2011 Achievement and 2012 Activity

plans for HIV/AIDS Prevention Care

and Treatment Programs

in Health Sector

Presented by

Lan Van Seng, MD, MPH

Deputy Director of NCHADS

Outlines• Briefing the Strategic Plan 2011 – 2015 for

HIV/AIDS Prevention, Care and Treatment Programs in Health Sector

• 2011 achievements of HIV/AIDS and STI programs in health sector and target for 2012.

• Activity and budget plan for 2012

• Challenges and Lesson learned

Briefing the Strategic Plan 2011 – 2015

for HIV/AIDS Prevention, Care and

Treatment Programs in Health Sector

• 3 Objectives

• 9 components

Objective 1: To reduce the HIV prevalence rate

between 0.9%-0.6%

• Component 1: Continuum of Prevention to Care and

treatment (CoPCT) with its objective focus on:

– To maintain high level of awareness on HIV/AIDS

and STI and to promote HIV and STI care

seeking behaviors among the general population.

– To strengthen access to quality HIV and sexual

health services for MARPS and their partners

through the implementation of the Continuum of

Prevention to Care and Treatment (CoPCT).

– To improve knowledge and behavioral change

among PLHIV through positive prevention

interventions.

Objective 2: To increase survival of PLHAs on ART

after 12 month

• Component 2: Health Facility Based Care

(HFBC): HIV testing and counselling, Adult and

pediatric AIDS care, PMTCT of HIV, HIV and STI

Laboratory, STI care and Treatment

• Component 3: Community and Home Based Care

(CHBC)

• Component 4: Strategy to support the continuum

of care: Linked response approach, 3’ Is strategy,

MMM/mmm services, positive prevention

intervention

Objective 3: To Ensure that NCHADS and

Provincial Programs are Cost-Effectively Managed

• Component 5: Surveillance

• Component 6: HIV/AIDS and STI Research

• Component 7: Planning, Monitoring and

Reporting

• Component 8: Data Management

• Component 9: Logistic Management

2011 achievements of HIV/AIDS and

STI programs in health sector and the

target for 2012

Indicators Target 2011

Target

Achieved

as Q4 2011

Target

2012

1 Number of Adult OI/ART sites 56 57 58

2 Number of Pediatric OI/ART

sites40 33 50

3 Number of people with

advanced HIV infection on

ART (Adult)

39,097 42,03439,497

4 Number of people with

advanced HIV infection on

ART (Children)

4,200 4,439 4,400

Facility Based Health Service Delivery

(FBHSD)

* Sources: from DM Unit

VCCT

Indicators Target 2011

Target

Achieved as Q4 2011

Target

2012

1 Number of licensed VCCT

sites operating in the public

and NGOs

260 255 280

2 Number of adults (aged 15-49)

who received HIV test result 750,000 666,839800,000

STI Care and Treatment

Indicators Target 2011

Target

Achieved as Q4 2011

Target

2012

1 Number of STI laboratory

involved in QC

32 32 32

2 Number of Family Health

Clinics participated in CQI4 3 15

Activity and budget plan for

2012

Activity and Budget Plans 2012 supported by Global

Fund for National and Provincial LevelsComponents Activities Budget

1. CoPCT 1.1 Coordination meeting, annual mapping, supervision visit,… $215,610

2. Facility-based Health Service Delivery 2.1 VCCT (trainings, regional meetings, refresher trainings, QA, new VCCT sites $127,000

2.2 Adult and pediatric care and treatment $419,327

2.4 HIV and STI Laboratory (training, running cost, new lab services) $155,500

2.5 STI care and treatment $123,740

3. Continuum of Prevention, care and support3.1. Annual and regional HBC network meeting, revise SoP of CoPCS,

supervision visit$48,478

4. Strategy to support the continuum of care 4.1 Implementation of Linked Response approach and PMTCT 560,465

4.2 Implementation of 3’Is strategy 38,000

4.3 Positive prevention intervention 20,000

4.4 MMM/mmm services and TB-HIV 169,950

5. Surveillance 5.1 EWI, DU survey… 130,000

6. Research 6.1 HIV/AIDS research studies, CQI for HIV/AIDS care and treatment services, …. 175,000

7. Planning, Monitoring & Reporting 7.1 Develop and revise strategy, SoP, guidelines, supervision visit, printing 306,300

7.2 Planning workshop for 2013, capacity building for staff at provincial and OD

levels, supervision visit to PASP, printing report, ….

162,9008. Data management 8.1 Refresher training, on site training, for staff at PDMU, supervision visit

8.2 Develop and print monitoring tool for HIV/AIDS and STI programs

9. Logistic management 9. 1 Training and refresher training , and regional network meeting 23,350

9.2 OiI and ARV drugs, HIV and STI reagents, and commodity 10,461,173

10. Administration and finance10.1 communication cost, office supply, office and electronic equipments, POC,

salary for contract staff, ……..3,077,003

Total $16,086,796

Budget Plan 2012 supported by US-CDC, WHO, CHAI

A. US-CDC

NCHADS and provinces (BTB, BMC, PLN,

PST)HIV/AIDS care and treatment

Equipment computer, spectro and hematology analyser, office equipment, office

furniture, refrigerator)158,568

Lab and supplyHIV test kit, STI material for HSS, lab. reagent for 4 provinces, and

office supply245,471

Travel and per-diem (Training,

workshop, and meeting)

For OI/ART training, VCCT, STI, CQI, TWG and coordination

meetings, annual and mid-year review workshop, HBC regional

meeting

287,063

OthersSupervision, capacity building, admin. Cost, audit fee, printing SOP

and guidelines….282,797

Total 973,899

B. WHO

For NCHADSDevelop SOP and guidelines, LR and TB/HIV activities, HIV

research, CQI, meeting workshop.

C. CHAI

NCHADS and provincesARV drugs for pediatric and ARV 2nd line regimen for adults, and LR

activities.

Grand Total $17,060,695

Challenges

• Work load for health staff at all levels,

• Competition for resources among relevant

program and stakeholders,

• Financial support for program sustainability.

Lessons Learnt

• Good Communication and collaboration with all Programs, partners, and implementers are the key success of the program.

• Strengthen M&E System by using the National Standard Monitoring Tools (reporting format and database) that can be collected, analyzed and summarized effectively.

• Data / Reports were shared and regular posted on the NCHADS’ Website for public access to share and use of data widely.

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Thank You