Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3108
Country/Region: Vietnam
Year: 2008
Main Partner: U.S. Agency for International Development
Main Partner Program: NA
Organizational Type: Own Agency
Funding Agency: USAID
Total Funding: $4,452,324

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $212,060

Funding will be provided to cover 100% of an existing LES (Prevention Specialist), 30% of an existing LES

(Drug Rehab Specialist) 20% of an existing GHFP Fellow (Senior Prevention Advisor) and 30% of an

existing GHFP Fellow (Drug/Rehabilitation Advisor) focusing on MARPS and youth, including salary,

benefits and official travel costs.

These staff will provide technical assistance and oversight to AB programs implemented by PEPFAR

partners, including local and international NGOs, Government of Vietnam (GVN) organizations and UN

agencies. Funding will be provided to ensure that AB messages are well-incorporated in all ABC BCC

interventions.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $531,372

Funds requested will support 100% of an existing LES (Program Specialist 06), 70% of a existing LES

(Prevention Specialist), 50% of a new LES (Methadone Program Manager), 60% of an existing GHFP

Fellow (Drug Rehabilitation and Prevention Advisor) and 70% of an existing GHFP Fellow (Prevention

Specialist), including salary, benefits and official travel costs.

These staff will provide technical assistance to international and local non-governmental organizations

(NGOs) in close collaboration with other USG agencies and Government Agencies including MOH/VAAC,

the Ho Chi Minh City Provincial AIDS Committee (HCMC-PAC) and other partners and under the leadership

of the USG BCC coordinator. This includes coordinating with USG partners, VAAC, HCMC-PAC on all

activities related to program design, implementation and evaluation of prevention interventions targeting

most at-risk populations (MARPs) including injecting drug users (IDU) and commercial sex workers (CSW).

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $500,000

This is a continuing activity from FY07. The narrative below is unchanged from the FY07 COP. Major

updates to this activity since approval in the FY07 COP are:

• PEPFAR supplies condoms for free distribution and social marketing to HIV prevention partner programs

in more than 30 provinces. Expanded FY08 funding will support procurement of more than 15 million male

condoms, and increased access to female condoms and lubricant for most-at-risk populations.

• In accordance with the PEPFAR Vietnam condom social marketing strategy and new Vietnamese

regulations, the team will procure separately branded condoms for free distribution. This brand will be

clearly marked "not for sale" in accordance with Vietnamese law and will not undercut sales of branded

Number One condoms.

• New regulations allow procurement of water based lubricant through Central Contraceptives Procurement.

The PEPFAR team will work in conjunction with TBD condom social marketing partner and others to

determine appropriate brands and quantities of water based lubricant for most-at-risk populations.

FY07 Activity Narrative:

Condom procurement is an essential component of the PEPFAR comprehensive ABC approach to HIV

prevention programs. In FY07 PEPFAR will procure 12 million condoms for community based outreach and

distribution to PEPFAR and other donor programs, in addition to targeted social marketing to traditional and

non-traditional outlets.

In FY07 PEPFAR will ensure continued access to commodities for at-risk populations through outreach and

social marketing efforts in the geographical areas where the epidemic is most severe. In conjunction with

social marketing partner TBD-PSI follow-on, PEPFAR will implement a two-tiered strategy. In the first tier,

branded Number One condoms will be distributed by outreach partners including MOH/VAAC, TBD-PSI

follow-on, FHI, HCMC-PAC and Pact sub-partners. A small number of female condoms will be promoted to

sex workers and MSM, ensuring equitable access to gender-appropriate prevention services. In the second

tier, TBD-PSI follow-on will develop a targeted social marketing system to increase availability of and

access to condoms at non-traditional outlets such as karaoke bars, drinking establishments and other

locations where commercial sex is likely to be procured or transacted. This strategy will be developed in

close cooperation with other major condom donors and marketers such as the Department for International

Development, German development organization KfW, and DKT to maximize collaboration to increase

coverage and reduce overlap.

Funding for Care: Adult Care and Support (HBHC): $250,280

This is a continuing activity from FY07.

