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Project Code and Sector
Project Background and Justification
Immediate Objective, Outputs and Main Activities
Execution modality and implementation arrangements

VNM/K16 - HIV prevention, care, treatment and support in prison including pre-trial detention centres in Viet Nam

1. Project Code and Sector

No. and Title: VNM/K16 - HIV prevention, care, treatment and support in prison including pre-trial detention centres in Viet Nam
Strategic Theme: HIV and AIDS / Prevention, Treatment, and Reintegration, and Alternative Development
Duration (Start/End): 2010- 2012
Executing agency: UNODC
Implementing agency: Ministry of Public Security
UNODC's contribution: US$1,145,520
Government's contribution: US$ 997,000

 

2. Project Background and Justification

While Viet Nam has generally good policies in place to prevent HIV, and provide appropriate treatment and services for people living with HIV (PLHIV), those efforts remain a serious challenge in closed settings such as prisons and detention centres.

Approximately 30% of the detainees have a long history of drug use and are infected with diseases such as hepatitis, TB, and HIV. Services for PLHIV are still very limited in these settings, largely due to poor facilities and a lack of trained staff to meet the requirements of a large number of PLHIV. The Ministry of Public Security is now making efforts to address these challenges. The Global Fund Round 9 (GF-9) will cover 22% of the estimated country needs of adult antiretroviral therapy (ART) through operation in 39 provinces. This includes the introduction of ART in 18 prisons in 10 provinces. In addition to providing access to ART to PLHIV in closed settings, there is a need to establish and strengthen coordination and linkages between health facilities in communities and closed settings to ensure continuation of treatment, care and support services for those who are moving between closed settings and the community.

The infrastructural and human resources of health services available in prisons do not meet the basic requirements for addressing HIV prevention, treatment, care and support needs of the prison population. In addition, HIV knowledge of the prisoners and law enforcement and prison officers is very limited. Capacity building and support for HIV prevention, care and treatment in these settings is of utmost importance.

The long term objective of the national strategy of the Government of Vietnam is to provide universal access to care, treatment and support services to prisoners and other detainees. UNODC supports achieving those goals with its collaboration with the Ministry of Public Security. The K16 project supports the establishment of an effective HIV prevention and treatment programme in prisons in Vietnam. The main focus is on increasing the skills and knowledge of prison managers, health officers and prison wardens through trainings on HIV prevention, treatment and care services for HIV/TB. Further, access to appropriate care and treatment for PLHIV in closed settings will be improved and transmission of HIV and other infectious diseases such as TB among detainees and between prisoner and wardens will be reduced. The project also aims at ensuring that PLHIV receive continued support, care and treatment when entering prisons or being released from custody. As a first step, there will be a comprehensive situation assessment of the HIV situation in prisons and the service needs. This will facilitate the implementation of a comprehensive package of HIV services as well as enable to measure the impact of the project outputs. The project is funded through the prison component of the GF9 and in line with the Government's national strategic plan.

Main beneficiaries of the project are all-level prison staff under the Ministry of Public Security as well as prisoners, detainees, their partners and the community.

 

3. Immediate Objective, Outputs and Main Activities

The objective of the project is to reduce the risks of HIV transmission for populations in prisons and other detention settings in Vietnam. It contributes to the efforts of the country towards achieving universal access in particular for prison population.

This objective will be achieved through the following four outcomes:

Outcome 1: Improved data availability about the HIV situation and needs of PLHIV in prisons and pre-trial detention centres.

Outcome 2: Strengthened capacity within prison settings to develop, implement, monitor and evaluate comprehensive HIV prevention, treatment and care strategy and to increase knowledge and skills on protection from HIV.

Outcome 3: Improved HIV prevention communication strategies in prisons, including communication on TB/HIV, Hepatitis, and other infections including Sexual Transmission Infections and Opportunistic Infections.

Outcome 4: Strengthened technical and infrastructure support in selected pilot prisons for establishment of HIV services for prisoners at hospitals in the neighborhood.

 

4. Execution modality and implementation arrangements

UNODC has an established office and management system for the implementation of projects in the country, with considerable support from UNODC Headquarter and the Regional Center of East Asia Pacific.

The UNODC Country Office for Vietnam based in Hanoi (COVIE) is responsible for the execution of this programme. The field office will receive technical guidance from the HIV/AIDS Unit at UNODC headquarters in Vienna. A national HIV programme officer placed in COVEI is responsible for the day-to-day implementation of the programme, assisted by a project assistant.

A project Steering Committee has been established for the overall supervision of project implementation. It is chaired by a senior official from the Ministry of Public Security and includes representatives of other relevant governmental counterparts and UNODC. The project steering committee will meet on a quarterly basis to review project progress and advise on or consider adjustment of project components in line with changed operational requirements.