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: 2008 2009
SUMMARY AND BACKGROUND
Pact-supported partnerships are part of a PEPFAR-coordinated effort to increase the scale, quality and
effectiveness of both government and civil society HIV interventions in Vietnam. Prevention of mother-to-
child transmission (PMTCT) activities will be carried out via partnerships with one international non-
governmental organization (NGO), University Research Corporation, and additional partnersTBD to provide
PMTCT services in at least four provinces. The key emphasis area for this activity is wraparound programs
(family planning and safe motherhood). The specific target populations are prenatal mothers, women and
children living with HIV, and health care workers.
ACTIVITIES AND EXPECTED RESULTS
PMTCT programs will be carried out via a combination of international (and possibly local) NGOs with
management, financial and technical support from Pact. Pact's primary mandate is three-fold: 1) to provide
an effective and transparent award and administration system; 2) to provide program implementers with
access to high quality technical expertise in achieving and effectively reporting results, and organizational
development capacity building services to enhance current and future civil society engagement in the
national response; and 3) to ensure effective coordination among Pact partners, additional PEPFAR
partners, and relevant government and non-governmental initiatives. Local organizations also receive a
package of organizational development capacity building services to build long-term sustainability and
ensure active engagement of local civil society actors. Pact will be responsible for the purchasing and
distribution of HIV test kits to implementing partners.
1) New in COP09, TBD partners will support the establishment and provision of PMTCT services in four
TBD provinces. Through a competitive process, Pact will identify TBD partners to support the national
strategy by increasing both the geographic and numeric coverage of PMTCT services, with a focus on high
prevalence provinces, in an effort to increase the number of HIV positive pregnant women tested early and
receiving early ARV prophylaxis. Pact TBD partners will promote HIV testing for pregnant women at the
commune level through targeted outreach and referral to district testing facilities and reach out to
neighboring districts as well. TBD partners will provide training to 100 health care workers, who will provide
PMTCT services in keeping with the national protocol. Health care workers will provide ARV prophylaxis for
pregnant women testing positive, infant formula for children in need and referral to a continuum of services,
including: maternal nutrition, ART, post-exposure prophylaxis for newborn infants of HIV-positive women,
palliative care services, home- and community-based care, and OVC care and support. TBD partners will
provide testing to 68,400 pregnant women and ARV prophylaxis to 164 women through 18 sites.
2) University Research Corporation (URC) will integrate PMTCT services into prenatal, obstetric/delivery,
and postpartum care services in 8 district hospitals in two CDC/LIFE-GAP provinces (Thai Binh and Nam
Dinh). COP09 activities will include: establishment of appropriate guidelines and protocols at each facility,
technical training and on-going support to ensure staff conduct PMTCT on par with international best
practices, and integration of quality assurance and quality improvement (QA/QI) methods. URC will also
strengthen referrals between PMTCT and ART sites, and promote PMTCT services for MARPs via peer
support/community groups and through outreach to communes and neighboring districts. URC will provide
ARV prophylaxis for pregnant women testing positive, infant formula for children in need and referral to a
continuum of services, including: maternal nutrition, ART, post-exposure prophylaxis for newborn infants of
HIV-positive women, palliative care services, home- and community-based care, and OVC care and
support.
Select commune health stations in focus districts will be trained to provide women who may be at risk with
referrals to district hospitals for testing and service provision. Commune health center staff will also be
trained in health promotion and in referral to additional support services for pre/postnatal women and
PLHIV. In COP09, URC will train 200 individuals (40 from district hospitals and preventive medicine centers;
160 from commune health Stations) and provide testing to 30,400 women and ARV prophylaxis to 72
women through eight sites. URC will refer these women to facilities providing post-exposure prophylaxis for
their infants.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Health-related Wraparound Programs
* Family Planning
* Safe Motherhood
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $132,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $99,590
and Service Delivery
Food and Nutrition: Commodities
Estimated amount of funding that is planned for Food and Nutrition: Commodities $12,976
Economic Strengthening
Education
Water
Estimated amount of funding that is planned for Water $11,000
Table 3.3.01:
Pact will support activities via partnerships with both international and local non-governmental organizations
and their sub-partners (including community-based organizations (CBOs) and faith-based organizations
(FBOs) to promote abstinence, fidelity and partner reduction for appropriate populations in PEPFAR focus
provinces. The primary emphasis area for these activities is gender (addressing male norms and behaviors,
and increasing gender equity in HIV and AIDS programs). Specific target populations will include: current
and potential male clients of sex workers, vulnerable youth, MSM, FSW, and PLHIV.
The majority of HVAB funds will be used to target current and potential male clients of sex workers with
BCC interventions and IEC messaging via a consortium of international and local partners, initiated in FY06.
Support will also be provided to the Ministry of Education and Training (MOET) to institutionalize and
expand its FY07/08 pilot curriculum on sexual and reproductive health and HIV prevention for secondary
school students, incorporating age-appropriate messaging on sexual abstinence and life-skills training, to 5
focus provinces. The remainder of COP09 AB funding will support current and TBD local partners (awarded
as part of the Local Partnerships Initiative - LPI) to implement AB prevention interventions targeting MSM,
FSW and PLHIV via peer education and outreach. In keeping with host-country priorities, Pact partners
provide age-appropriate sexual prevention activities under the HVOP budget code as a complement to AB
activities. AB programs focus on high-risk youth, partner reduction and gender-norm modification, especially
as relates to commercial sex work.
PSI: $ 900,000
PSI will expand its behavior change program targeting current and potential male clients of sex workers
within the seven PEPFAR focus provinces. This comprehensive behavior change program addresses male
social norms regarding sex work by promoting fidelity and partner reduction. In addition, the program works
to enhance men's perceptions of sexual risk.
There are three main components to this activity: a) a mass media communication campaign targeting
potential and current male clients of sex workers via print media, billboards, bus-stops, websites, etc; b)
community outreach including interpersonal communication activities targeting men in entertainment
establishments, universities and sites with high concentrations of mobile populations; and c) community
mobilization activities including edutainment events in entertainment establishments and universities. Under
COP09, PSI will expand current activities to engage a greater number of individuals in existing provinces.
PSI and its sub-partners, Provincial AIDS Committees/Centers, SCUS, AIDS Program and Hanoi Medical
University/Consultation of Investment in Health Promotion, will train 180 outreach workers to provide AB
prevention outreach to a total of 206,250 individuals.
Number of individuals reached through community outreach that promotes HIV/AIDS prevention through
abstinence and/or being faithful: 206,250
Number of individuals trained to promote HIV/AIDS prevention programs through abstinence and/or being
faithful: 180
MOET: $ 230,000
To address changing social norms regarding youth and sex, SCUS will continue to provide technical
assistance to the Ministry of Education and Training (MOET) to institutionalize a comprehensive,
government-mandated curriculum on sexual health, HIV prevention, and Life Skills training in secondary
schools nationwide, with expansion of the pilot curriculum to two additional provinces. The curriculum, which
includes both intra- and extra-curricular components, is a comprehensive, skills-based sexual health and
HIV prevention course that emphasizes healthy life choices, including abstinence, partner reduction, and
sexual negotiation.
Overall, the program will provide training and support for teachers and administrators to adopt the new
curriculum, monitor school performance, and enhance MOET capacity to implement the Action Program on
Reproductive Health and HIV/AIDS Prevention Education for Secondary School Students, 2007-2010,
developed jointly by MOET and SCUS with PEPFAR support. Under COP09, SCUS will expand pilot
provinces to include Nghe An and An Giang, in addition to HCMC, Quang Ninh and Quang Tri (COP08).
