ADB is helping Viet Nam prevent new infections of HIV/AIDS among its youth. The project will provide leadership and strategy support to government officials from the community to the national level, develop an integrated plan involving mass media and community campaigns, and support nongovernment organizations in undertaking a related program of province-based, youth-focused activities.
|Project Name||HIV/AIDS Prevention Among Youth|
|Project Type / Modality of Assistance||Grant
|Source of Funding / Amount||
|Strategic Agendas||Inclusive economic growth
|Drivers of Change||Gender Equity and Mainstreaming
Governance and capacity development
|Sector / Subsector||
Health / Disease control of communicable disease
|Gender Equity and Mainstreaming||Gender equity|
|Description||The objective of the Project is to reduce HIV/AIDS infection rates among young people (15-24 years old). To achieve this, the Project will support the Government to implement a comprehensive behavior change communication program aimed at reducing HIV/AIDS infection risk for youth. The Project will have four components: (1) leadership and strategy support for HIV/AIDS prevention among youth; (2) a national mass media program for behavior change; (3) community-based HIV/AIDS prevention resources for youth including harm reduction outreach services, HIV prevention for vulnerable youth, and primary prevention programs for youth and families; and (4) project management, capacity building, monitoring, and evaluation.|
|Project Rationale and Linkage to Country/Regional Strategy||The Project supports the Viet Nam's National HIV/AIDS Strategy efforts to halt and begin to reduce the spread of HIV/AIDS by 2010. The proposed targeting of youth, capacity building and leadership advocacy using innovative approaches according to the national strategy is consistent with ADB?s proposed strategic directions in HIV/AIDS and fits with ADB?s Country Strategy (2007-2010) focus on social development (also consistent with the Government's Socio-Economic Develoment Plan -SEDP - 2006-2010).|
|Impact||Have halted by 2015 and begin to reverse the spread of HIV/AIDS (Millennium Development Goal 6, target 7)|
|Description of Outcome||HIV infection risk behaviors reduced among youth aged 15-24 years|
|Progress Toward Outcome||HIV prevalence among young people aged 15-24 and in sub-populations of young people with high risk behavior: The propotions of HIV infection/experience among the vulnerable groups in the project sites tended to be smaller at the end-line survey compared to the baseline.|
|Description of Project Outputs||
1. Component 1: Improved policy environment for youth focus in implementation of the national HIV/AIDS
2. Component 2: Improved measures of knowledge in relation to HIV/AIDS risks and prevention and ssociated issues for youth, including condom normalization obtained from mass media and other BCC programs supported by the Project
3. Component 3: In project provinces, an increase in the percentage of youth with access to HIV harm-reduction and prevention education programs, including through outreach services, peereducation and community-based education programs
4. Component 4: Capacity building for youth-focused policy and programs and institutionalized, youth-focused M&E established and functioning at target provincial and district levels
|Status of Implementation Progress (Outputs, Activities, and Issues)||
In the scope of this Component, the 2nd round of the largest survey on Vietnamese youth (SAVY 2) was conducted. The Government committed to holding the final SAVY 2 dissemination workshop in the first half of 2012 using its own funds.
Overall, the project has helped mobilized support and commitment from both parents and influential people on all of these aspects. At both central and provincial level, the Project has conducted a numbers of annual advocacy events for leaders, orientation workshops, and workshops with service providers. The efforts aim to call for the greater support and commitment of relevant policy makers, leaders and managers at all levels as well as to create participatory forums for addressing the needs and capacity of young people in involvement into HIV/AIDS prevention programs as well as to scale up youth-friendly services for young people.
In QII 2009, MOH submitted for Prime Minister's approval a proposal on capacity building for HIV/AIDS Centers in provinces.
The project launched a wide range of mass media products and messages on HIV prevention (about 22 items) and these reached all segments of the society as expected.These included movie, films, TV clips, posters and leaflets about HIV/AIDS prevention, which were known to 39-47% and used by 28-34% of the young people in both project and non-project sites. The drama has been aired on the national and provincial Television. Based on media surveys, the public appreciation was mixed. The PMU will collect evidence of impact of the drama series.
The weekly radio phone-in program _60 minutes you and me_, after almost 2 years of airing, became a popular program for the youth in the project provinces. Besides, 90 thematic TV spots, radio spots, 6 documentary films, and complete set of interpersonal communication materials targeting mainstream youth, illegal drug users (IDUs), sex workers, parents and leaders; writing competition on HIV/AIDS was organized for youth and students.
Integrated activities (TV drama and spots, talkshows, radio phone-in programs) are on going. The assessment of impacts by the mass media campaign will be conducted.
