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Vietnam: Difference between revisions

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[[ File:Flag of Vietnam.svg.png|400px | thumb|right|]]
{| class="wikitable" style="width:200px; border:1px solid black;float:right"
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|colspan="8" style="text-align:center"|[[File:Flag of Vietnam.svg.png|400px | thumb|right|]]
|-
| '''Contraception: Over-the-Counter'''
| condoms, pills, patch
|-
| '''Contraception: Hospital/Clinic'''
| IUD insertion, injectable, implant
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| '''Emergency Contraception'''
| no prescription required
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| '''STIs'''
| testing available; no travel restrictions
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| '''Menstrual Products'''
| pads, tampons, cups
|-
| '''Abortion Law'''
| legal & available upon request
|-
| '''LGBTQ Laws'''
| homosexuality legal
|-
| '''Related Pages'''
| [[Hanoi]], [[Ho Chi Minh City]]
|-
|}


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Vietnam 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 (Note: It may have been removed in 2015... waiting for confirmation). 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 services.
Generally speaking, Vietnam has a wide range of health care resources. Contraceptives, including emergency contraceptives, are legal and do not require a prescription. In cities and towns, there are a plethora of pharmacies, though some may carry a limited range of international pharmaceutical brands. Since the 1960s, the North Vietnamese government has advocated family planning -- and, after reunification in 1975, family planning policies extended throughout the country. Beginning in 1988, the country instituted a 2-child policy, which remained in place for decades.<ref>https://link.springer.com/article/10.1007/s00148-019-00766-1</ref> The policy seems to be on its way out, due to declining birth rates and an aging population,<ref>https://asia.nikkei.com/Politics/Vietnam-s-declining-birthrate-spells-end-of-two-child-policy</ref> but the official position of the government is unclear.
 
In Vietnam, you can obtain tests for many sexually-transmitted infections (STIs) 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. We have provided a list of facilities on this page, and you can find more information on city pages as well, such as the [[Hanoi]] & [[Ho Chi Minh City]] pages.  
 
For menstrual needs, you can find both pads and tampons, typically without applicators (like OB), at many markets and stores. Some independent vendors sell menstrual cups online as well.
 
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, which can help you identify the appropriate services.


==Contraception (Birth Control)== <!--T:4-->
==Contraception (Birth Control)== <!--T:4-->
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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.
*[http://www.vietnammedicalpractice.com/ Family Medical Practice]: Normal IUD insertion is $142 USD, IUD insertion with Mirena is $351 USD. If you want a non-hormonal IUD, that is also available (but it's not Paragard) for an addition $20. Note that the consultation fee ($95) is not included in the general fee. There may be additional costs for tests or medications. For the procedure, they don't have equipment for local anesthesia on the cervix, but they can give painkillers 30-60 minutes before insertion of IUDs. They may also be able to prescribe Misopostrol on the evening before insertion to facilitate the procedure.
*[http://www.vietnammedicalpractice.com/ Family Medical Practice]: They have clinics in Ho Chi Minh City, Danang, and Hanoi. Prices from 2017/18: Normal IUD insertion is $142 USD, IUD insertion with Mirena is $351 USD. If you want a non-hormonal IUD, that is also available (but it's not Paragard) for an addition $20. Note that the consultation fee ($95) is not included in the general fee. There may be additional costs for tests or medications. For the procedure, they don't have equipment for local anesthesia on the cervix, but they can give painkillers 30-60 minutes before insertion of IUDs. They may also be able to prescribe Misopostrol on the evening before insertion to facilitate the procedure.
* Another option for IUDS is Hong Ngoc Hospital (near Truc Bach Lake in Ba Dinh). They charge 1.6 million VND for removal (not sure about cost for insertion, but it's probably cheaper than Family Medical Practice).
* Another option for IUDS is Hong Ngoc Hospital (near Truc Bach Lake in Ba Dinh). They charge 1.6 million VND for removal (not sure about cost for insertion, but it's probably cheaper than Family Medical Practice).
* For contraceptives implants, you can get Implanon insertion at [http://www.vietnammedicalpractice.com/ Family Medical Practice] for $295 USD or at the [http://en.hfh.com.vn/ French Hospital] for about 5 million VND.
* For contraceptives implants, you can get Implanon insertion at [http://www.vietnammedicalpractice.com/ Family Medical Practice] for $295 USD or at the [http://en.hfh.com.vn/ French Hospital] for about 5 million VND.
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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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===Costs=== <!--T:14-->
===Costs=== <!--T:14-->


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<!--T:15-->* 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. For IUD, you can expect to pay between $100-$400.
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. For IUD, you can expect to pay between $100-$400.


