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Access to HIV Prevention Services for Injecting Drug Users in Hai Phong, Vietnam: Qualitative Results

Tanvir Ahmed


Donald Edwin Stewart

Tanvir Ahmed 1 Donald Edwin Stewart 1 

  1. Griffith University, Public Health and Health Promotion, School of Medicine, Griffith Graduate Centre, Grey Street, South Bank, South Brisbane, Australia 1


Background: To attain a deeper understanding of risk behaviour and service engagement among Injecting Drug Users (IDUs) in Hai Phong, Vietnam, we conducted a qualitative follow-up series of in-depth interviews. This paper presents the barriers and facilitative factors relating to prevention services. 
Methods: Fifteen semi-structured face-to-face interview with IDUs were conducted. 
Results: The participants are often satisfied with their current access to the HIV prevention services; however, they highlighted the issues for better engagement in the future. The qualitative findings document barriers as well as facilitative factors in accessing the services. Humane approach, pleasant experience, and free treatment facility are commonly cited facilitative factors. The frequently occurring barriers to accessing HIV prevention service include long distances between place of delivery and home, unavailability in local neighbourhoods and mismatched delivery time. 
Conclusion: Access to HIV prevention services needs to be strengthened according to the need of IDUs to limit the further spread of HIV epidemic.

Contribution/ Originality
This study is one of very few studies which qualitatively analyzed access to HIV prevention services by injecting drug users in Hai Phong, Vietnam and highlighted interesting findings relating to their service engagement. The discussions provide a crucial insight for improving HIV prevention efforts in Vietnam. 




