Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015 2016

Details for Mechanism ID: 14048
Country/Region: Vietnam
Year: 2012
Main Partner: Hennepin Faculty Associates
Main Partner Program: Addiction Medicine Program
Organizational Type: Private Contractor
Funding Agency: HHS/SAMHSA
Total Funding: $0

The main goal of PEPFAR partner Hennepin Faculty Associates (HFA) is to assist in improving the quality of the delivery of an effective medicated-assisted therapy (MAT) program. HFAwill continue its work on SAMHSA on quality of care on a regular and routine schedule. HFA will continue to focus on: 1) Building the methadone treatment system by mentoring staff on care delivery; 2) working with existing government and NGOs in developing policies and guidelines for the safe and effective delivery of medication-assisted treatment (MAT); and 3) To improve the quality of outcomes and patients lives, and reduce the spread of HIV. These objectives are in line with the Partnership Framework (PF): Goal 1: Strengthen the quality of and increase access to prevention services for MARPs and prevention, care and treatment (C&T)ervices for people affected by or living with HIV. More specifically, the objectives of this procurement are in alignment with objectives: 1a) Support improved effectiveness and efficiency of multi-sectoral co-operation in HIV prevention C&T; 1d) support evidence-based harm-reduction strategies. This procurement also supports Goal 2 of the PF: Support the provision of sustainable HIV services through strengthening systems for peoples health and related welfare. Specific objectives: Strengthening the national system of workforce development for improved service-delivery specifically in-service training based on core competencies in the technical area of drug treatment (MAT).The geographic coverage will be at the national and provincial level. Routine MIS data collection, internal data quality assessment exercises and more qualitative assessments and site visits will be used for M&E.

Funding for Prevention: Injecting and Non-Injecting Drug Use (IDUP): $0

This activity is a training, technical assistance (TA), evaluation and support activity. The purpose of the activity is to improve service-delivery and quality program. As a result, the questions in the guidance document for the IDUP budget code narrative do not apply. However, the epidemiology of the situation in Vietnam is presented: Illicit drug use has become one of the most pressing issues in Vietnam. In 2004, the prevalence rate of drug dependence was 208 per 100,000 people. The scope of the illicit drug use problem in Vietnam broadened to include other drugs besides heroin and spread geographically to the lowland regions and urban areas. Currently, heroin is the main drug use problem, predominately among males and young (under 26 years). Opium is preferred by individuals 36 and older, particularly elders residing in the mountainous highlands. While the drug-using population is predominately male, there is growing concern for FSWs. One study reported that 44% of street-based female sex workers in Hanoi and 20% in Ho Chi Minh City reported using drugs. FSWs are a vulnerable population because of their own drug use, as well as their contact with male IDUs who do not regularly use condoms. As a result, the prevalence of HIV among women in Vietnam has increased substantially in the past decade. Vietnams HIV epidemic is driven by IDUs. A governmental study in 2001 found that 46% of drug users reported use by injection as their preferred mode of administration. Additionally, while HIV prevalence in the general population is low (0.53%), the average prevalence among IDUs is about 30%. In 2009, HIV prevalence among IDUs ranged from a low of 0.9% in Da Nang to a high of 55.7% in Quang Ninh. The continuing high percentage, coupled with the rapid spread of HIV among a new population of younger IDUs (early 20s) with short injection histories (less than 1 year), makes transmission of HIV among IDUs a continuing and critical public health concern for the nation.

HFA is building the nations methadone treatment system by mentoring staff in collaboration with clinic implementing partners (Ministry of Health (MOH)-LIFE GAP (LG), World Bank (WB), Global Fund (GF) or CDC/FHI). The development of specific technical assistance plans for the clinics are coordinated by partners MOH and the Vietnam Administration for HIV/AIDS Control (VAAC). When assisting with the development of policies and guidelines for the clinic, HFA will collaborate with MOH-VAAC or the Ministry of Labor, Invalids and Social Affairs (MOLISA) along with implementing partners like FHI and LG, and NGOs. The overall goal of this collaboration is to synergize efforts in a matrix approach to deliver TA to the medication-assisted treatment (MAT) program in Vietnam.