The program will also place greater emphasis on interpersonal peer outreach within schools and HIV-
related stigma reduction. SCUS will train 250 individuals to reach 15,000 secondary school students with
AB prevention interventions.
abstinence and/or being faithful: 15,000
faithful: 250
SHAPC: $ 50,000
Local NGO SHAPC will continue to support interventions targeting Hanoi university students who are
becoming sexually active and engaging in sexual and other risk behaviors, with program expansion to one
additional university during COP09. Activities will include training of peer educators on HIV prevention
including abstinence and faithfulness messages, peer education approaches and BCC methodologies, peer
outreach targeting at-risk university students, and establishment of student-managed clubs. Student clubs
will provide recreational activities, information exchange, counseling, and other social services and referrals
to CT and other services. SHAPC will train 45 peer educators and reach 2,667 students with messages on
HIV prevention.
abstinence and/or being faithful: 2,667
faithful: 45
CARE INTERNATIONAL: $ 25,000
CARE will continue to support AB prevention programming through 12 local CBOs and FBOs in Hanoi,
Activity Narrative: HCMC, Quang Ninh, Can Tho, Nghe An and An Giang targeting MSM, FSW and PLHIV. CARE provides
local organizations with training on prevention outreach, behavior change communication (BCC), counseling
skills, techniques for reaching hidden MARPs, and CT referral. Under COP09 CARE will focus on
strengthening C/FBO organizational and human resource management capacities in order to reduce high
turnover in peer outreach workers, and begin preparations for phase-out of financial support for
organizations with high capacity. Additionally, CARE will review sub-grantee prevention plans and phase
out those programs not in keeping with provincial goals in an ongoing effort to align prevention activities
with provincial priorities. CARE will train 14 individuals to reach 1,600 individuals with AB prevention and
HIV referral interventions.
abstinence and/or being faithful: 1,600
faithful: 14
LOCAL PARTNERSHIP INITIATIVE (LPI): $ 90,000
VICOMC, a local NGO identified under the LPI, will continue to provide interpersonal behavior change
communication to MSM in four districts in Hanoi (Cau Giay, Long Bien and Tu Liem, with the potential
addition of Ha Dong town, in a newly incorporated area of Hanoi). With capacity development support from
Pact, VICOMC provides training and resources to two MSM self-help groups that conduct outreach to MSM
engaging in high-risk behaviors. Outreach workers engage MSM at popular meeting points to deliver
messages on partner reduction and sexual negotiation skills. Club events (singing contests and fashion
shows) deliver behavior change communication messages in an MSM-friendly environment. VICOMC also
produces a monthly MSM newsletter which provides a forum for advocacy and stigma reduction, networking
and additional BCC. Under COP09, VICOMC will train 10 outreach workers to reach 500 new MSM with AB
HIV prevention interventions.
CHP, a local NGO identified under the LPI, will continue to provide AB prevention outreach to MSM and
seafarers in Hai Phong City, with potential expansion of MSM outreach to rural areas of Hai Phong and
seafarer outreach to one additional district during COP09. Trained outreach workers provide BCC for MSM
in local hotspots and meeting places, and for seafarers on their boats. In Hai Phong city, outreach workers
also run a drop-in center for MSM to socialize, and access HIV prevention information and counseling. Pact
provides CHP with capacity building support to improve outreach and activities. CHP will train 12 peer
educators to reach 1,700 individuals with AB HIV prevention interventions.
Through the LPI, Pact will continue to support small grants partners identified under COP07 and COP08,
and identify new partnerships under COP09, to design and implement initiatives to extend proven
community-based prevention approaches to hidden and hard-to-reach at-risk populations. These initiatives
will address the diversity of individual needs among at-risk populations via an essential prevention package,
including outreach, behavior change communications, commodities, service referral, and community
mobilization. Pact will provide LPI grantees with a package of capacity-building services to ensure effective
program management and quality assurance, as well as to strengthen grantees for an ongoing and
increasingly effective role in the overall national response. Organizations and focus provinces will be
determined in consultation with USAID. Continuing COP08 and new COP09 LPI partners will train 13
outreach workers to reach approximately 1,300 individuals with AB HIV prevention interventions.
abstinence and/or being faithful: 3,500
faithful: 35
PACT DIRECT: $ 259,000
The AB programs above will be carried out with management, financial and technical support from Pact.
Pact's primary mandate is three-fold: 1) to provide an effective and transparent grant award and
administration system; 2) to provide program implementers with access to high quality technical expertise in
achieving and effectively reporting results, and organizational development capacity building services to
enhance current and future CSO engagement in the national response; and 3) to ensure effective
coordination among Pact partners, additional PEPFAR partners, and relevant government and non-
governmental initiatives. Local organizations will also receive a package of organizational development
capacity building services to build long-term sustainability and ensure active and growing engagement of
local civil society.
Under COP09, Pact will support AB interventions in all seven focus provinces using a combination of grants
and assistance to at least six non-governmental organizations, as detailed above. Pact will provide technical
assistance and ensure that grantees deliver an appropriate and targeted package of prevention services
including, but not limited to, harmonization of AB messages and BCC approaches that lead to changes in
behavior, addressing gender norms, male involvement, alcohol and drugs, and ensuring referrals to CT,
STI, addictions counseling, and HIV care and treatment services as necessary.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15308
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15308 9482.08 U.S. Agency for Pact, Inc. 7117 3102.08 Community $197,250
International REACH Vietnam
Development
9482 9482.07 U.S. Agency for Pact, Inc. 5180 3102.07 Community $325,000
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Estimated amount of funding that is planned for Human Capacity Development $1,324,000
Estimated amount of funding that is planned for Education $230,000
Table 3.3.02:
Pact will support condoms and other prevention activities via partnerships with both international and local
non-governmental organizations and their sub-partners (including community-based organizations (CBOs)
and faith-based organizations (FBOs). These activities will include condom promotion and distribution, BCC
and IEC targeting most-at-risk populations through peer-driven outreach, and STI management referral in
PEPFAR focus provinces. The primary emphasis area for these activities is gender (addressing male norms
and behaviors, increasing gender equity in HIV and AIDS programs, and reducing violence and coercion).
Specific target populations will include: at-risk youth, current and potential male clients of sex workers,
FSW, MSM, and PLHIV.
The majority of other sexual prevention funds will be used to target at-risk youth and current and potential
male clients of sex workers with BCC interventions and IEC messaging (programs initiated in FY06).
expand its FY07 pilot curriculum on sexual and reproductive health and HIV prevention for secondary
school students, incorporating age-appropriate messaging and life-skills training, to five focus provinces.
The remainder of COP09 sexual prevention funding will support both international and local partners
(awarded as part of the Local Partnerships Initiative - LPI) to implement sexual prevention interventions
targeting FSW, MSM, and PLHIV.
SCUS: $ 400,000
In order to address increasing HIV vulnerability among Vietnamese youth, SCUS will continue supporting
sexual prevention behavior change communication and condom promotion interventions targeting
vulnerable youth in four PEPFAR focus provinces, with expansion to three additional focus provinces under
COP09. SCUS outreach activities engage at-risk street youth and work undertaken in partnership with the
Ministry of Labor, Invalids and Social Affairs to reach students enrolled at vocational training schools. This
activity will minimize the spread of HIV through unprotected sex by reaching at-risk youth who exchange
sex informally and practice high-risk sex.
The program has four components: a) training of a cadre of peer educators to support youth to adopt
healthy lifestyles; b) peer outreach including BCC on condom use and negotiation, condom promotion, and
alcohol and drug avoidance; c) mid-media events and dissemination of materials; and d) referral to CT, STI,
addictions counseling/treatment services, and 50 condom outlets. This activity will also include outreach to
key gatekeepers, such as parents, teachers, business owners and law enforcement officials. Under COP09,
SCUS will train 316 peer educators to provide HIV sexual prevention and life-skills training to 38,000
individuals. SCUS will also add new program services including job counseling, emergency shelter and
transitional housing for most-at-risk youth, and awareness-raising among law enforcement and juvenile
justice officials.
