Resource Tracking and Sustainability Analysis to Inform Vietnam’s HIV Response (Pre-Publication Version)
Vietnam’s HIV/AIDS epidemic has shifted in the past decade from “rapidly growing” – as recently as 2005 – to “stabilizing.” Much of this accomplishment can be attributed to substantial increases in stakeholder commitment to combating the epidemic, particularly the political commitment of the Vietnamese government and the financial commitment of international donors. Since the development and implementation of Vietnam’s 2004–2010 National HIV Strategy on Prevention and Control, provision of prevention, care, and treatment services for people living with HIV has increased substantially, particularly for antiretroviral therapy (ART), with ART coverage increasing from 8,240 patients in 2006 to nearly 38,000 in 2009.
This exercise was conducted using an innovative methodological approach to harmonize implementation of two different but complementary types of financial analyses – tracking past expenditures and planning for future spending. The former is critical for monitoring health system performance and policy implementation while the latter is the basis for mobilizing resources and enacting programs to improve health services and outcomes.
This first-time application of this harmonized approach used:
- The National Health Accounts methodology to produce an “HIV subaccount” to track past HIV spending
- The HIV/AIDS Program Sustainability Analysis Tool to project financial resource gaps for the HIV program going forward