First HIV infection; others misunderstand the testing process,

First
of all, too few people with HIV are aware of their infection themselves. Because
many new infections are transmitted by people who do not know they are
infected, undiagnosed infection remains a significant factor fueling the HIV
epidemic. HIV testing has never been quicker or easier than it
is today, and more people have been tested than ever before. But fear and misperceptions
can still keep people from finding out their HIV status. For example, many
people, even those who engage in high-risk behavior, do not get tested because
they do not believe they are at risk for HIV infection; others misunderstand
the testing process, not realizing that rapid HIV tests can be done with a
simple check swab or finger prick and provided results in as little as 20
minutes; some people are concerned that other people will
find out that they have tested positive (or that they sought testing at all),
although testing is completely confidential; some people may avoid testing
simply because they are afraid their test is positive.

Social
disgrace against HIV/AIDS patients presents another major challenge to prevent
HIV/AIDS. HIV/AIDS patients are treated unequally in hospitals and denied
employment. Children with HIV do not have opportunity to go to school. In 2009,
children with HIV were expelled from the school by parents in Ho Chi Minh City
forcing officials. The lack of knowledge about the disease and the rights of
people and HIV/AIDS patients’ behavior not accepted by people’s prejudices are
the main causes of the discrimination mentioned above. This discourages people
with HIV to go for screening and or to take medication in fear of revealing
their HIV status.

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Many
people not receiving ongoing treatment and prevention information and tools is also
one of the main reasons increasing HIV/AIDS infections. If people living with
HIV receive ongoing care and treatment, it is one of the most effective ways to
protect their health and prevent the further spread of HIV. Moreover if people
with HIV treated, it also lowers the amount of virus in their body and can
dramatically reduce their risk of transmitting HIV to others. However, diverse
populations, including gay and bisexual men of all races, ethnicities – particularly
those who are young, transgender women and more people than ever before living
with HIV, cannot access accurate prevention information and effective
prevention tools because accessing to care and treatment services is still
limited.

Fourthly,
it is human resource problem. Human resources are one of the constituent parts
of the HIV prevention. It ensures available service, service coverage, and
quality of service in Viet Nam. However the limitations on the quantity and
quality of human resources have hindered to invent new treatments. HIV / AIDS
prevention programs lack the possible conditions to attract and retain
qualified employees. Therefore, Vietnam has, in the past decade, mobilized
substantial support from donors to directly increase and expand human resources
in the HIV- related services delivery system.

Finally,
treatment is very expensive. For example, estimated cost for a HIV patient curing
by Antiretrovaral (ARV), a drug designed to reduce the proliferation of HIV
virus in the body, is about 10,000 VND/day. However, for most HIV
patients in poor circumstances, the payment of 300,000 VND/month for ARV drugs
is too large. In case of lack of ARV, the risk of transmittance of people
carrying the disease to the community is extremely high. The HIV patient not
receiving ongoing ARV treatment will die, or become resistant to treatment, making
the treatment process more difficult and costly.

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