HIV/AIDS prevention Care and Treatment Programs in Health Sector

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

Facility Based Health Service Delivery
(FBHSD)
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
sites
40 33 50
3
Number of people with
advanced HIV infection on
ART (Adult)
39,097 42,034
39,497
4
Number of people with
advanced HIV infection on
ART (Children)
* Sources: from DM Unit
4,200 4,439 4,400

VCCT
1
Indicators
Number of licensed VCCT
sites operating in the public
and NGOs
Target
2011
Target
Achieved
as Q4 2011
Target
2012
260 255 280
2
Number of adults (aged 15-49)
who received HIV test result 750,000 666,839
800,000

STI Care and Treatment
1
Indicators
Number of STI laboratory
involved in QC
Target
2011
Target
Achieved
as Q4 2011
Target
2012
32 32 32
2
Number of Family Health
Clinics participated in CQI
4 3 15

Activity and budget plan for
2012

Activity and Budget Plans 2012 supported by Global
Fund for National and Provincial Levels
Components 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 support
3.1. 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, ….
8. Data management 8.1 Refresher training, on site training, for staff at PDMU, supervision visit
162,900
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 finance
10.1 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)
Equipment
Lab and supply
Travel and per-diem (Training,
workshop, and meeting)
Others
HIV/AIDS care and treatment
computer, spectro and hematology analyser, office equipment, office
furniture, refrigerator)
HIV test kit, STI material for HSS, lab. reagent for 4 provinces, and
office supply
For OI/ART training, VCCT, STI, CQI, TWG and coordination
meetings, annual and mid-year review workshop, HBC regional
meeting
Supervision, capacity building, admin. Cost, audit fee, printing SOP
and guidelines….
158,568
245,471
287,063
282,797
Total 973,899
B. WHO
For NCHADS
C. CHAI
NCHADS and provinces
Develop SOP and guidelines, LR and TB/HIV activities, HIV
research, CQI, meeting workshop.
ARV drugs for pediatric and ARV 2 nd 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.
15

Thank You