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Situation of Current ARV Treatment in Vietnam

Situation of Current ARV Treatment in Vietnam. HAIVN Harvard Medical School AIDS Initiative in Vietnam. Learning Objectives. By the end of this session, participants will be able to: Describe the HIV care and treatment situation in Vietnam

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Situation of Current ARV Treatment in Vietnam

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  1. Situation of Current ARV Treatment in Vietnam HAIVN Harvard Medical School AIDS Initiative in Vietnam

  2. Learning Objectives By the end of this session, participants will be able to: • Describe the HIV care and treatment situation in Vietnam • Explain the role of international agencies in the treatment program • Outline the challenges and the future plan for the ART program in Vietnam

  3. HIV and AIDS in Vietnam (1) National report on HIV/AIDS –MOH - 2012

  4. HIV and AIDS in Vietnam (2)

  5. Characteristics of HIV Epidemic in Vietnam • The epidemic is concentrated in high risk groups • Sexual transmissions are increasing • The majority of infected people are men (68.6%), 20-39 years old • Demand for care and treatment is increasing due to increasing number of infected prople • Drug supply did not meet the demand for ARV treatment

  6. HIV/AIDS Care & Treatment in Vietnam

  7. People Receiving ART in Low and Middle Income Countries, 2002-2009 TOWARDS UNIVERSAL ACCESS, Scaling up priority HIV/AIDS interventions in the health sector, Progress Report 2010

  8. The Goal of HIV Care and Treatment by 2020 (1) Overall objective: • Control the rate of HIV infection in the community under 0.3% in 2020 • Reduce the impact of HIV / AIDS on developing of economic and social MOH 2012

  9. The Goal of HIV Care and Treatment by 2020 (2) MOH 2012

  10. HIV/AIDS Care & Treatment in Vietnam • Vietnam Administration of HIV/AIDS Control (VAAC) established in 08/2005 • Health system provides care and treatment services at multiple levels: • ARV treatment support from donors GFATM, PEPFAR, WB, ESTHER…) Source: MOH-Bases for Building up the Action Plan 3

  11. The ARV program in Vietnam • Vietnam Ministry of Health: • Provides ARVs to 63 provinces • PEPFAR : • Supports 18 provinces development the care models and comprehensive treatment • Global Fund: • Supports 20 provinces of OI and ARV drugs • Clinton Foundation: • Support for ARV treatment of HIV-infected children

  12. PEPFAR Support: 7 Key Provinces and 11 Additional ARV Provinces Bac Ninh Son La Cao Bang Hoa Binh Quang Ninh Thai Binh Ha Noi Hai Phong Nam Dinh Nghe An Da Nang TP Ho Chi Minh Ba Ria-Vung Tau An Giang Long An Vinh Long Can Tho Soc Trang

  13. The Global Fund Supports 20 Provinces QuảngNinh Cao Bằng HảiPhòng LạngSơn HảiDương HàNội TháiNguyên Nam Định PhúThọ Thanh Hóa Nghệ An Khánh Hòa 100 quận/ huyện 578 xã Đắc Lắc Tây Ninh An Giang TP HCM Kiên Giang CầnThơ Cà Mau Sóc Trăng

  14. Number of Adults and Children on ART Nguồn: VAAC, MOH 2012

  15. ART Treatment in Vietnam (1) (up to 11/2010) (Source: VAAC)

  16. ART Treatment in Vietnam (2)

  17. Successes of ARV Treatment Program in Vietnam (1) • Rapid scale–up of ARV treatment since 2005 • ART now available in all provinces • 2nd line ART available in many provinces through PEPFAR • Coordination between national programs and international donors by VAAC

  18. Successes of ARV Treatment Program in Vietnam (2) Expansion of: • treatment for children • availability of pediatric drug formulations • new OPCs • capacity for CD4 testing

  19. Group Discussion:What are Some Challenges of ARV Treatment in Vietnam?What are Some Ways To Overcome These Challenges?

  20. Key Points • IDUs are the main group of currently HIV infected patients but sexual transmission is increasing • ARVs are now available in all provinces in Vietnam • The ART program in Vietnam still faces various challenges which are being addressed

  21. Thank you! Questions?

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