The health facilities in the targeted districts provide HIV services as per provincial plans.
Total # facilities: Commune health stations (CHS) = 1,039, District health center (DHC) = 80, District hospitals/Polyclinics (DHP) = 109
Actual number of facilities providing following services (data for 2016):
VCT: CHS = 6; DHC = 69; DHP = 30
ART: CHS = 15; DHC = 30; DHP = 23
PMTCT: CHS = 3; DHC = 41; DHP = 22
Methadone Distribution: CHS = 59; DHC = 44; DHP = 13
Harm reduction activities: CHS = 662; DHC = 71; DHP = 23
Care and treatment AIDS: CHS = 190; DHC = 36; DHP = 38
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 30 September 2015 the total target population among female sex workers and migrants reached by the mobile team is 1257 persons have been reached (699 females, 538 ethnic [412 females], 1049 workers).
Additional data from Houaphanh province that also started activities before September 2015 show that 11 outreach clinics have been conducted, 1978 persons have been reached, 436 cases of STI were diagnosed and treated, 847 HIV tests were conducted, and 6 HIV tests were positives.
Presently, the CHAS M&E does not disaggregate VCT/STI services provided on sites and through mobile teams. The M&E consultant prepared specific forms for data collection during outreach activities.
Outreach team activities will be extended to 8 target provinces during 2015-2016 and the form will allow monitoring the indicator.
From November 2014 to September 2015:
" 227 staff (153 females/67%, 71 ethnic/31% [39 females/55%]) have been trained with revised STI guidelines.
" 230 staff (170 females/74%, 80 ethnic/35% [51 females/64%] have been trained with revised VCT guidelines.
From October 2015 to December 2015:
" 44 staff (21 females/48%, 13 ethnic/30% [6 females/46%]) have been trained with revised STI guidelines.
" 30 staff (30 females/100%, 6 ethnic/20% [6 females/100%] have been trained with revised VCT guidelines.
Training output from 2014 to 2016
HSPH Management training: Total participants = 227; Female = 88 (39%); Ethnic = 19 (8%)
International Master of Public Health Scholarship: Total participants = 12; Female = 3 (25%); Ethnic = 0 (0%)
National Master of Public Health Scholarship: Total participants = 88; Female = 50 (57%); Ethnic = 1 (1.7%)
Methadone training (CPMU): Total participants = 716; Female = 461 (64%); Ethnic = 37 (5%)
TOT on HIV prevention for Medical secondary school of 15 provinces: Total participants = 167; Female = 79 (47%); Ethnic = 21 (13%)
Provincial staff (PPMUs): Total participants = 1,166; Female = 581 (50%); Ethnic = 62 (5%)
District health staff (PPMUs): Total participants = 2,184; Female = 766 (35%); Ethnic = 260 (12%)
Commune health staff (PPMUs): Total participants = 1,870; Female = 812 (43%); Ethnic = 781 (42%)
Village health worker (PPMUs): Total participants = 4,702; Female = 2,837 (60%); Ethnic = 1,933 (41%)
Private medical practitioners (PPMUs): Total participants = 1,048; Female = 512 (49%); Ethnic = 70 (7%)
TOTAL: Total participants = 12,180; Female = 6,189 (51%); Ethnic = 3,184 (26%)
To be measured by monitoring survey. Competency questionnaire to be proposed by EA.
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.
Quality assessments were conducted in 5 out of 8 provinces by PCCAs and provincial hospitals staff in at least 1 provincial hospital and 2 selected district hospitals by the end of September 2015. The results of the assessment with a score will provide a baseline for evaluation of progress.
A Quality Assessment Consultant will be recruited to provide further technical inputs and advices on the quality assessment system.
The CTA and the M&E consultant conducted a review of the quality assessment data collected. A quality assessment score can be obtained with minor changes in the data collection form. These suggested changes will be discussed with CHAS M&E Unit.
The position for a Quality Assessment Consultant was advertised. The consultant will be able to provide further technical inputs and advices on the quality assessment system.
Survey was conducted in 2016 by CPMU consultants, VAAC, HSPH.
HIV/AIDS prevention programs in Vietnam currently composed of 7 services primarily related to diagnosis and treatment: VCT, laboratory testing, PMTCT, OI, ART, STI and MMT. The project will prioritize the quality assessment related to assessing the project's key intervention only, that is, M&E system (Data quality assessment) and MMT service.
PMU urged to develop quality assessment criteria.
Annual operation plans prepared by the provincial health offices are following the standard planning template and are organized in 8 programs and 98 sub-programs (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 have been reviewed by the international and national gender consultants recruited in May 2015.
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.
The national BCC and gender consultants recruited in May 2015 prepared specific integrated activities in the AOPs for FY 2015-2016. This includes mainstreaming gender and ethnic group sensitivity into plans, dissemination of GEGAP and DMF indicators to monitor, review of training and BCC materials, TOTs, conduct awareness activities on HIV/AIDS prevention using gender mainstreaming and ethnic sensitized materials with BCC in target villages.
Ongoing. All provinces have approved HIV/AIDS annual plan. The plan includes partners' contribution and targets of HIV/AIDS national program.
Most of the gender indicators are part of the M&E system and report was fed into planning.
A survey was conducted at end of 2016 and 2017 to collect data for a number of gender indicators (that can't be regularly monitored such as the training need assessment that is gender responsive).
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. The update is provided in Appendix 8 of the quarterly report. High risk populations targeted in each province was updated during the first quarter of 2016. The update in provided in appendix 9 of QR 10. The target population mapped in 2016, subject to revision if necessary, will be the basis for preparation of AOP 2017.
