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: 2010 2011 2012 2013 2014 2015 2016 2017 2018
/ Continue to support high quality clinical care and support services in 30 LIFE-GAP supported adult HIV outpatient clinics in 20 provinces, along with an effort of integration of HIV outpatient services into existing health care system in order to reduce cost norms and promote sustainability
/ Ensure non-ARV medications to be supplied to all PEPFAR supported sites in 20 provinces
/ Maintain food and nutrition support in 8 provinces and HBC program in 4 provinces, which would help promote better linkage between clinical and community based services
/ Continue to support STI services for PLHIV and MARPs referred from PE and VCT program in 8 LIFE-GAP supported provinces
/ Continue to support Department of Health Insurance to promote the model of health insurance for PLHIV
/ Continue to support physicians, nurses and pharmacists to attend Palliative care training
On-going activities:
- Maintain OVC program at 3 provinces with comprehensive model, 5 provinces with OVC attached to out patient clinics model, providing services for 800 OVC.
- Improve caregiver knowledge and skills in taking care of children at home through providing training and group meetings
- Continue to provide training on life skills to OVC and DOET system.
- Strengthen psychological support
- Support coordination between 3 bodies PAC, DOET, DOLISA. Improve linkage with HIV/AIDS prevention and care and treatment by assigning a POC for this referral network.
New activities:
- Pilot economic strengthening model in small scale at Thanh Hoa.
/ Increase access to ART for patients who need treatment. About 16,700 patients will be received HIV treatment in 32 OPCs in 20 provinces
/ Provide ART for difficult in-reach people
/ Provide viral load test for people with treatment failure suspected
/ Implement HIVQAL to ensure QI of clinics
/ Implement HIVDR activities (monitoring survey, EWI, threshold survey)
/ Evaluation and selected studies
/ Build national and local capacity to ensure sustainability of ART service provision throughout Vietnam.
/Increase MARP coverage and uptake through diversifying HTC models of service delivery across 28 provinces: implementation of PITC at health facilities in the selected highest HIV prevalent urban area; and/or outreach HTC services in mountainous/rural areas where the HIV epidemic among MARPs is emerging; and delivery of risk reduction message to high-risk MSM clients
/ Strengthen partner testing/referral and mutual disclosure, including improvement of on-going CHCT interventions and messages of early testing and re-testing
/ Improve referral and tracking mechanism between HTC service and care and treatment services, especially with HIV/AIDS outpatient clinics
/ New activity: Standardize counseling tools, including training manuals, efficient service delivery models, protocols, quality assurance and quality improvement (QA/QI)
/ Improve HIV testing quality and uptake through onsite testing, use of quality HIV rapid test kits, provision of quality training on testing
/ New activity: Provision of TA to host government to build institutional HTC technical and leadership capacity, especially in quality training delivery, guideline development, supervision and data management and use
A key contribution to HSS is the provision of TA and training of LifeGap staff on specific technical and managerial issues related to HVCT. As part of the Ministry of Health structure, all guidelines developed and staff capacity enhanced with PEPFAR assistance contribute to an evidence-based, higher performing government organization.
/ Maintain 25 clinics in 20 provinces, providing care and support services for 2,400 infected children and 950 exposed infants
/ Implement the revised/updated national HIV/AIDS care and treatment guideline which the current guideline is planned to be updated according to WHO 2009 recommendations in COP2010.
/ Nationally implement early infant diagnosis
/ Continue hands on training activities at pediatric Hospital #1 in HCMC and National Pediatric Hospital in Hanoi to strengthen clinical capacity for PEPFAR and non-PEPFAR programs
/ Improve HIV/AIDS case detection at in-patient wards and strengthen infectious diagnosis and treatment of OIs for doctors working at different departments in hospitals
/ Continue to coordinate with FHI on pediatric palliative care project.
/ Other supports to pediatric patients include nutrition, transportation, and hospitalization
/ MOH will work with HaNoi medical university to conduct a study on opportunistic infections to have better picture of OIs of preART and on ART patients who are followed up at clinics. This study will be jointly done with fund from HBHC for adults.
/ Support national program given CHAI transition plan.
/ Together with Unicef, WHO, PEPFAR partners and other international organizations to develop VCT protocol for children and piloting in selected sites.
/ Maintain 21 pediatric ART sites in 20 provinces providing treatment for 1435 infected children.
/ Make sure ARV treatment service provided to 100% infants who have PCR positive results at LG supported sites.
/ Support to implement updated care and treatment guideline toward earlier treatment to children
/ Continue to work with other PEPFAR partners (HAIVN, FHI, Pact follow on) to implement updated care and treatment guideline through trainings, technical assistance, quality assurance/ quality improvement. Better coordinate to reduce overlaps, be more efficiency.
/ Together with adult care and treatment programs to support viral load testing to treatment failure suspected patients in ART sites.