NGOs assist with community based activities mainly in voluntary conselling and testing. As of to date the total clients of 19 VCT centers in 14 project provinces are 79,464 cases including 33,812 males and 45,652 females.
Baseline surveys have been completed. NGOs (MSI and CCRD) have been contracted to implement harm reduction activities in the provinces. They help set up VTC sites and train health staff and peer educators.
Youth Advisory Groups have been established in all 14 provinces. Peer educators have been identified including PLWHAs.
The project has actually promoted HIV-testing seeking behaviors among youth groups including IDUs, CSWs, MWs, and youths. Youth in the project sites were both more active in seeking HIV tests but also in getting repeated HIV tests than in the non-project sites.
NGOs recruited and activities initiated. The best way to distribute condoms are being discussed in provinces.
The PMU has made commendable efforts to build capacity of PPMUs and ensure proper consolidation and sustainability of Project activities.
Activities initiated, collaborators and peer educators in Phase 1 provinces have been trained and started to organize educations with families thru visits, clubs' activities.
A quick end-line survey has been carried out. EA has completed its project completion report.
ADB is now preparing the project completion report.
|Geographical Location||Huyen Dien Bien, Long An, Thanh Pho Can Tho, Thanh Pho Da Nang, Thanh Pho Ha Noi, Tinh Ba Ria-Vung Tau, Tinh Bac Ninh, Tinh Binh Duong, Tinh Dong Thap, Tinh Hai Duong, Tinh Phu Tho, Tinh Quang Ninh, Tinh Quang Tri, Tinh Thua Thien-Hue|
|Summary of Environmental and Social Aspects|
|Indigenous Peoples||The Project will target vulnerable youth in 15 provinces which include significant ehtnic minority populations. In these provinces, special provisions will be included in the provincial action plans to ensure that materials are adapted to effectively reach ethnic minority youth at risk.|
|Stakeholder Communication, Participation, and Consultation|
|During Project Design||During project design, a stakeholder analysis was completed to identify and understand both the groups at risk of HIV infection and the potential partners in project implementation. Primary stakeholders include first and foremost, young people, as well as the VCPFC as executing agency, along with MOH/VAAC, MOLISA, and MOET.|
|During Project Implementation||The stakeholders mentioned above will play an active role in the implementation of project activities, which in turn will have some effect on their operations. For the project activities that aim to develop support for the implementation of the National HIV/AIDS Strategy with a youth focus, stakeholders include national and local government leaders and policy makers. Local and international NGOs will play a role as stakeholders and implementing agencies. Youth, as those at risk and targeted, will be actively involved through project activities including as key informants for the formative research, through employment in the television and radio production processes, and as peer educations. Mass organizations such as the Youth Union will also be involved.|
|Consulting Services||About 59 person-months of international and 384 person-months of domestic consulting services will be required. Three international and 34 domestic consultants (including 2 for each province) will be recruited as individual consultants. In addition, an international media agency will be recruited as a firm to provide technical assistance inputs and production oversight for the mass media component. The firm will be selected using quality- and cost-based selection through a full technical proposal. International and local NGOs will be contracted to provide the harm reduction, peer education, and life skills training programs under Component 3.|
|Procurement||As all packages are expected to cost less than $1 milion, international shopping or local competitive bidding procedures will be used, or direct purchase for those costing less than $100,000. The PMU will handle all procurement using IS or LCB. Direct purchase may be used by the provinces under the supervision of the PMU. There will be no civil works funded under the Project.|
|Responsible ADB Officer||Tuyen Nhat Nguyen|
|Responsible ADB Department||Southeast Asia Department|
|Responsible ADB Division||Viet Nam Resident Mission|
Vietnam Comm for Population, Family and Children
Mrs Tran Thi Thanh Mai
Project Management Unit, c/o General Office for Population and Family, 12 Ngo Tat To Street, Hanoi, Vietnam
|Concept Clearance||14 Mar 2004|
|Fact Finding||27 Sep 2005 to 21 Oct 2005|
|MRM||01 Dec 2005|
|Approval||30 Jun 2006|
|Last Review Mission||-|
|PDS Creation Date||14 Dec 2005|
|Last PDS Update||29 Oct 2012|
|Approval||Signing Date||Effectivity Date||Closing|
|30 Jun 2006||24 Jul 2006||02 Nov 2006||31 Dec 2011||15 Mar 2012||04 Feb 2013|
|Financing Plan||Grant Utilization|
|Total (Amount in US$ million)||Date||ADB||Others||Net Percentage|
|Project Cost||26.70||Cumulative Contract Awards|
|ADB||20.00||30 Jun 2006||16.85||0.00||84%|
|Cofinancing||0.00||30 Jun 2006||16.85||0.00||84%|
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