Transcript Country Team Action Plan

Country Team Action Plan
VIETNAM
What is the selected best practice?
STRENGTHEN LINKING SRH, HIV AND STIS
SERVICES IN VIET NAM:
SCALING UP FROM THE BEST PRACTICES
Tracks 1 & 2
2
Where do we want to be?
GOALS
• Country Team Goal: contribute to improve accesses
of people to SRH and HIV services
Tracks 1 & 2
3
What are the gaps?
Legal framework:
• National Strategy for RH care for 2001-2010; for HIV
prevention and Vision to 2020; Law on HIV prevention;
National Standards and Guidelines for RH services: include
provision of SRH services for HIV people, especially PMTCT;
385 Decree on Technical Responsibilities of levels of the RH
network; National Guidelines for PMTCT and training manuals;
National Plan for STIs control and treatment; Decision to
approve Responsibilities of MCH network and Viet Nam,
Administration for AIDS Control, etc. BUT still limited linkage
between SRH, HIV and STIs networks
Track 1
4
What are the gaps?
Status of the health care system:
• Government health system:
–
–
–
–
vertical service systems of SRH, HIV/AIDS, and STIs;
loose link;
capacity of each system referral system and follow up is limited;
heavy stigma and discrimination of service providers of the SRH
system;
• Community-based network: not yet officially involved in the
care system
• Private sector: not yet officially to be recognized as an important
implementer to provide services
Track 1
5
What are the gaps?
Unmet needs of SRH/HIV/STIs clients:
• HIV+ people and their partners: high need for SRH
services but limited access due to poverty, fear of facing
stigma and discrimination from health service provider;
• Other high risk group: need to access to both SRH and
STIs/HIV information and services
• SRH clients: high needs for counseling, screening for
STIs/HIV status
Track 1
6
What interventions
can we use to close the gap?
Best practices at RH center – HCMC:
• has applied PMTCT since 2007
• STIs/HIV related information and services opened
to all SRH clients, not only pregnant women, being
provided counseling and test if required.
• Positive cases have been further consulted and
referred to HIV/AIDS network and/or Obstetric
hospitals for follow up and treatment, including
PMTCT;
Track 1
7
What interventions
can we use to close the gap?
Intervention’s activities:
• training for service providers on HIV: dealing with the root
causes of the stigma and fear of HIV among service providers:;
• set up working mechanism/collaboration among divisions;
• provide necessary medical equipment and supplies for
providing services and for universal precautions;
• orientation meetings to discuss on reduction of stigma toward
HIV clients;
• M&E and coaching from managers;
• clear scheme for fine/punishment if service providers show
their stigma
Track 1
8
Who are the possible partners, allies,
and stakeholders?
• Government ownership:
– MOH (MCH department; VAAC; GOPFP)
– Local health authorities
• International community:
–
–
–
–
UN HIV team (WHO, UNFPA, UNICEF, UNAIDS)
INGOs in Viet Nam:
Funds: USAID , Global Fund…..
Embassies
• Civil society:
– Civil society organizations
– HIV’s groups
Track 1
9
Objectives (outcomes)
• Legal framework for linkage among SRH, HIV and STIs
settings strengthened
• Increased clients of SRH settings receive HIV related
information and services
• Increased STIs/HIV clients receive essential information on
SRH for themselves and their partners
• Improved linkage among SRH, HIV and STIs and with
private sector increased
• Improved linkage among health system with community
based network established
Track 2
10
Processes
• Detailed guidance/regulations for
coordination/working mechanism within health
settings, among health settings/systems and between
health and community developed and approved for
application
• Training programs provided to service providers
conducted
• Medical equipment and medical supplies provided
• Advocacy events conducted
Track 2
11
What are our action steps?
Action Step
Responsible
Person
Timeline
1. Develop a unified report of the UNFPA staff
workshop
Within 3
days
2. Internal briefing with agencies
Members
Within 3
weeks
3. Advocacy with MOH,
agencies/stakeholder on
strengthening the integration and
linkage among SRH, HIV and
STDs networks
USAID
Within 2
months
Tracks 1 & 2
12
What are our action steps?
Action Step
Responsible
Person
Timeline
4. Briefing with concern agencies/ UN team
Stakeholder on what learned from (UNFPA)
the BKK workshop the linkage
issues
One item of the meeting
of MOH on development
of the guidelines on
linkage in April;
5. Briefing with other concerns
agencies/stakeholders on other
RH/SM/FP/abortion/
training program, linkage
- Q2 meeting (9/4/2010)
of RH Affinity Group,
chaired by MOH/MCHD
- meetings/forums with
counterparts/partners
GOPFP/
VAAC
6. Develop Roadmap for
MCHD/VAAC To be decided later, after
implementation of integration (and
the Advocacy meting (3)
linkage) among SRH and HIV
Tracks 1 & 2
13
Examples of the roadmap
Action
Strengthen the legal framework
for integration and linkage:
1. National Guideline for
linkage among systems
Time in
2010
Responsible
MCH/VAAC
2. Develop national framework
for condom programming
GOPFP/VAAC
3. Develop National Guidelines
on SRH care for PLWHA
MCH/VAAC
Tracks 1 & 2
14
THANKS FOR YOUR ATTENTION
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