Number of targeted condom service outlets: 50
behavior change other than abstinence and/or being faithful: 38,000
Number of individuals trained to promote HIV/AIDS prevention through behavior change other than
abstinence and/or being faithful: 316
SCUS will also continue to provide technical assistance to the Ministry of Education and Training (MOET) to
institutionalize a comprehensive, government-mandated curriculum on sexual health, HIV prevention, and
Life Skills training in secondary schools nationwide, with expansion of the pilot curriculum to two additional
provinces. The curriculum, which includes both intra- and extra-curricular components, is a comprehensive,
skills-based sexual health and HIV prevention course that emphasizes healthy life choices, including safer
sexual practices, partner reduction and negotiation skills.
The program provides training and support for teachers and education managers to adopt the new
curriculum, monitoring of school performance, and enhanced MOET management capacity to implement
the Action Program on Reproductive Health and HIV/AIDS Prevention Education for Secondary School
Students, 2007-2010, developed jointly by MOET and SCUS with PEPFAR support. Under COP09, SCUS
will expand targeted provinces to include Nghe An and An Giang, in addition to HCMC, Quang Ninh and
Quang Tri (COP08). The program will also place greater emphasis on interpersonal peer outreach within
schools and HIV-related stigma reduction. SCUS will train 250 individuals to reach 15,000 secondary school
students with sexual prevention interventions.
Number of targeted condom service outlets: N/A
behavior change other than abstinence and/or being faithful: 15,000
abstinence and/or being faithful: 250
Local NGO SHAPC will continue to support interventions targeting at-risk university students in Hanoi, with
program expansion to one additional university during COP09. Activities will include training of peer
educators on BCC methodologies, provision of condoms to sexually active students via condom service
outlets, peer outreach targeting at-risk university students, and establishment of student-managed clubs.
Student clubs will provide recreational activities, information exchange, counseling, other social services
and referrals to CT and related services. SHAPC will train 45 peer educators and reach 2,667 high-risk
students with HIV sexual prevention outreach.
behavior change other than abstinence and/or being faithful: 2,667
abstinence and/or being faithful: 45
Activity Narrative: PSI: $ 300,000
PSI will expand its BCC program targeting current and potential male clients of sex workers within the
seven PEPFAR focus provinces. This comprehensive program addresses male social norms regarding sex
work by promoting safe sexual practices, fidelity and partner reduction. In addition, the program increases
understanding of perceived sexual risk among men.
mobilization activities including edutainment events in entertainment establishments and universities. PSI
will continue to coordinate these activities with condom social marketing activities. Under COP09, PSI will
expand current activities to engage a greater number of individuals in existing target provinces. PSI and its
sub-partners, Provincial AIDS Committees/Centers, SCUS, and AIDS Program and Hanoi Medical
University/Consultation of Investment in Health Promotion, will train 60 outreach workers to provide other
sexual prevention outreach to a total of 68,750 individuals.
behavior change other than abstinence and/or being faithful: 68,750
abstinence and/or being faithful: 60
MdM: $ 95,000
MdM will continue to support its integrated prevention, care and support program for FSW, MSM and PLHIV
in Hanoi and HCMC via community outreach activities and out-patient clinics, with expansion to one
additional district in Hanoi during COP09. MdM addresses risk behaviors among MARPs via mobile
outreach teams that work in and near entertainment establishments (e.g., massage parlors, karaoke bars)
and other locations where at-risk populations are difficult to reach. Mobile teams provide clients with referral
cards for convenient access to services at MdM-supported clinics, including CT and STI services. MdM also
refers appropriate clients to PMTCT and addictions treatment. Under COP09, MdM will train 8 individuals to
provide HIV sexual prevention interventions to 3,630 individuals. 4 condom outlets will be supported under
this program.
Number of targeted condom service outlets: 4
behavior change other than abstinence and/or being faithful: 3,630
abstinence and/or being faithful: 8
CARE INTERNATIONAL: $ 55,000
CARE will continue to support sexual prevention programming through 12 local CBOs and FBOs in Hanoi,
HCMC, Quang Ninh, Can Tho, Nghe An and An Giang targeting MSM, FSW and PLHIV. CARE provides
organizations with high capacity. Additionally, CARE will review sub-grantee prevention plans and eliminate
those programs not in-keeping with provincial goals in an ongoing effort to align prevention activities with
provincial priorities. CARE will train 30 individuals to reach 3,400 individuals with sexual prevention
outreach and HIV referral interventions.
behavior change other than abstinence and/or being faithful: 3,400
abstinence and/or being faithful: 30
LOCAL PARTNERSHIP INITIATIVE (LPI): $ 100,000
VICOMC, a local NGO identified under the LPI, will continue to provide interpersonal BCC to MSM in four
districts in Hanoi (Cau Giay, Long Bien and Tu Liem, with the possible addition of Ha Dong town, a new
area added to Hanoi). With technical and organizational development support from Pact, VICOMC supports
two MSM self-help groups that conduct outreach to MSM at popular meeting points to deliver messages on
safe sex, partner reduction and sexual negotiation skills. Access to condoms and lubricants is also ensured
in partnership with PSI. Club events (singing contests and fashion shows) deliver BCC messages in a
comfortable environment. VICOMC also produces a monthly MSM newsletter which provides a forum for
advocacy and stigma reduction, networking and additional BCC. Under COP09, VICOMC will train 15
outreach workers to reach 1,000 new MSM with sexual HIV prevention outreach interventions.
CHP, a local NGO identified under the LPI, will continue to provide sexual prevention interventions for MSM
and high-risk seafarers in Hai Phong City, with potential MSM outreach expansion to rural areas
surrounding Hai Phong and seafarer outreach expansion to one additional district during COP09. CHP-
trained outreach workers will provide BCC and relevant commodities to MSM in local hotspots and meeting
places, and to seafarers on their boats. In Hai Phong City, outreach workers also run a drop-in center for
MSM to socialize while they access HIV prevention information, counseling, and commodities. Pact
provides CHP with capacity-building support to improve outreach and activities, as well as longer-term
institutional development. CHP will train 13 peer educators to reach 2,000 individuals with sexual HIV
prevention interventions.
Activity Narrative: Through the LPI Pact will continue to support small grants partners identified during COP07 and COP08,
and newly identified under COP09, to design and implement initiatives to extend proven community-based
prevention approaches to at-risk populations (FSWs, MSM, etc). These initiatives will address the diversity
of individual needs among at-risk populations through outreach, behavior change communication,
commodities, service referral, and community mobilization. Pact will provide LPI grantees with a package of
technical and organizational development capacity building services. Organizations and focus provinces will
be determined at a later date. Continuing COP08 and new COP09 LPI partners will train 8 outreach
workers to reach approximately 900 individuals with sexual HIV prevention interventions.
behavior change other than abstinence and/or being faithful: 3,900
abstinence and/or being faithful: 36
PACT DIRECT: $ 246,000
The sexual prevention programs mentioned above will be carried out with management, financial and
technical support from Pact. Pact's primary mandate is three-fold: 1) to provide an effective and transparent
award and administration system for provision of grants to international and local NGOs; 2) to provide
program implementers with access to high quality technical expertise in achieving and effectively reporting
results, and organizational development capacity building services to enhance current and future CSO
engagement in the national response; and 3) to ensure effective coordination among Pact sexual prevention
partners, additional PEPFAR partners, and relevant government and non-governmental initiatives. Local
organizations will also receive a package of organizational development capacity building services to build
long-term sustainability and ensure active and growing engagement of local civil society actors.
Pact will also support sexual prevention interventions in all seven focus provinces using a combination of
grants and assistance to at least 7 non-governmental organizations, as detailed above. Pact will provide
technical assistance and ensure that grantees deliver a package of prevention services including, but not
limited to, harmonization of sexual prevention messages and BCC approaches that lead to changes in
Continuing Activity: 15315
15315 5816.08 U.S. Agency for Pact, Inc. 7117 3102.08 Community $150,000
9610 5816.07 U.S. Agency for Pact, Inc. 5180 3102.07 Community $180,000
5816 5816.06 U.S. Agency for Pact, Inc. 3102 3102.06 Community $126,000
International REACH
* Reducing violence and coercion
Estimated amount of funding that is planned for Human Capacity Development $1,246,000
Table 3.3.03:
Injection safety activities will be carried out to support the implementation of the national guidelines and
national training curriculum on injection safety for nurses in PEPFAR focus provinces. The primary
emphasis area for this activity is workplace programs (collaboration with the professional Vietnam Nurses
Association). The target population is health care workers (nurses).
