Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 7346
Country/Region: Vietnam
Year: 2011
Main Partner: Program for Appropriate Technology in Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $400,000

Recognizing the importance of the private sector in the provision of health services in Vietnam, since 2007, PATH has been implementing a program to increase access to existing TB and HIV case detection, treatment, and prevention services by leveraging the capacity of the private sector, specifically pharmacies and private clinics. These activities are strengthening linkages between private pharmacies and other providers of TB and HIV services and developing and testing models to improve the effectiveness of private clinicians' participation in TB and HIV control and treatment efforts. PATH strengthened the capacity of pharmacists and pharmacy staff from three districts in Hai Phong city to deliver high-quality TB- and HIV-related information, services, and referrals. This included activities such as orientation meetings, private-public mix meetings, training for private pharmacy staff on referral models and interpersonal communication, visits for pharmacy staff to DOT centers, and the establishment of referral and supportive supervision systems. In Vietnam GFTAM TB Round9, PATH is major partner of the National TB Program to implement PPM in various provinces. Building on the work currently underway with PEPFAR program, for FY09, PATH proposes to sustain the existing pharmacy and private clinic activities in Hai Phong and, with additional $400,000, begin pilot implementation of these activities in Ho Chi Minh City, Nghe An, and Can Tho which are areas with high burden of TB. These are provinces in different regions of Vietnam that the PPM will need to be adapted for lessons learned and further expansion under GFTAM Round 9 TB funding.

Funding for Care: TB/HIV (HVTB): $400,000

This is a continuing activity focusing on using a public-private mix (PPM) model to increase case detection of TB patients in four high HIV burden provinces which are receiving intensive support from PEPFAR/Vietnam.

PATH will continue to implement PPM activities in four provinces: Hai Phong, Nghe An, HCMC and Can Tho. Experiences and lessons learned are guiding the way for the expansion of PPM activities in country. PATH is a close collaborator of the NTP and is a sub-recipient to the Round 9 GFATM grant for scaling-up PPM to other areas in the country based on the experiences and lessons learned in these 4 provinces.

In order to conduct this activity, PATH will:

Map private providers in participating districts in each province to determine providers' location, proximity to provincial and district TB hospitals and primary care clinics and volume of clients.

Conduct coordination meetings with the PHD, Medical Associations, Pharmacy Associations, HIV Programs and other key stakeholders to organize Provincial PPM Working Groups.

Develop the referral model and recording and reporting tools and define roles and responsibilities of staff in the public and private sectors.

Develop an enhanced training curriculum to train PPM Working group members and develop an action plan for implementing PPM activities.

Monitor the implementation of the work plan and adjusted the plan if needed.

Develop an SOP for PPM implementation and scale-up with the aim of assisting other provinces in initiating and/or strengthening PPM in their settings based on lessons learned in four provinces.

Cross Cutting Budget Categories and Known Amounts Total: $28,150
Food and Nutrition: Policy, Tools, and Service Delivery $23,830
Human Resources for Health $4,320
Key Issues Identified in Mechanism
Military Populations
Tuberculosis