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ICEHA's Programs


Vietnam Capacity Building Program
Healthcare Capacity Building in the Northern Highland Provinces
Local Partner Organization
The Highland Education Development Organization (HEDO)
Vietnamese Health Authorities
Program Overview
In 2002, the Vietnamese health authorities invited
ICEHA to assist with the build-up of HIV/AIDS medical
expertise within the Vietnamese public healthcare
infrastructure.
- Pilot phase: The pilot of this large-scale
program was launched in Langson province over the
course of eight months between January 2003 and
August 2003. Langson province has 760,000 inhabitants
and is considered one of the nation’s HIV
hotspots, with an HIV prevalence rate 3.5 times
higher than the national rate. The program consisted
of training provided through a mixture of workshops
and periods of hands-on coaching by our volunteer
HIV healthcare providers.
- Expansion: As a result of our success in Langson,
the Vietnamese government and our collaborating
indigenous NGO, the Highland Education Development
Organization, asked us to expand our initiative
into two additional provinces: Lao Cai and Hoa Binh.
Prior to making antiretroviral medication widely
available, the Vietnamese government would like
to ensure that the medications will be used correctly
by healthcare providers and patients alike. In May
2004, the first set of workshops and coaching was
provided in Lao Cai and Hoa Binh, with additional
programs taking place in October 2004. The programs
have been implemented in
collaboration
with amFAR (American Foundation
for AIDS Research).
- Impact: Every trained healthcare provider is
able to provide care to 250 HIV-infected patients
on antiretroviral treatment or more than 300 HIV-infected
patients not yet on antiretroviral treatment and
to communicate HIV prevention messages to an additional
5000 people per year. The ripple effect of training
even a single physician is therefore great. By the end of 2004,
ICEHA trained 400 physicians, resulting in increased
capacity to provide care to 100,000 – 120,000
HIV-infected patients and to communicate HIV prevention
messages to 2 million people. A report released
by Treat Asia (amfAR) highlighted that until recently,
Vietnam only had 20 physicians trained in HIV/AIDS,
or one physician for every 11,250 HIV-infected patients.
ICEHA’s programs therefore have already had
a profound impact on the capacity of the healthcare
system to respond to HIV.
- Publicity: Our past workshops received impromptu
visits from Prof. Dr. Phuong. Prof. Dr. Phuong is
the former Minister of Health of Vietnam and was
recently promoted to a Member of Vietnam’s
Central Committee of the Party and Chairman of the
Committee for Science and Education. The HEDO-ICEHA
collaboration program has been highlighted extensively
in local and international media
and is the subject of a documentary movie in development.
Achievements
- By the end of 2005 , ICEHA had provided training to 600 physicians
- As a result of the training, the attitudes of healthcare providers vis-a-vis HIV infected
patients have improved, prevention messages are being delivered to the population, the incidence of unsafe
medical practices has decreased, and HIV care, even in the absence of antiretroviral medication, has been
greatly enhanced.
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