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Vietnam: Difference between revisions

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[[File:Panorama of Hanoi.jpg|400px | thumb|right|]]
[[ File:Flag of Vietnam.svg.png|400px | thumb|right|]]


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==Contraception (Birth Control)== <!--T:4-->
==Contraception (Birth Control)== <!--T:4-->
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'''General Note:''' There are many types of contraceptives, also known as "birth control," including IUDs, oral contraceptives, patches, shots, and condoms, etc. If you would like to view a full list, click [https://www.plannedparenthood.org/learn/birth-control here]. It is recommended that you consult with a health practitioner to determine the best contraceptive choice for you. If you want to find which hormonal contraceptives are available by brand, manufacturer or country, click [http://contraceptive.ippf.org/search here].


===Laws & Social Stigmas=== <!--T:5-->
===Laws & Social Stigmas=== <!--T:5-->


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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.<ref>[http://www.dktinternational.org/country-programs/vietnam/ DKT International: Vietnam]</ref> 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.<ref>[https://www.guttmacher.org/about/journals/ipsrh/2002/12/accessibility-and-use-contraceptives-vietnam Accessibility and Use of Contraceptives in Vietnam]</ref>
Birth control pills and condoms are legal and widely accessible in Vietnam. No prescription is required. It is estimated that 73%-75% of Vietnamese women (of reproductive age) use some form of birth control.<ref>[http://www.dktinternational.org/country-programs/vietnam/ DKT International: Vietnam]</ref> 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.<ref>[https://www.guttmacher.org/about/journals/ipsrh/2002/12/accessibility-and-use-contraceptives-vietnam Accessibility and Use of Contraceptives in Vietnam]</ref>


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* For birth control pills (oral contraceptives), you can buy them 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 brands in Hanoi pharmacies, and most medications appear to be made in Vietnam or India.  
* For birth control pills (oral contraceptives), you can buy them 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 brands in Hanoi pharmacies, and most medications appear to be made in Vietnam or India.  
* Nuvaring is not available Vietnam. We asked many pharmacies -- and none of them carried Nuvaring.  
* NuvaRing is not available Vietnam. We asked many pharmacies -- and none of them carried NuvaRing. A user recently wrote: "In December 2018, I contacted major hospitals and many pharmacies in Saigon and none had NuvaRing.  
* You can buy vaginal contraceptive film, which is very similar to spermicide, under the brand name "VCF."  
* You can buy vaginal contraceptive film, which is very similar to spermicide, under the brand name "VCF."  
* For IUDs, you can go to [http://www.internationalsos.com/ International SOS]:, they have the Mirena IUD at an all inclusive (consultation as well) cost of $370, they also have quite a selection of birth control pills including Yaz, Marvelon, Mercilon, Rigevidon, Diane 35 and Embevin 28. The prices for these oral contraceptives range from a minimum of $2 to a maximum of $16.
* For IUDs, you can go to [http://www.internationalsos.com/ International SOS]:, they have the Mirena IUD at an all inclusive (consultation as well) cost of $370, they also have quite a selection of birth control pills including Yaz, Marvelon, Mercilon, Rigevidon, Diane 35 and Embevin 28. The prices for these oral contraceptives range from a minimum of $2 to a maximum of $16.
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* Nguyễn Luận Pharmacy: This pharmacy has been recommended by a few people; they have some English-speaking staff. Address: 3 Trang Thi street, Hoan Kiem District. Phone: 04 3826 8644. Hours: 8 am-6 pm.
* [https://www.pharmacity.vn/ Pharmacity] - 156 stores in Vietnam
*Nguyễn Luận Pharmacy: This pharmacy has been recommended by a few people; they have some English-speaking staff. Address: 3 Trang Thi street, Hoan Kiem District. Phone: 04 3826 8644. Hours: 8 am-6 pm.
*  Liên Mai: 625 hoàng hoa thám.  
*  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
* Mega 31: Address: 31 Láng Hạ _ Ba Đình _ Hà Nội, Ba Đình, Hà Nội, Phone: 04 6255 2255, Hours: 7:30AM–7:30PM
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==Emergency Contraception (Morning After Pill)== <!--T:16-->
==Emergency Contraception (Morning After Pill)== <!--T:16-->
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'''Important Notes:''' Emergency contraception may prevent pregnancy for three days (72 hours) and sometimes five days (120 hours) after unprotected sex. Take EC '''as soon as possible''' after unprotected sex to prevent pregnancy. If you don't have access to dedicated EC, oral contraceptives can be used as replacement EC, but remember the following: 1) Only some contraceptives work as EC 2) Different contraceptives require different dosages and time schedules to work as EC 3) For combined pills, you must only use the first 21 pills in 28-day packs and 4) They may be less effective than dedicated EC. For general information on emergency contraceptives, click [https://www.plannedparenthood.org/learn/morning-after-pill-emergency-contraception here] and [http://ec.princeton.edu/info/ecp.html here].