Activity: Support to the VAAC M&E Unit and LIFE-GAP project
The VAAC M&E Unit and the LIFE-GAP project M&E Team are main implementing partners for SI activities under the PEPFAR cooperative agreement with MOH. VAAC M&E Unit activities will focus on the continued support of the National M&E Framework, MOH Decision 28 mandated reporting, and on-going M&E, HMIS, size estimation, data use, and GIS technical working groups. LIFE-GAP activities will continue to focus on the development of LIFE-GAP SI human resources to ensure that programs are continuously more evidence-based, efficient and sustainable.
VAAC is responsible for the oversight and management of all national HIV program M&E and leads the national M&E technical working group (TWG). By partnering with other agencies in the Ministry of Health(MOH), donors, UN, and implementing partners, VAAC is charged with ensuring these programs are coordinated through a single M&E system for national program management. PEPFAR funds to VAAC will continue to support:
Routine service delivery systems through the development of national standards for data structures and information system design for adult and pediatric care and treatment, PMTCT, TB/HIV, VCT and prevention and community-based activities. Also, TWG-led consensus building activities around data standardization and harmonization will take place.
Developing and implementing an appropriate and evidence based program evaluation agenda that provides high quality information related to program implementation practices and impact.
Technical review and evaluation of the Vietnam HIV ('HIVInfo)') case reporting system to assess its accuracy and utility for tracking HIV trends among relevant populations and regions in Vietnam.
A national HMIS drawing data from routine service delivery information systems, surveillance activities, surveys, and program management databases, including program coverage and quality data. The single national system will be achieved through the guidance of a national M&E TWG led by VAAC and with broad participation from UN, donors, and implementing partners.
M&E capacity development through trainings focusing on data analysis, quality assurance and use at the national level across programs and among provincial AIDS control centers throughout Vietnam. VAAC and the provincial AIDS control centers will also benefit from in-service epidemiology training to be conducted by the schools of public health and designated technical partners.
Obtain results for the National M&E Framework's core indicators for which data sources are not readily available, such as facility survey assessing health service provision.
Contracted services for M&E with a focus on data quality assurance, particularly for Decision 28 reported data, and for coordinating data sharing across all stakeholders.
Data triangulation, which is an analytical approach to synthesizing quantitative and qualitative studies, along with data from HIV prevention, care and treatment programs, and making use of expert judgment in order to evaluate interventions and assess population-level outcomes. VAAC will receive technical assistance from other PEPFAR partners to be determined.
Participation in geographical information systems (GIS) applications and the development of a national strategy for the effective use of spatial data and analysis.
VAAC will coordinate and contribute government and multiple donor data to the application to produce nationally applicable information for program monitoring and management.
COP11 funds will continue to support the he LIFE-GAP project M&E Team for data collection and management of prevention, care and treatment services in 28 PEPFAR provinces. Funds will continue to support:
LIFE-GAP's program supervision and monitoring activities, including service data quality assurance, reporting and feedback.
Establishing information systems for managing programs and for hardware and software maintenance and upgrades.
Human capacity development activities include contractual M&E staffing at LIFE-GAP and provincial and districts AIDS control centers and ongoing training, including attendance at M&E short-courses and VAAC
In collaboration with the MoH and other stakeholders developing and implementing an appropriate and evidence based program evaluation agenda that provides high quality information related to program implementation practices and impact.
/ Human resource and management support
/ In light of the Partnership Framework, MOH Life-GAP is conducting an assessment of government efficiencies, and will re-orient the project towards more explicit HSS goals in this period
This is a continuing activity:
/ Continue peer-based community outreach activities for commercial sex workers in 28 provinces that include behavior change communication to facilitate the target population to adopt and maintain safer sex- and drug use-related behaviors and prevent new HIV infections; linking high-risk individuals to other services, such as voluntary counseling and testing (VCT), HIV care and treatment, sexually-transmitted infection (STI) services, and drug treatment; training of program staff; technical assistance and routine monitoring and evaluation.
/ New activity: To provide sensitization training on MSM to program staff; explore and pilot a model for reaching high-risk MSM with HIV prevention messages in select provinces where the MSM prevalence rates have increased
A key contribution to HSS is the provision of TA and training of LifeGap staff on specific technical and managerial issues related to HVOP. As part of the Ministry of Health structure, all guidelines developed and staff capacity enhanced with PEPFAR assistance contribute to an evidence-based, higher performing government organization.
/ Continue peer-based community outreach activities for injecting drug users (IDU) in 28 provinces that include behavior change communication services to facilitate active IDU to adopt and maintain safer sex- and drug use-related behaviors and prevent new HIV infections; linking high-risk individuals to other services, such as voluntary counseling and testing (VCT), HIV care and treatment, sexually-transmitted infection (STI) services, and drug treatment; training of program staff; technical assistance and routine monitoring and evaluation.
/ New activity: Implement needles/syringes program in selected locations (based on prevalence and need), including procurement of needles/syringes and distribution through effective modalities; training of program staff, technical assistance and routine monitoring and evaluation.
/ Implement an opioid dependence treatment program using methadone maintenance therapy (MMT) to reduce new HIV infections among injecting drug users and assist them with community reintegration. This includes the provision of MMT services in total 17 clinics in 6-7 selected provinces with dual epidemics of drug use and HIV; procuring urine test kits for 35 PEPFAR-supported MMT clinics throughout Vietnam; training of program staff; technical assistance and routine monitoring and evaluation. (This activity will become more cost efficient over time as capacity of MMT-providers is built in country, increasing the number of patients served with quality MMT services and reducing the cost for international technical assistance).
A key contribution to HSS is the provision of TA and training of LifeGap staff on specific technical and managerial issues related to IDUP. As part of the Ministry of Health structure, all guidelines developed and staff capacity enhanced with PEPFAR assistance will contribute to an evidence-based, higher performing government organization.
o Principle activities to be carried out: refer to the planning tool
o Geographic coverage: throughout Vietnam but strongly focus on PEPFAR supported provinces
o Target population: primary population is pregnant women and HIV infected pregnant women
o This is a continuing activities
o COP11 activities:
o Maintain PMTCT sites at PEPFAR supported provinces
o Provide HIV test to pregnant women during ANC
o Provide ARV for PMTCT to HIV infected pregnant women and their babies
o Provide nutritional support including formula replacement for exposed babies and HIV infected pregnant women
o Provide training to staff of clinics and Ministry of Health
o Collaborating with Department of Maternal and Child Health to develop needed policies to better integrated PMTCT into ANC and MCH systems
o Collaborating with Insurance Department to develop needed policy and mechanism to better use of health insurance to cover cost that are related to HIV
o Provide STI services to HIV infected women
o Target:
o 240,000 pregnant women HIV tested
o 550 HIV infected women identified
o 710 HIV infected pregnant women and their babies received ARV for PMTCT
/ Continuing Lab Program Activity
/ Quality Management Training Program: Training will be provided to lab managers from 28 LG provinces. Will include identification and training of site Quality Managers. Anticipated 6 training sessions. Trainings interval time is about 3-4 months with site visits in between. Participated Laboratories will be assigned for improvement projects to see what they can change after the training. Results of the improvement projects will be reported in the next training
/ Lab Site monitoring program: Development of monitoring tool, training for CDC, LIFE GAP, VAMS, HCMC PAC, CLQS lab staff on site monitoring and report generation. Funding includes travel to all PEPFAR supported sites.
/ HIV Diagnostic Testing Training Program. Development of a training package (PI, NIHE, CDC). Creation of cadre of trainers. Five day training will be provided to all lab staff in Vietnam conducting HIV testing. Anticipated training to 120 sites
/ CD4 training for all testing labs in Vietnam (45 sites). Will make use of Master Trainers (trained by ASCP)
/ STI Program (National Hospital of Dermatology and Venereology): SOP development and training related to specimen collection. TA to update STI training packages (guidelines). Technical training to develop capacity/expertise of NHDV Lab staff. TA for NHDV for the creation of a national STI-EQA program. Support for NHDV to deliver basic STI diagnostic training to provincial labs
/ CD4 Testing Network: National Hospital for Tropical Diseases. CD4 EQA Program (panel and report generation), Staff person (1), site visit funding. Participation in International/Regional CD4 meeting.
/ Bach Mai: Procurement of EQA panels for Microbiology and OIs, distribution, support staff, procurement of OI test reagents/equipment. Hands on training for microbiology for provincial level labs. Physician training for test requests and results interpretation
/ Laboratory Information System: maintenance of system at 8 sites, implementation at 4 new sites, staff (2) at LG, support for bar coding at 12 sites, instrument interfacing at 12 sites, and support for data exchange between information systems at 4 sites.
/ Annual Laboratory Meeting/Conference (National Level meeting focused on one HIV-related topic).
/ No expansion to new provinces, but possible expansion of TB/HIV services to new districts. Consider reduce support to sites in areas where the epidemics is not severe. Services provided include HIV counseling and testing for TB patients, TB screening for HIV infected patients, coordination between TB and HIV activities in the area
/ Establish 2 TB referral labs in Can Tho and Da Nang
/ IC interventions in 3 sites
/ Continue training and capacity development
/ Strengthen the coordination of TB and HIV activities at district and provincial level through training, on-site TA and regular meetings
/Expansion of IPT and ICF which is attached to the development of specimen transportation system and the revision of national guidelines for TB screening
/ Budget $1,350,000
/ Target: 70% of HIV patients receiving TB screening (12,500), 70% of TB patients receiving PITC (25,000), IPT to 1,200 patients and training 400 HCW
