Kato Masaya, Long Nguyen Hoang, Duong Bui Duc, Nhan Do Thi, Nguyen Thi Thuy Van, Hai Nguyen Huu, Giang Le Minh, Hoa Do Mai, Van Nguyen Thanh, Suthar Amitabh B, Fontaine Chris, Nadol Patrick, Lo Ying-Ru, McConnell Michelle S
World Health Organization Vietnam Country Office, 6 3 Tran Hung Dao Street, Hanoi, Vietnam,
Curr HIV/AIDS Rep. 2014 Dec;11(4):487-95. doi: 10.1007/s11904-014-0235-7.
Vietnam has a concentrated HIV epidemic, with the highest HIV prevalence being observed among people who inject drugs (PWID). Based on its experience scaling-up robust HIV interventions, Vietnam aims to further strengthen its response by harnessing the preventive benefits of antiretroviral therapy (ART). Mathematical modelling suggests that prioritizing key populations for earlier access to ART, combined with other prevention interventions, may have significant impact on the epidemic, cost-effectively reducing new HIV infections and deaths. Pilot studies are being conducted to assess feasibility and acceptability of expansion of HIV testing and counselling (HTC) and early ART among key populations and to demonstrate innovative service delivery models to address challenges in uptake of services across the care cascade. Earlier access of key populations to combination prevention interventions, combined with sustained political commitment and supportive environment for key populations, are essential for maximum impact of ART on the HIV epidemic in Vietnam.
越南存在集中的艾滋病病毒疫情，注射吸毒者中的艾滋病病毒流行率最高。基于其扩大强有力的艾滋病病毒干预措施的经验，越南旨在通过利用抗逆转录病毒疗法（ART）的预防益处来进一步加强应对措施。数学模型表明，优先让关键人群更早获得抗逆转录病毒疗法，并结合其他预防干预措施，可能会对疫情产生重大影响，以具有成本效益的方式减少新的艾滋病病毒感染和死亡。目前正在进行试点研究，以评估在关键人群中扩大艾滋病病毒检测与咨询（HTC）以及早期抗逆转录病毒疗法的可行性和可接受性，并展示创新的服务提供模式，以应对在整个照护流程中服务利用方面的挑战。关键人群更早获得综合预防干预措施，再加上对关键人群持续的政治承诺和支持性环境，对于抗逆转录病毒疗法在越南艾滋病病毒疫情中产生最大影响至关重要。