This activity is a follow-on to activities initially supported by PEPFAR under WHO in COP07 and integrated
into Pact's portfolio in COP08.
VNA/MOH: $ 117,199
The Vietnam Nurses Association (VNA) will continue to support the Ministry of Health (MOH) by
implementing a national training curriculum on injection safety. Master trainers, trained under COP08, will
be supported to roll out the training package to health workers in PEPFAR supported treatment sites, and
these sites will be supported to ensure that injection safety processes and practices are put in place.
PEPFAR funding will also be used to provide 25,000 Sharps containers to supported sites.
The VNA will also continue to support the National Network for Injection Safety, an information sharing and
capacity building network of government and non-government organizations. In COP09, VNA will train 525
health staff through 15 training courses.
Number of individuals trained in medical injection safety: 525
PACT DIRECT: $ 23,440
administration system; 2) to provide access to high quality technical expertise in achieving and effectively
reporting results, and organizational development capacity building services to enhance current and future
engagement in the national response; and 3) to ensure effective coordination among Pact partners,
additional PEPFAR partners, and relevant government and non-governmental initiatives.
Workplace Programs
Estimated amount of funding that is planned for Human Capacity Development $140,639
Table 3.3.05:
Pact will support activities for injecting and non-injecting drug users via both international and local
partnerships that will include peer-driven outreach targeting current and potential users, condom promotion
and distribution, and referrals to CT, STI management, HIV care/treatment, and addictions counseling and
treatment services in six PEPFAR focus provinces. The primary emphasis area for these activities is gender
(addressing male norms and behaviors, increasing gender equity in HIV and AIDS programs, and reducing
violence and coercion). Specific target populations will include injecting drug users and at-risk youth.
The majority of funding under the IDUP budget code will be used to target at-risk youth with behavior
change interventions in six focus provinces (SCUS program initiated in FY06). Additional funding will be
used to target injecting drug users and their peer networks via comprehensive prevention programs (with
referral to care and support) through international and current/TBD local partners (awarded as part of the
Local Partnerships Initiative - LPI).
SCUS: $ 550,000
To address increasing drug use and HIV vulnerability among Vietnamese youth, SCUS will continue to
support behavior change interventions targeting vulnerable youth in four PEPFAR focus provinces, with
expansion to three additional focus provinces during COP09. The SCUS program includes a special
package of services for injecting and non-injecting drug users. Programming promotes reduction of
substance use and abuse, with a focus on prevention of drug use initiation, support for cessation, and
prevention of sharing of needles and other drug use equipment. The program established a pilot halfway
house with COP08 funding for youth releasees of drug rehabilitation centers in HCMC to support addiction
counseling and social reintegration along with other integration services.
Under COP09, SCUS will train 434 peer educators to provide HIV and drug use prevention, addiction
counseling (as necessary), and life-skills training to 52,000 individuals. SCUS will also add new services
including job counseling, emergency shelter and transitional housing for most-at-risk youth, and awareness-
raising among law enforcement and juvenile justice officials.
prevention of drug use: 52,000
Number of individuals trained to promote HIV/AIDS prevention through prevention of drug use: 434
outlets (under sexual prevention), peer outreach targeting at-risk university students, and establishment of
student-managed clubs. Student clubs will provide recreational activities, information exchange, counseling,
and other social services and referrals to CT, STI, addictions counseling/treatment, and related services.
SHAPC will train 45 peer educators and will reach 2,666 high-risk students with interventions on injecting
and non-injecting drug use-related HIV prevention.
prevention of drug use: 2,666
Number of individuals trained to promote HIV/AIDS prevention through prevention of drug use: 45
MdM: $ 60,000
MdM will continue to support its integrated prevention, care and support programs for IDU in Hanoi and
HCMC via community outreach activities and out-patient clinics, with expansion to one additional district in
Hanoi during COP09. MdM addresses risk behaviors among IDUs via mobile outreach teams that work in
locations where IDUs are difficult to reach. Mobile teams provide IDUs with referral cards for convenient
access to services at MdM-supported clinics, including CT and STI services. MdM also refers appropriate
clients to PMTCT and addictions counseling, case management and treatment. Under COP09, MdM will
train four individuals to provide prevention interventions to 2,770 individuals.
prevention of drug use: 2,770
Number of individuals trained to promote HIV/AIDS prevention through prevention of drug use: 4
CARE INTERNATIONAL: $ 80,000
CARE will continue to support prevention for current and potential IDUs through twelve local CBOs and
FBOs in Hanoi, HCMC, Quang Ninh, Can Tho, Nghe An and An Giang. CARE provides local organizations
with training on prevention outreach, behavior change communication (BCC), counseling skills, techniques
for reaching hidden IDUs, and CT referral. Under COP09 CARE will focus on strengthening C/FBO
organizational and human resource management capacities in order to reduce high turnover in peer
outreach workers, and begin preparations for phase-out of financial support for organizations with high
capacity. Additionally, CARE will review sub-grantee prevention plans and eliminate those programs not in-
keeping with provincial goals in an ongoing effort to align prevention activities with provincial priorities.
CARE will train 44 individuals to reach 5,000 individuals with prevention and referral interventions.
prevention of drug use: 5,000
Number of individuals trained to promote HIV/AIDS prevention through prevention of drug use: 44
Activity Narrative: The Pro-Poor Center (PPC), a local NGO identified under the LPI, was supported to assess the knowledge,
attitudes, practices and needs related to HIV risk and prevention among IDUs in one district in Nghe An
province and to design a program that responds to the needs identified. Under COP09, PPC will build on
COP08 implementation of this tailored IDU intervention by expanding it to one additional district in Nghe An.
PPC will train 20 peer outreach workers to reach 800 IDUs with prevention interventions.
Through the Local Partners Initiative (LPI) Pact will continue to support small grants partners identified
during COP07 and COP08, and newly identified under COP09, to design and implement initiatives to
extend proven community-based prevention approaches for IDUs. These initiatives will address the diversity
of individual needs among IDUs and potential drug users through outreach, behavior change
communication, commodities, service referral, and community mobilization. Pact will provide LPI grantees
with a package of capacity-building services to ensure effective program management, monitoring and
reporting. Organizations and focus provinces will be determined at a later date. Continuing COP08 and new
COP09 LPI partners will train approximately 43 peer outreach workers to reach approximately 1,700
individuals with prevention interventions.
prevention of drug use: 2,500
Number of individuals trained to promote HIV/AIDS prevention through prevention of drug use: 63
PACT DIRECT: $ 168,000
The above prevention programs will be carried out with management, financial and technical support from
Pact. Pact's primary mandate is three-fold: 1) to provide an effective and transparent award and
administration system for provision of grants to international and local NGOs; 2) to provide program
implementers with access to high quality technical expertise in achieving and effectively reporting results,
and organizational development capacity building services to enhance current and future CSO engagement
in the national response; and 3) to ensure effective coordination among Pact prevention partners, additional
PEPFAR partners, and relevant government and non-governmental initiatives. Local organizations will also
receive a package of organizational development capacity building services to build long-term sustainability
and ensure active and growing engagement of local civil society actors.
Under COP09, Pact will support prevention among injecting and non-injecting drug user interventions in six
focus provinces using a combination of grants and assistance to at least five non-governmental
organizations, as detailed above. Pact will provide technical assistance and ensure that grantees deliver a
package of prevention services including, but not limited to, harmonization of injecting drug use HIV
prevention messages and BCC approaches that lead to changes in behavior, addressing gender norms,
alcohol and drugs, and ensuring referrals to CT, STI, addictions counseling and treatment, and HIV care
and treatment services as necessary.
