Outcomes of children with HIV during the COVID-19 pandemic in Vietnam

We describe mortality in children with HIV in Vietnam during the COVID-19 pandemic. We followed 1234 children (median age 11.9 years) at three hospitals during 2020-2023; 260 had COVID-19. Eleven (0.9%) children died, mostly due to poorly controlled HIV. Mortality was higher than in the prepandemic period (2016-2019) (0.29 vs. 0.09 per 100 person-years; P = 0.033), likely due to decreased access to treatment, testing, and medical intervention during the lockdown, as well as financial difficulties.