Hanoi

Vietnam / Northern Vietnam / Hanoi

OVERVIEW

As the capital of Vietnam, Hanoi has many women's health resources. Contraceptives, including emergency contraceptives, are legal and do not require a prescription. There are a plethora of pharmacies throughout the city though you may struggle to find certain international brands. Since the 1960s, the North Vietnamese government has advocated family planning -- and, after reunification in 1975, family planning policies extended throughout the country. There is a 2-child policy that has remained in place for decades, although this policy seems to be on its way out. Nowadays in Vietnam, you can get STI tests at many hospitals and clinics. However, if you're a foreigner or don't speak Vietnamese, it's recommended that you visit an international facility (list of such facilities below). You can find both pads and tampons, typically without applicators (like OB), at many markets and stores. Furthermore, abortion is fully legal for up to 22 weeks of pregnancy, and there are no known restrictions related to age or reasons. Due to its high prevalence, Vietnam has been called the "abortion capital" of Asia, a title that has also been given to China. You will find that both surgical and medical abortion options are available, and there are many resources, including international organizations like Marie Stopes, that can help you identify the appropriate resources.

Contraception

Laws & Social Stigmas

Birth control is legal and widely accessible in Vietnam. It is estimated that 73%-75% of Vietnamese women (of reproductive age) use some form of birth control. Typically, you'll be able to find oral contraceptive pills), IUDs, injectables (Depo Provera) and Implanon. The most commonly used forms of modern contraceptives tend to be IUDs and condoms. However, it is estimated that approximately 54% of Vietnamese women use modern methods of birth control; the remaining percentage use older methods, like withdrawal, the rhythm method or periodic abstinence.

Since 1963, Vietnam has had some form of population control. This began under the Democratic Republic of Vietnam (North Vietnam), when the government advocated capping families at two to three children. After reunification of Vietnam in 1975 under the communist government, family planning policies extended throughout the country. Ultimately, a 2-Child Policy was implemented in 1983. During the 1980s, the Vietnamese government provides incentives for those who followed the policy, like contraceptive availability, and those who do not, like enforcing penalties. The government also took cue from the Chinese government's stance by encouraging its citizens to get married later and to space out children 3-5 years apart. This policy is currently being reconsidered but seems to remain in place.

Despite widespread contraceptive use in Vietnam, there is limited knowledge of all methods. According to one study in the late 1990s: "Several contraceptive methods, such as the pill and the condom, are not widely used even in urban areas, where they are easily obtainable. A study on oral contraceptives in Vietnam indicated that the major reason women who had used modern contraceptive methods had never used the pill was that they did not know about the method.8 If this lack of information is the result of the strong campaigns conducted in Vietnam in the 1980s to promote IUD use and in the mid-1990s to promote sterilization, contraceptive use depends not only on availability but also on the intensity of promotion. Thus, along with availability of contraceptives, access to information on individual methods could reduce the bias in Vietnam toward urban areas and toward IUD and traditional contraceptive use."

What to Get & Where to Get It

You can buy birth control at the many pharmacies (called "nha thuoc") throughout Hanoi. The word for birth control is Vietnamese is "thuốc tránh thai" (how to pronounce it: thwork chanh tide). Some of the reported brands include HN Choice, Rigevidon, Marvelon, Microgynon. There are also many generic or Vietnamese versions of brands in Hanoi pharmacies, and most medications appear to be made in Vietnam or India. If you want specialized brands that are not found in most pharmacies, here's a list of pharmacies that have wider selection:

• Nguyễn Luận Pharmacy: Address: 3 Trang Thi street, Hoan Kiem District. Phone: 04 3826 8644. Hours: 8 am-6 pm.
• Liên Mai: 625 hoàng hoa thám.
• Mega 31: Address: 31 Láng Hạ _ Ba Đình _ Hà Nội, Ba Đình, Hà Nội, Phone: 04 6255 2255, Hours: 7:30AM–7:30PM
• "I have found stuff I couldn't find elsewhere at a pharmacy on Tran Huy Lieu off of Giang Vo. It is on the left heading towards the lake and appears to serve many Russian (or at least Eastern Bloc) customers."
• Try to contact Marie Stopes Vietnam - check to see if they have more options

For Depo, it's reported that the Hanoi Family Program does it for 300,000 dong. Supposedly, the French Vietnamese hospital does it for 7 million dong.

