Implementation Status & Results Vietnam HIV/AIDS Prevention (P082604)

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1 Public Disclosure Authorized Public Disclosure Authorized Implementation Status & Results Vietnam HIV/AIDS Prevention (P082604) Operation Name: HIV/AIDS Prevention (P082604) Project Stage: Implementation Seq.No: 12 Status: ARCHIVED Archive Date: 25-Aug-2013 Country: Vietnam Approval FY: 2005 Product Line: IBRD/IDA Region: EAST ASIA AND PACIFIC Lending Instrument: Specific Investment Loan Implementing Agency(ies): Key Dates Board Approval Date 29-Mar-2005 Original Closing Date 31-Dec-2011 Planned Mid Term Review Date 08-Dec-2008 Last Archived ISR Date 30-Jun-2013 Effectiveness Date 17-Oct-2005 Revised Closing Date Actual Mid Term Review Date 08-Dec-2008 Project Development Objectives HIV/AIDS Prevention (P082604) Project Development Objective (from Project Appraisal Document) The specific objective of this project is to support programs designed to halt transmission of HIV/AIDS among vulnerable populations( PLWHA, IDUs, CSWs, and their clients and sexual partners) and between these vulnerable populations and the general population. Key outcome indicators include: ** Percent of vulnerable groups in participating provinces reporting safer injection practices (from an estimated 20% at baseline to 70% at the project end ) ** Percent of vulnerable groups in participating provinces reporting condom use in sexual intercourse (from an estimated 40% at baseline to 80% at project end) Has the Project Development Objective been changed since Board Approval of the Program? Yes No losure Authorized Public Disclosure Authorized Component(s) Component Name Component Cost Implementation of Provincial HIV/AIDS Action Plans National HIV/AIDS Policy and Program is to strengthen capacity, promote innovative, effective prevention such as condoms promotion Project Management is to support 32 PPMUs, the regional institutions and and manage project implementation. Overall Ratings Previous Rating Current Rating Progress towards achievement of PDO Moderately Satisfactory Moderately Satisfactory Overall Implementation Progress (IP) Satisfactory Satisfactory Overall Risk Rating Moderate Moderate Implementation Status Overview Page 1 of 6

2 Due to the late finalization of the revised grant agreement which was extended to December 31, 2013 and the associated approval process, most of the 32 project provinces were only able to start implementation for 2013 in early April, Provincial Action Plan for 2013 was approved in February, 2013 by the Technical Review Team and the Central Project Management Unit (CPMU). Harm reduction intervention activities for preventing HIV transmission among target groups is being maintained. Although the total project budget in 2013 was smaller than 2012, intervention sites for both Injecting Drug Users (IDU) and Female Sex Workers (FSW) are the same, while the number of IDU and FSW peer educators has been reduced. After the project ends in 2013, there will be a major gap in resources for HIV prevention activities in project provinces, in particular for the peer educators network, other staff salaries (e.g. for methadone treatment) and for the procurement of commodities (needles and condoms). In order to ensure the continuous provision of services of this peer educator network, the harm reduction activities of the project (including needles exchange program, free condom distribution and peer educator network) will be handed over to thevietnam Agency of Aids Control (VAAC) to coordinate the transfer of project activities to other related programs. Locations Country First Administrative Division Location Planned Actual Vietnam Tinh Nghe An Tinh Nghe An Vietnam Tinh Soc Trang Tinh Soc Trang Vietnam Tinh Vinh Long Tinh Vinh Long Vietnam Tinh Yen Bai Tinh Yen Bai Vietnam Not Entered Socialist Republic of Vietnam Vietnam Tinh Tien Giang Tinh Tien Giang Vietnam Tinh Thua Thien-Hue Tinh Thua Thien-Hue Vietnam Thanh pho Ho Chi Minh Thanh pho Ho Chi Minh Vietnam Tinh Thanh Hoa Tinh Thanh Hoa Vietnam Tinh Thai Binh Tinh Thai Binh Vietnam Tinh Tay Ninh Tinh Tay Ninh Vietnam Tinh Son La Tinh Son La Vietnam Tinh Quang Ninh Tinh Quang Ninh Vietnam Tinh Lang Son Tinh Lang Son Vietnam Tinh Lai Chau Tinh Lai Chau Vietnam Tinh Kien Giang Tinh Kien Giang Vietnam Tinh Khanh Hoa Tinh Khanh Hoa Page 2 of 6

