Grant -0312- LAO: Greater Mekong Subregion Capacity Building for HIV/AIDS Prevention
The Mission was informed that HIV/AIDS prevention and response plans were included in the Communication Diseases Control Program of Annual Operational Plan (AOP) of provincial health departments. The Center for HIV/AIDS and STIs (CHAS), with support from the project, the Global Fund, WHO, and UNAIDS, has developed the third National HIV and AIDS Strategy and Action Plan (2016-2020) in English and in the process of translating it into Lao language. Three seminars were organized with 11 line ministries to discuss and develop a HIV response plan for their individual sector.
The project supports strengthening STI services in 35 target districts by (i) building capacity of district hospital staff on STI diagnosis and management, (ii) provision of STI drugs and HIV test kits, (iii) provision of equipment for VCT rooms; (iii) improving case follow-up and referral system from district to provincial hospitals. As of 29 April 2016, CHAS completed (i) the update of the national guidelines and Standard Operation Procedures for Voluntary Counselling and Testing (VCT) for trainers and counsellors; and (ii) revision of STI treatment services and management guidelines. As of August 2016, a total of 279 staff (182 female (65%), 92 from ethnic groups (33%)) received training on the revised STI treatment guidelines. 364 staff (253 female (70%), 146 from ethnic groups (40%)) attended training on the revised VCT guidelines. The project procured and distributed STI drugs and test kits to 35 target districts. The project supported provincial and district health teams to conduct mobile clinic services on VCT and STIs and provided services to 2,133 female sex workers, migrants, truck drivers, and youths in Oudomxay, Salavan, and Attapeu provinces, of whom 746 are women.
As of September 2016, 641 (274 or 42% are female, 396 or 61% from ethnic groups (151 female)) peer educators were recruited and trained and provided with IEC materials; and 29,590 (15,354 are female, 18,834 from ethnic groups (10,164 females)) were reached by peer education activities.
The baseline survey consulting firm which will be mobilized by end October 2016 in Laos 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.
Loan -2930- VIE: Greater Mekong Subregion Capacity Building for HIV/AIDS Prevention Project
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.
122 manager of provincial, district received training, achieved 76.2% against project plan.
In which: - Women: 43 people
- Minorities: 19 people
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.
Hanoi School of Public Health (HSPH) developed toolkit to assess capacity of provincial and district staffs in 2015.
This indicator will be discussed during the MTR. The Mission suggests to measure the proportion of managers who successfully completed at least three month management training equivalent to the course provided by HSPH.
Training courses include gender specific features. Monitoring system includes gender related indicators. Gender specialist was identified in 2016 but did not sign her contract. Recruitment is still ongoing.
By November 2015, 122/260 (47%) district and province managers were trained, of which 43/127 (34%) of women managers and 19/44 (43%) of manager from ethnic minority groups.
In 2016, 84 women manager and 25 ethnic group managers will be trained to reach the project targets.
Total HIV/AIDS managers in the 15 provinces: 260, of which 127 (49%) women and 44 (17%) ethnic minority
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.
Training output as of June 2016
HSPH Management training: Total participants = 80; Female = 32 (40%); Ethnic = 4 (5%)
International Master of Public Health Scholarship*: Total participants = 12; Female = 3 (25%); Ethnic = 0 (0%)
Methadone training (CPMU): Total participants = 716; Female = 461 (64%); Ethnic = 66 (9%)
TOT on HIV prevention for Medical secondary school of 15 provinces: Total participants = 78; Female = 45 (58%); Ethnic = 0 (0%)
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 will be 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.
The health facilities in the targeted districts provide HIV services as per provincial plans. 89% of 1,039 HS provide harm reduction activities. 51% of district health centers provide AIDS care and treatment.
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:
VCT: CHS = 6; DHC = 67; DHP = 29
ART: CHS = 15; DHC = 23; DHP = 23
PMTCT: CHS = 3; DHC = 41; DHP = 22
Methadone Distribution: CHS = 59; DHC = 44; DHP = 13
Harm reduction activities: CHS = 645; DHC = 69; DHP = 22
Care and treatment AIDS: CHS = 190; DHC = 36; DHP = 38
Note: The indicator will need to be reviewed during the MTR; survey should collect data to compute the proportion of the MMP, IDU and ethnic population in border districts which report attending at least one BCC session during the past 12 months. To ensure data analysis by gender is included for the surveys.
Baseline and Endline survey
(Baseline survey will be conducted in 2016. Currently the CPMU is on the process of recruiting a consultant for this task.
Note: Target populations are MMP, ethnic population and IDUs.
Four MOUs outlining mechanism for regional collaboration, joint activities and sustainable financing were signed between Lao PDR and Viet Nam in 2014.
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:
(iii) Houaphanh-Thanh Hoa-Son La
(iv) Phongsali-Dien Bien
Activities are ongoing.