Exploring financing options NATIONAL TB CONTROL OF VIETNAM

National strategic plan PILLAR 1: High quality comprehensive TB care, prevention Objective 1: Universal access to high quality comprehensive diagnosis of TB with optimal use of existing and new diagnostic techniques in public and private health services Objective 2: Universal access for the people in need to high quality comprehensive prevention and treatment of latent, drug susceptible and drug resistant TB, with optimal use of existing and new drugs and regimens in public and private health services PILLAR 2: Bold policies and supporting systems Objective 3: Policy development, advocacy and management to ensure sufficient domestic and international financial and human resources with adequate working conditions, supportive polices and regulatory frameworks, adequate infrastructure and management for TB control  Mechanism to explore financing options PILLAR 3: M&E, surveillance and research Objective 4: Sustain and promote M&E of NTP performance, surveillance of the TB epidemic and monitoring and evaluation of new and applied interventions for TB control Under each pillar interventions have been formulated with a description of the current situation and the strategic approach.

PILLAR 2. Bold policies and supporting system-Rational Lack of essential resources to maintain operations (finance, human resource, etc) Knowledge of population on TB is limited; TB still encounters discrimination and stigma The participation of civil society and authorities is not strong enough. A number of policies and regimen related to health in general and TB Control in particular have not been fully implemented, affecting TB control activities.

PILLAR 2. Bold policies and supporting system-Aims Achieving strong political commitment of the central government and provincial authorities Increasing knowledge of people on TB,TB/ HIV, MDR-TB and Pediatric TB. Mobilize maximum participation of ministries, sectors and social and political organizations, unions, communities, TB patients in TB control activities through the establishment and operation of VSTP

PILLAR 2. Bold policies and supporting system-Target to explore financing options On advocacy The basic operations : Government (incl. First-Line Drugs ) The Vietnam Health Insurance: medical care for TB patients Ensuring the remuneration policy, risk payment for TB Staffs fully enforced. Circulars and guidelines of the Ministry of Health: strictly enforced. On communication 100% of TB staffs trained in direct communication skills to TB patients in % of pupils grade 5 nationwide exactly know symptoms of TB in % of TB patients are counseled and communicated on TB prior to treatment At least 95% of population in urban areas, 85% of people in rural area and 75% of people in remote area exactly knowing the symptoms of TB, where to get diagnosis and treatment,.. Reduce the rate of TB patients being guilty of TB or hiding their disease below 10% On social mobilization Consolidating and strengthening VSTP organization at central level Establish VSTP at 100% of provinces in 2018 and operate effectively The potential partners: Ministry of Education and Training, Red Cross Union, Vietnam Women Union, and Police Ministry will participate in a specific activity of NTP from 2014 onwards. Each year at least raise 1-2 large domestic enterprises to participate in funding for NTP

PILLAR 2. Bold policies and supporting system-Activities Engage national and international stakeholders (technical agencies, donors and corporate sector) through a strengthened VSTP (WS, meeting, capacity building, MIS, evaluation of effectiveness) Policy development with the relevant ministries and the parliament for adequate legislation and law enforcement (esp re TB and M/XDR TB notification, infection control, protection of anti TB drugs etc.) Coordination, program supervision and management

BUDGET REQUIRED Cod e Activities Year Year Year Year Year Year Total 6 years 2Obj. 1/Pl14,106,8698,905,2839,863,0319,989,1409,841,6079,823,75052,529,680 3Obj. 2/PL127,175,26924,605,17026,150,04027,430,91828,033,01826,612,907160,007,322 1 Obj 3 /PILLAR 2 8,176,1997,884,9178,021,874 8,257,7408,282,55748,645,161 4Obj.4/PL3984,3781,221,543819,502595,107840,667724,0625,185,259 Salaries19,512,23221,589,96023,761, ,146,668 State budget6,000,0006,500,0007,000,000 40,500,000 Provincial contribution 20,207,18922,495,01324,465, ,563,266 Other donors TOTAL112,338,435119,739,751126,882,461101,263,424102,199,417100,669,661663,093,149 GF (NFM): US$ 1Total funding allocation 33,7 2 Incentive funding 20,1 3 Total (confirmed) 53,8 GAP (>200)

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