Estimated amount of funding that is planned for Human Capacity Development $1,008,000
Table 3.3.06:
Activities aimed at extending and optimizing quality of life for HIV-infected clients and their families
throughout the continuum of illness, through provision of clinical, psychological, spiritual, social and
prevention services, will be carried out via both international and local partnerships (including CBOs and
FBOs) in all seven PEPFAR focus provinces. Key emphasis areas include gender (increasing gender equity
in HIV and AIDS programs, and increasing women's access to income and productive resources) and
health-related wraparounds (safe motherhood - linkage to PMTCT). Specific target populations will include
HIV-infected adults (>14) and their families.
The majority of adult care and support funds will be used for continuing activities aimed at strengthening the
continuum of care and support services to PLHIV at the community level in all seven PEPFAR focus
provinces. Funds will also be used to support clinical care and support at comprehensive care clinics in Hai
Phong, Quang Ninh, Hanoi, HCMC, and two OPCs in TBD LIFE-GAP provinces.
Adult care and support programs will be carried out via a combination of international and local
organizations with management, financial and technical support from Pact. Pact's primary mandate is three-
fold: 1) to provide an effective and transparent award and administration system for provision of grants to
international and local NGOs; 2) to provide program implementers with access to high quality technical
expertise in achieving and effectively reporting results, and organizational development capacity building
services to enhance current and future CSO engagement in the national response; and 3) to ensure
effective coordination among adult care and support partners, additional PEPFAR partners, and relevant
government and non-governmental initiatives.
Pact will support adult care and support interventions in all provinces receiving PEPFAR comprehensive
support using a combination of grants and assistance to at least 11 non-governmental organizations
(including three FBOs). Pact will collaborate with prime international partners including the AIDS Healthcare
Foundation (AHF), CARE International (CARE), Médecins du Monde (MdM), and World Vision (WV), and
local partners including the Center for Community Health and Development (COHED), Mai Hoa Center
(MHC), Pastoral Care (PC), STI/HIV/AIDS Prevention Center (SHAPC), and existing partners identified
under the Local Partnerships Initiative. Pact will provide technical assistance and ensure that grantees
deliver an appropriate and targeted minimum package of care and support services, in line with the
PEPFAR Vietnam 5-Year Strategy, the National Palliative Care Guidelines and OGAC Guidance. Local
long-term sustainability and ensure active engagement of local civil society.
1) MdM will continue to provide comprehensive clinical and community-based care and support to
vulnerable populations at three existing sites in Hanoi and HCMC, with one additional OPC added in Hanoi
during COP09. MdM will provide prevention counseling and commodities, clinical evaluation and monitoring,
prophylaxis and treatment of common OIs, screening for TB, related laboratory services, treatment
adherence support, referral of complex OIs and TB for treatment, symptom management and pain relief,
and management of AIDS-related complications. MdM will also provide hospital and transport fees for those
in need, as well as nutrition and food support for malnourished adult ART patients and income generation
activities. New for COP09, MdM will expand coverage to one additional OPC in Hanoi while preparing the
District 6 HCMC OPC for handover to the Provincial AIDS Center of HCMC. Under COP09, MdM will train
60 individuals and provide comprehensive care and support to 5,500 PLHIV and family members.
2) Initiated under COP08, AHF will continue to provide clinical care and support at 2 OPCs in Hai Phong
and Quang Ninh, support PLWHA both in the community and the near by 06 centers. with additional support
to two new OPCs under COP09 (provinces TBD). Under COP09, AHF will expand support to two additional
OPCs in Thai Binh and one TBD province. AHF will train 25 individuals and provide 1,350 individuals with
comprehensive care and support.
3) Pastoral Care (PC) will continue to provide clinical and community-based care and support via three
clinics and one adult shelter in HCMC. New for COP09, PC will link PEPFAR-supported services with
existing PC social reintegration programs including vocational training and job placement. PC will train 30
individuals to provide 400 individuals with comprehensive care and support.
4) Mai Hoa Center (MHC) will continue to provide comprehensive end-of-life care and residence for ART
patients who have recovered significantly, yet remain homeless or orphaned. Under COP09, MHC will
provide 35 individuals with comprehensive care and support.
5) CARE will continue to support CBO/FBO partners to provide community-based care and support in five
PEPFAR focus provinces. CARE community/home-based ARV adherence and literacy activities support
PLHIV receiving treatment at PEPFAR-supported OPCs. Under COP09 CARE will focus on strengthening
C/FBO organizational and human resource management capacities in order to reduce high turnover in peer
service providers, and begin preparations for phase-out of financial support for organizations with high
capacity. Under COP09, CARE will train 300 individuals and provide care and support to 3,750 PLHIV and
family members.
6) Under COP09, WV will continue to provide community-based care and support services for PLHIV in
three districts in HCMC and two districts in Hai Phong, with potential expansion of coverage of existing
home-based care teams to additional communes. World Vision will continue to strengthen the capacity of
the HBC teams with training on care provision, ARV adherence, OI treatment, psychosocial and spiritual
support, and life skills training. World Vision will continue to partner with the Women's Union in targeted
districts to support micro credit schemes for PLHIV. WV will provide comprehensive community-based care
and support to 1660 PLHIV and family members.
Activity Narrative: 7) COHED will continue to provide community-based care and support to women living with HIV in Quang
Ninh via support to the "Cactus Flower Club". The club provides a range of services on site and through
community outreach and HBC. COHED will continue to strengthen relationships and referral links with the
provincial level OPC to recruit new beneficiaries for palliative care services. COHED will also strengthen
the capacity of women to care for themselves and their families through economic strengthening activities,
including income generation and job creation. Under COP09, COHED will train 35 individuals and provide
1400 PLHIV and family members with comprehensive care and support.
8) Local Partnerships Initiative (LPI) NGOs including the Center for Community Health Promotion (CHP),
CESVI, and Health and Environment Service Development Investment (HESDI) will continue to provide
community-based care and support in Nghe An (CHP), Hai Phong (CESVI), and Quang Ninh (HESDI). Pact
will continue to provide organizational and development capacity building services to enhance LPI partner
engagement in the national response. LPI partners will provide community-based care and support to a
minimum of 2,300 PLHIV and family members and train 210 individuals under COP09.
9) SHAPC will continue to provide HBC for clients of the Bach Mai OPC for PLHIV in Hai Ba Trung and
Dong Da districts and surrounding areas in Hanoi. Under COP09, SHAPC will train 30 individuals and
provide comprehensive care and support to 700 PLHIV and family members.
Continuing Activity: 16062
* Increasing women's access to income and productive resources
* TB
Table 3.3.08:
Treatment activities will be carried out as part of continuum of care services aimed at extending and
optimizing the quality of life for HIV-infected clients and their families. The key emphasis area for these
activities is gender (increasing gender equity in HIV and AIDS programs). The specific target populations is
HIV-infected adults (>14).
The majority of adult treatment funds will support Médecins du Monde (MDM) to provide ART as part of its
integrated prevention, care and support program in Hanoi and HCMC. COP09 funds will also support
provision of ART at OPCs supported by AIDS Healthcare Foundation (AHF) in four provinces (Hai Phong,
Quang Ninh and TBD), and ART for marginalized and homeless individuals at the Mai Hoa Center (a local
FBO) in Ho Chi Minh City.
Adult Treatment programs will be carried out via a combination of international and local organizations with
an effective and transparent award and administration system for provision of grants to international and
local NGOs; 2) to provide program implementers with access to high quality technical expertise in achieving
and effectively reporting results, and organizational development capacity building services to enhance
current and future civil society organization (CSO) engagement in the national response; and 3) to ensure
effective coordination among adult treatment partners, additional PEPFAR partners, and relevant
government and non-governmental initiatives. Pact will provide local organization Mai Hoa Center with a
ensure program efficacy.
1. MdM will continue to provide ART at one current OPC in Tay Ho (Hanoi) and two OPCs in Districts 6 and
9 (HCMC), with expansion of treatment services to one new OPC in Hanoi under COP09. MdM will train 10
individuals and will provide 2,050 individuals with ART under COP09.
