Transcript Leveraging Resources to Work Together to Provide Care

Leveraging Resources to Work
Together to Provide Care and
Treatment for Children Living with
HIV/AIDS in Vietnam
Dao Nguyen, Pharmacist
Supply Chain Management System
2008 HIV/AIDS Implementer’s Meeting
Kampala, Uganda
4 June 2008
Authors:
Grace Hafner ¹, David Kuhl ¹, Andrew Barraclough ¹,
Dao Nguyen ¹, Thuy Nguyen ¹
Troy Martin ², Oanh Martin ²,
Kinh Nguyen ³, Nhan Do ³
Binh Nguyen, U.S. Centers for Disease Control
Lisa Cosimi, Contractor working with PEPFAR
Vietnam team.
¹ Supply Chain Management System (SCMS)
² Clinton Foundation HIV/AIDS Initiative (CHAI)
³ Vietnam Administration for HIV/AIDS Control (VAAC)
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PEPFAR
Implementing Partner
Presentation Outlines
 Needs for Pediatric ARV program in Vietnam
 Responses
 Results
 Lessons learned
 Implementation insights
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PEPFAR
Implementing Partner
Need for Pediatric ARV Program in
Vietnam
 2,000 pediatric cases identified
o Lack of available technical assistance
o Lack of local capacity
o Procurement issues
 A goal to treat 1,000 children by Dec 2007
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PEPFAR
Implementing Partner
The Response
 Coordinated approach, led by VAAC
 Care and Treatment Committee
o VAAC, CDC, SCMS and CHAI
o Joint quantification/procurement plan
o Joint Technical Assistance (TA) plan
 Drug Management Information System (DMIS)
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PEPFAR
Implementing Partner
Pediatric Clinic Model in Vietnam
VAAC
SCMS
Coordination
Ped Clinic
Drugs supply
Capacity building
Technical Assistance
Reporting
CDC
Capacity Building
Technical Assistance
CHAI
PEPFAR
Implementing Partner
Drugs supply
Technical Assistance
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Results – Site Expansion
There are 18 pediatric clinics in 6
PEPFAR provinces by Dec 2007
2
1
4
HN
HP
1
QN
HCMC
CT
7
3
AG
There are also 10 pediatric clinics
at 10 non focused provinces.
PEPFAR
Implementing Partner
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Results (cont’d) – Patient Scaling-up
1200
1069
1000
930
781
800
671
600
514
Ped Patient
428
400
331
245
200
117
42
De
c05
Fe
b06
Ap
r-0
6
Ju
n06
Au
g06
O
ct06
De
c06
Fe
b07
Ap
r-0
7
Ju
n07
Au
g07
O
ct07
De
c07
Fe
b08
0
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PEPFAR
Implementing Partner
Results (cont’d) – Shared Investment
Unit: USD
500,000
440,000
450,000
400,000
350,000
300,000
250,000
200,000
PEPFAR
241,300
CHAI
167,000
TOTAL
150,000
100,000
50,000
0
FY 05
FY 06
FY 07
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PEPFAR
Implementing Partner
Lessons Learned
 Coordinated donors met
o Funding
o Quantification / Procurement
 Coordinated services for pediatric
o Capacity building
o Technical Assistance
o Training for health workers
 Coordinated throughout country to carry out
ART implementation at pediatric clinics
PEPFAR
Implementing Partner
10
Implementation Insights
• Improving coordination among different
organizations was the biggest solution
• Better to have a formal written plan and
agreement, with roles and responsibilities
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PEPFAR
Implementing Partner