3 Country First Administrative Division Location Planned Actual Vietnam Tinh Ha Tinh Tinh Ha Tinh Vietnam Thu Do Ha Noi Ha Noi Vietnam Tinh Can Tho Tinh Can Tho Vietnam Thanh Pho Hai Phong Haiphong Vietnam Tinh Binh Thuan Tinh Binh Thuan Vietnam Tinh Dong Thap Tinh Dong Thap Vietnam Tinh Dong Nai Tinh Dong Nai Vietnam Tinh Ba Ria-Vung Tau Tinh Ba Ria-Vung Tau Vietnam Tinh Cao Bang Tinh Cao Bang Vietnam Tinh Ben Tre Tinh Ben Tre Vietnam Tinh An Giang Tinh An Giang Vietnam Tinh Bac Giang Tinh Bac Giang Vietnam Tinh Da Nang Tinh Da Nang Vietnam Tinh Thai Nguyen Tinh Thai Nguyen Vietnam Tinh Nam Dinh Tinh Nam Dinh Vietnam Hau Giang Hau Giang Results Project Development Objective Indicators Indicator Name Core Unit of Measure Baseline Current End Target Percent of vulnerable groups in participating Text Value 20% 82.7% 70% provinces reporting safer injection practices (from 20-70%) IBBS is conducted once for two years. This indicator was reported by CPMU that 82.7% of IDUs consistently use clean needles in the last month. Page 3 of 6

4 Percent of vulnerable groups in participating provinces reporting condom use in sexual intercourse (from 40-80%) Intermediate Results Indicators Text Value 40% 85.2%; 80% Date 29-Apr-2005 IBBS is conducted once for two years. This indicator was reported by CPMU that 85.2% of FSWsconsistance use condoms with irregular clients in November. Indicator Name Core Unit of Measure Baseline Current End Target An increased percentage of vulnerable groups Text Value 10% 82% 80% (from an estimate 10% at baseline to 80% by project end) are reached by provincial services Needles can be purchased at drug store so IDUs has changed their behavious from getting free needles to buy needles. An increased percentage (for an estimated Text Value 10% 91% 90% 10% at baseline to 90% at project end) of provinces prepare high quality provincial plans The rate of project provinces with a good quality plan attained 91% compared to the project of 90%. An increased percentage of provinces (from 0 Text Value 0 100% 90% to 90% at project end) establish adequate M&E systems 100% of the project provinces set up and implemented the M&E system; 100% of the project provinces regularly disseminate and use the results of M&E in the management and improvement of the program, and planning of the project activities. An increased percentage of provinces (from an Text Value 10% 91% 80% estimated 10% at baseline to 80% at project end) meet targets specified in provincialplans The project has made an important contribution in the Page 4 of 6

5 Increased number of provinces offering Methadone sevices (from an estimated 0 at baseline to 6 by project end) Increased number of injecting drug users enrolled in Methadone services (from an estimated 0 at baseline to 2000 by project end) HIV/AIDS P&C activities in Viet Nam in general and the project provinces in particular. The HIV prevalence among IDUs decreased remarkably (25.9% %). The HIV prevalence among FSWs was controlled at a lowlevel (3.3%). Text Value The number of provinces implementing the Methadone program was 7; this surpassed the project target (6 provinces). Text Value By late 2012, the number of patients who have received the Methadone program was Data on Financial Performance (as of 10-Jun-2013) Financial Agreement(s) Key Dates Project Ln/Cr/Tf Status Approval Date Signing Date Effectiveness Date Original Closing Date Revised Closing Date P IDA-H1520 Closed 29-Mar May Oct Dec-2011 P TF Effective 13-Apr Jul Jul-2010 Disbursements (in Millions) Project Ln/Cr/Tf Status Currency Original Revised Cancelled Disbursed Undisbursed % Disbursed P IDA-H1520 Closed USD P TF Effective USD Disbursement Graph Page 5 of 6

6 Key Decisions Regarding Implementation NA Restructuring History Level two Approved on 16-Jul-2010 Related Projects P Vietnam HIV/AIDS Prevention Project Supplement, P HIV/AIDS Prevention Additional Financing Page 6 of 6