Annual operation plans prepared by the provincial health offices are following the standard planning template and are organized in 8 programs and 98 subprograms (called projects). HIV plans are systematically integrated into overall AOPs of provincial health departments under program the CDC program.
With regard to gender sensitivity, AOPs for FY 2014/2015 are being reviewed by the international and national gender consultants recruited in May 2015 to provide recommendations and conduct training to include gender sensitive activities in the provincial AOPs for FY 2015-2016.
During the workshop in April 2015 on review of progress of the project implementation and preparation of the project AOPs for the year 2015-2016, CHAS presented to PCCAs from the 8 target provinces the project gender and ethnic group action plan and provided recommendations on integration of project activities in the plan.
CHAS completed training on project management and planning for PCCAs and DCCAs. It also conducted trainings on mapping of target populations and rapid assessment of high risk behaviors. This data is used by DCCAs and PCCAs to prepare annual operational plans with activities directed to these high risk groups.
PMU and CHAS requested in June 2015 PCCAs to provide an update of the high risk populations targeted in each province. Two provinces already provided the information. All provinces will submit information from July 2015 and the data will be tentatively organized by the M&E consultant to provide summarized data on total population, ethnic groups, migrants and mobile population, female sex workers, etc. in 35 target districts.
The Hanoi School of Public Health has conducted two courses related to planning and management capacity at national, provincial, and district level. Eighty-one trainees participated among those 32 women (40%). EA estimated that 60 persons received curriculum by the end of the year 2014.
By June 2015, pilot mobile teams providing VCT/STI services started in 3 provinces of Oudomxay, Salavan and Attapeu and are providing services for female sex workers, migrants, truck drivers, and youths residing in dormitories. The teams were equipped with STI drugs, HIV rapid test, IEC materials and condoms.
As of 31 December 2014, a total of 111 (103 female, 90 from ethnic groups) target population among female sex workers and migrants were reached by the mobile team in Oudomxay.
Presently, the CHAS M&E does not disaggregate VCT/STI services provided on sites and through mobile teams. Data has to be disaggregated by DCCAs and PCCAs to meet project requirements.
As of December 2014, a total of 50 provincial staff (37 (74%) are female, 10 from ethnic groups (8 female)) and 109 district staff (73 (67%) are female, 36 from ethnic groups (25 female)) received training on STI management.
Prepared the design competency evaluation questionnaire and apply to targeted staff. Provincial staff will apply the questionnaire to randomly selected staff.
CHAS developed a comprehensive quality assessment system and data collection forms. The tools have been field tested in three provinces and following field test, a workshop attended by PCCAs and provincial hospital staff was organized to conduct a detailed review of the data collection forms and discuss implementation methodology. Following revision of data collection forms, quality assessment will be conducted in all facilities and the results of the assessment establishing a score will provide a baseline. A Quality Assessment Consultant will be recruited to provide further technical inputs and advices on the quality assessment system.
EA to design quality evaluation questionnaire to district health center/commune health station based on quality assurance developed by VAAC. HSPH to apply the questionnaire in selected district health centers (DHC) and in selected commune health station (CHS). EA to apply questionnaire every year to all selected DHC and selected CHS.
As of June 2015, 641 (274 females, 396 from ethnic groups (151 females)) peer educators were recruited from the communities and trained and provided with IEC materials. These peer educators were selected by the communities based on selection criteria.
As of September 2014, a total of 4,880 (female 2,823, 1,687 from ethnic groups (1,036 female)) were reached by peer activities. From October 2014 to June 2015, 185 (109 females, 120 ethnic [73 females], 25 migrant) were reached but data are incomplete and need to be updated.
The baseline survey consulting firm will measure the access to HIV prevention outreach services among target populations in project districts. MMP, IDU and ethnic groups had attended at least one BCC session during the past 12 months. The baseline and endline survey will target the population of MMP, ethnic, and IDUs.
Four MOUs outlining mechanism for regional collaboration, joint activities and sustainable financing were signed between Lao PDR and Viet Nam in 2014.
Regional cooperation focal points were appointed by 2013 and functional by 2014. PCCAs and DCCAs are the focal points, and their role and responsibilities for HIV AIDS are defined. However, their role in cross border cooperation needs to be strengthened. Joint strategy for regional cooperation and joint provincial operational plan were agreed at the cross border HIV-AIDS bilateral meeting in Hanoi on 1 October 2014 and MOUs signed between provinces outlining mechanism for regional collaboration and joint activities. Within this framework and with support from TA 8204, cross border collaborative pilot activities started in 3 sites. A meeting between the 3 provinces was conducted in July 2015 in Attapeu to review and discuss results of the pilot activities, plan further activities in 2015-2016, and discuss relevance of extension of pilot activities to other provinces.
Cross-border activities were incorporated in provincial AOPs FY 2014-2015 of Houaphanh and Attapeu provinces. Based on results and lessons learned of pilot cross-border activities in 3 pilot sites, cross-border activities will be extended to other provinces and incorporated into provincial AOPs.