Funds requested will support 60% of an existing USPSC (Senior Care and Treatment Advisor), 40% of an

existing LES (Care and Treatment Specialist), 50% of a new LES (Community Care and Treatment

Specialist) and 50% of a new LES (Substance Abuse Specialist) including salary, benefits and official travel

costs.

As part of the PEPFAR Care and Treatment Team, these staff will provide technical assistance (TA) and

program oversight to the government of Vietnam, Family Health International, Global Fund and USG

partners providing palliative care in program design, implementation and evaluation of care activities related

to care and the development of training curricula and delivery of training for community members working in

HIV care activities.

Funding for Care: Orphans and Vulnerable Children (HKID): $141,788

This is a continuing activity from FY07.

Funds requested will support 40% of an existing USPSC (Senior Care and Treatment Advisor) and one new

LES (Community Care and Treatment Specialist) including salary, benefits and official travel costs.

As part of the PEPFAR Care and Treatment Team, the USPSC will provide technical assistance (TA) and

program oversight in program design, and implementation and evaluation of OVC-related activities across

all USG agencies to support the implementation of the PEPFAR OVC strategy and program plan. This will

include implementing core OVC service packages for different partners and service delivery models, and

providing and brokering technical assistance and support to ensure quality and continuous program

improvement.

With the expansion in COP08 to add geographic coverage in at least 9-10 sites with treatment and

expanded community-based care and support, there is a critical need to increase the USAID/PEPFAR

health team with a community-based specialist. While LifeGAP provides clinical treatment and care at

provincial centers, community-based services fall to international NGOs and local community- and faith-

based organizations (CBOs/FBOs). Better linkages need to be built so that referrals flow to the clinics and

treatment adherence is supported at the community level. The new LES (Community Care and Treatment

Specialist) will play an essential role in program planning, provision of TA, training and monitoring of

coordination efforts between NGOs that provide community-based services, and treatment and care

services provided at the clinical level. She/he will be a social scientist responsible for assuming support in

the Care and Treatment Technical Working Group for community-based support and improved linkages with

other social programs funded by the government and other donors. She/he will also serve as a CTO for 2-3

USAID funded activities.

Funding for Testing: HIV Testing and Counseling (HVCT): $66,000

This is a continuing activity from FY07.

Funds requested will support 10% of an existing Global Health Fellows Program (GHFP) Fellow (Prevention

Advisor) and 10% of an existing GHFP Fellow (Drug Rehabilitation and Prevention Advisor), including

salary, benefits, and official travel costs.

As members of the PEPFAR technical working group on HIV Counseling and Testing (CT), these staff will

provide technical assistance (TA) and programmatic oversight to a variety of partners in the design,

implementation, and evaluation of CT activities as well as the development of training curricula and training

of counselors and supervisors.

Funding for Treatment: Adult Treatment (HTXS): $26,400

This is a continuing activity from FY07.

Funds requested will support 60% of one existing LES (Care and Treatment Specialist) including salary,

benefits and official travel costs.

As part of the PEPFAR Care and Treatment Team, this staff will work in collaboration with HHS/CDC to

provide technical assistance (TA) and program oversight on all activities related to design, implementation

and evaluation of ARV Services for HIV-infected individuals with primary focus on adherence and linkages

to home- and community-based services. TA will be coordinated with all USG partners to maximize impact

and efficiency of the PEPFAR treatment program across agencies.

Funding for Strategic Information (HVSI): $130,000

This is a continuing activity from FY07. The narrative below is unchanged from FY07. Major changes to this

activity since FY07 approval are:

• Funds for supporting technical assistance from USAID headquarter and regional offices have been

removed. These activities are supported through agency core funding.

FY07 Activity Narrative:

Funds requested will support two LES (Sr. SI Advisor, Program Officer), including salary, benefits and

official travel costs. USAID staff, as part of the interagency PEPFAR SI team will provide technical

assistance (TA) and program oversight to government of Vietnam agencies including the Ministry of Health,

Ho Chi Minh City Provincial AIDS Committee, the National Institute of Hygiene and Epidemiology and Hanoi

School of Public Health and other USG partners in the area of strategic information to strengthen partners'

capacity for collecting and analyzing data for program implementation, monitoring, evaluation and planning.

