5 May, 2017 - Hospitals continue to serve as a first point of HIV diagnosis for some people living with HIV (PLHIV). However, Vietnam lacks standard practices to ensure that those diagnosed in hospital settings receive complete post-test counseling and enroll in care and treatment (C&T). When comparing HIV case reporting and treatment databases, USAID SHIFT and the predecessor SMART TA project uncovered numerous PLHIV were who had been diagnosed when presenting for surgery or other procedures, but never treated for HIV. To address this gap, on April 25-28 USAID SHIFT and the Ho Chi Minh City Provincial AIDS Center (HCMC PAC) conducted a field assessment of four major hospitals’ HIV testing and counseling (HTC) and referral systems: the Institute of Hematology and Blood Transfusion, Nguyen Trai Hospital, HCMC Oncology Hospital, and HCMC Ophthalmology Hospital. The project developed tools to evaluate hospitals’ current practices, records, and reporting mechanisms in the context of updated government case filing requirements (Circular 03). USAID SHIFT and HCMC PAC are implementing a comprehensive support plan which equips and incentives hospital personnel to provide effective post-test counseling and linkages to C&T. The plan will standardize hospital’s HTC recording and reporting practices, improve referral tracking and follow-up, and ensure that they comply with Circular 03 requirements.