  1. N. Hien and I. Wolffers, "HIV infection in Vietnam," The Lancet, vol. 343, p. 410, 1994.
  2. V. M. Quan, A. Chung, H. T. Long, and T. J. Dondero, "HIV in Vietnam: The evolving epidemic and the prevention response, 1996 through 1999," Journal of Acquired Immune Deficiciency Syndrome, vol. 25, pp. 360-369, 2000.
  3. T. M. Hammett, Z. Wu, T. T. Duc, D. Stephens, S. Sullivan, W. Liu, and D. C. Des Jarlais, "Social evils' and harm reduction: The evolving policy environment for human immunodeficiency virus prevention among injection drug users in China and Vietnam," Addiction, vol. 103, pp. 137-145, 2008.
  4. T. T. Minh, D. T. Nhan, G. R. West, T. M. Durant, R. A. Jenkins, P. T. Huong, and R. O. Valdiserri, "Sex workers in Vietnam: How many, how risky?," AIDS Educ Prev., vol. 16, pp. 389-404, 2004.
  5. T. H. Nguyen, T. L. Hoang, K. C. Pham, E. J. Van Ameijden, W. Deville, and I. Wolffers, "HIV monitoring in Vietnam: System, methodology, and results of sentinel surveillance," JOURNAL of AcquirED Immune Deficciency Syndrome, vol. 21, pp. 338-346, 1999.
  6. T. H. Nguyen, T. L. Nguyen, and Q. H. Trinh, "HIV/AIDS epidemics in Vietnam: Evolution and responses," AIDS Education Prevention, vol. 16, pp. 137-154, 2004.
  7. Family Health International, HIV/AIDS behavioral surveillance survey, Vietnam. Hanoi: Family Health International, 2000.
  8. Ministry of Health, Results from the HIV/STI integrated biological and behavioal surveillance (IBBS) in Vietnam 2005-2006. Hanoi: National Institute of Hygiene and Epidemiology, 2006.
  9. T. A. Nguyen, L. T. Hoang, V. Q. Pham, and R. Detels, "Risk factors for HIV-1 seropositivity in drug users under 30 years old in Haiphong, Vietnam," Addiction, vol. 96, pp. 405-413, 2001.
  10. C. T. Duong, T. H. Nguyen, T. T. Hoang, V. V. Nguyen, T. M. Do, V. H. Pham, and R. Detels, "Sexual risk and bridging behaviors among young people in Hai Phong, Vietnam," AIDS Behavior, vol. 12, pp. 643-651, 2008.
  11. D. C. Thanh, N. T. Hien, N. A. Tuan, B. D. Thang, N. T. Long, and K. Fylkesnes, "HIV risk behaviours and determinants among people living with HIV/AIDS in Vietnam," AIDS Behaviour, vol. 13, pp. 1151-1159, 2009.
  12. T. T. Nguyen, L. T. Nguyen, M. D. Pham, H. H. Vu, and K. P. Mulvey, "Methadone maintenance therapy in Vietnam: An overview and scaling-up plan," Advances in Preventive Medicine, vol. 2012, p. 732484, 2012.
  13. P. Nguyen Ha, A. Pharris, N. T. Huong, N. T. Chuc, R. Brugha, and A. Thorson, "The evolution of HIV policy in Vietnam: From punitive control measures to a more rights-based approach," Global Health Action, vol. 3, p. 4625, 2010.
  14. T. Vuong, R. Ali, S. Baldwin, and S. Mills, "Drug policy in Vietnam: A decade of change?," Int J Drug Policy, vol. 23, pp. 319-326, 2012.
  15. Ministry of Health, Results from the HIV/STI integrated biological and behavioral surveillance (IBBS) in Vietnam round- II. Hanoi: Family Health International, 2011.
  16. The Government of Vietnam, The fourth country report on following up the implementation to the declaration of commitment on HIV and AIDS. Hanoi: National Committee for AIDS, Drugs amd Prostitution Prevention and Control, 2010.
  17. D. C. Thanh, K. M. Moland, and K. Fylkesnes, "The context of HIV risk behaviours among HIV-positive injection drug users in Viet Nam: Moving toward effective harm reduction," BMC Public Health, vol. 9, p. 98, 2009.
  18. T. L. Thao le, C. P. Lindan, D. B. Brickley, and T. Giang le, "Changes in high-risk behaviors over time among young drug users in South Vietnam: A three-province study," AIDS Behavior, vol. 10, pp. S47-56, 2006.
  19. R. Power, "The application of qualitative research methods to the study of sexually transmitted infections," Sexually Transmitted Infections, vol. 78, pp. 87-89, 2002.
  20. G. Guest, A. Bunce, and L. Johnson, "How many interviews are enough?: An experiment with data saturation and variability," Field Methods, vol. 18, pp. 59-82, 2006.
  21. V. Braun and V. Clarke, "Using thematic analysis in psychology," Qualitative Research in Psychology, vol. 3, pp. 77-101, 2006.
  22. A. M. Huberman and B. M. Matthew, The Qualitative Researcher's Companion. Thousand Oaks, CA: SAGE Publications, Inc, 2002.
  23. C. Anderson, "Presenting and evaluating qualitative research," American Journal of Pharmacitical Education, vol. 74, p. 141, 2010.
  24. O. Tran and S. F. Chung, "The public health responses to HIV/AIDS in Vietnam," European International Journal of Science and Technology, vol. 2, pp. 91-97, 2013.
  25. B. X. Tran, L. T. Nguyen, N. H. Nguyen, Q. V. Hoang, and J. Hwang, "Determinants of antiretroviral treatment adherence among HIV/AIDS patients: A multisite study," Glob Health Action, vol. 6, p. 19570, 2013.
  26. B. X. Tran, A. Ohinmaa, A. T. Duong, L. T. Nguyen, P. X. Vu, S. Mills, and P. Jacobs, "Cost-effectiveness of integrating methadone maintenance and antiretroviral treatment for HIV-positive drug users in Vietnam's
  27. P. W. Appel, A. A. Ellison, H. K. Jansky, and R. Oldak, "Barriers to enrollment in drug abuse treatment and suggestions for reducing them: Opinions of drug injecting street outreach clients and other system stakeholders," American Journal of Drug Alcohol Abuse, vol. 30, pp. 129-153, 2004.
  28. A. Wodak, "Lessons from the first international review of the evidence for needle syringe programs: The band still plays on," Substance Use Misuse, vol. 41, pp. 837-839, 2006.
  29. N. T. Hien, L. T. Giang, P. N. Binh, and I. Wolffers, "The social context of HIV risk behaviour by drug injectors in Ho Chi Minh city, Vietnam," AIDS Care, vol. 12, pp. 483-495, 2000.
  30. T. Rhodes, L. Watts, S. Davies, A. Martin, J. Smith, D. Clark, and M. Lyons, "Risk, shame and the public injector: A qualitative study of drug injecting in South Wales," Soc Sci Med., vol. 65, pp. 572-585, 2007.
  31. C. M. Schumacher, V. F. Go, V. Nam le, C. A. Latkin, A. Bergenstrom, D. D. Celentano, and V. M. Quan, "Social injecting and other correlates of high-risk sexual activity among injecting drug users in northern Vietnam," International Journal of Drug Policy, vol. 20, pp. 352-356, 2009.
  32. A. D. Ngo, L. Schmich, P. Higgs, and A. Fischer, "Qualitative evaluation of a peer-based needle syringe programme in Vietnam," International Journal of Drug Policy, vol. 20, pp. 179-182, 2009.
  33. N. Croft, "Engaging with police in prevention of HIV among and from injecting drug users," Journal of Practice Medicine, Vietnam Ministry of Health, vol. 742-743, pp. 311-312, 2010.
  34. M. Jardine, N. Crofts, G. Monaghan, and M. Morrow, "Harm reduction and law enforcement in Vietnam: Influences on street policing," Harm Reduct J, vol. 9, p. 27, 2012.
  35. S. L. Coyle, R. H. Needle, and J. Normand, "Outreach-based HIV prevention for injecting drug users: A review of published outcome data," Public Health Reports, vol. 113, pp. 19-30, 1998.
  36. S. L. Bailey, D. Huo, R. S. Garfein, and L. J. Ouellet, "The use of needle exchange by young injection drug users," Journal of Acquired Immune Deficiciency Syndrome, vol. 34, pp. 67-70, 2003.
  37. R. S. Barbour, "Checklists for improving rigour in qualitative research: A case of the tail wagging the dog?," BMJ, vol. 322, pp. 1115-1117, 2001.
  38. T. Ruefli and S. J. Rogers, "How do drug users define their progress in harm reduction programs? Qualitative research to develop user-generated outcomes," Harm Reduct J., vol. 1, p. 8, 2004.



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