PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2007 2008
This is a continuing activity from FY07.
Funding in this activity will be used to conduct follow-on activities identified by the human capacity
development assessment for HIV/AIDS programs in Vietnam carried out in 2007. A comprehensive strategy
and action plan will be developed in coordination with other donors, stakeholders, the Ministry of Health
(MOH)/Vietnam Administration for HIV/AIDS Control (VAAC), and the Ministry of Labor Invalids and Social
Affairs (MOLISA).
In consultation with the OGAC human capacity technical working group, PEPFAR is supporting 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 that cannot be realigned from the overall workforce and to determine how to identify, train and
retain health workers engaged in HIV/AIDS services without compromising the budget or manpower of other
health services. The first stage of the assessment started in August 2007 with one week of data collection.
The second stage, which involves field work, will begin in November 2007 with an expanded team to include
national and international stakeholders.
MOH, provincial health departments, and related ministries charged with working in HIV/AIDS have
stretched human resource capacity. Despite government 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. The public health professionals that are available
are already providing a range of public health services in the fields of avian influenza, disease outbreak
control, TB, and HIV/AIDS. This situation 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 that government ministries, including MOLISA, 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, 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, PEPFAR will continue to 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.
A possible initial activity that may be identified by the human capacity development assessment is the
development of better education and training programs for the health workforce, in order to improve quality,
accessibility, and use of priority health services. This would leverage the past years of investment in the
Hanoi School of Public Health and build upon the institution's successes. The human capacity development
assessment will take into consideration the role of the private health sector as Vietnam moves quickly along
the development continuum and begins to consider privatization. Recommendations will assist MOH in
facing some of the challenges presented by privatization of health care.
