Detailed Mechanism Funding and Narrative

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

Details for Mechanism ID: 10000
Country/Region: Vietnam
Year: 2012
Main Partner: Harvard University
Main Partner Program: Harvard Medical School (Harvard Medical School AIDS Initiative in Vietnam)
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $1,000,000

Goals and ObjectivesThe focus of HAIVNs work consists of technical assistance (TA) to Vietnamese governmental and nongovernmental organizations in HIV care and treatment, including clinical mentoring, didactic training, and program evaluation/quality improvement (PE/QI).

Geographic Coverage and Target PopulationsHAIVN provides didactic training and clinical mentoring at more than 60 sites throughout Vietnam and PE/QI at an increasing number of sites with PACs. HAIVN partners with PACs in provinces with a high HIV prevalence, demonstrated TA need, and commitment to HIV care and treatment.

Strategy to Identify and Implement Cost EfficienciesCost efficiencies will be achieved for COP 12 by reducing the number of direct staff and consultants, and decreasing transportation and training costs. There will be a continued transition from direct education of clinicians to the provision of TA to provincial and national clinical educators.

Strategy to Transition Work to Partner OrganizationsHAIVN is committed to a substantial transition of TA in clinical mentoring, didactic training, and PE/QI to Vietnamese partners by the conclusion of the grant. During COP 12, HAIVN training materials, courses, and case discussions will be made available online, and modules will be implemented almost exclusively by partners.

Monitoring and Evaluation PlanMonitoring and evaluation is an integral part of all HAIVN training and clinical mentorship activities. Evaluation data is collected and reviewed quarterly to modify future training materials and activities. The effectiveness of HAIVNs clinical training activities has been supported by surveys and assessments. PE/QI efforts will also be assessed for their effectiveness in the future.

Funding for Care: Adult Care and Support (HBHC): $425,000

HAIVNs strategy is to continue to transition TA in HIV clinical capacity building to Vietnamese partners in a sustainable way. In COP 12, HAIVN will collaborate with other training and technical organizations to continue to provide technical support to national physician and nurse trainers who provide didactic and hands-on training on care and support. Module 1 covers TB-HIV and Hepatitis-HIV co-infections for healthcare staff; provincial TA team will provide clinical mentoring support to district. HAIVN will continue to collaborate with VAAC and other stakeholders to support the national strategy to develop and promote a national quality improvement (QI) program for care and treatment services in Vietnam. In collaboration with other partners, HAIVN will continue to support distance learning that covers care and support contents similar to didactic and hands-on training package.

Funding for Care: Pediatric Care and Support (PDCS): $50,000

HAIVN will continue to provide clinical mentoring to select PEPFAR sites and will support non-PEPFAR sites based on identified needs. New sites, sites with complex cases, and sites that need capacity improvement are prioritized. HAIVN will continue to train provincial clinical mentors with support from national mentors to provide clinical TA to district level. HAIVN will support the establishment of a cadre of trainers through a national Training of Trainers (TOT) course. Potential trainers will be selected from referral hospitals in the country. These local experts will later function as supporters and supervisors for provincial clinical mentors mentioned above. Partner will continue their work regarding disclosure for PEPFAR. Activities include training national and provincial counselors on HIV disclosure for infected children; together with Pediatric Hospitals Number 1and 2 in Ho Chi Minh City to provide TA to PEPFAR sites during implementation.

Funding for Treatment: Adult Treatment (HTXS): $425,000

The main function of HAIVN is to provide TA for GVN and non-governmental organizations in HIV care and treatment. As in previous years, in COP 12, HAIVN will provide didactic training and encourage national referral hospitals to take the majority of clinical training (Modules 2 and 3) activities and support the national trainers to supervise the provincial clinical mentors who are selected and trained to mentor for district levels. In addition, advanced ART trainings for nurses are done by TOT nurse graduates. HAIVN improves capacity for PACs and works with them to expand capacities for districts through technical discussion in ART network meetings. HAIVN implements QI in selected clinics and join MOH/VAAC in developing a national QI program. HAIVN subcontracts with other partners including I-TECH, HCM Medical University, TREE and ASHM to develop curricula, as well as the Vietnam HIV Professional Association and the ongoing work with collaborative distance learning. In COP12, HAIVN will work with VAAC and referral hospitals to select national clinical trainers and provide TOT trainings for qualified doctors and nurses in order to transfer the training role to local trainers. HAIVN will continue strengthening capacity for staff at higher levels to provide on-site mentoring for lower levels. HAIVN will provide online, continuing HIV training education for underserved and geographically-distant provinces nationwide and implement online clinical problem-solving discussions between district, provincial, and national levels. In terms of QI, HAIVN will develop PE/QI training packages at the provincial level and support the expansion of the national QI strategy.

Funding for Treatment: Pediatric Treatment (PDTX): $100,000

The partner will continue to provide clinical mentoring to select PEPFAR sites based on the following criteria: new sites, sites with complex cases, and sites that need capacity improvement are prioritized. HAIVN will continue to train provincial clinical mentors with support from national mentors to provide clinical TA to district level. HAIVN will continue to organize comprehensive clinical training for untrained staff. Partner will keep working with the Ministry of Health, and two leading pediatric hospitals (National Pediatric hospital in the North and Pediatric Hospital Number 1 in the South) for hands-on training for PEPFAR and non-PEPFAR programs. This type of training is complementary to in-class training as it focuses on clinical practice. Partner will work with the Vietnam National University to develop the national training curriculum for adherence counseling. Partner will implement distant learning activity for quick response and convenient mode of communication. Fund will support provision of online continuing HIV training education for underserved geographically-distant provinces nationwide, and implement online clinical problem-solving discussions between district, provincial, and national levels.

Subpartners Total: $0
Bach Mai Hospital: NA
HCMC Provincial AIDS Committee: NA
Ministry of Health - Vietnam: NA
National Pediatrics Hospital: NA
National Tuberculosis Programme - Vietnam: NA
University of Washington: NA
Vietnam Nurses Association: NA