Emergency Contraception

Laws & Social Stigmas

In Vietnam, emergency contraception is available directly from pharmacists without a prescription. There appears to be no age restrictions. However, if you want to purchase certain EC brands, like ella, Ciel EC and Mifestad 10 you may need a prescription.

What to Get & Where to Get It

You can buy emergency contraception for 45,000 dong (less than $2 as of 2016) in any pharmacy. One popular brand is Victoria. Spermicide is also sold under the brand as 'VCF.' Below, we have listed the main brands and types of EC available in Vietnam:

Dedicated Products / Anti-Progestin Take 1 pill within 120 hours after unprotected sex:

• Ciel EC (this is only available in Vietnam, so it seems to be a Vietnamese brand)
• Mifestad 10 (this appears to be a Vietnamese brand)

Dedicated Products / Progestin Only Take 1 pill within 120 hours after unprotected sex:

• Escapelle

Take 2 pills within 120 hours after unprotected sex:

• Postinor-2 (global brand, but here's the Vietnamese website for Postinor)

Oral Contraceptives used for EC / Progestin-Estrogen Combined Note: in 28-day packs, only the first 21 pills can be used Take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later:

• FMP

Take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later:

• Anna
• Microgynon-30
• Nordette
• Rigevidon

Sexually Transmitted Infections (STIs/STDs)

Important Notes - Learn about PEP and PrEP: If you think that you've been recently exposed to HIV (i.e. within 72 hours), seek out PEP (Post-Exposure Prophylaxis). It's a month-long treatment to prevent HIV infection after exposure, and it may be available in your city. Take PEP as soon as possible. For more information, click here. If you are at risk of HIV exposure, seek out PrEP (Pre-Exposure Prophylaxis). It's a daily oral pill that can prevent HIV infection before exposure. To learn more about PrEP, click here.

Laws & Social Stigmas

Note: "There is a decree requiring HIV positives to report to the immigration officer. However, the ordinance is not applied. None of my friends have ever declared their condition. Therefore, we don't know what would happen if somebody would actually do it!"

There are no known travel restrictions or requirements attached to any STI, including HIV, in Vietnam. For foreigners seeking work, especially teaching, there are some reports of schools asking for health checks. However, health checks are not required by authorities in order to receive a work permit.

Regarding HPV, Vietnam has a vaccination pilot program in place.

There is no PrEP in Vietnam but there appears to be PEP.

In Vietnam, HIV testing began in 1988. The first reported positive result came in 1990. Throughout the 1990s, HIV rates began to raise. Although infection rates in Vietnam were low overall, the female sex worker (FSW) and injection drug user (IDU) communities began to experience substantially increased infection rates. In 2002, a study of 400 female sex workers (FSW) in Hanoi found that 12% were HIV+ and 17% were infected syphilis, 3.8% with chlamydia and 6.3% with gonorrhea. The study concluded: "Vietnam is in a critical period. HIV is spreading rapidly among the risk groups, but the country can prevent a widespread epidemic if it acts quickly. The country must take the opportunity to act wisely and to make sound decisions. Strategies to reduce HIV in FSWs should include reduction of stigmatization, reduction of sharing drug paraphernalia, promotion of nonstigmatizing voluntary counseling and testing, and aggressive marketing and promotion of condoms. To achieve these goals, the government should adopt a multisectoral response that includes other government agencies, nongovernment organizations, and the vulnerable populations."

For people living with HIV in Vietnam, lack of government funding and social stigma are harsh realities. The majority of HIV/AIDS program funding (70%) comes from international organizations with only about 13% coming from the Vietnamese government. There is also a shortage of health workers with only 1300 in 2011. And there is also social stigma. "Social stigma against HIV/AIDS patients presents a major obstacle to contain HIV/AIDS. HIV/AIDS patients are treated unequally in the hospitals and denied employment. Children with HIV are not welcomed in school. In 2009, parents in Ho Chi Minh City forced officials to expel children with HIV.[9] Discrimination thus discourages people to go for screening or to take medication in fear of revealing their HIV status."