==Emergency Contraception (Morning After Pill)== <!--T:16-->
==Emergency Contraception (Morning After Pill)== <!--T:16-->
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[[File:Victoriavietnam.jpg|300px | thumb|right|'''aseVictoria - an emergency contraceptive that can be purchased in Hanoi''']]
[[File:Victoriavietnam.jpg|300px | thumb|right|'''aseVictoria - an emergency contraceptive that can be purchased in Hanoi''']]


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<!--T:22-->* You can buy emergency contraception for 45,000 dong (less than $2 as of 2016) in any pharmacy. One popular brand is Victoria. Below, we have listed the main brands and types of EC available in Vietnam:<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref><!--T:23-->
You can buy emergency contraception for 45,000 dong (less than $2 as of 2016) in any pharmacy. One popular brand is Victoria. Below, we have listed the main brands and types of EC available in Vietnam:<ref>[http://ec.princeton.edu/worldwide/ Princeton EC Website]</ref>
 
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''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)
 
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''Dedicated Products / Progestin Only
Take 1 pill within 120 hours after unprotected sex:''
* Escapelle


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* The following ''anti-progestin morning after pills'' may be available:
''Take 2 pills within 120 hours after unprotected sex:''
** Ciel EC (this is only available in Vietnam, so it seems to be a Vietnamese brand)
* Postinor-2 (global brand, but here's the [http://postinor.com.vn/vi Vietnamese website for Postinor])
** Mifestad 10 (this appears to be a Vietnamese brand)<!--T:24-->


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* The following ''progestin-only morning after pills'' may be available:
''Oral Contraceptives used for EC / Progestin-Estrogen Combined
** Escapelle
Note: in 28-day packs, only the first 21 pills can be used
** Postinor-2 (global brand, but here's the [http://postinor.com.vn/vi Vietnamese website for Postinor])<!--T:26-->
Take 2 pills within 120 hours after unprotected sex and take 2 more pills 12 hours later:''
* FMP


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* This isn't official medical advice, but could be helpful in an emergency: If you can't access emergency contraceptive pills, you can use regular birth control pills as replacement. Here's how (but please consult other sources & don't rely on this info alone!):
Take 4 pills within 120 hours after unprotected sex and take 4 more pills 12 hours later:
** In 28-day packs, only the first 21 pills can be used. Take 2 pills within 120 hours (the earlier, the better) after unprotected sex and take 2 more pills 12 hours later of the following pills: FMP
* Anna
** Take 4 pills within 120 hours (the earlier, the better) after unprotected sex and take 4 more pills 12 hours later: Anna, Microgynon-30, Nordette, Rigevidon
* Microgynon-30
* Nordette
* Rigevidon


===Costs=== <!--T:28-->
===Costs=== <!--T:28-->
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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.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.ovalady.com Ovacup] sells US-made FDA-approved menstrual cups (otherwise known as [https://www.ovalady.com cốc nguyệt san]).
** [https://lintimate.com.vn/ 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.
** [http://cocnguyetsan.com/sibell-cup.hml Si-bell cup] (soft cup from France - official retailer), get 2 free sterilising tablets. HOTLINE: 090 208 3098.
** [http://cocnguyetsan.com/sibell-cup.hml Si-bell cup] (soft cup from France - official retailer), get 2 free sterilising tablets. HOTLINE: 090 208 3098.
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* [http://vwu.vn/ Vietnam Women's Union]: "The VWU unites women and encourages them to implement the line and orientation of the Party and the policies and laws of the State. The VWU mobilizes the society to realize gender equality. The VWU is a member of the Vietnam Fatherland Front, the ASEAN Confederation of Women’s Organizations (ACWO), and the Women’s International Democratic Federation (WIDF)." Email: vwuebulletin@gmail.com
* [http://csaga.org.vn/en 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
* [http://www.cef-vietnam-usa.org/ Children's Education Center Vietnam]: "Children's Education Foundation  - Vietnam, a charity in Vietnam, works to break the poverty cycle by helping girls from impoverished or marginalized communities complete school or receive further education or training, helping not just the young women, but also succeeding generations and their communities to have the possibility of a better life with more choice." Email: csaga@csaga.org.vn
* [https://www.care.org/our-work/where-we-work/vietnam/ CARE Vietnam]: "CARE has worked in Vietnam since 1989. As Vietnam becomes a middle-income country, we are concentrating our work on supporting rights and sustainable development among the most vulnerable groups in Vietnam, for example ethnic minorities, poor women and girls, and people vulnerable to climate change."
* [http://www.hanoi-iwc.com/ Hanoi International Women's Club]: "IWC is a modern, diverse and international group run entirely by volunteers. We have over 400 members of all ages, backgrounds and walks of life from nearly 70 countries.  Most of our members are women but we welcome men.  We know what it’s like to arrive in a new country for the first time so we aim to offer support, advice and friendship to help you settle in." Email: contact@hanoi-iwc.com
* [http://www.hanoi-iwc.com/ Hanoi International Women's Club]: "IWC is a modern, diverse and international group run entirely by volunteers. We have over 400 members of all ages, backgrounds and walks of life from nearly 70 countries.  Most of our members are women but we welcome men.  We know what it’s like to arrive in a new country for the first time so we aim to offer support, advice and friendship to help you settle in." Email: contact@hanoi-iwc.com
* [http://theintimateinitiative.com/ The Intimate Initiative]: "A new and exciting social enterprise that promotes sexual health education and gender equality in Vietnam."  
*[https://www.startnext.com/en/tii/wall The Intimate Initiative]: "A new and exciting social enterprise that promotes sexual health education and gender equality in Vietnam."
* 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
*[http://www.popcouncil.org/ Population Council]: The Population Council's mission is to conduct research on reproductive health and contraceptive choice. Has presence in Vietnam.
* [http://www.popcouncil.org/ Population Council]: The Population Council's mission is to conduct research on reproductive health and contraceptive choice. Has presence in Vietnam.


==References== <!--T:96-->
==References== <!--T:96-->
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|description=Find sexual, reproductive and women's health care in Vietnam.
|description=Find sexual, reproductive and women's health care in Vietnam.
}}
}}
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