24 November 2017 - Tuberculosis (TB) is a major contributor to morbidity and mortality in Vietnam, and the leading cause of death among people living with HIV globally. USAID SHIFT and the predecessor SMART TA project have helped expand and improve the efficiency of HIV and TB services since 2014, in collaboration with USAID TB Challenge, the Global Fund, and national health agencies. After successfully piloting a “two-in-one” TB/HIV model in two sites, between 2015-16 USAID projects and partners progressively expanded the effort across more than 30 provinces. The integrated model continued producing positive results along the way, by maintaining service quality while reducing the number of staff required to deliver HIV and TB support, patients’ waiting times for diagnosis, and the number of clinic visits they must make.  On November 6th Vietnam’s Ministry of Health (MOH) issued a formal decision to guide integrating TB and HIV management and services at district and commune level. The MOH decision ratifies national support for the model and increases the likelihood that it will be taken up across additional areas. This will reduce program costs while protecting patient outcomes amid declining donor funding. USAID SHIFT is proud to help promulgate more sustainable services for the benefit of TB and HIV patients, providers, and program managers.