What to Get & Where to Get It

Testing Facilities

• Family Medical Practice Hanoi: Tests STIs including HIV and hepatitis. Does rapid tests. Also has access to PEP. Address: 298 I Kim Ma Street, Van Phuc Compound, Ba Dinh District, Hanoi, Vietnam, Tel: +84 4 3843 0748, Fax: +84 4 3846 1750, Email: hanoi@vietnammedicalpractice.com
• Sexual Health Clinic, Hanoi Medical University: Mainly aims for research subjects but they do administer tests, if you know someone there or have been recommended. Address: Room 605, Building A1, Hanoi Medical University, No.1, Ton That Tung Street, Hanoi, Vietnam

Support

There are no known specific or appropriate HIV treatment centers in Vietnam. But here are some resources in Hanoi and Vietnam:

• Ford Foundation: Phone: 976 0164 , Fax: 976 0163 , E-mail: l.messersmith@fordfound.org, Contact person: Lisa Messersmith (Programme Officer)
• NGO Resource Centre: Phone: 832 8570, Fax: 832 8611, E-mail: NGOCentr@netnam.org.vn, Contact person: Michelle Brown (Co-Director)
• Ho Chi Minh City AIDS Committee: 4b Ngo Van Nam - Q1, Ho Chi Minh City, Vietnam, Phone +84 8 822 6675, Contact person: Jamie Uhrig (freelance consultant) , E-mail: jamie@hcmc.netnam.vn
• Family Health International (FHI): Works to strengthen governmental response to HIV/AIDS, expand prevention and education programs and support community-based care for people living with HIV/AIDS.
• Institute for Social Development Studies (ISDS): Conducts research, advocacy, information dissemination efforts and trainings in gender, sexuality, social development and health.

Important Note: Avoid self-diagnosing or seeking treatment (before diagnosis) at a pharmacy. According to one study: "Even though 74% (51 of 69) of pharmacists and drug sellers know that they should not treat STD patients, in fact 84% (250 of 297) did treat. When they did treat, no one gave the correct combination of drugs for treatment by the syndromic approach, as only 12% (36 of 297) gave tetracycline or doxycycline, and of those who sold them no one gave them for a sufficient number of days. Quinolones were by far the most common drug given but are not recommended by the Vietnam Institute of Venereology..."

Medications & Vaccines

What to Get & Where to Get It

• FAMILY MEDICAL PRACTICE HANOI: Tends to have more international selection of medications and accommodates foreigners. 298 I Kim Ma Street, Van Phuc Compound, Ba Dinh District, Hanoi, Vietnam. Tel: +84 4 3843 0748. Fax: +84 4 3846 1750. Email: hanoi@vietnammedicalpractice.com.

Menstruation

What to Get & Where to Get It

You should be able to find pads and tampons without applicators (e.g. OB). It's recommended to check out grocery stores or larger convenience stores for tampons. There are no known sellers of menstrual cups, like DivaCup, MoonCup or LadyCup, in Vietnam, so it's best to buy them online.

Gynecological Exams

What to Get & Where to Get It

Here's a list of international or foreigner-friendly hospitals in Hanoi:

• International SOS Clinic: "Part of a worldwide international service that you can join for a fee and be covered anywhere they offer services. The organization has a capable staff of expatriate and Vietnamese doctors, with specialists ranging from pre- and post-natal care to tropical infectious disease experts, good eye doctors, and dentists. They work in collusion with most major insurance companies and can contact your provider to let you know if you are covered. The cost of an initial visit is $69 with an expatriate doctor or $59 with a Vietnamese doctor." Address: 1 Dang Thai Mai, Tay Ho District, Hanoi, T: (04) 3934 0666 (Alarm centre), T: (04) 3826 4545 (Admin)
• Family Medical Practice: Van Phuc Compound, 298 Kim Ma Street, Ba Dinh District, Hanoi (down the side street that runs parallel to Kim Ma), T: (04) 3843 0748, hanoi@vietnammedicalpractice.com
• French Hospital: Primary language is French but many doctors also speak English. Cheaper than some other international clinics. Address: 1 Phuong Mai, Dong Da District, Hanoi, T: (04) 3577 1100, Emergency: (04) 3574 1111
• Hong Ngoc Hospital: 55 Yen Ninh, Ba Dinh District, Hanoi, T: (04) 39 275 568

Pregnancy

Laws & Social Stigmas

In Vietnam, new mothers get 4-6 months off for maternity leave with 100% of income covered. According to a 2013 Save the Children report: "Vietnam, for example, though quite poor, scored relatively well as a place for moms, in part by cutting its newborn death rate by an impressive 47 percent over 20 years."

What to Get & Where to Get It

Pregnancy tests are widely available at pharmacies throughout the city. Pharmacies in tourist areas most likely have someone who speaks English.

