Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Apr;48(2):274-286.
doi: 10.1007/s11414-020-09730-4.

Provider Perspectives on Integration of Substance Use Disorder and HIV Care in Vietnam: A Qualitative Study

Andrew Edsall  1 , Thanh Thuy Thi Dinh  2 , Pham Phuong Mai  2 , Kim Hoffman  3 , Hang T Nguyen  4 , Tong Thi Khuyen  2 , Nguyen Thu Trang  2 , Gavin Bart  5 , Le Minh Giang  2 , P Todd Korthuis  6
Affiliations

Provider Perspectives on Integration of Substance Use Disorder and HIV Care in Vietnam: A Qualitative Study

Andrew Edsall et al. J Behav Health Serv Res. 2021 Apr.

Abstract

UNAIDS recommends integration of medications for substance use disorders (SUD) with HIV care to improve HIV outcomes. Yet, integration of HIV and SUD services remains limited in many countries. The objective of this study was to assess provider perceptions of care integration in Vietnam. Qualitative interviews were conducted with 43 providers (nurses, physicians, counselors, pharmacists, and clinic managers) in 8 HIV clinics in northern Vietnam, 2013-2015. Providers identified five themes informing HIV and SUD treatment integration: (1) treatment for alcohol use disorder is often neglected compared to other SUD treatment; (2) structural challenges must be addressed to increase integration feasibility; (3) workforce limitations; (4) societal and healthcare stigmatization of SUD; and (5) providers' conflicting views regarding integration challenges. The experience of providers in Vietnam may be useful to other countries attempting to integrate HIV and SUD services.

Keywords: Antiretroviral therapy; HIV treatment; Opioid use disorder; Substance use disorder treatment integration; Vietnam.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest The authors declare that they have no conflict of interest.

Similar articles

See all similar articles

Cited by

References

    1. Degenhardt L, Peacock A, Colledge S, et al. Global prevalence of injecting drug use and sociodemographic characteristics and prevalence of HIV, HBV, and HCV in people who inject drugs: a multistage systematic review. Lancet Global Health. 2017;5(12):e1192–e1207. doi:10.1016/S2214-109X(17)30375-3 - DOI - PMC - PubMed
    1. Low AJ, Mburu G, Welton NJ, et al. Impact of Opioid Substitution Therapy on Antiretroviral Therapy Outcomes: A Systematic Review and Meta-Analysis. Clinical Infectious Disease. 2016;63(8):1094–1104. doi:10.1093/cid/ciw416 - DOI - PMC - PubMed
    1. Karki P, Shrestha R, Huedo-Medina TB, et al. The Impact of Methadone Maintenance Treatment on HIV Risk Behaviors among High-Risk Injection Drug Users: A Systematic Review. Evidence-Based Medicine and Public Health. 2016;2. - PMC - PubMed
    1. Mukandavire C, Low A, Mburu G, et al. Impact of opioid substitution therapy on the HIV prevention benefit of antiretroviral therapy for people who inject drugs. AIDS. 2017;31(8):1181–1190. doi:10.1097/QAD.0000000000001458 - DOI - PubMed
    1. UNAIDS. Harm Reduction Saves Lives. UNAIDS. (2017) ∣ HIV AIDS Asia Pacific Research Statistical Data Information Resources - AIDS Data Hub. 2017 https://aidsdatahub.org/harm-reduction-saves-lives-unaids-2017. Accessed August 1, 2019.

Publication types