US embassy cable - 01HANOI2814

HIV/AIDS IN VIETNAM: USG INCREASES FINANCIAL/TECHNICAL SUPPORT FOR HIV/AIDS FIGHT UNCLASSIFIED

Identifier: 01HANOI2814
Wikileaks: View 01HANOI2814 at Wikileaks.org
Origin: Embassy Hanoi
Created: 2001-10-26 08:46:00
Classification: UNCLASSIFIED
Tags: KHIV TBIO EAID VM HIV
Redacted: This cable was not redacted by Wikileaks.
This record is a partial extract of the original cable. The full text of the original cable is not available.


2001HANOI02814 - UNCLASSIFIED
 
 
 
                           UNCLASSIFIED     PTQ6932

PAGE 01        HANOI  02814  01 OF 02  260900Z 
ACTION EAP-00   

INFO  LOG-00   NP-00    AID-00   AMAD-00  CIAE-00  COME-00  CTME-00  
      DODE-00  ITCE-00  SRPP-00  EB-00    EXME-00  E-00     UTED-00  
      HHS-01   TEDE-00  INR-00   ITC-01   NSAE-00  OES-01   OMB-01   
      OPIC-01  STR-00   TEST-00  TRSE-00  NFAT-00  SAS-00     /005W
                  ------------------35B812  260901Z /38    
FM AMEMBASSY HANOI
TO SECSTATE WASHDC 4517
INFO AMCONSUL HO CHI MINH CITY 
AMEMBASSY BANGKOK 
AMEMBASSY PHNOM PENH 
AMEMBASSY VIENTIANE 
USCINCPAC HONOLULU HI
DIA WASHDC
DIRAFMIC FT DETRICK MD
CDRTAMC HONOLULU HI
UNCLAS SECTION 01 OF 02 HANOI 002814 
 
SIPDIS 
 
AID FOR AID/ANE FERRARA 
 
BANGKOK ALSO FOR RMO DR. PENNER 
 
E.O. 12958: N/A 
TAGS: KHIV, TBIO, EAID, VM, HIV/AIDS 
SUBJECT:  HIV/AIDS IN VIETNAM:  USG INCREASES 
FINANCIAL/TECHNICAL SUPPORT FOR HIV/AIDS FIGHT 
                       UNCLASSIFIED 
 
PAGE 02        HANOI  02814  01 OF 02  260900Z 
 
--------------------------------------------- --- 
USG-VIETNAM INCREASE ENGAGEMENT ON HEALTH ISSUES 
--------------------------------------------- --- 
 
1.  IN A SIGNIFICANT BROADENING OF USG-GVN ENGAGEMENT ON 
HEALTH ISSUES, THE CHARGE AND VICE MINISTER OF HEALTH TRAN 
CHI LIEM SIGNED AN AGREEMENT ON OCTOBER 23 TO PROVIDE $2 
MILLION TO THE HEALTH MINISTRY TO EXPAND ITS HIV/AIDS 
PREVENTION, CARE AND TREATMENT PROGRAMS.  FROM THE CDC GLOBAL 
AIDS PROGRAM, THE FUNDS COVER THE FIRST YEAR OF A PROJECT 
THAT WILL CONTINUE FOR FIVE YEARS, TOTALING MORE THAN $10 
MILLION.  THE FUNDING WILL GO TO SUPPORT A WIDE RANGE OF 
HIV/AIDS PROGRAMS AND ACTIVITIES INCLUDING PEER EDUCATION, 
VOLUNTARY COUNSELING AND TESTING, PREVENTION AND TREATMENT OF 
OTHER SEXUALLY TRANSMITTED INFECTIONS, TUBERCULOSIS DIAGNOSIS 
AND TREATMENT, AND RELATED TRAINING.  CDC HAS ALSO ASSIGNED 
TECHNICAL ADVISORS TO ASSIST THE MINISTRY OF HEALTH IN 
PLANNING, IMPLEMENTING AND EVALUATING THE PROGRAM. THE 
EXPANDED PROGRAM BUILDS ON THE TRAINING AND OPERATIONAL 
RESEARCH THAT CDC HAS BEEN PROVIDING TO THE VIETNAM AIDS 
PROGRAM SINCE 1999. 
 
2.  TWENTY-FOUR COUNTRIES IN ASIA, AFRICA, AND THE AMERICAS 
ARE NOW ELIGIBLE FOR THE CDC GLOBAL AIDS PROGRAM, INCLUDING 
VIETNAM, WHICH BECAME ELIGIBLE IN 2001, ALONG WITH THAILAND 
AND CAMBODIA. 
 