Abortion

Laws & Social Stigmas

Abortion is fully legal for about to 22 weeks of pregnancy. All reasons for an abortion, including to save the life of the woman, to preserve physical health, or mental health, rape or incest, fetal impairment, social/economic reasons, or available upon request, are all considered valid. As stated in the Law on Protection of People's Health (1989), "Women have the rights to have abortion; to receive gynecological diagnosis and treatment; and health check-up during pregnancy; and medical service when giving birth at health facilities.” There are three administrative levels that perform abortions in Vietnam, depending on the stage of the pregnancy: 1) For 6-22 weeks, central and provincial hospitals 2) 6-12 weeks, district health stations and 3) up to 6 weeks at communal health centers (and, in some cases, private clinics, if they meet certain criteria).

In Vietnam, abortion became fully legal since reunification in 1975. Since that time, and especially since the 1980s, the country has had a rather high abortion rate. Between 1982 and 1994, the abortion rates rose six-fold. In 1996, the abortion rate was 83.3 abortions per 1000 women. In 2014, it was reported that 40% of pregnancies end in abortion. As reported: "Sexual behaviour among young Vietnamese has radically transformed in the last few decades -- they have sex earlier and marry later -- but the state's old-fashioned family planning services offer little advice or suitable contraception to young, unmarried couples, experts say.As a result they suspect that abortion -- permitted up to 22 weeks and widely available, particularly at legal but largely unregulated private clinics -- is being used to prevent unwanted pregnancies more often than in other countries."

What to Get & Where to Get It

The abortion pill is available at Family Medical Practice Vietnam. http://www.vietnammedicalpractice.com/ All the doctors are western or western trained. Ask for a doctor specializing in women's health. The pharmacy at the Hanoi location is located within the clinic. The appointment, ultrasound, and medicine will cost around $200 USD. Total for the pill and pain killers is about $25 USD. Very professional, clean, quick, and comfortable experience.

Here are some hospitals/clinics that provide abortions in Hanoi:

• Bao Son International Hospital - Address: 52 Nguyễn Chí Thanh, Đống Đa, Hà Nội. Phone: 091 585 0770/ 0981965115/ 043 775 7099., Email: info@hanhphuchospital.com
• Vietnam Family Medical Practice - 298 I Kim Ma Street, Van Phuc Compound, Ba Dinh District, Hanoi, Vietnam, Tel: +84 4 3843 0748, Fax: +84 4 3846 1750, Email: hanoi@vietnammedicalpractice.com.
• Marie Stopes International Hanoi - 2nd Floor, 1 Nguyen Dinh Chieu Street, Hai Ba Trung District, Ha Noi, Viet Nam, Tel: 00 84 4 9439860, Fax: 00 84 4 9439858
• Vinmec International Hospital - Address: 458 Minh Khai, Vĩnh Tuy, Hai Bà Trưng, Hà Nội, Phone: 04 3974 3556

Here are some hospitals/clinics that provide abortions outside Hanoi (mostly in HCMC/Saigon):

• France-Vietnam Hospital - Address: 6 Nguyen Luong Bang St., Saigon South (Phu My Hung), Dist. 7, HCMC, Tel: (08) 54 11 33 33, Fax: (08) 54 11 33 34. Email: information@fvhospital.com
• Hanh Phuc Hospital - Hospital Address: Binh Duong Boulevard, Thuan An Town, Binh Duong Province, Vietnam. Medical Building Address: 97 Nguyen Thi Minh Khai St, District 1, HCMC, Vietnam. Tel: (84) 8) 3925 9797 Fax: (84) (8) 3925 9949 Email: saigonclinic@hanhphuchospital.com, Tel: (84) (650) 363 60 68 - Fax: (84) (650) 363 60 69
• City International Hospital - Address: Số 3, Đường 17A, P. Bình Trị Đông B, Q. Bình Tân, TP. Hồ Chí Minh. Phone: (848) 6280 3333 - Số Fax: (848) 6290 8800. Email: info@cih.com.vn, booking@cih.com.vn.
• International Hi-Tech Healthcare Park - 532A Kinh Duong Vuong, Binh Tri Dong B ward, Binh Tan District, Ho Chi Minh City, Vietnam, Tel: +84 8 62661188, Fax: +84 8 62661199, Email: enquiry@hoalam-shangrila.com

List of Additional Resources

• Center for Studies and Applied Sciences in Gender-Family-Women and Adolescent (CSAGA): CSAGA addresses domestic violence, child abuse, drug addiction and family planning through free counseling programs, public education and research initiatives. E-mail: tinhcamlinhtam@fpt.vn
• Population Council: The Population Council's mission is to conduct research on reproductive health and contraceptive choice. Has presence in Vietnam.