HIV Prevention Overview HIV prevention, a key strategy to help control Vietnam’s HIV epidemic, is a priority for the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). Through PEPFAR, the Centers for Disease Control and Prevention (CDC) works with the Government of Vietnam (GVN) and its partners to strategically plan and carry out evidencebased prevention programs across the country.
Background Injecting drug use is the most common way HIV is spread in Vietnam. While HIV infection rates are low in the general population, at 0.43%, eviA pharmacist at Hanoi’s Tu Liem Outpatient Clinic dispenses methadone to one of the 250 dence shows that up to 40% of all inmethadone patients the CDC-supported clinic serves each day. jecting drug users (IDUs) nationwide Image © All Rights Reserved by CDC Foundation. are HIV-infected. Among IDUs, the epidemic is particularly acute in Ho Chi deliver a range of targeted services, and support health sysMinh City (48%) and Hai Phong (48%), and in border provinces tems. such as Dien Bien (56%) in the northwest and Quanh Ninh (56%) 2. Increase access to prevention services by using innovative serin the north.* vice delivery models and effectively linking people living with HIV (PLHIV) and MARPs to appropriate HIV-related serHIV prevalence is also high among female sex workers (FSWs), vices. averaging 16% in urban areas like Ho Chi Minh City, Hanoi, Hai Phong, and Can Tho. Meanwhile, HIV infection rates among men 3. Support effective and sustainable prevention services by intewho have sex with men (MSM) in Vietnam’s biggest cities have grating services into the government’s existing healthcare risen from 7.5% in 2006 to 16% in 2009.* Overlapping high-risk system, building the capacity of affected communities and sexual and injecting behaviors among these most-at-risk populahealthcare professionals working in HIV, identifying service tions (MARPs) increase the risk of HIV infection even more. delivery efficiencies, and advocating for increased invest-
Our Strategy CDC Vietnam’s HIV Prevention Program (HPP) supports the GVN in carrying out evidence-based HIV prevention programs for MARPs across Vietnam. CDC also helps the GVN to better treat and mitigate the effects of drug use and addiction. CDC Vietnam’s HPP is working with partners to: 1. Improve the quality of prevention services by strengthening core interventions tailored to address specific risk behaviors, *2009 Integrated Biological and Behavioral Survey in Vietnam Round II
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ments by the GVN in operations and commodities.
Areas We Work In HIV Testing and Counseling The HIV Counseling and Testing program supports local health care workers in counseling and testing most-at-risk individuals to ensure those who are HIV-positive are effectively linked to and supported by quality HIV care and treatment services. The program also provides assistance to HIV-negative individuals through risk-reduction programs. (Continue over page...)
Prevention Community Peer Outreach and Case Management CDC Vietnam’s HPP supports harm reduction for MARPs through programs that raise awareness about behavior change as well as through the promotion and linkage of core prevention services. These services include HIV care and treatment, sexually transmitted infection services, voluntary counseling and testing, provision of core prevention commodities, and drug addiction support including methadone maintenance therapy (MMT).
CDC Vietnam CDC supports the GVN in carrying out evidence-based HIV prevention interventions for most-at-risk populations across Vietnam.
Drug Use and Addiction Support CDC assists the GVN in implementing evidence-based drug treatment and support programs. One key strategy is to expand and build technical capacity of the opioid dependence treatment program using MMT.
Our Successes CDC Vietnam’s HIV Prevention Program has achieved many milestones including: •
120,000 clients received voluntary counseling and testing for HIV from October 2010 through September 2011.
30,000 clients were referred by peer outreach to HIV testing and counseling and HIV care and treatment from October 2009 through September 2010.
18 clinics provided medication and psychosocial support to 3,800 clients in 2012.
20 clinics will provide medication and psychosocial support to 5,000 clients by 2013. The GVN is committed to sustaining this program through the dedication of staff and facilities.
300 healthcare providers have been trained in MMT, drug addiction counseling, and case management.
Establishment of a network of 600 community outreach workers who provide risk reduction services and referrals to IDU and FSW in 29 provinces.
Technical assistance to the GVN to develop national guidelines in the areas of HIV, outreach and MMT.
Technical assistance to the GVN to improve MMT delivery models, including integrated services, socialized payment, and satellite centers.
Implementation and standardization of a national computerized voluntary counseling and testing reporting system.
Integration of couples HIV counseling and testing into all CDC-supported voluntary counseling and testing sites.
Development of training courses on data use and interpretation.
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A sex worker receives HIV counseling and testing at a CDCsupported VCT site in Nghe An province, in northern Vietnam. With CDC support 120,000 clients received voluntary counseling and testing for HIV in 2011 across Vietnam. For more on our programs see: www.cdc.gov/globalhealth/countries/ vietnam/