2. AHF will continue to provide ART at two current OPCs; Thuy Nguyen district (Hai Phong) and Hoanh Bo
district (Quang Ninh), serving PLHIV in the community and nearby 06 centers, with expansion to two
additional provinces under COP09. AHF will provide 700 individuals with ART under COP09. In Hoanh Bo,
AHF will continue to provide ART to residents of Quang Ninh's 06 (drug rehabilitation) center in order to
support continuum of care and treatment for those who are institutionalized.
3. Under COP09, Mai Hoa Center will continue to provide ART to adult residents at its OPC in HCMC. MHC
will provide 35 individuals with ART.
Continuing Activity: 15335
15335 5834.08 U.S. Agency for Pact, Inc. 7117 3102.08 Community $561,100
9396 5834.07 U.S. Agency for Pact, Inc. 5180 3102.07 Community $578,500
5834 5834.06 U.S. Agency for Pact, Inc. 3102 3102.06 Community $171,000
Table 3.3.09:
All health facility-based pediatric care and support is aimed at extending and optimizing quality of life for
pediatric HIV-infected clients and their families throughout the continuum of illness, through provision of
clinical, psychological, spiritual, social and prevention services. Key emphasis areas include gender
(increasing equitable access to HIV and AIDS services). The specific target population is HIV-infected
children (<14).
The majority of pediatric care and support funds will support one international organization (Worldwide
Orphans Foundation) to provide comprehensive clinical care as part of its integrated treatment, care and
support program for institutionalized orphans in Hanoi and Vung Tau. COP09 funds will also support
provision of pediatric clinical care at Médecins du Monde (MdM) OPCs in HCMC, and clinical care for
children at the Mai Hoa Center (a local FBO). Finally, funds will also support AIDS Healthcare Foundation
(AHF) OPCs in Hai Phong, and one province TBD to provide clinical care for children.
Pediatric care and support programs will be carried out via a combination of international and local
effective coordination among pediatric care and support partners, additional PEPFAR partners, and relevant
government and non-governmental initiatives. Local organization Mai Hoa Center will also receive a
ensure active engagement of local civil society.
1) WWO will continue to provide comprehensive clinical care and support to children living in three
residential orphan care centers (Tam Binh 2 Orphanage in HCMC, Ba Vi Social Training Center 2 in Hanoi,
and Vung Tau Orphanage in Vung Tau). Facility-based pediatric care activities will include support for
regular clinical evaluation and monitoring, screening for TB, referral to related laboratory services, treatment
adherence support, symptom management and pain relief, and management of HIV and AIDS-related
complications. WWO will also provide psychosocial services to lessen the developmental and psychological
effects of HIV as well as the effects of institutional care, while reducing stigma and discrimination and
encouraging the integration of these children into the community (see OVC section for community-based
linkages). WWO will provide 220 children with facility-based care and support.
2) MdM will continue to support two OPCs in Districts 6 and 9 HCMC in COP09. MdM uses a unique
combination of facility-based pediatric care services linked with home-based OVC care and support via
outreach teams. Under COP09 MdM will train 8 individuals and provide care and support services to 60
children.
3) Mai Hoa Center (MHC) will continue to provide comprehensive end-of-life care and residence for ART
provide 15 children with comprehensive care and support.
4) Initiated during COP08, AHF will continue provision of clinical care and support at one OPC in Hai
Phong, with additional support to one new OPC under COP09 (province TBD). AHF will train 5 individuals
and provide 20 children with facility-based care and support.
* Child Survival Activities
Program Budget Code: 11 - PDTX Treatment: Pediatric Treatment
Total Planned Funding for Program Budget Code: $1,166,782
Total Planned Funding for Program Budget Code: $0
Table 3.3.11:
Pediatric treatment activities will be carried in partnership with international and local organizations
(including one FBO) out as part of a continuum of care of services aimed at extending and optimizing quality
of life for HIV-infected children and their families. The key emphasis area for these activities is gender
(increasing gender equity in HIV and AIDS programs). The specific target population is HIV-infected
The majority of pediatric treatment funds will support one international organization (Worldwide Orphans
Foundation) to provide ART as part of its integrated treatment, care and support program for
institutionalized OVC in Hanoi, HCMC and Vung Tau. FY09 funds will also support provision of pediatric
ART at two Médecins du Monde (MdM) OPCs in HCMC, and ART for children at the Mai Hoa Center (a
local FBO). Funds will also support AIDS Healthcare Foundation (AHF) OPCs in Hai Phong, and one
province TBD.
Pediatric treatment programs will be carried out with management, financial and technical support from
in the national response; and 3) to ensure effective coordination among pediatric treatment partners,
additional PEPFAR partners, and relevant government and non-governmental initiatives. Pact will
specifically provide local organization Mai Hoa Center with a package of organizational development
capacity building services to build long-term sustainability and program efficacy.
1) Worldwide Orphans Foundation (WWO) will continue to provide ART for children at three orphanages:
Tam Binh 2 Orphanage in HCMC, Ba Vi Social Training Center 2 in Hanoi, and Vung Tau Orphanage in
Vung Tau. WWO will provide treatment to 200 children in FY09.
2) MdM will continue to provide ART to children at its clinics in District 6 and 9 in HCMC. In FY09, MdM will
train 4 individuals and provide treatment to 35 children.
3) The Mai Hoa Center will continue to provide ART to child residents at their residential support center in
HCMC. In FY09 the Mai Hoa Center will provide 15 children with ART.
4) AHF will continue to provide ART to child residents at its OPC in Hai Phong. AHF will expand services to
one TBD CDC/LIFE-GAP province in COP09. AHF will provide 14 children with ART.
1) COP 09 narrative
Pact-supported activities seek to optimize the quality of life for OVC, their caregivers and their families
through a comprehensive package of clinical, psychological, spiritual, social and prevention services carried
out via both international and local partnerships (including Vietnamese NGOs, CBOs and FBOs) in all seven
PEPFAR focus provinces. The key emphasis area is gender (increasing gender equity in HIV and AIDS
programs). Specific target populations include OVC (children 0-18 years) and OVC caregivers.
The majority of OVC care funds will be used for continuing activities aimed at strengthening the continuum
of care and support services for OVC and their families through the implementation of home- and
community-based care. The remainder of funds will be used to support institutional care for OVC integrated
with community components, including reintegration of institutionalized OVC into communities and
prevention of abandonment.
OVC programs will be carried out via a combination of international and local organizations with
current and future CSO engagement in the national response; and 3) to ensure effective coordination
among OVC partners, additional PEPFAR partners, and relevant government and non-governmental
initiatives.
Pact will support OVC programs in all seven focus provinces using a combination of grants and assistance
to at least 14 non-governmental organizations (including three FBOs). Pact will collaborate with prime
international partners including CARE International, Catholic Relief Services (CRS), Doctors of the World
(DOW), Médecins du Monde France (MdM), World Vision (WV) and Worldwide Orphans Foundation
(WWO), and local partners including the Center for Community Health and Development (COHED),
Pastoral Care (PC), STI/HIV/AIDS Prevention Center (SHAPC), and partners identified under the Local
Partnerships Initiative. Pact will provide technical assistance and ensure that grantees deliver an
appropriate and targeted minimum package of OVC services, in line with PEPFAR Vietnam guidance. Local
long-term sustainability and ensure active and growing engagement of local civil society.
1) Worldwide Orphans Foundation will continue to provide psychosocial support, and educational and social
activities to meet the developmental needs of OVC residing in and/or reintegrating to the community from
three residential facilities for HIV positive and affected children in the provinces of Ha Tay, HCMC, and Ba
Ria-Vung Tau. Support activities will be linked to pediatric treatment, care and support at the facilities. In
COP09, WWO will continue to support the "Hieu Roi Thuong" (Understanding Brings Compassion)
socialization program, which matches community volunteers with residents to interact through play and
reading activities as well as weekend excursions. WWO will also support children to attend schooling (both
on-site, and in some cases off-site via integration with local public schools). WWO will expand community
stigma reduction activities to advance efforts to reintegrate children into local schools. WWO will train 120
providers/caregivers to provide support to 155 OVC.