===Laws & Social Stigmas=== <!--T:17-->
===Laws & Social Stigmas=== <!--T:17-->
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Pretty much every private clinic can administer tests for HIV, STIs and hepatitis.
* International SOS Clinic in Hanoi administers tests for HIV, STIs, hepatitis. Address: 51 Xuan Dieu (behind Fraser Suites), Tay Ho Quang An, Hanoi, Vietnam. Tel: +84 4 3934 0666 Email: infovn@internationalsos.com
* International SOS Clinic in Hanoi administers tests for HIV, STIs, hepatitis. Address: 51 Xuan Dieu (behind Fraser Suites), Tay Ho Quang An, Hanoi, Vietnam. Tel: +84 4 3934 0666 Email: infovn@internationalsos.com
*[http://www.vietnammedicalpractice.com/en/location-contact-us/hanoi/ 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
*[http://www.vietnammedicalpractice.com/en/location-contact-us/hanoi/ 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
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'''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..."<ref>[http://sti.bmj.com/content/76/4/299.full STD management by private pharmacies in Hanoi: practice and knowledge of drug sellers]</ref>
'''Important Note:''' Avoid self-diagnosing or seeking treatment (before diagnosis) at a pharmacy. Drug resistance patterns vary wildly between countries and sometimes between regions. what works in one country may not work in another. 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..."<ref>[http://sti.bmj.com/content/76/4/299.full STD management by private pharmacies in Hanoi: practice and knowledge of drug sellers]</ref>


===Costs=== <!--T:47-->
===Costs=== <!--T:47-->


==Medications & Vaccines== <!--T:48-->
==Medications & Vaccines== <!--T:48-->
[[File:Pharmacy hue vietnam.jpg|400px | thumb|right|'''Pharmacy in Hue, Vietnam''']]


===Laws & Social Stigmas=== <!--T:49-->
===Laws & Social Stigmas=== <!--T:49-->


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For a long time, Vietnam (along with many other Southeast Asian countries) was known as place where you could buy virtually any medication or antibiotic over the counter. In Vietnam, this is no longer the case. Antibiotics and stronger medications are more strictly regulated at pharmacies. However, you will still find some pharmacies that are more lenient in their sales. Remember that some pharmacies focus on "herbal" or traditional medicine, meaning that they do not carry modern pharmaceutical products. Other pharmacies do carry modern products, but they may sell medications that are inauthentic (i.e. incorrect or sugar-pill like medicine) or expired. Try to visit pharmacies that you know or trust, or that someone who has experience in a Vietnamese city recommends. Overall, Vietnamese pharmacists speak very little English. So it is recommended to know that name of the medication you need in advance or to bring a translation device.
For a long time, Vietnam (along with many other Southeast Asian countries) was known as place where you could buy virtually any medication or antibiotic over the counter. In Vietnam, this is no longer the case. Antibiotics and stronger medications are more strictly regulated at pharmacies. However, you will still find many pharmacies that are more lenient in their sales. Remember that some pharmacies focus on "herbal" or traditional medicine, meaning that they do not carry modern pharmaceutical products. Other pharmacies do carry western medicine products, but they may sell medications that are inauthentic (i.e. incorrect or sugar-pill like medicine) or expired. Try to visit pharmacies that you know or trust, or that someone who has experience in a Vietnamese city recommends. Overall, Vietnamese pharmacists speak very little English. So it is recommended to know that name of the medication you need in advance or to bring a translation device.


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Note: While this is an unverified, a Hanoi pharmacist has told us that yeast infections in Vietnam are fairly common due to the low-quality tap water. When women wash or douche themselves with the water, they may develop yeast infections. While this cannot be entirely avoided, it's something to remember.
Note: While this is an unverified, a Hanoi pharmacist has told us that yeast infections in Vietnam are fairly common due to the low-quality tap water. When women wash or douche themselves with the water, they may develop yeast infections. This is a good example of misinformation by a pharmacist. Yeast infections most occur due to antibiotics use, changing the normal flora of the vagina.


===What to Get & Where to Get It=== <!--T:52-->
===What to Get & Where to Get It=== <!--T:52-->
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* If you're interested in menstrual cups, here are some resources to check out in Vietnam:
* If you're interested in menstrual cups, here are some resources to check out in Vietnam:
** [http://www.ovacup.com Ovacup] sells US-made FDA-approved menstrual cups (otherwise known as [http://www.ovacup.com cốc nguyệt san]).
** [http://www.lintimate.com Lintimate] is a social enterprise that officially distributes US-made FDA-approved menstrual cups (otherwise known as [http://www.lintimate.com cốc nguyệt san] in Vietnamese) under their flagship brand - Lincup. This is the only menstrual cup distributor that qualifies to enter pharmacies in Vietnam. They have a 24/7 hotline with english speaking operator: 091 151 2091 and can also be contacted via Lintimate's official Facebook Page: https://www.facebook.com/lintimate. Email: info@lintimate.net
** [http://www.lintimate.com Lintimate] is a social enterprise that officially distributes US-made FDA-approved menstrual cups (otherwise known as [http://www.lintimate.com cốc nguyệt san] in Vietnamese) under their flagship brand - Lincup. This is the only menstrual cup distributor that qualifies to enter pharmacies in Vietnam. They have a 24/7 hotline with english speaking operator: 091 151 2091 and can also be contacted via Lintimate's official Facebook Page: https://www.facebook.com/lintimate. Email: info@lintimate.net
** [https://www.facebook.com/MelunaVietnam/ Meluna Vietnam]: They sell Meluna menstrual cups for 590,000 VND with free shipping (as of Feb 2017). You should contact them via Facebook for details or call 090 482 28 83. They're very responsive to messages.
** [https://www.facebook.com/MelunaVietnam/ Meluna Vietnam]: They sell Meluna menstrual cups for 590,000 VND with free shipping (as of Feb 2017). You should contact them via Facebook for details or call 090 482 28 83. They're very responsive to messages.

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