Nghiên cứu
The methamphetamine epidemic among persons who inject heroin in Hai Phong, Vietnam
This study examined methamphetamine use among people who inject heroin in Hai Phong, Vietnam, using survey data collected from more than 4,000 participants between 2016 and 2018. It explored trends in methamphetamine initiation and current use, related risk behaviors, and implications for public health. The findings highlighted the rapid rise of methamphetamine use since the mid-2000s and discussed the potential role of community-based harm reduction approaches in addressing methamphetamine use in the absence of widely accessible treatment options.
Obstacles to the ‘cleanliness of our race’: HIV, reproductive risk, stratified reproduction, and population quality in Hanoi, Vietnam
This paper focuses on the interactions between medical professionals in Hanoi, Vietnam and their HIV-positive patients who desire children. Drawing on ethnographic research, we argue that despite ongoing state and civil society efforts to reduce discrimination against people living with HIV (PLHIV), doctors do stigmatize patients who choose to reproduce, even if the patients are found to have carefully considered all associated risks. While the effects of the Social Evils Campaign linger, the doctors’ prejudicial stance towards PLHIV’s reproductive desires and risks also reflects the messages communicated by the more recent governmental campaign on Population Quality. The result of this stigmatization is a stratification of reproduction among the Vietnamese citizenry whereby PLHIV are considered obstacles to ‘the cleanliness of the race’.
HIV control programs reduce HIV incidence but not HCV incidence among people who inject drugs in HaiPhong, Vietnam
In Vietnam, harm reduction programs to control HIV among people who inject drugs (PWID) were implemented approximately 10 years ago. Since then, the HIV prevalence has declined in this population, however, the impact of these programs on the rate of new HIV and Hepatitis C (HCV) infections remains unknown as high mortality can exceed the rate of new infections. We evaluated HIV and HCV incidences in a cohort of active PWID in HaiPhong in 2014, who were recruited from a community-based respondent driven sampling (RDS) survey and followed for 1 year. Only HIV-negative or HCV-negative participants not on medication assisted treatment (MAT) were eligible. HIV/HCV serology was tested at enrollment and at 32- and 64-week follow-up visits. Among 603 RDS participants, 250 were enrolled in the cohort, including 199 HIV seronegative and 99 HCV seronegative PWID. No HIV seroconversion was reported during the 206 person-years (PY) of follow-up (HIV incidence of 0/100PY, one-sided 97.5%CI:0-1.8/100 PY). Eighteen HCV seroconversions were reported for an incidence of 19.4/100 PY (95%CI;11.5-30.7). In multivariate analysis, “Injecting more than twice daily” was associated with HCV seroconversion with an adjusted odds ratio of 5.8 (95%CI;1.8–18.1). In Hai Phong, in a context that demonstrates the effectiveness of HIV control programs, the HCV incidence remains high. New strategies such as mass access to HCV treatment should be evaluated in order to tackle HCV transmission among PWID.
Mô hình đào tạo thực địa về can thiệp giảm hại chất kích thích, tập trung can thiệp Chemsex
Năm 2021, sự bùng phát của đại dịch COVID-19 tại Việt Nam đã tạo ra những thách thức to lớn cho công tác phòng chống HIV/AIDS. Nhằm đẩy lùi HIV/AIDS và đóng góp vào Chiến lược Quốc gia Chấm dứt AIDS vào năm 2030, dự án GF-HIV được triển khai với mục đích chính là: Củng cố và tăng cường sự tham gia có hiệu quả của các tổ chức xã hội và tổ chức dựa vào cộng đồng (CBOs) trong việc giảm thiểu các ca nhiễm HIV mới và Cung cấp dịch vụ chăm sóc sức khỏe toàn diện cho các nhóm cộng đồng có nguy cơ cao lây nhiễm HIV, bao gồm người tiêm chích ma túy, người bán dâm, nam quan hệ tình dục đồng giới (MSM) và phụ nữ chuyển giới.
