Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 9972
Country/Region: Vietnam
Year: 2013
Main Partner: Association of Public Health Laboratories
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $170,000

APHL assistance in Vietnam aims to improve data management in clinical and HIV testing laboratories and support implementation of laboratory training, curriculum development and technical assistance activities to increase laboratory testing capacity and improve laboratory quality. These goals and objectives are directly linked to the Vietnam Partnership Framework section 2.1.c Improve Laboratory Systems.

APHLs general laboratory activities focus at national level institutions and laboratory information systems (LIS) activities are centered in HCMC and Hanoi because of the higher disease prevalence and proximity (ease of implementation) to the local IT vendor and GVN programs. The Vietnam LIS program has been developed with country ownership and cost-effectiveness in mind. The key aspects of this sustainable approach are: implementation by the GVN; use of open-source software; local and cost effective IT software development; and local maintenance and support. LIS activities in Vietnam were initially implemented primarily by APHL but since the initial LIS pilots in Hanoi and HCMC, there has been a steady transition to government ownership of the LIS program while still utilizing a local IT company for implementation and software programming expertise. As a result, the role of APHL has moved towards providing technical assistance. Monitoring and evaluating of LIS activities is conducted through site monitoring. Each implementation site is monitored by GVN at least once per quarter and more frequently during initial deployment. PAC HCMC developed a site monitoring form in 2011 which will be utilized by GVN for all sites.

Funding for Laboratory Infrastructure (HLAB): $170,000

The Association of Public Health Laboratories (APHL) is recognized for its work within the US to safeguard the public's health by strengthening public health labs and internationally, APHL provides direct, in-country technical assistance (TA) to numerous PEPFAR-supported countries on lab methodologies, equipment selection, lab management, quality assurance, and safety. In FY 2012, APHL will continue to support the development and the deployment of nationally available, site-specific, free and open-sourced laboratory information systems (LIS) in Vietnam. This work includes linking the LIS to other health information systems through data exchange programs, improving quality of available open-sourced software in Vietnam and assisting the GVN to take over management of the LIS program. APHL will also support the continued development of the lab curriculum at Hanoi School of Public Health, utilizing their technical expertise on advanced HIV test kit evaluations, and providing training resources related to lab management.

Since Vietnam LIS project began in 2006, APHL has provided TA for the initial LIS pilot and more recently its expansion and continued development. The LIS is operational at 8 HIV testing and hospital laboratories and is under deployment at 6 additional sites.LIS improves quality assurance of lab testing and results by reducing data entry errors using a barcode system and automatic data exchange, improves lab management with reports and worklists, and reduces workloads by generating routine reports and interfacing with analytical instrumentation. In the pilot phase, APHL helped select an appropriate LIS for Vietnam, strengthened paper-based systems, and developed the initial deployment contract with a local IT vendor. APHL also added functionality to the LIS specific to Vietnams needs, while helping to maintain a partnership with the Open Source collaborative to ensure Vietnam benefited from improvements made in US. With COP 12 funding, APHL will organize a LIS technical seminar in Vietnam, contract the development of an enhanced version 2.0 of the Vietnam LIS software and support the implementation of a new HIV rapid test kit algorithm to support WHOs Treatment 2.0.