Evaluation of the Epidemiological Impact of Harm Reduction Programs on HIV in Vietnam

Vietnam s HIV epidemic is concentrated, both in specific behavioral sub-populations and geographic regions. The key populations at higher risk for HIV infection in Vietnam are female sex workers (FSW) and their clients; injecting drug users (IDU);...

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Bibliographic Details
Main Authors:	UNAIDS, World Bank
Format:	Other Social Protection Study
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	AGED AIDS CASES AIDS COMMITTEE AIDS SPENDING AIDS TREATMENT BEHAVIOR CHANGE BEHAVIORAL RISK BEHAVIORAL RISK FACTORS BEHAVIORAL SURVEILLANCE BEST PRACTICES BIOLOGICAL RISK CAPACITY BUILDING COMMERCIAL SEX COMMODITIES COMMODITY COMPUTER LANGUAGE CONDOM CONDOM DISTRIBUTION CONDOM SALES CONDOM USE CONDOMS DIAGNOSES DISEASE DISTRIBUTION OF CONDOMS DRUG USE DRUGS EFFECTIVE PREVENTION EPIDEMIC EPIDEMICS EPIDEMIOLOGY EQUIPMENT FEMALE SEX WORKERS FEMALES FINANCIAL SUPPORT FREE CONDOMS GENERAL POPULATION GEOGRAPHIC REGIONS GLOBAL HIV/AIDS GOVERNMENT PROGRAMS HARM REDUCTION HARM REDUCTION INTERVENTIONS HEALTH INTERVENTIONS HIGH-RISK HIGH-RISK BEHAVIORS HIV HIV INFECTION HIV INFECTIONS HIV PREVENTION HIV PREVENTION INTERVENTIONS HIV TESTING HIV TRANSMISSION HIV/AIDS HYGIENE ID IMPACT ASSESSMENT IMPLEMENTATION PLANS IMPLEMENTATION PROCESS INJECTING DRUG USERS INPUT DATA INTERNATIONAL CONSULTANTS LACK OF INFORMATION LARGE CITIES LARGE NUMBERS OF PEOPLE LARGE POPULATION LARGE POPULATIONS LOCAL AUTHORITIES LOW PREVALENCE MALARIA MALE CLIENTS MASS MEDIA MORTALITY NATIONAL AIDS NATIONAL AIDS CONTROL NATIONAL STRATEGY NEEDLES NETWORKS NUMBER OF NEW INFECTIONS NUMBER OF PEOPLE OUTREACH ACTIVITIES PATIENTS PEER EDUCATOR PEER EDUCATORS PEER GROUP PEER OUTREACH POLICY FRAMEWORK POPULATION DATA POPULATION GROUPS POPULATION SIZE POPULATION SUBGROUPS PREVALENCE OF INFECTION PREVENTION ACTIVITIES PREVENTION INTERVENTIONS PROGRESS PROTOCOL PUBLIC HEALTH RAW DATA RELIABILITY RESOURCE ALLOCATION RESPECT RESULT RESULTS RISK BEHAVIOR RISK FACTORS RISK OF INFECTION RISK POPULATIONS RISKY BEHAVIOR SEARCH SENSITIVITY ANALYSES SERVICE PROVIDERS SEX SEX WITH MEN SEX WORK SEX WORKER SEX WORKERS SEXUAL PARTNERSHIPS SEXUAL TRANSMISSION SITES SOCIAL AFFAIRS SOCIAL MARKETING SUBSTITUTION THERAPY SUPERVISION SURVEILLANCE DATA SURVIVAL RATES SYNDROMIC MANAGEMENT SYRINGES TARGETS TB TECHNICAL EXPERTS TECHNICAL SUPPORT THERAPY TIME PERIOD TRANSMISSION TRANSMISSIONS UNAIDS UNINFECTED PEOPLE UNINFECTED PERSON UNPROTECTED SEX VERIFICATION VIRAL LOAD VIRUS VOLUNTARY COUNSELING VULNERABILITY
Online Access:	http://documents.worldbank.org/curated/en/2010/01/16417792/vietnam-evaluation-epidemiological-impact-harm-reduction-programs-hiv-rates-vietnam-evaluation-epidemiological-impact-harm-reduction-programs-hiv-rates http://hdl.handle.net/10986/12848

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Summary:	Vietnam s HIV epidemic is concentrated, both in specific behavioral sub-populations and geographic regions. The key populations at higher risk for HIV infection in Vietnam are female sex workers (FSW) and their clients; injecting drug users (IDU); and men who have sex with men (MSM). Vietnam identified harm reduction interventions for IDU and FSW as a key component of its last 5-year National HIV strategy 2004-2009. Harm reduction interventions aim to reduce the dominant behavioral risk factors that facilitate transmission of HIV in Vietnam, namely, sharing injecting equipment and engaging in unprotected sex. The main service components of harm reduction for these groups include the distribution of free sterile needle-syringes and condoms and providing behavior change communication through peer educator-based outreach. As the next phase of programming is planned and resources allocated, it is important to assess the achievements of previous programs aimed at minimizing risk of infection in terms of coverage and epidemiological impact. This impact assessment study has the following objectives: To examine coverage of harm reduction interventions in Vietnam among IDU and FSW (programs targeted for MSM were not examined) from 2004-2009; to understand the HIV transmission dynamics in Vietnam and to estimate the extent to which harm reduction interventions among core groups have contributed towards epidemiological trends and reduced HIV transmission in Vietnam during the 2004-2009 strategy.

Evaluation of the Epidemiological Impact of Harm Reduction Programs on HIV in Vietnam

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