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Bui DD, Do NT, Pham LT, Nadol P, Nguyen VT, Dao VQ, Nguyen LH, Duong TK, Lai AK, Hoang CX, Nguyen AH, Suthar A, Tong AL, Do HM, Mesquita F, Lo YR, Lyss S, Nguyen LT, Kato M. Couples HIV testing and immediate antiretroviral therapy for serodiscordant HIV-positive partners: Translating evidence into programme in Vietnam. Int J STD AIDS 2019; 30:739-747. [PMID: 31046612 DOI: 10.1177/0956462418825405] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Injection drug use and heterosexual transmission from male key populations to their female partners have been the dominant modes of HIV transmission in Vietnam. A demonstration project was conducted to offer immediate antiretroviral therapy (ART) (regardless of CD4 cell count) to HIV-seropositive partners in serodiscordant couples. During March–December 2013, couples HIV testing and counselling (HTC) and immediate ART were offered in two drug use-affected provinces. Of 256 couples receiving couples HTC, 146 (57%) were serodiscordant; 134 (92%) seropositive partners initiated ART irrespective of CD4 cell count. Of these, 86% were male; 57% reported ever using illicit drugs; median CD4 cell count before ART initiation was 374 cells/mm3. Consistent condom use was reported by 58, 70 and 71% among HIV-positive partners at months 0, 3 and 12. At 12 months after ART initiation, 119 (89%) HIV-positive partners were retained in care; 96 (95% of those tested) achieved viral suppression (<1000 copies/ml). Uptake of immediate ART and viral suppression among those initiating ART were high, paving the way for ART regardless of CD4 cell count as national policy in Vietnam.
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Affiliation(s)
- Duong D Bui
- 1 Viet Nam Authority of HIV/AIDS Control, Ministry of Health, Hanoi, Vietnam
| | - Nhan T Do
- 1 Viet Nam Authority of HIV/AIDS Control, Ministry of Health, Hanoi, Vietnam
| | - Linh Tt Pham
- 2 Hanoi University of Public Health, Department of Health Organization & Management, Hanoi, Viet Nam
| | - Patrick Nadol
- 3 Center for Disease Control and Prevention, Viet Nam Office, Hanoi, Vietnam
| | - Van Tt Nguyen
- 4 World Health Organization, Viet Nam Country Office, Hanoi, Vietnam
| | - Vinh Q Dao
- 3 Center for Disease Control and Prevention, Viet Nam Office, Hanoi, Vietnam
| | - Long H Nguyen
- 1 Viet Nam Authority of HIV/AIDS Control, Ministry of Health, Hanoi, Vietnam
| | - Tuan K Duong
- 2 Hanoi University of Public Health, Department of Health Organization & Management, Hanoi, Viet Nam
| | - Anh K Lai
- 5 Can Tho Provincial AIDS Center, Can Tho, Vietnam
| | - Chian X Hoang
- 6 Dien Bien Provincial AIDS Center, Dien Bien, Vietnam
| | - Anh H Nguyen
- 7 National Center for Adverse Drug Reaction and Drug Information, Hanoi, Vietnam
| | - Amitabh Suthar
- 4 World Health Organization, Viet Nam Country Office, Hanoi, Vietnam
| | - An L Tong
- 1 Viet Nam Authority of HIV/AIDS Control, Ministry of Health, Hanoi, Vietnam
| | - Hoa M Do
- 2 Hanoi University of Public Health, Department of Health Organization & Management, Hanoi, Viet Nam
| | - Fabio Mesquita
- 4 World Health Organization, Viet Nam Country Office, Hanoi, Vietnam
| | | | - Sheryl Lyss
- 3 Center for Disease Control and Prevention, Viet Nam Office, Hanoi, Vietnam
| | | | - Masaya Kato
- 4 World Health Organization, Viet Nam Country Office, Hanoi, Vietnam
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