WHO 2015 report indicated there were 257 million people living with HBV and 71 million people living with HCV in the world and
40% of them live in the Western Pacific Region. Viet Nam is one of the countries in the region that has high burden of liver diseases
caused by HBV and HCV. An estimate of 7,8 million of people living with HBV and nearly one million people living with HCV in
Viet Nam, according to a modelling exercise conducted by WHO and MOH in 2017. HBV and HCV are the leading cause of HCC in
Viet Nam. According to International Agency for Research on Cancer (2018) Viet Nam rank the fourth country that has highest
liver cancer incidence in the world and the in the Region. A study of 21584 newly diagnosed of HCC in Cho Ray hospital report that
60% of HCC infected with HBV, 25% infected with HCV and 2.5% infected with both HBV and HCV.
HIV epidemic in Viet Nam concentrated in key populations including men who have sex with men (MSM), people who inject drugs
(PWID), female sex workers (FSWs). These key population are also at risk of HBV and HCV infections. The prevalence of
HCV among PWID is as high as 90% and the HCV infection among people living with HIV range from 28%-40%. HBV/HIV
coinfection ranges from 10% – 14%. HBV/HIV and HCV/HIV coinfection accelerate the progression of the liver disease in PLHIV.
Coinfected persons, particularly those with advanced immunodeficiency, have significantly accelerated progression to cirrhosis,
decompensated cirrhosis and HCC compared to HCV mono-infected persons. HCV-associated liver disease has become a leading
cause of death in people living with HIV.
Since 2019, HCV medicines (direct acting antivirals, DAAs) have been included in the social health insurance reimbursement list, however, due to high cost of the treatment and high co-payment rate (50%), access to the HCV treatment is still limited. The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) has agreed to support Viet Nam in improve access to HCV treatment for people living with HIV.
The potential consultant is requested to support MOH in development of the training materials including job aids for doctors at
HIV treatment clinics in proving HBV and HCV treatment services at their clinics. This is a part-time STC for 22 fulltime working
days or equivalent.
2. Work to be performed
a. Specific objectives of the consultancy activity
Develop training materials
Develop job aids
b. Description of the tasks/process involved in carrying out the activity
Work with WHO technical staff to understand the scope of work and develop timeline for proposed activities.
Develop training materials and job aids in line with national guidelines and WHO recommendations.
c. Method (s) to carry out the activity
Study National and WHO guidelines on HBV and HCV testing and treatment.
Review the current training materials related to HBV, HCV and HIV
Discuss with WHO and VAAC to understand the need of the users of the training materials.
Develop training materials and job aids
Participate in the technical working group meeting to present and collect comments/feedback from TWG
Finalize the training materials and job aids
3. Specific requirements
a. Qualifications required:
The university degree of Doctor of Medicine with postgraduate training on infectious diseases
b. Experience required:
Minimum 5- year experience of clinical management of HIV, HBV and HCV.
Demonstrated experiences in providing HBV, HCV diagnosis and treatment services to key populations and PLHIV.
Previous experience working MOH especially with Viet Nam Authority for HIV/AIDS Control and ART clinics.
c. Skills / Technical skills and knowledge:
Advanced knowledge in HBV, HCV and HIV.
Familiarity with WHO recommendations related to HBV, HCV and HIV diagnosis and treatment
d. Language requirements:
Written and spoken fluency in Vietnamese and English is essential.
Excellent interpersonal and communication skills
Ability to plan and prioritise challenging workloads
Demonstrated ability to work as part of a team
Fostering integration and teamwork
4. Place of assignment
5. Medical clearance
The Consultant is not expected to travel.
Please take note of the following when submitting application:
– The contractor will be responsible for paying taxes, if any.
Those who are interested can send letter of interest and resume to:
World Health Organization
UN Building, 304 Kim Ma Street
Hanoi, Viet Nam
Before/by 22 October 2020
For further information on this TOR, please contact:
- Kênh tài chính, chứng khoán việt nam
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