1 situation of current arv treatment in vietnam haivn harvard medical school aids initiative in...
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Situation of Current ARV Treatment in
Vietnam
HAIVNHarvard Medical School AIDS
Initiative in Vietnam
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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
Learning Objectives
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National report on HIV cases:
HIV infection 204.019
AIDS patient 58.569
AIDS-related Deaths 61.856
Discovery of HIV infection:
• 63/63 provinces/cities
• 98% districts
• 78% communes/wards
HIV and AIDS in Vietnam (1)
National report on HIV/AIDS –MOH - 2012
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0
50000
100000
150000
200000
250000
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
30/6
/12
AIDS patients
Death
HIV infection
HIV and AIDS in Vietnam (2)
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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
Characteristics of HIV Epidemic in Vietnam
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HIV/AIDS Care & Treatment in Vietnam
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7TOWARDS UNIVERSAL ACCESS, Scaling up priority HIV/AIDS interventions in the health sector, Progress Report 2010
People Receiving ART in Low and Middle Income Countries, 2002-2009
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Overall objective:Control the rate of HIV infection in the community under 0.3% in 2020Reduce the impact of HIV / AIDS on developing of economic and social
The Goal of HIV Care and Treatment by 2020 (1)
MOH 2012
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Having adequate knowledge about HIV / AIDS (15-49 years old)
80%of population
No discrimination, discrimination against HIV-infected people
80%of population
New HIV-infected people among IDUs Reduce 80%
New HIV-infected people by sexual transmission
Reduce 80%
The rate of mother to childtransmission
Drop below 2%
HIV-infected people eligible for ARV treatment
80%
The Goal of HIV Care and Treatment by 2020 (2)
MOH 2012
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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
Level Reach
Central 3 Centers
Provincial Care & treatment of in- & out-patients
District QCT Program (Management, Care, Counseling)
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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
The ARV program in Vietnam
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PEPFAR Support: 7 Key Provinces and 11 Additional ARV Provinces
Hai Phong
Quang Ninh
Ha Noi
Can Tho
An Giang
TP Ho Chi Minh
Nghe An
Ba Ria-Vung Tau
Soc Trang
Cao Bang
Nam Dinh
Son La
Hoa Binh
Thai Binh
Bac Ninh
Da Nang
Long An
Vinh Long
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The Global Fund Supports 20 Provinces
Quảng Ninh
TP HCMAn Giang
Hà Nội
Lạng Sơn
Cao Bằng
Khánh Hòa
Thanh Hóa
Nam ĐịnhThái Nguyên
Phú Thọ
Đắc Lắc
Tây Ninh
Kiên Giang
Cà Mau Sóc Trăng
Cần Thơ
Nghệ An
Hải Dương
100 quận/ huyện578 xã
Hải Phòng
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50 100 5002670
7818
15273
25,597
36008
41527
63490
428 930 1462 1987 2344 3567
0
10000
20000
30000
40000
50000
60000
70000
Adults
Children
Number of Adults and Children on ART
Nguồn: VAAC, MOH 2012
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Program Number of ART sites
National Program 94 sites/63 provinces
Global Fund Program 64 sites/20 provinces
PEPFAR 114 sites/24 provinces
Clinton Foundation and Children's National Program
8 sites/6 provinces
ART Treatment in Vietnam (1)
(Source: VAAC)
(up to 11/2010)
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ART Treatment in Vietnam (2)
Current ART regimens (at PEPFAR sites)
Patients on 1st line regimens 97%
Patients on 2nd line regimens 3%
Treatment target by 2015 (reported by MOH)
Adults who need ARVs 70% ~
105,000 cases
Children who need ARVs 95%
Patients still on ARV after 12 months treatment 85%
Districts establishing HIV care and treatment services 65%
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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
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Successes of ARV Treatment Program in Vietnam (2)
Expansion of:treatment for childrenavailability of pediatric drug formulationsnew OPCscapacity for CD4 testing
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Group Discussion:
What are Some Challenges of ARV Treatment in Vietnam?
What are Some Ways To Overcome These Challenges?
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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
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Thank you!
Questions?