Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 11613
Country/Region: Vietnam
Year: 2011
Main Partner: Abt Associates
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $2,239,000

Funding for Care: Adult Care and Support (HBHC): $100,000

Support to HIV/AIDS legal services

Continue to support three existing legal clinics

Develop "Technical assistance package"

Standard operation procedures for providing legal aid services,

Develop curriculum in general counseling skills for legal aid counselors

Develop curriculum on legal topics such as employment, education, social protection, marriage and family, access to VCT and care and treatment, and civil and criminal issues, etc.

Provide technical assistance including above-mentioned technical package, training and other capacity building activities on HIV/AIDS legal issues for general purpose legal aid centers in three provinces as well as other existing legal aid facilities under the management of provincial department of justice, law school, and professional associations.

Funding for Care: Orphans and Vulnerable Children (HKID): $100,000

Strengthening M&E for OVC

Support MOLISA to pilot the national OVC M&E framework in one province.

Assess the appropriateness of the routine data collection and management system that HPI recommended to PEPFAR OVC and SI teams in COP10 and implemented in HCMC.

Support OVC Partnership Group and other PEPFAR partners to support MOLISA to develop guidelines and training materials for implementation of the OVC M&E Framework.

Funding for Strategic Information (HVSI): $550,000

This is a continuing activity from FY10. As designed, HPI is a primary SI implementing partner on development and deployment of timely and accurate data for evident-based decision making. HPI will be supported in FY11 for the PEPFAR Strategic Information priority areas of human capacity development at both national and provincial levels, and data synthesis and use, while continuing to expand the operational research on bridge populations such as sexual partner of IDUs, HIV retaled costing studies, analysis and modeling the HIV expenditures and resources needed for HIV programs.

1. Expand use of A2 and RNE: HPI will continue to work with the PEPFAR SI, VAAC/MoH and PEPFAR Provincial AIDS Centers (HCMC, Hanoi, Quang Ninh, Hai Phong, Nghe An, Can Tho, An Giang, Dien Bien and Lao Cai) and FHI to expand the activities of Analysis and Advocacy (A2) project, focusing on translating the results of studies and model applications into appropriate policies, programs, and advocating for the use of available data to formulate appropriate responses to and resource allocation for HIV/AIDS. - Provide follow-up training on RNE and on-site technical assistance for application of RNE in PEPFAR focus provinces. - Collaborate with other international and local partners and VAAC to advocate for the use of available data to formulate appropriate responses and resource allocation for HIV/AIDS.

2. Data synthesize and use - Mobilize evidence for policy changes and program adoption/scale up HPI/Abt Associates will work closely with USAID, the PEPFAR SI team, VAAC, and FHI to implement the data use for decision making project (DDM). To work closely with VAAC to develop relevant technical guidelines, facilitate M&E TWG role in advocating data use at the provincial level. And mobilize co-sponsorship from World Bank so that the program becomes the PEPFAR/WB DDM program; coordinate and cooperate with other partners, particularly FHI and UNAIDS.

3. Sexual partner of IDUs evaluation: The cross sectional survey of SPs which have been implemented in Hanoi, HCMC and Dien Bien in FY2010 provides valuable findings on HIV prevalence among the target population as well as sero-discordance rates, and data on trends in behaviors and engagement with the project. In FY2011, HPI will expand the survey activities in 4 additional PEPFAR provinces. Additionally, the monthly progress reports provide significant data on HIV status, drug use of the IDUs (client self-reported), and changes in condom use according to a stages-of-change model. In-depth analysis will focus on the effectiveness of the intervention and strategic recommendations for adjustment and improvement of the interventions. The evaluation data will also be used to inform SP interventions as well as add-in to the pool of HIV surveillance data in Vietnam which is now totally lack of data in this population.

4. System for monitoring implementation of the HIV/AIDS law and incidents of HIV/AIDS-related discrimination: With support from SI, HPI will continue to work with Boston University and Center for Community Health Research and Development (CCRD) to maintain the first systematic national estimates of acts of HIV/AIDS-related discrimination prohibited by Vietnam's HIV/AIDS law primarily discrimination in education, employment, and health care and violations related to HIV testing and disclosure of status. These estimates are based on a nationally representative survey of PLHA in 17 provinces. The survey data are being triangulated with monitoring data from our 5 legal clinics to assess the extent to which the clinics are reaching clients suffering the most prevalent and serious forms of discrimination.

Funding for Health Systems Strengthening (OHSS): $589,000

Pilot of Health Insurance coverage for HIV services

Conduct assessment of health insurance system and current financing of health insurance system.

Conduct cost analysis of health insurance pilot for people living with HIV/AIDS in two provinces.

Work on legal documents -- Government decisions, MOH circulars, inter-ministerial circulars that might be needed to support changing coverage of HIV services under health insurance schemes.

Develop technical guidelines and training for an expanded health insurance system.

Expanded capacity building for self-help and supported groups (SSGs) working toward full legal registration

Increase sustainability of health programs and services by building capacity of civil society.

Foster dialogue between civil society, private sector and government, as essential steps for building country ownership and sustainability of programs.

Design, pilot, and evaluate a performance-based incentive scheme to improve quality of care of and access to private providers

Focus on diseases of public health importance, such as STI and/or TB

Focus on disadvantaged population, who do not access public services due to stigma

Emphasis on performance (quality of care) as the basis for financial reimbursement

Preparation for future work on accreditation, which requires standardization of services as well as buys in from both private sector and public regulatory body.

Focus on rigorous, well designed evaluation to provide convincing evidence for policy advocacy.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $900,000

100% CUP

Continue to implement the 100% CUP in An Giang and replicate it in two other provinces (Hai Phong and CanTho).

Continue to advocate for the 100% CUP included in the new HIV/AIDS National Strategy which is being developed by MOH and in the revised Ordinance on Sex Work which planned by MOLISA.

Continue to advocate for the development of an inter-ministerial circular on 100% CUP to better facilitate the implementation and replication of 100% CUP at provincial levels.

Based on the Program Evaluation planned to implement in FY10, work closely with other PEPFAR partners like PSI and FHI to support MOH to develop the National Guidelines on Condoms, including 100% CUP.

Continue to coordinate the relevant stakeholders at provincial level to implement a truly 100% CUP.

Intervention for Sexual Partners of MARPs

Continue to implement intervention for sexual partner of MARPs in Hanoi and Ho Chi Minh City and expand it in two other provinces.

Based on Program Evaluation planned to implement in FY10, document lessons learned and produce a manual to help other partners integrate this intervention into other existing programs for MARPs.

Prevention with Positive (PwP)

Continue to serve as Secretariat for PEPFAR PwP Action Team to promote standardized PwP implementation among partners. Activities may include Partner Meetings or a Regional Meeting on PwP.

Continue to provide PwP services among HIV-positive MARPs.

Subpartners Total: $0
An Giang AIDS Association: NA
Boston University: NA
Community Health Promotion Centre: NA
Hanoi and HCMC AIDS Associations: NA
Ho Chi Minh National Academy of Politics and Public Administration: NA
Innovative Software Development Company: NA
Hai Phong Lawyers' Association of Hai Phong City : NA
Population Health and Development Institute: NA
Supporting Community Development Initiatives Centre: NA
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Increasing women's legal rights and protection