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When to prepare for international
HIV Assistance phasing-out?
Luu Thanh Tue
Ha Noi Heart Hospital, Ha Noi - Viet Nam
Source: Viet Nam UNGASS report 2014
Viet Nam’s HIV epidemic remains concentrated
As of Jun. 2015:
Alive HIV+: 227,114
AIDS: 71,115
Death: 74,442
1. Bilateral
AusAID, DANIDA, SIDA, DFID, PEPFAR
2. UN Organizations
ILO, IOM, UNAIDS, UNDP, UNESCO, UNFPA,
UNICEF, UNIFEM, UNODC, UNV, WHO.
3. Multilateral Organizations
ADB, GF, WB
4. INGOs, Projects & Foundations:
HPI, Abt, AHF, CARE, CHAI, FHI360, HAIVN,
MSH, MCNV, PATH, PSI, WV…..
0
10
20
30
40
50
60
70
80
90
100
PEPFAR GF ADB DFID WB AusAID
Y2006 Y2007 Y2008
Source: NPISUSTAINABILITYWORKSHOP|JOHANNESBURG,SOUTHAFRICA|SEPTEMBER2010
Surveillance
Awareness raising
ARV therapy
Care & support
Policy
Community outreachCommunity education
Risk reduction
Methadone
Source: National Funding Matrix for Viet Nam 2007-2009
“Current responses are either limited in
effectiveness or otherwise localized with
limited coverage. Many HIV services are
fragmented and uncoordinated”
Source: UN in Viet Nam: Factsheet-UN Joint Program on HIV 2008-2011
Responses are limited in
effectiveness?
Responses are localized with limited coverage ?
Services are fragmented and
uncoordinated ?
The national:
Strategies for phasing-out must be
seriously considered, negotiated and
deployed as early and possible
the international:
Sustainable strategies must be built
into project design and
implementation