16 March 2018 - Recent data have reconfirmed that men who have sex with men (MSM) are at significantly increased risk of contracting HIV in Vietnam, particularly in urban areas. At the same time, the US President’s Emergency Plan for AIDS Relief (PEPFAR) is pushing to achieve epidemic control and transition a sustainable HIV response in Vietnam. This necessitates that PEPFAR implementers and local HIV authorities rapidly accelerate efforts to find and link people living with HIV to treatment. To do so, the USAID SHIFT program is once again evolving its HIV case finding strategy to reach, test and connect MSM to antiretroviral therapy. The program is working closely with provincial AIDS authorities and MSM networks to reach new and hidden MSM networks through social media, help them virtually self-assess their risks for HIV and ensure they can access their preferred method of HIV testing. These methods include traditional facility-based services, mobile outreach by trained community supporters, lay testing at MSM-friendly social events and discrete, at-home self-testing. Through its latest efforts, the USAID SHIFT program is demonstrating its ability to adapt and implement innovations for the benefit of widely diverse HIV stakeholders in Vietnam, from government counterparts to vulnerable populations. The program is able to do so thanks to years of successful USAID efforts to build and maintain confidence and trust with HIV authorities and community members.