11 August 2017 - Optimal treatment regimens for HIV are continuously evolving, as new drug formulations and evidence for safety and effectiveness emerge, as well as data on antiretroviral (ARV) drug utilization, stock availability and patient adherence. Recently, VAAC requested that the USAID SHIFT project enable HIV treatment providers to prepare and counsel patients, estimate medication needs, and develop and implement plans to move up to 4,000 patients to a new ARV regimen (TDF/3TC/NVP) by September 2017. The project is working closely with VAAC to do so, and has completed on-site technical assistance for seven provinces since July (An Giang, Nghe An, Bac Giang, Ha Noi, Thai Binh, Hai Phong and Ho Chi Minh City). USAID SHIFT and VAAC are training and coaching healthcare providers to review patient eligibly, counsel those eligible to change treatments, monitor and report on progress, and address ad hoc issues as they arise. By July 31, the project had helped provinces review 840 patient charts and change regimens for 210 patients, with 492 more slated to change in August. USAID SHIFT is following up with supported facilities to ensure that the changes are implemented as planned, and will assist three additional provinces (Ben Tre, Ca Mau and Tra Vinh) to do so starting in August. USAID SHIFT’s ability to rapidly mount this multi-province underscores two important points: local stakeholders’ readiness to implement change for a more effective HIV response, and their trust in USAID SHIFT as a nimble and adroit TA provider in HIV treatment.