HIV Prevention Interventions for Female Sexual Partners of Injection Drug Users in Hanoi, Vietnam: 24-Month Evaluation Results

Hammett, Theodore M.; Kling, Ryan; Van, Nghiem Thi Ha; Son, Dang Ha; Binh, Kieu Thanh; Oanh, Khuat Thi Hai

doi:10.1007/s10461-011-0062-4

Cited by 16 publications

(12 citation statements)

References 14 publications

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“…In addition, couple-based approaches often have positive effects on sexual communication skills and balancing power within the relationship (Roberts, Mathers, & Degenhardt, 2010). Evidence from a harm reduction program in Vietnam shows that reaching out to female partners of MWID is possible and may be effective in promoting condom use by the couple (Hammett et al, 2012). …”

Section: Women With Intimate Partners Who Inject Drugsmentioning

confidence: 99%

Women, drugs and HIV

Azim

Bontell

Strathdee

2015

International Journal of Drug Policy

120

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Women who inject drugs are among the most vulnerable to HIV through both unsafe injections and unprotected sex. They are also among the most hidden affected populations, as they are more stigmatized than their male counterparts. Many sell sex to finance their own and their partner’s drug habit and often their partner exerts a significant amount of control over their sex work, condom use and injection practices. Women who use drugs all over the world face many different barriers to HIV service access including police harassment, judgmental health personnel and a fear of losing their children. In order to enable these women to access life-saving services including needle-syringe and condom programs, opioid substitution therapy and HIV testing and treatment, it is essential to create a conducive environment and provide tailor-made services that are adapted to their specific needs. In this commentary, we explore the risks and vulnerabilities of women who use drugs as well as the interventions that have been shown to reduce their susceptibility to HIV infection.

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Section: Women With Intimate Partners Who Inject Drugsmentioning

confidence: 99%

Women, drugs and HIV

Azim

Bontell

Strathdee

2015

International Journal of Drug Policy

120

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“…The HIV epidemic in Vietnam has been concentrated primarily in persons who use drugs (PWUD) who account for 65% of reported HIV infections, at least 90% of whom are men (Hammett et al, 2012; FHI, 2010; VAAC, 2009). The experience of PWUD in Vietnam reflects the battery of factors of stereotyping and discrimination that may lead to stigmatization (Link & Phelan, 2001).…”

Section: Introductionmentioning

confidence: 99%

Challenges facing HIV-positive persons who use drugs and their families in Vietnam

Lee¹,

Li²,

Lin³

et al. 2014

AIDS Care

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It is hypothesized that persons who use drugs (PWUD) in Vietnam who are also HIV-positive may face additional challenges in psychosocial outcomes, and these challenges may extend to their family members. In this study, we examined depressive symptoms, stigma, social support, and caregiver burden of HIV-positive PWUD and their family members, compared to the outcomes of HIV-negative PWUD and their family members. Baseline, 3-month, and 6-month assessment data were gathered from 83 PWUD and 83 family members recruited from four communes in Phú Tho Province, Vietnam. For PWUD, although we observed a general decline in overall stigma over time for both groups, HIV-positive PWUD consistently reported significantly higher overall stigma for all three periods. Depressive symptoms among family members in both groups declined over time; however, family members of HIV-positive PWUD reported higher depressive symptoms across all three periods. In addition, family members of HIV-positive PWUD reported lower levels of tangible support across all three periods. Caregiver burden among family members of HIV-positive PWUD increased significantly over time, whereas the reported burden among family members of HIV-negative PWUD remained relatively unchanged. The findings highlight the need for future interventions for PWUD and family members, with targeted and culturally specific strategies to focus on the importance of addressing additional stigma experienced by PWUD who are HIV-positive. Such challenges may have direct negative impact on their family members’ depressive symptoms, tangible support and caregiver burden.

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“…In other words, sexual partners of PWID would encourage their partners to take their medications and in fact they would be protecting themselves. A notable profit of such programs would be increasing sexual partners of PWIDs' access to both healthcare and education along with decreasing their risky behaviour (7,8). In conclusion, we suggest implementing peer counselling and education programs among sexual partners of PWID.…”

Section: Recommended Action Why Do We Think This Intervention Could Wmentioning

confidence: 87%

“…In conclusion, we suggest implementing peer counselling and education programs among sexual partners of PWID. Similar projects, elsewhere in Asia, have shown promising results in increasing the level of knowledge and practice of partners (7,8). Findings of studies in Vietnam for example, suggested that sexual partners of PWID could be reached, and their relationships were improved and consistent condom use was increased through peer based HIV prevention interventions (8).…”

Section: Recommended Action Why Do We Think This Intervention Could Wmentioning

confidence: 99%

Addressing the needs of sexual partners of people who inject drugs through peer prevention programs in Iran

Karamouzian

Haghdoost

Sharifi

2014

Int J Health Policy Manag

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Despite the fact that HIV epidemic is mainly driven by injection drug use in Iran, partners of People Who Inject Drugs (PWID) have been seriously neglected in terms of effective preventive interventions. Currently, sexual partners of PWID might have access to some harm reduction services at Voluntary Counselling and Testing (VCT) centers; however, their needs have not been effectively targeted and met. Unfortunately, the current programs implemented by the Ministry of Health have overlooked the importance of this population in the course of the HIV epidemic throughout the country. In this policy brief, we are trying to draw the health policy-makers' attention to this overlooked population and while reviewing the advantages and disadvantages of some of the readily available options on the table, come up with a recommended action to tackle this problem. Our recommended action that seems to have had promising results elsewhere in Asia would try to implement preventive interventions targeting this particular population through peer prevention programs.

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HIV Prevention Interventions for Female Sexual Partners of Injection Drug Users in Hanoi, Vietnam: 24-Month Evaluation Results

Cited by 16 publications

References 14 publications

Women, drugs and HIV

Women, drugs and HIV

Challenges facing HIV-positive persons who use drugs and their families in Vietnam

Addressing the needs of sexual partners of people who inject drugs through peer prevention programs in Iran

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