Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 8690
Country/Region: Vietnam
Year: 2008
Main Partner: Food and Nutrition Technical Assistance
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $117,670

Funding for Care: Orphans and Vulnerable Children (HKID): $117,670

Food and nutrition has been a major concern for PEPFAR partners to better meet the needs of

undernourished children and adults on ART in Vietnam. With OGAC's new Food and Nutrition guidelines,

which allow for a broader use of PEPFAR funds for severely undernourished HIV+ clients, Vietnam is ready

to gear-up needed services. In order to stay within the guidelines, technical assistance from the FANTA

project is needed to work with local food and nutrition experts to develop guidelines for diagnosis and a

training curriculum for case managers within the cultural context of Vietnam.

While Vietnam has had a minimal food and nutrition program since PEPFAR started, it is insufficient in

providing needed foods to babies, and positive children and mothers. Some COP07 Plus-Up funding was

available to PEPFAR partners to strengthen this nascent program and additional progress is being

observed. However, there is still a large gap between the need for food and nutrition by some of our very

poor clients and the services that are available to them. It is timely to scale-up the food and nutrition

program to better assist HIV positive clients in adapting to their drug regimes. The area of emphasis for this

activity will focus on new-borns, babies and young children. It is important to obtain specialized

professionals who have PEPFAR experiences in diagnosis, both clinical and non-clinical, and skills in

determining criteria for entrance and exiting food programs for this particular aduience. The FANTA project

staff can provide this experience and expertise.

It is expected that FANTA will provide a short TDY in June/July 2008 to help the USG Care and Treatment

TWG plan activities for COP09. With these funds for COP08 implementation, FANTA will provide technical

assistance to help develop regulations and guidelines and training curriculum. A list of some of the

expected activities includes:

Review current F&N feeding programs in PEPFAR clinics and at community level.

Review guidelines available and in progress that promote feeding programs

Assess need for supplemental feeding programs for adults and pediatric clients with approximate length of

feeding needed

Assess what foods are needed and what local foods can be used for food packages

Determine the best way to distribute food packages

Make recommendations of how best to implement a comprehensive supplemental feeding program

Implement a pilot feeding program, to be initiated during COP08 implementation period

Develop a work plan to gear-up F&N activities under COP09