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Accessing to ARV in HIV/AIDS care and treatment programme in Vietnam

Accessing to ARV in HIV/AIDS care and treatment programme in Vietnam. Dr.Nguyen Van Kinh Head, Department of care and treatment . HIV/AIDS situation in vietnam First case of HIV infection reported:Dec.1990 First case of AIDS reported: 1993

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Accessing to ARV in HIV/AIDS care and treatment programme in Vietnam

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  1. Accessing to ARV in HIV/AIDS care and treatment programme in Vietnam Dr.Nguyen Van Kinh Head, Department of care and treatment

  2. HIV/AIDS situation in vietnam • First case of HIV infection reported:Dec.1990 • First case of AIDS reported: 1993 • As of Sept.30th, 2003, cumulative reported cases of HIV/AIDS through out the country including: • 101,291 cases of HIV infection • 16,528 AIDS patients; 9554 deaths by AIDS • Estimated HIV/AIDS number in 2005: 263,000 • Projected HIV/AIDS in 2010 number: 311,000

  3. Estimated number of PLWHA need to accessing ARV treatment during 2005-2010 • 2005 : 14.775 • 2006 : 18.975 • 2007 : 23.040 • 2008 : 27.690 • 2009 : 33.075 • 2010 : 37.275

  4. Accessing to ARV • Started since 1995 • 1995-2003 : 50 patients/year (2 combination) • 2004: 500 patients ( three combination) • Current number of patients on treatment (2005) • Central level: 900 patients • Provincial level : 2,100 patients • District level: 140 patients Total : 3,140 patients At the end of this year: Estimated 5,600 patients

  5. ARV accessing • Treatment regime : - First line : d4T +3TC + NPV; d4T + 3TC + EFVZDV + 3TC + NVP: ZDV + 3TC + EFV - Second line:TDF/ ABC + ddI + LPV/r or SQV/r or NFV • Funding sources: Government Global fund ESTHER project PEPFAR

  6. Current HIV/AIDS care and treatment system in Vietnam • Provincial Health service • PMC; MCH Hospital/Center • General Hospital/STD center/TB Hospital/Center NGOs/CBOs Rehab. Centers District Health Center Commune Health Station PLWAs and their families Task force

  7. calculating needs for ARV drugs and regimens Main assumptions for planning: • Following protocol of MOH • 70% of adults weighed under 60kg • Estimated 5% children patients • Mean weigh of children patient :15kg • About 10% of patient needs second line regimen • Newborn weigh about 3.0 kg

  8. Current situation

  9. Standard reports Number of patients started in the Month with Weight and Age status A Graph Patient Intake trend over months in a given year B Standard Reports Number of patients started in the Month with regimen and drugs Cumulative number of patients up to the date D C Number of visits in the Month by regimen H Current Active number of patients by regimen E Weight status Adults that visited Pharmacy in the month G

  10. more indicator • Number of health workers trained to deliver ARV/palliative care • Number of service outlets providing ARV and OIs • Number of service outlets providing palliative care • Number of patients change into second regimen • Number of patients died during treatment

  11. Next strategy • Completed M&E system • Completed ARV accessing action plan • Set up indicators system for ARV using, procurement... • ARV source Co-ordinating

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