Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 7346
Country/Region: Vietnam
Year: 2012
Main Partner: Program for Appropriate Technology in Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $269,557

The goal of the PATH program is to increase TB case-detection by enhancing referrals from the private sector to public TB/HIV services. The geographic coverage will be at the national and provincial level. Provincial activities will be focused on 4 provinces: Hai Phong, Nghe An, Ho Chi Minh city and Can Tho. In COP 12, the public-private mix (PPM) implementation in 4 provinces will be handed-over gradually to the government of Vietnam (GVN) with the expectation that the activities will be the responsibility of the National TB Program (NTP), and will be implemented with local funding. PATH also will work closely with NTP to revise and finalize all guidelines, SOPs, forms to support the scale-up of the PPM model to 10 more provinces with funding from the Global Fund and then to the national level. Routine management information system (MIS) data collection, internal data quality assessment exercises and more formal studies will be used to monitor and evaluate performance against key indicators identified in the Performance Monitoring and Evaluation Plan. No vehicles will be purchased for this project.

Global Fund / Programmatic Engagement Questions

1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Sub Recipient3. What activities does this partner undertake to support global fund implementation or governance?(No data provided.)

Funding for Care: TB/HIV (HVTB): $269,557

Public-private mix (PPM) for TB control has been implemented by PATH in Hai Phong since 2008, and expanded to Nghe An, Can Tho, and Ho Chi Minh City (HCMC) in 2010. The project, which is aligned with the National TB Programs (NTP) PPM strategy for 2008-2015, also reflects PEPFARs emphasis on intensified case-finding and treatment for TB among PLHIV. PPM activities include capacity-building of PPM providers, developing toolkits, establishing referral systems, and encouraging partnership between the private and public sectors. The PPM activity will collaborate with Global Fund Round 9 on implementation of the national PPM strategy, the development of standardized guidelines and policies, and a standardized M&E system. PATH also will coordinate with relevant PEPFAR partners (e.g., CDC-Life Gap program and KNCV) to facilitate access to quality TB/HIV services and avoid overlaps. Sustainability is a key focus on this activity in the upcoming year. In COP 12, PATH will continue providing technical assistance (TA) to NTP at national, provincial and district levels and at provincial health departments (PHDs), training personnel to implement the PPM strategy with a focus on the referral model. The goals are to strengthen the capacity of PHDs and NTP in advocacy, communication and social mobilization for the sustainability of PPM activities; strengthen the referral system (including M&E); and integrate PPM activities in local NTP plans. The project has contributed to TB-case detection and use of public TB/HIV services. In FY 2010, 881 TB suspects in Hai Phong were referred from private to public TB facilities, of which 281 were confirmed with active TB, representing 12% of the total 2,334 TB cases throughout the province; 242 TB cases (86%) were tested for HIV. In FY 2011, 7 additional districts in 3 new provinces began referring within the past 6 months. In this program, 2,300 TB suspects were evaluated, of which 570 were confirmed with active TB (25%), with 435 TB cases tested for HIV (76%). 519 pharmacies, private hospitals and clinics, and non-TB public facilities participated in the PPM referral model. Nearly 750 PPM providers received training on TB suspect identification and the referral mechanism.

Cross Cutting Budget Categories and Known Amounts Total: $120,000
Human Resources for Health $120,000