Detailed Mechanism Funding and Narrative

Years of mechanism: 2007 2008 2009

Details for Mechanism ID: 5217
Country/Region: Vietnam
Year: 2008
Main Partner: Program for Appropriate Technology in Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $100,000

Funding for Care: TB/HIV (HVTB): $100,000

This is a continuing activity from FY07.

In FY08, PATH will sustain the interventions with pharmacies and private physicians begun in the focus

province of Hai Phong in FY07, and expand its activities to one additional PEPFAR focus province (Quang

Ninh).

In FY07, PATH began assessing the extent of TB and HIV private sector care in Hai Phong (rather than

Hanoi or Ho Chi Minh City, as originally planned), and began working with private sector pharmacies and

clinicians to intensify their knowledge about the management of TB and HIV and to promote referrals to the

public sector. Although it is too early to assess the success of this initiative, the private sector is rapidly

expanding in Vietnam and there is an urgent need to expand such activities to other provinces.

FY07 Activity Narrative:

Funding will be provided to the NGO Program for Appropriate Technology in Health (PATH) for an

assessment of private sector TB and HIV care.

In Hanoi and in Ho Chi Minh City (HCMC), private health care providers manage a large number of TB and

HIV patients, but the magnitude and the quality of care is not known. Private sector care is largely

unregulated and may be of poorer quality than public sector care. Patients managed poorly in the private

sector may exacerbate the TB/HIV epidemic, because poor TB and HIV treatment can lead to both drug-

resistant TB and drug-resistant HIV. PEPFAR will fund an assessment to determine the magnitude and

quality of private TB/HIV care services in Hanoi and HCMC. This assessment will be developed in

collaboration with the government of Vietnam, and will involve interview, questionnaire, and chart review

techniques. Funding is provided for technical assistance for all aspects of this assessment. Based on the

findings from this assessment, a plan will be developed to improve management of TB and HIV in the

private sector.