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
. 2022 Jan;26(1):123-131.
doi: 10.1007/s10461-021-03363-0. Epub 2021 Jul 6.

Community Capacity Building for HIV and Addiction Service Integration: An Intervention Trial in Vietnam

Li Li  1 , Chunqing Lin  2 , Li-Jung Liang  2 , Diep Bich Nguyen  2 , Loc Quang Pham  2 , Tuan Anh Le  3 , Tuan Anh Nguyen  3
Affiliations

Community Capacity Building for HIV and Addiction Service Integration: An Intervention Trial in Vietnam

Li Li et al. AIDS Behav. 2022 Jan.

Abstract
in English, Spanish

Scientific findings and policy guidelines recommend integrating HIV and drug addiction prevention and care into community-based settings. Systematic capacity-building efforts are warranted to provide technical support for community health workers and improve their confidence in the integrated service provision. An intervention trial was conducted between 2018 and 2019 with 120 community health workers (CHW) from 60 communes in Vietnam's four provinces. The 60 intervention CHW received in-person training to enhance their HIV/addiction-related service knowledge and skills. Online support groups were established between trained CHW and local HIV and addiction specialists. The intervention outcomes were assessed using mixed-effects regression models with the data collected at baseline and every 3 months for 1 year. Adjusted analyses showed that intervention CHW reported a significant increase in the interaction with other treatment providers than the control group at 6 months and remained at the 12-month follow-up. The difference in the improvement of confidence in HIV/addiction-related service delivery between the intervention and control groups was significant at 6-month but became insignificant at the 12-month. Male CHW were more confident in providing services than female CHW at baseline, and gender differences in the changing patterns were observed over time. This capacity-building intervention demonstrated promising outcomes on CHW inter-agency collaborations and confidence in service delivery. Gender divides in healthcare professionals should be attended to in future studies.

Los hallazgos científicos y los protocolos recomiendan integrar la prevención del VIH y la adicción a las drogas en entornos comunitarios. Se implementan esfuerzos sistemáticos de creación de capacidad para brindar apoyo técnico a los trabajadores de salud comunitarios y mejorar su confianza en la prestación de servicios integrados. Se realizó una prueba de intervención entre 2018 y 2019 con 120 trabajadores de salud comunitarios (TSC) de 60 comunas en las cuatro provincias de Vietnam. Los 60 TSC de intervención recibieron capacitación en persona para mejorar sus conocimientos y habilidades de servicios relacionados con VIH / adicción. Se establecieron grupos de apoyo en línea entre TSC capacitados y especialistas locales en VIH y adicciones. Los resultados de la intervención se evaluaron mediante modelos de regresión de efectos mixtos con los datos recopilados al inicio del estudio y cada tres meses durante un año. Los análisis ajustados mostraron que la intervención CHW informó un aumento significativo en la interacción con proveedores de tratamiento diferentes al grupo de control a los seis meses que se mantuvo en el seguimiento a los 12 meses. La diferencia en el aumento de la confianza en la prestación de servicios relacionados con VIH / adicción entre los grupos de intervención y control fue significativa a los 6 meses, pero se volvió insignificante a los 12 meses. Los TSC masculinos tenían más confianza en la prestación de servicios que las femeninas al inicio del estudio, y se observaron diferencias de género en el cambio de patrones a lo largo del tiempo. Esta intervención de creación de capacidad demostró resultados prometedores en las colaboraciones interinstitucionales de los TSC y la confianza en la prestación de servicios. Las brechas de género en los profesionales de la salud deben ser atendidas en estudios futuros.

Keywords: Addiction treatment; Capacity building; Community health worker; HIV; Vietnam.

PubMed Disclaimer

Conflict of interest statement

All authors included on this manuscript declare that he/she has no conflict of interest.

Figures

Fig. 1
Fig. 1
CONSORT for the Cluster Randomized Controlled Trial in Vietnam. CHC commune health centers, CHW commune health workers
Fig. 2
Fig. 2
Mean scores of confident in service by intervention over time for A Male and B Female. Mean scores of confidence levels in service provision were estimated using linear mixed-effects models, stratified by gender. In each figure, the dashed line with a square symbol represents the control group’s means, and the solid line with a triangular symbol represents the intervention group’s estimated means. *p < 0.05
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Korthuis PT, McCarty D, Weimer M, Bougatsos C, Blazina I, Zakher B, Grusing S, Devine B, Chou R. Primary care-based models for the treatment of opioid use disorder: a scoping review. Ann Intern Med. 2017;166(4):268–278. doi: 10.7326/M16-2149. - DOI - PMC - PubMed
    1. O’Brien N, Hong QN, Law S, Massoud S, Carter A, Kaida A, Loutfy M, Cox J, Andersson N, de Pokomandy A. Health system features that enhance access to comprehensive primary care for women living with HIV in high-income settings: a systematic mixed studies review. AIDS Patient Care STDS. 2018;32(4):129–148. doi: 10.1089/apc.2017.0305. - DOI - PubMed
    1. Remien RH, Bauman LJ, Mantell J, Tsoi B, Lopez-Rios J, Chhabra R, DiCarlo A, Watnick D, Rivera A, Teitelman N, Cutler B. Barriers and facilitators to engagement of vulnerable populations in HIV primary care in New York City. J Acquir Immune Defic Syndr. 2015;69(0 1):S16. doi: 10.1097/QAI.0000000000000577. - DOI - PMC - PubMed
    1. Aung MN, Moolphate S, Kitajima T, Siriwarothai Y, Takamtha P, Katanyoo C, et al. Satisfaction of HIV patients with task-shifted primary care service versus routine hospital service in northern Thailand. J Infect Develop Ctries. 2015;9(12):1360–1366. doi: 10.3855/jidc.7661. - DOI - PubMed
    1. Nascimento LD, Paula CC, Magnago TS, Padoin SM, Harzheim E, Silva CB. Quality of primary health care for children and adolescents living with HIV. Rev Latino-Americana de Enfermagem. 2016 doi: 10.1590/1518-8345.0609.2720. - DOI - PMC - PubMed