Skip Navigation



Journal of Tropical Pediatrics Advance Access published online on January 22, 2008
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmm112
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
54/4/225    most recent
fmm112v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Le, C. T.
Right arrow Articles by Kamb, M. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Le, C. T.
Right arrow Articles by Kamb, M. L.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author [2007]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

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.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Am J Trop Med HygHome page
L. Ma, G. Zhang, B. Swaminathan, M. Doyle, and A. Bowen
Efficacy of Protocols for Cleaning and Disinfecting Infant Feeding Bottles in Less Developed Communities
Am J Trop Med Hyg, July 1, 2009; 81(1): 132 - 139.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.