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: 2012 2013 2014 2015 2016
The purpose of the Vietnam HIV-Addiction Technology Transfer Center (VHATTC) is to reduce individual and societal harm due to HIV and substance use disorders (SUD) in Vietnam. Based at Hanoi Medical University (HMU), VHATTC will organize training programs for counselors and medical professionals, develop partnerships between HMU leaders, policymakers and health professionals, and promote the principles of recovery-oriented systems of care. There is an urgent need for workforce development in the area of HIV and SUD. The VHATTC will draw upon the expertise of ATTC leaders in the U.S. to develop a counselor education curriculum and to train Vietnamese providers in clinical supervision. VHATTC will support the role of HMU as a hub for training and technical assistance (TA) to develop SUD treatment services drawing upon previous work. Planning and TA activities for this project will occur in multiple sites throughout Vietnam, as well as at UCLA. These overall objectives are in line with the Partnership Frameworks first two goals, specifically to support improved effectiveness and efficiency of multi-sectoral co-operation in HIV prevention and treatment; and support evidence-based HR strategies. The geographic coverage will be at the national and provincial level. Routine MIS data collection, internal data QA exercises, and more qualitative assessments and site visits will be used to monitor and evaluate performance.
This procurement and activity is a training, technical assistance (TA), evaluation and support activity. The purpose of the activity is to improve program service-delivery and quality. As a result, 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. Heroin is the main drug use problem in rural and the urban areas. Heroin users are predominately male and young (under 26 years). Opium is overwhelming 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 FSWs in Hanoi and 20% in Ho Chi Minh City reported using drugs. FSWs are a vulnerable population not only because of their own drug use, but also from 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.
In recent years, Vietnam has experienced an HIV epidemic that 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; 64% of heroin users, moreover, reported use by injection. While HIV prevalence in the general population is low (0.53%), the average prevalence among IDUs is about 30%. Biological and behavioral surveys show that HIV prevalence among IDUs varies across provinces. In 2009, prevalence ranged from a low of 0.9% in Da Nang to a high of 55.7% in Quang Ninh. In Haiphong, HIV prevalence among IDUs in 2009 was 48%, the second-highest of the provinces surveyed. While the prevalence in Haiphong represents a decrease from that found 3 years earlier (66%), 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 the transmission of HIV among IDUs a continuing and critical public health concern for the nation.
The capacity and institutionalization of HIV-Substance Use Disorder Training Center activities are integrated within the Hanoi Medical University, a designee of the Ministry of Health (MOH), to provide this service. The center established and supported by these funds has an inter-ministerial and inter-donor advisory board that consists of MOH, the Ministry of Labor, Invalids and Social Affairs (MOLISA), UNODC, FHI, (SAMHSA and USAID) all which are funded or provide funding and services in this area. Thus, this activity is the only activity in PEPFAR Vietnam with an inter-ministerial and donor board. This effectively will enable the reduction in duplication of TA activities, and coordinate activities across donors and ministries in this area as the board provides a forum for discussion and dialogue in the realm of sustainable TA models. A lasting element is that the center is a national center for technology transfer for all governmental and NGOs in this area.
