|Progress Toward Outcome
(i) Contributed to containment of outbreaks of AI, Cholera, Dengue and other infectious diseases of regional relevance.
(ii) Contributed to improved provincial capacity for CDC in targeted provinces, Dengue prevention and outbreak control, control of NTDs in high risks populations, and improved awareness of high risk groups about prevention of HIV/AIDS (Lao PDR and Viet Nam);
(iii) Contributed to modest improvement in MOH capacity for CDC and regional cooperation.
|Status of Implementation Progress (Outputs, Activities, and Issues)
(i) Improved policy framework and guidelines, more field epidemiologists, better prepared provincial outbreak response teams and hospitals, provincial emergency funds, improved laboratory services, and better community preparedness. However, hospitals have limited surge capacity; hospital and laboratory staff need more training and operations support; community prevention, preparedness and reporting still insufficient in particular in border areas. Provincial emergency funds less sustainable and insufficiently covers outbreak reporting costs (e.g., sms, free phone).
(ii) Improved provincial annual operational plans (AOP) with more attention to targeting, CDC, and operations. Targeted support for the control of Dengue and neglected tropical diseases (NTDs). However, provincial planning and budgeting capacity varies considerably and needs clear purpose, formats, and reliable information. Due to a lack of sustainable funding, Dengue outbreaks are reoccurring. Strategies for community prevention of Dengue are less sustainable. Provinces need to make more effort to reach remote communities in border areas.
(iii) Regional cooperation in CDC has improved in terms of creating a conducive environment for dialogue and exchange of views. CLV institutions have completed several epidemiological studies. Cross-border cooperation is also increasing with support of partners. However, MOH capacity for regional cooperation remains limited. While there is an overall cooperation agreement, formal cooperation arrangements, institutional structures, and domestic resources budget need to be improved. Actual regional cooperation is slow to emerge, such as for implementation of regional strategies and KM products.