2) DOW will continue to support two counseling and day-care centers with expansion to one new district site
in Hanoi. DOW will maintain its network of referral services to OPCs, and will continue case management
training and efforts to institutionalize case management. In COP09, DOW will increase its efforts to create
an enabling environment for foster care placements for OVC through a symposium on OVC foster care.
DOW will train 105 providers/caregivers to provide services to 450 OVC.
3) MdM will continue to provide quality care and support services to OVC and their family members via a
unique community-based model in Districts 6 and 9 of HCMC and Tay Ho district of Hanoi. In addition to
facility-based services at its three OPCs (see Pediatric Care), MdM will provide community and home-based
care via outreach teams within OPC districts. In COP09, the program will expand to one more district in
Hanoi. MdM will train 250 providers/caregivers to provide services to 900 OVC.
4) In COP09, Pact partner(s) TBD will support the establishment of two drop-in centers (DIC), one in Hanoi
and one in HCMC, to provide OVC support services to families traveling from afar to access care at
PEPFAR-supported clinical service sites. Services at each DIC will include temporary residence, food and
nutritional support for poor clients, and referral to available psychosocial and support services. DICs will be
located closest to high-volume clinical care sites (or between such sites) for easiest access. TBD partner(s)
will train 10 individuals to provide support to 800 OVC and their families. This is a new activity.
5) Pastoral Care will continue to provide services to OVC and their families in HCMC at the Mai Tam Shelter
in addition to home-based care via outreach teams. Pastoral Care provides the full range of OVC services
under PEPFAR guidance, with the addition of temporary shelter for abandoned women and children at the
Mai Tam Shelter. In COP09, Pastoral Care will maintain all of its activities while increasing its vocational
training program to provide capacity building and linkages to jobs for OVC caregivers. The program will train
30 providers/caregivers to provide services to 300 OVC.
6) World Vision will continue to provide home- and community-based care and support services to OVC and
their families in three districts of HCMC and two in Hai Phong, potentially expanding coverage to additional
communes. WV will continue to provide its home-care teams with training related to critical OVC services
and referral to OPC services. In addition, OVC community support groups will continue to provide
socialization events for OVC in targeted communities. In COP09, WV will train 300 providers/caregivers to
Activity Narrative: provide support to 1,150 OVC.
7) Local Partnerships Initiative (LPI) NGOs/CBOs including the Center for Community Health Promotion
(CHP), CESVI, and Health and Environment Service Development Investment (HESDI) will continue to
provide home- and community-based care and support for OVC in Nghe An (CHP), Hai Phong (CESVI),
and Quang Ninh (HESDI). Pact will continue to support these small grants partners identified under COP07,
and will identify new LPI partners under COP09. Pact will ensure that local partners receive a package of
organizational development capacity building services to build long-term sustainability and ensure effective
program management and monitoring. In COP09, LPI partners will train 174 providers/caregivers to provide
services to a minimum of 765 OVC.
8) CARE will continue to support CBO/FBO partners to provide home- and community-based OVC care and
support in three PEPFAR focus provinces. CARE partners support OVC and their families through the
provision of the PEPFAR comprehensive package of services. In COP09, CARE will work to improve
capacity amongst its CBO partners and expand coverage to within three focus provinces. In addition, CARE
will support stigma reduction and vocational training initiatives to support OVC and their caregivers. Under
COP09 CARE will focus on strengthening C/FBO organizational and human resource management
capacities in order to reduce high turnover in peer service providers, and begin preparations for phase-out
of financial support for organizations with high capacity. CARE plans to provide services to 900 OVC and
provide training to 70 providers/caregivers.
9) CRS will continue to maintain its OVC network to ensure a full package of care and support services for
OVC in HCMC. Working in partnership with WWO, the OVC network links OVC and their families to
necessary services such as medical care, social and psychological support, vocational training and
educational support. In COP09, CRS will train 120 providers/caregivers to provide services to 250 OVC.
10) SCUS will implement a new project in FY09 to support grandparents who find themselves in the role of
primary caregiver for their OVC grandchildren. It responds to the PEPFAR-supported qualitative OVC
assessment undertaken by SCUS, which found that a significant proportion of OVC are cared for by
grandparents, and that grandparents find themselves in particularly challenged circumstances with regard to
OVC care and support. The project will improve childcare knowledge/skills and increase access to social
support. It will be implemented in three districts of Hai Phong and two to three districts of An Giang, and will
train 300 providers/caregivers (primarily grandparents) to provide services to 400 OVC.
11) COHED will continue to expand and strengthen its care and support services to OVC in Hanoi and
Quang Ninh. COHED's Hanoi program includes a drop-in center that provides services for abandoned
children linked with clinical and outreach services provided by the MdM Tay Ho OPC. In Quang Ninh,
COHED home-based care teams provide a full range of services including psychological support, referral
services, and basic care while strengthening the capacity of family caregivers to care for OVC in the home
through economic support and training on child care. In COP09, COHED will train 50 providers/caregivers
to provide services to 450 OVC.
12) SHAPC will continue to train and support home-based care teams to provide services to OVC and their
families in two districts in Hanoi (Hai Ba Trung and Dong Da), and surrounding areas. SHAPC will continue
to provide training to home-care teams responsible for delivering nutritional, economic, educational and
health-related support to OVC. In COP09, SHAPC will maintain its program and train 25
providers/caregivers to provide support to 100 OVC.
Continuing Activity: 15326
15326 5449.08 U.S. Agency for Pact, Inc. 7117 3102.08 Community $150,000
9540 5449.07 U.S. Agency for Pact, Inc. 5180 3102.07 Community $60,000
5449 5449.06 U.S. Agency for Pact, Inc. 3102 3102.06 Community $40,000
Table 3.3.13:
Activities in this area will support efforts to increase the scale, quality and effectiveness of both patient and
provider-initiated counseling and testing (CT) at Médecins du Monde (MdM) sites in Hanoi and HCMC. The
program includes activities to increase the availability and quality of CT services as part of a comprehensive
prevention, care and treatment package. While open to the general public, specific target populations
include MSM, IDU, FSW and sexual partners of MARPs.
MdM: $ 160,000
MdM will continue to provide CT and other critical HIV services through three OPCs located in Districts 6
and 9 of HCMC and Tay Ho District of Hanoi. MdM uses mobile outreach teams including peer educators to
access hidden MARPs and refer them to client-friendly CT services at its OPCs. Clients are also referred to
CT services via home-based care teams and often by word of mouth. New for COP09, MdM will expand to
one additional site in Hanoi. MdM will train 14 people to provide CT services to 4,300 individuals.
Number of service outlets providing counseling and testing according to national and international
standards: 4
Number of individuals who received counseling and testing for HIV and received their test results (excluding
TB): 4,300
PACT DIRECT: $ 32,000
CT services will be carried out with management, financial and technical support from Pact. Pact's primary
mandate is three-fold: 1) to provide an effective and transparent award and administration system; 2) to
provide MdM with access to high quality technical expertise in achieving and effectively reporting results;
and 3) to ensure effective coordination between MdM, additional PEPFAR partners, and relevant
Continuing Activity: 16269
16269 16269.08 U.S. Agency for Pact, Inc. 7117 3102.08 Community $39,000
Estimated amount of funding that is planned for Human Capacity Development $192,000
Table 3.3.14:
This is a new activity for FY09.
Human Capacity Development (HCD) activities are a major focus of COP09 and PEPFAR Vietnam will
continue to build a culture of data use where partners and their associated programs continue to be
evidence-based, focused and sustainable. In collaboration with PEPFAR SI team, the funds will be used to
support series of M&E training workshops for PACT and PACT sub-partners on PEPFAR reporting
requirements including indicators and tools for data collection, quality assurance and quality improvement,
data analysis and feedback loops for programs. In addition, the funds will partially support PACT in
contracting consultants (locally and internationally) to provide technical assistance on M&E activities.
