subject's

management issues and 25% percent to prevention.

An additional 1.5 administrative positions are requested in FY08 to provide support services to the CDC

PEPFAR Office. The workload in this office has increased substantially since the last addition to the

administrative supportstaff in FY05. The budget has increased $54 million over the past two years alone

and the staff has grown by 16 positions (including FY08 requested positions). With the formulation of the

Program Management Unit and the expansion of three USDH positions in the FY07 and 08 budgets, the

workload is expected to continue to increase substantially. Support for the remainder of the second position

will come from the CDC Avian Influenza activity, which is located within the CDC office.

Funding for Management and Operations (HVMS): $113,750

This is a new activity for FY08.

In FY08 the Coordinating Center for Global Health at CDC will develop a comprehensive plan to upgrade

the CDC global information technology (IT) services that will allow all countries to receive broader band

width and improved electronic communications. The ultimate goal will be to bring the offices behind the

HHS/CDC firewall and provide the IT security required. This annual fee will cover the IT management costs

associated with supporting existing and new positions, including direct hire, locally employed and contractor

staff at 28 desks in Hanoi and seven in Ho Chi Minh City. These IT costs are calculated at a rate of $3,250

per desk.