Funding for Health Systems Strengthening (OHSS): $143,907

This is a continuing activity from FY07.

Funds requested will support 30% of a locally employed staff member (Program Management Specialist)

and 50% of a U.S. Personnel Services Contractor (Senior HIV/AIDS Technical Advisor), including salary,

benefits, and official travel costs.

These staff will provide technical assistance and program oversight to six international and local non-

governmental organizations working in close collaboration with other USG and government of Vietnam

agencies, including the Ministry of Health/Vietnam Administration of HIV/AIDS Control, the Ho Chi Minh

National Political Academy, the Hanoi School of Public Health, and other partners to maximize impact on all

activities related to program design, implementation, and evaluation of HIV/AIDS policy and system

strengthening efforts.

Funding for Management and Operations (HVMS): $2,067,993

This is a continuing activity from FY07.

Funds requested will support overall program management and oversight costs at USAID, including

operations, management, procurement and coordination. Since the USAID/Vietnam Country Program Office

has been approved to become a stand alone mission, the Vietnam PEPFAR program will need to increase

staffing to account for additional management responsibility. Funds will also be used to hire additional new

positions added to the USAID Vietnam team that were not included in the FY07 COP. A complete list of AID

positions supported in this program area are as follows:

Existing Positions:

Health Officer (USDH) 100%

HIV/AIDS Senior Technical Advisor (USPSC) 50%

Program Management Specialist (LES) 70%

M&E Specialist (LES) 70%

Health Liaison Officer (LES) 100%

Secretary (LES) 100%

IT (LES) 100%

Contract Specialist (LES) 100%

Development Program Specialist (LES) 100%

PEPFAR Coordinator (USPSC) 100%

PEPFAR Program Officer (USPSC) 100%

PEPFAR Program Management Specialist (LES) 100%

PEPFAR Interpreter/Communication (LES) 100%

PEPFAR Secretary (LES) 100%

New Management/Support Positions funded by M&S funding:

Program Officer (USPSC) 80%

Administrative Assistant (LES) 100%

The two new management/support positions requested in FY08 are to better support the management and

administrative requirements of the increased funding and number of partners. Their roles, responsibilities

and justifications for the positions are outlined below:

Program Officer (USPSC), USAID/Vietnam Office: The rapid expansion of PEPFAR budget and program

management responsibilities, combined with the complexity of new PEPFAR and Office of Foreign

Assistance planning and reporting requirements have made a dedicated program officer essential. The

Program Officer will advise Mission management on programming, budgeting and performance monitoring

issues and provide project development expertise to technical teams in HIV/AIDS (80%), humanitarian

assistance (10%), and economic growth (10%). As a key leader in a growing Mission, the Program Officer

will provide incoming and current staff with expert supervision and training on USG programming,

budgeting, monitoring, and documentation procedures. He or she will also share responsibility for the

Mission's public affairs initiatives. The Program Officer is expected to possess significant experience with

USAID and PEPFAR policy, directives, development principles, strategic planning, budget formulation, and

monitoring practices.

Administrative Assistant (LES), USAID/Vietnam Office: With the expansion of the budget in COP08 and

increased staffing there is a need for additional administrative support for the growing team. The incumbent

will provide administrative support services to the USAID HIV/AIDS staff.

Funding for Management and Operations (HVMS): $224,972

This is a continuing activity from FY07. In FY07 the ICASS portion allotted to the PEPFAR/USAID team was

$125,520. As a result of expanded procurement and space requirements in FY08, the amount of funds to

support ICASS is estimated at $224,972. This will support existing and new positions including one US

direct hire, seven USPSCs and 18 LES.

Funding for Management and Operations (HVMS): $157,552

This is a continuing activity from FY07.

In FY07 IRM portion allotted to PEPFAR/USAID team was $90,012. This proportion in FY08 is expected to

increase to $157,552 to cover the IT management costs associated with supporting existing and new

positions including one US direct hire, seven USPSCs and 18 LES. The IRM costs are calculated at a rate

of $5,800 per FTE or proportion thereof.