3.  IN ADDITION TO CDC/HHS SUPPORT FOR THE COMBAT AGAINST 
HIV/AIDS, USAID ALSO CARRIES OUT AN EXTENSIVE ANTI-HIV/AIDS 
EFFORT.  USAID HAS BEEN FUNDING HIV/AIDS EDUCATION AND 
                       UNCLASSIFIED 
 
PAGE 03        HANOI  02814  01 OF 02  260900Z 
PREVENTION ACTIVITIES THROUGH ITS NGO PARTNERS OVER THE PAST 
FOUR YEARS.  USAID'S CURRENT PROGRAM TOTALS APPROXIMATELY $2 
MILLION PER YEAR FOR A VARIETY OF ACTIVITIES WITH A NUMBER OF 
NGO PARTNERS.  USAID IS FUNDING FAMILY HEALTH INTERNATIONAL 
(FHI) TO PROVIDE COMPREHENSIVE HIV/AIDS PREVENTION PROGRAMS 
IN FOUR PROVINCES INCLUDING DROP-IN CENTERS FOR INJECTION 
DRUG USERS (IDUS) AND COMMERCIAL SEX WORKERS AND EXTENSIVE 
BEHAVIOR CHANGE COMMUNICATION CAMPAIGNS.  IN ADDITION, FHI IS 
IMPLEMENTING BEHAVIORAL SURVEILLANCE SURVEYS IN FIVE 
PROVINCES TO TRACK BEHAVIOR CHANGES IN HIGH-RISK POPULATIONS 
SUCH AS IDUS AND SEX WORKERS.  USAID FUNDS CONDOM SOCIAL 
MARKETING THROUGH DKT INTERNATIONAL IN SIX PROVINCES. USAID 
HAS INITIATED A GRANT TO THE NGO NETWORKS FOR HEALTH PROJECT 
TO BEGIN AN HIV/AIDS PREVENTION INITIATIVE IN LAO CAI 
PROVINCE WITH THE ETHNIC MINORITY POPULATION.  THIS ACTIVITY 
FOCUSES ON YOUTH WORKERS IN TOURISM AND MINING. FINALLY, 
USAID IS ABOUT TO BEGIN TWO NEW ACTIVITIES: A $300,000 STUDY 
ON STIGMA AND DISCRIMINATION TO BE CARRIED OUT BY THE 
INTERNATIONAL CENTER FOR RESEARCH ON WOMEN (ICRW), AND A 
POLICY DEVELOPMENT ACTIVITY FOCUSING ON PEOPLE LIVING WITH 
AIDS, THROUGH THE FUTURES GROUP'S POLICY PROJECT. 
 
4.  IN EARLY OCTOBER, MORE THAN 100 VIETNAMESE PARTICIPATED 
IN THE SIXTH INTERNATIONAL CONGRESS ON AIDS AND THE PACIFIC 
(ICAAP) IN MELBOURNE.  THE VIETNAMESE DELEGATION INCLUDED THE 
MINISTER OF HEALTH, 25 PARTICIPANTS SPONSORED BY USAID, AND 
10 SPONSORED BY CDC. 
 
------------------- 
HIV/AIDS IN VIETNAM 
------------------- 
                       UNCLASSIFIED 
 
PAGE 04        HANOI  02814  01 OF 02  260900Z 
 
5.  ACCORDING TO A RECENT GOVERNMENT PRESS RELEASE, VIETNAM 
HAS DETECTED 39,845 HIV INFECTED PEOPLE AS OF OCTOBER 1. 
HOWEVER, IT IS ESTIMATED THAT 107,000 PEOPLE ARE LIVING WITH 
HIV/AIDS.  AMONG THEM, 5,955 HAVE DEVELOPED FULL-BLOWN AIDS 
AND 3,247 DIED.  THE LARGEST NUMBERS OF HIV-INFECTED PERSONS 
AND AIDS PATIENTS ARE FOUND IN QUANG NINH PROVINCE, AND THE 
CITIES OF HAIPHONG, HANOI, AND HO CHI MINH CITY.  ALL 61 
PROVINCES HAVE REPORTED HIV/AIDS CASES. 
 
------- 
COMMENT 
------- 
 
6.  VIETNAM HAS EXPERIENCED A MARKED INCREASE IN HIV 
INFECTION.  DRUG INJECTION, LONG A PROBLEM IN VIETNAM, HAS 
CONTRIBUTED TO THE EXPLOSIVE EPIDEMIC GROWTH.  HIV INFECTION 
AMONG IDUS NOW EXCEEDS 50% IN HO CHI MINH CITY AND HAIPHONG. 
THERE ARE ALARMING LINKAGES BETWEEN DRUG USERS AND OTHER 
POPULATIONS, PARTICULARLY SEX WORKERS.  NEARLY A QUARTER OF 
IDUS IN HANOI AND OVER A FIFTH IN DA NANG SAID THAT THEY HAD 
BOUGHT SEX IN THE PAST YEAR, AND MOST DID NOT USE CONDOMS. 
THIS CLEARLY REPRESENTS A WORRYING POTENTIAL FOR THE WIDER 
SPREAD OF HIV TO SEX WORKERS AND THEIR CLIENTS. 
 
7.  THERE ARE POSITIVE SIGNS THAT THE VIETNAMESE DELEGATION'S 
ATTENDANCE AT THE ICAAP IN MELBOURNE HAS HELPED STRENGTHEN 
THE HAND OF THOSE IN THE GVN WHO ARGUE THAT HARM REDUCTION 
EFFORTS (SUCH AS NEEDLE EXCHANGE PROGRAMS) AND OTHER PUBLIC 
HEALTH APPROACHES ARE MORE EFFECTIVE IN REDUCING HIV/AIDS 
THAN THE CURRENT OFFICIAL GVN MENTALITY, WHICH TREATS 
HIV/AIDS AS A "SOCIAL EVIL" AND HAS HAMPERED THE FIGHT 
AGAINST THE DISEASE. 
PORTER 
 
                       UNCLASSIFIED 
 


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