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Journal of Tropical Pediatrics Advance Access originally published online on January 22, 2008
Journal of Tropical Pediatrics 2008 54(4):225-232; doi:10.1093/tropej/fmm112
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© Published by Oxford University Press, 2008.

Preventing Mother-to-Child Transmission of HIV in Vietnam: An Assessment of Progress and Future Directions*

Chinh T. Lea, Thanh Tung Vub, Minh Chau Luub, Thi Nhan Dob, Thu-Ha Dinhc and Mary L. Kambc

aThis study was conducted while the author was contracted by the Global AIDS Program (GAP), Vietnam Office, Centers for Disease Control and Prevention (CDC), Hanoi, Vietnam. Current affiliation: Benton County Department of Public Health, OR 97333, USA
bMinistry of Health, LIFE-GAP Office, Socialist Republic of Vietnam
cGAP Vietnam Office, CDC, Hanoi, and currently with the Division of Sexually Transmitted Disease Prevention, CDC, Atlanta, GA 30333, USA

Correspondence: Mary L. Kamb, Centers for Disease Control and Prevention (CDC), Division of STD Prevention, 1600 Clifton Rd., N.E. Mailstop E-02, Atlanta, GA 30333, USA. Tel.: +404-639-8632; Fax: +404-639-8609. E-mail: <mkamb{at}cdc.gov>.


  Abstract

Preliminary to the development a new program supporting perinatal HIV prevention, this assessment was conducted to evaluate Vietnam's national prevention of mother-to-child HIV transmission (PMTCT) program by estimating HIV prevalence among prenatal women and analyzing the healthcare system capacity to deliver services. In 2002–03, a technical team reviewed existing national and local surveillance and program data and conducted on-site interviews and observations at maternal-child health (MCH) programs in the seven provinces with highest HIV rates. The team found that despite high (85%) prenatal service utilization and widespread availability of HIV testing and dissemination of prevention protocols, few HIV-infected mothers were identified in time to allow effective perinatal HIV prevention. Program deficits clustered around the general areas of provider misunderstanding of occupational HIV risk and MTCT, impractical PMTCT policies, and practices hampering effective use of prevention and treatment protocols. Existing problems were significant but modifiable, and will require implementation of practical and appropriate guidelines, enhanced clinical and laboratory capacity, and continued program management and monitoring.

Key Words: Prevention of mother-to-child transmission of HIV • Vietnam • perinatal HIV testing and prophylaxis

*The findings and conclusions in this paper and those of the authors do not necessarily represent the views of the Centers for Disease Control and Prevention.


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