In 2016: Provided training for 105 health managers (45 female), there is no ethnic minority.
From 2014-2016, provincial and district managers who received training were:
Total: 227; Women: 88 (38.77% of total trainees; 70% of all women managers); Ethnic minorities: 19 (8.4% of total trainees).
Surveys were conducted in end of the 2016 by the Project M&E firm.
Number of BCC sessions conducted in the ethnic villages of the district/ number of ethnic villages refer to Section A, indicator 1d of the progress report.
To note that M&E framework shall include reporting by gender for BCC activities.
Baseline and Endline survey
(Baseline survey was conducted in end of 2016.)
Note: The indicator will need to be amended during MTR; survey data should collect data to compute the proportion of the ethnic population with sufficient knowledge on HIV/AIDS; proportion of the ethnic population which report attending at least one BCC session during the past 12 months. To ensure data analysis by gender, this was included in the survey.
Baseline and Endline survey
(Baseline survey was conducted in end 2016.)
Note: Target population are MMP, ethnic population and IDUs. To ensure data analysis by gender, this was included in the survey.
As of September 2015, 641 (274 females/43%, 396 from ethnic groups/62% (151 females/38%)) volunteers/peer educators have been selected by the communities and trained by provincial trainers to provide HIV-AIDS prevention activities in the communities and since 2014 HIV-AIDS education campaigns are regularly conducted with the communities in 35 districts.
From October 2015 to December 2015, Bokeo and Houaphanh trained or retrained 76 volunteers including 35 females and 67 ethnic.
This is a complex indicator that can only be assessed through household survey in target villages at the end of the project (end line survey).
Meanwhile, progress will tentatively be monitored by measuring the number of villages benefiting of at least 4 BCC sessions during 1 year period and the number of people reached.
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 September 2015, HIV-AIDS education campaigns have been regularly conducted with the communities in 35 districts: 16042 persons were reached (8494/53% females, 10426 ethnic/65% [6150 females/59%], 827/5% migrants).
From October 2015 to December 2015, BCC activities were conducted with groups such as in schools, offices, and during special event days. 1901 persons were reached (1121/59% females, 799 ethnic/42% [497 females/62%], 122 migrants, 24 service women).
The MOU signed at the bilateral meeting in Hanoi on 1 October 2014 and MOUs signed between provinces outline 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.
HIV-AIDS prevention activities are going on in the 3 provinces with Vietnamese speaking mobile populations such as infrastructure workers, truck drivers, service women. The number of persons reached are:
Phongsali: 760 persons including 350 females/46%
Houaphanh: 265 persons including 18 females/7%
Attapeu: 293 persons, including 121 females/41%
Pilot was planned in 2014 to 2015 for the 4 paired provinces. (Thanh Hoa, Kom Tum, Dien Bien, Binh Phuoc). The 2015 activities were extended from 2015 to September 2016. CPMU had provided guidance to the PPMUs on the pilot activities. Data collection for reporting of implementation will be conducted in 2016. The responsible consultant shall follow-up on the reporting requirement with the PPMUs.
The implementation will be extended to 7 provinces in Vietnam which include 4 current provinces and the 3 additional provinces are Quang Nam, Quang Tri and Ha Tinh.
Only Attapeu implemented activities at the border areas during the reporting period. From October 2015 to December 2015, 114 persons were reached (53/46% females, 56 ethnic/49% [19 females/34%], 0 migrant, service women 27).
Crossborder prevention models were carried out in 7 provinces (Dien Bien, Son La, Thanh Hoa, Kon Tum, Ha Tinh, Quang Nam, Quang Tri).
Results as of 2016 follows:
- Training for communicators: 2,230 people [women: 876 (39.3%) and minority: 1,446 (64.8%)].
- BCC sessions: 302 sessions; estimated 30,567 people attended with of about 24,546 minority people (80.3%); 1,910 mass media communication via loudspeakers.
- Harm reduction:
+ Received needles: 2,324 people [4 women (0.2%), 1,695 EM (72.9%)].
+ Received condoms: 2,884 people [34 women (1.18%), 1,952 EM (67.7%)]
- Number of people were counseling and testing: 1,265 [women: 688 (54.4%) and 251 (19.8%)].
4 MOU were signed:
" CHAS-VAAC Sep 2014
" Kontum-Attapeu Mar 2014
" Houaphanh-Thanh Hoa-Son La May 2014
" Phongsali-Dien Bien June 2014 (ratified agreement dated Nov 2013)
Regional cooperation focal points were appointed by 2013 and functional by 2014. PCCAs and DCCAs are the focal points.
Considering difficulties and amount of work required to organize bilateral meetings, it was agreed that CHAS and VAAC would join CDC2 regional steering committee meetings with bilateral Viet Nam-Lao PDR meetings as necessary.
The 5th CDC2 Regional Steering Committee Meeting was conducted on 10-12 December 2015 in Nha Trung, Vietnam. The director of CHAS and the project coordinator attended the meeting.
Joint strategy for regional cooperation 2015 -2017 has been finalized on 1 October 2014 and ratified after the Hanoi meeting on 15 October 2014.
Joint strategy were drafted and four joint action plans were prepared between:
" Houaphanh-Thanh Hoa-Son La
" Phongsali-Dien Bien
Cross-border activities were incorporated provincial AOPs FY 2014-2015 of Houaphanh and Attapeu provinces.
Cross-border activities were incorporated provincial AOPs FY 2015-2016 of Houaphanh, Phongsaly, and Attapeu provinces.