Furthermore, since PACT is a key PEPFAR partner in prevention, care and treatment activities, it is critical
for PACT to staff-up and develop an SI team to provide direct assistance to improving strategic information
available on their programs and become an active member of the National M&E technical working group
and an extension of the national PEPFAR supported SI Team, this funds will be also partially used to
support this.
Table 3.3.17:
effectiveness of both government and civil society HIV interventions in Vietnam. Health systems
strengthening activities will be carried out via both international and local partnerships to promote HIV
stigma reduction in all seven PEPFAR focus provinces and to enhance the participation and regulation of
private sector. The key emphasis area for this activity is workplace programs (encouraging private sector
and national association engagement). Specific target populations will include: provincial policy makers,
community leaders, PLHIV, PEPFAR implementers across the prevention to care continuum, local civil
society organizations (CSOs), and private health care providers.
The majority of health system strengthening funding will be used to support appropriate integration of HIV
stigma reduction strategies across the PEPFAR program. Additionally, funds will be used to support private
sector participation in the HIV response via dissemination of technical guidance on key issues to private
providers and training workshops on international best practices in private sector involvement in the HIV
response. Pact will engage in a range of organizational development capacity building activities for local
CSOs active across program areas.
Health systems strengthening programs will be carried out via a combination of international and local
effective coordination among Pact partners, additional PEPFAR partners, and relevant government and non
-governmental initiatives.
In FY09, Pact will support health systems strengthening interventions in all seven focus provinces using a
combination of grants and assistance to prime international partners including Pathfinder International and
the International Center for Research on Women (ICRW), and local partner Institute for Social Development
Studies (ISDS). Pact will promote effective coordination between Pact health systems strengthening
initiatives and relevant programs implemented by other partners across the continuum of prevention, care,
and treatment.
ISDS/ICRW: $ 247,725
Building on COP08, local NGO and INGO partnership ISDS/ICRW will continue supporting implementation
of PEPFAR's strategy developed under COP08. ISDS/ICRW will support PEPFAR partner organizations to
implement their stigma-reduction action plans through staff training and targeted technical assistance and
follow up, the balance of which will be determined based on the outcomes of an assessment undertaken in
COP08. Technical support and trainings are likely to focus on stigma reduction in communities, schools,
and through community/home-based care, and to cover both HIV and IDU-stigma. ISDS/ICRW will also
monitor and document stigma reduction activity integration among PEPFAR partners and provide feedback
to the USG team and partners to ensure best practices are put to use effectively. Specifically, ISDS/ICRW
will provide:
Support to PEPFAR partners trained under COP08 funding and monitoring of implementation of strategy:
ISDS/ICRW will provide ongoing support and follow-up to PEPFAR partner organizations for implementation
of the stigma-reduction action plans developed at the training to be provided at the end of the COP08
implementation year, after the strategy being developed under COP08 has been developed, vetted and
finalized. The partnership envisions working with eight PEPFAR partners under COP09, with a focus on
community/home-based care implementers receiving TOT in 2008 and including MOET, as described
below.
Support to MOET to implement stigma-reduction in primary and secondary schools:
Although a legal framework is in place to protect children infected and affected by HIV, MOET and schools
do not know how to go about implementing the framework, particularly in the face of resistance from parents
and the broader community. Building on previous work, ISDS/ICRW will support MOET to begin building
the capacity to roll-out stigma-reduction in primary schools. ISDS/ICRW will train select MOET
representatives (2-4 each) from each of the 7 PEPFAR focal provinces (14-28 total) to be that province's
master trainers and point persons for working with primary schools to integrate stigma-reduction into the
curriculum. ISDS/ICRW will also provide follow-on support to these focal persons as they train principals
and teachers within their districts and develop a tool for teachers to use with parents. In addition,
ISDS/ICRW will provide technical assistance to enhance application of state-of-the-art stigma reduction
strategies in the context of HIV prevention education at the secondary school level, in close partnership with
SCUS through its PEPFAR supported program with MOET.
Support for roll-out and integration of IDU-stigma reduction:
With support from COP08 funding, ISDS/ICRW has developed two new sets of tools for use in tackling IDU-
stigma: new interactive and participatory toolkit exercises on IDU-stigma and a fact-sheet on drug
addiction, HIV and stigma. Also, has printed and distributed 3,000 copies of the fact-sheet on drug
addiction. Through trainings for HBC organizations, additional needs are anticipated. As such, ICRW/ISDS
will print an additional 3,000 copies for further dissemination in COP09. In addition, in COP09, based on the
recommendations and results of field test of IDU-stigma toolkit exercises, ISDS/ICRW will finalize, print and
disseminate the ISU-stigma toolkit to support the further integration and roll-out of IDU-stigma reduction,
alongside HIV-stigma.
Progress monitoring of stigma-reduction strategy roll-out:
ISDS/ICRW will document and monitor the progress of PEPFAR partners in integrating and rolling out
stigma reduction and the overall progress of the roll-out of the stigma-reduction strategy. Specifically,
ISDS/ICRW will facilitate learning across partners and ensure best practices are available for replication
and scale-up. Also, will document and monitor the progress through self-administered electronic
Activity Narrative: questionnaires (paper and mail where necessary), site visits and potentially 3-4 in-depth case studies of
programs. The case studies will include a case study of how the hospital monitoring tools developed under
COP07/08 funding have been used.
PATHFINDER INTERNATIONAL: $ 95,625
Building on policy and systems strengthening activities in COP07-08, Pathfinder will continue to support
more effective and strategic engagement of the private health sector in the HIV response in Vietnam.
Building on its collaboration with Atlantic Philanthropies to build the capacity of Professional Medical
Associations (PMAs) to serve as technical and advocacy resources for the private sector, Pathfinder will
leverage COP09 funds to support selected PMA partners to develop and disseminate technical guidance on
essential HIV-related topics to their members. Topics may include Standard Precautions, CT, PMTCT,
Myths and Truths about Substance Abuse, and related topics. Pathfinder will provide training for HIV-related
institutional capacity building to 12 individuals through 4 local organizations (PMAs).
Pathfinder will also continue to coordinate the dissemination of international best practices in private sector
responses to HIV, facilitating two related workshops in COP09. The objective of the seminar series is to
create, support and promote understanding of policy-level priorities key to maximizing the benefits of the
private sector's role in the response. Best practices workshops will provide HIV-related policy development
training to 20 local organizations and 60 individuals.
PACT DIRECT: $ 70,400
Pact will continue to conduct collaborative organizational capacity assessments, facilitate institutional
strengthening plan development, and support institutional strengthening interventions for local civil society
partners engaged in Pact-supported program implementation across all program areas. Support will focus
on building the leadership, management, strategic planning, operational, financial, technical and, monitoring
and evaluation capacity of each institution and the skills of key individuals within them, with the objective of
enhancing the current and potential civil society response to HIV/AIDS in Vietnam. Support will be provided
via trainings, one-on-one coaching and mentoring, and targeted technical assistance. Local capacity
building service providers will be engaged in providing support with Pact guidance. Approximately 80
individuals in 16 local CSO partner organizations - including Vietnamese NGOs, CBOs, and FBOs -- will
receive HIV-related institutional capacity building under the Pact program.
Number of local organizations provided with technical assistance for HIV-related policy development: 20
Number of local organizations provided with technical assistance for HIV-related institutional capacity
building: 20
Number of individuals trained in HIV-related policy development: 60
Number of individuals trained in HIV-related institutional capacity building: 92
Number of individuals trained in HIV-related stigma and discrimination reduction: 120
Continuing Activity: 15338
15338 5785.08 U.S. Agency for Pact, Inc. 7117 3102.08 Community $133,000
9530 5785.07 U.S. Agency for Pact, Inc. 5180 3102.07 Community $131,036
5785 5785.06 U.S. Agency for Pact, Inc. 3102 3102.06 Community $110,000
Table 3.3.18:
