The Institute of Population, Health & Development (PHAD) is a Vietnamese NGO that has strong background in HIV prevention and control activities, from research to interventional programs. In partnership with DOD PEPFAR Vietnam, PHAD will strenghthen civil societies role and technical capacity in responding to the HIV pandemic in Vietnam, contributing to the Partnership Frameworks central strategy of building local capacity for future sustainable programs.Under the DOD PEPFAR program, PHAD will collaborate with Vietnams Ministry of Defense (MOD) via the Military Medical Department (MMD) to: 1) prevent HIV transmission through peer education of all male soldiers recruited annually and mobile border guards, those considered to be at higher risk due to their age, mobility and the large amount of time spent in remote areas away from family support; 2) strengthen HTC services in military medical settings (where 80% of patients are civilians); 3) implement the national blood safety standards in military hospitals; and 4) provide necessary support to maintain the HIV care and treatment proram that includes ART, laboratory, HIV/TB and MTCT. These interventions cover the whole nation spanning 8 military regions and 4 military commands (Army, Navy, Air Force and Border Guards).PHAD will use available, standardized national guidelines, SOPs, training/technical assistance (TA) curriculum offerred by mechanisms implementing civilian programs while also offering suitable training/TA to other mechanisms. DOD PEPFAR will further strengthen collaboration with other PEPFAR agencies to effectively reach the target population, including development of standard information, education and communications (IEC) materials used across HTC and OPC site,s and interagency QA and M&E activities

This activity is a continuation from COP10 with focused on maintaining the high quality services in 2 existing sites in Military Hospital 103 and 175. Principle activities to be carried out in support of PFIP 1.1 Improve the availability and quality of care and treatment services, and 2.1 Strengthen selected areas of health service management. Geographic coverage: training for Military Health care system throughout Viet Nam and provide service at 2 provinces (Hanoi and HCMC). Target population: Military Health care staff and TB and TB suspected patients. COP12 key activities: (1) Continuing to provide training, technical assistance and operational support to 2 PEPFAR military supported hospitals: MH 103 (HN) and MH 175 (HCMC); (2) Building capacity of military healthcare staff in TB/HIV at regional and central military hospitals (PEPPFAR and non-PEPFAR supported sites); (3) Strengthening referral system between military and civilian; PICT sites to OPC sites; (4) Supporting military healthcare staff to attend other TB/HIV-related trainings/workshops organized by other PEPFAR partners, VAAC, NTP etc.; (5) Conducting quality assurance, quality improvement and monitoring activities. Budget: $42,389. Target: Provide in-service training for 30 Military Healthcare staff; provide HTC service to 600 TB patients.

Principle activities to be carried out: PFIP 1.1; 1.2 ; 2.2 and 2.3. Geographic coverage: throughout Vietnam from Hanoi, Da Nang, Nha Trang, HCMC to Can Tho. Target population: healthcare workers and all patients. This is a ongoing activity but the focus has been refined to: building stronger collaboration between military laboratory system with existing national civilian laboratory, meeting national standards, and preparing for achieving ISO standards. COP12 activities: - Continue to enhance current training program of Laboratory Quality Management (QM) and roll-out the training to all military hospitals; - Continue to enhance the specific training program of QA/QC (development of SOPs and monitoring for adherence) and roll-out the didactic training with on-site practicum to all military regional and provincial-level hospital with the goal to have all be updated with the national standards; - Providing necessary reagents for HIV care and treatment testing at PEPFAR-supported military hospitals and minimum reagent support for EQA activities; - Providing minimum support for scheduled equipment maintenance (hematology, chemistry, microbiology, etc.); - Providing training on equipment management & maintenance to all military hospitals to maximize utilization of equipments. Sustainable approach will be applied by having in-house military trainers (having attended Training of Trainers/ToT training using COP 11 funding) to deliver the training to other military equipment personnel; - Providing continued coordination support for 1 additional site to implement automated (e-system) laboratory information system (LIS). Continuum of activity described in COP11; - Providing continued coordination support for the development of 1 ISO-accredited site. Continuum of activity described in COP11; - Providing continued technical assistance and coaching to the implementing sites by DoD PEPFAR, partners and MOD/MMD personnel.

Principle activities to be carried out: PFIP 1.1; 1.2 ; 2.2 and 2.3. Geographic coverage: throughout Vietnam from Ha Noi, Da Nang, Nha Trang, HCMC and Can Tho. Target population: healthcare workers and all patients in need of safe blood transfusion. This is an ongoing activity but the focus has been refined to promote country ownership and sustainability: building stronger collaboration between military blood safety infrastructure with existing national blood safety program, meeting national standards, and preparing for application of international best practices. While PEPFAR support aims for strengthening of the overall countrys blood safety policy improvement with full direction toward blood voluntary donation, direct engagement will be focused on the enforcement of the blood safety guideline implementation and monitoring among military medical system to ensure an accessible, safe and adequate blood supply for routine and emergency need. COP12 activities: - Provide TA support for policy advocacy and revision of the national guideline on blood safety to include guidance on voluntary blood donation and implementation of the EQA activities for blood safety program (national and military medical system); - Provide TA support for development and standardization of SOPs for blood screening procedures and adherence monitoring at regional military blood safety centers; - In partnership with Ministry of Health/ National Institute of Hematology and Blood Transfusion experts and National Red Cross to provide TA support for enhancing capability of staff working at regional military blood safety centers through provision of ToT training in various topics, including policy, laboratory, counseling and testing, and program management; - Regional military blood safety centers/center of excellence will roll-out teach-back training to other military sites (32 military hospitals nationwide) using developed SOPs; - Provide TA on service referral through tracking and continue coaching to ensure effective service linkage among blood safety, counseling and testing and care and treatment clinics among selected military hospitals implementing the comprehensive HIV/AIDS program.

This is an ongoing activity. With experience gained in the area of HTC, PHAD will continue this activity within COP 12 funding. Principle activities to be carried out include: 1) Strengthening HTC services in the military setting to support both military and civilian populations in need of HIV counseling (both client-initiated and provider-initiated); to continue incorporating these services into the military's community medical missions to increase service outreach; 2) Enhancing referrals from HTC to other support services within the community; and 3) Ensuring service-delivery is updated and/or adapted to the military setting following new national guidance/updates, in particular concerning the provider-initiated model and others such as couple counseling; -Geographic coverage: Throughout Vietnam (Hanoi, Ho Chi Minh City, Can Tho, Da Nang and Nha Trang); -Target populations: Populations with high risks of HIV infection (MARPs), blood donors, STIs patients, TB patients, pregnant women; -COP 12 key activities: 1) Providing training and technical assistance (TA) to Ministry of Defense (MOD) managers on data use for monitoring and management; 2) Providing training and TA to military TWG group members on data use for tracking/monitoring/evaluation of HVCT programs; 3) Providing training and TA to onsite staff at 8 implementing sites on data collection/ cleaning/use and reporting; 4) Providing travel expenses for new onsite staff to attend counseling training (10 new counselors to participate in trainings hosted by USAID/CDC's implementing partners); 5) Providing travel expenses for TWG members to conduct TA and monitoring (installation of software and training to support data collection at implementing sites); 6) Providing basic, refresher and supervisory training for all program supervisors and counselors at sites; and 7) Providing didactic training and practicum for laboratory staff working at care and treatment (C&T)sites.

-Targets: 14.000 clients received C&T services.

This is an ongoing activity. With experience gained in BCC, PHAD will continue to promote BCC among new military inductees through the peer education program; -Geographic coverage: Throughout Vietnam including all military regions and military corps; -Target populations: New military inductees (18 to 22 years of age); -COP 12 key activities: 1) Training of Trainers (TOT): To provide refresher training for permanent military service personnel across all 8 military regions on HIV awareness, substance-abuse, risk-avoidance, STI prevention and on HTC services (using adapted/updated curriculum from UNAIDS on peer education for military populations), as well as teaching skills to conduct teach-back training to Peer Educators (team leaders at troop level) so that these Peer Educators can provide communication activities within their teams of new recruits during the induction period; 2) Providing training material and packages for continued communication activities at the troop level on: HIV prevention, STI prevention, substance-abuse prevention and management; 3) Upgrading communication tools to promote effective peer education activities, i.e. booklets, flip charts, cue cards, etc.; 4) promoting the change agent concept and practices among graduating inductees; 5) strengthening monitoring and supervision by Vietnamese NGOs through enhanced technical assistance and supervision by both Ministry of Defense (MOD) and Vietnamese NGOs at all levels of implementation (i.e. TOT, PE training and troop-level activities); -Target: 8 TOT courses x 35 trainers/course = 280 Trainers. 50,000 new inductees received BCC services.

This activity is a continuation from COP10 with focused on maintaining the high quality services in 2 existing sites in Military Hospital 103 and 175. Principle activities to be carried out in support of PFIP 1.1 Improve the availability and quality of care and treatment services, and 2.1 Strengthen selected areas of health service management. Geographic coverage: training for Military Health care system throughout Viet Nam and provide service at 2 provinces (Hanoi and HCMC). Target population: Military Health care staff and pregnant and young women. COP12 key activities:(1) Continuing to provide training, technical assistance and operational support to 2 PEPFAR military supported hospitals: MH 103 (HN) and MH 175 (HCMC); (2) Building capacity of military healthcare staff in PMTCT PICT at regional and central military hospitals (PEPPFAR and non-PEPFAR supported sites)(3) Strengthening referral system between military and civilian; PICT sites to OPC sites; (4) Supporting military healthcare staff to attend other PMTCT-related trainings/workshops organized by other PEPFAR partners, VAAC, etc.; (5) Conducting quality assurance, quality improvement and monitoring activities. Budget: $40,000. Target: Provide in-service training for 30 Military Healthcare staff; provide HTC service to 1000 pregnant women.

This activity is a continuation from COP10 with focus on maintaining the 3 existing OPCs with high quality of its services. Principle activities to be carried out in support of PFIP 1.1 Improve the availability and quality of care and treatment services, and 2.1 Strengthen selected areas of health service management. Geographic coverage: training for Military Health care system throughout Viet Nam and provide services at 3 provinces (Hanoi, HCMC and Can Tho). Target population: Military Health care staff and HIV patients. COP12 key activities: (1) Continuing to provide training & technical assistance following the National guideline for HIV to 3 PEPFAR military supported hospitals: MH 103 (HN); MH 175 (HCMC) and MH 121 (CT) by HAIVN- the inter agency partner in charge for HIV clinical technical assistance for PEPFAR supports sites and national program. (2) Continuing to provide operational support to 3 PEPFAR military supported hospitals: MH 103 (HN); MH 175 (HCMC) and MH 121 (CT); (3) Building capacity of Military healthcare staff in ART and other topics related to HIV treatment at regional and central military hospitals (PEPPFAR and non-PEPFAR supported sites); (4) Continuing to Strengthen referral system among military sites (HTC sites to OPCs, TB sites to and from OPCs) and between military and civilian sites ( for comprehensive PMTCT services, Pediatric care and treatment of HIV, Home based care and other HIV related services in the community); (5) Supporting military Health care staff to attend other care and treatment related trainings/workshops organized by other PEPFAR partners, VAAC, etc.; (6) Conducting quality assurance, quality improvement and monitoring activities; (7) Supporting 3 referral labs that provide lab tests for patients on ART or pre-ART. Budget of $200,000; target: trained for 10 staff on ART; provide ART to 575 patients. $10,000 for OI drugs.