Using Social Media to Enhance Provider Network for HIV and Harm Reduction Service Integration in Vietnam

Li, Li; Lin, Chunqing; Feng, Nan; Lê, Tuấn Anh; Hsieh, Julie; Nguyen, Diep Bich; Nguyen, Tuan Anh

doi:10.1007/s10461-019-02542-4

Cited by 4 publications

(29 citation statements)

References 39 publications

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“…After CHW established the connection with HIV and addiction specialists via face-to-face contact in the initial in-person sessions, they continued to communicate with one another to exchange medical expertise, discuss cases, and refer patients through the virtual online network autonomously and spontaneously. These findings expand upon the similarly encouraging findings of our prior intervention, which focused exclusively on MMT providers and HIV specialists [ 23 ]. The uninterrupted online communication explained the sustainability of the intervention outcome in provider interaction at 12 months.…”

Section: Discussionsupporting

confidence: 79%

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

Li¹,

Lin²,

Liang³

et al. 2021

AIDS Behav

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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.

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Section: Discussionsupporting

confidence: 79%

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

Li¹,

Lin²,

Liang³

et al. 2021

AIDS Behav

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“…The intervention was piloted, and a more detailed description of the intervention development and implementation among CHW is available elsewhere. 40 The recruited PLHWUD participants were linked to CHW in their community by the study recruiters. CHW in the intervention group were asked to use the knowledge and skills learned from the intervention sessions to perform a series of tasks, including motivating PLHWUD to seek HIV and addiction-related services, evaluating their comprehensive service needs, linking them to specialty care, and supporting their treatment adherence for those who were in treatment.…”

Section: Methodsmentioning

confidence: 99%

A community approach to promote healthcare services for people living with HIV who use drugs in Vietnam

Li¹,

Lin²,

Liang³

et al. 2021

Int J STD AIDS

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Background People living with HIV who use drugs (PLHWUD) face enormous challenges to access antiretroviral therapy (ART), addiction treatment, and other healthcare services. This study evaluated the effect of a community capacity-building approach on PLHWUD’s access to healthcare services. Methods A cluster randomized controlled trial was conducted in four provinces of Vietnam. Trained commune health workers in the intervention condition were encouraged to provide services to PLHWUD in the community and engage them in HIV/addiction treatment and care using learned knowledge and skills. A total of 241 PLHWUD participated in surveys at the baseline and every three months for one year. The primary outcome was PLHWUD’s reported barriers to seeking healthcare. A linear mixed-effects regression model with a difference in difference approach was used to estimate the intervention effect on the primary outcome. Results Adjusted analyses indicated that significant intervention effects were observed at the Sixth and ninth month follow-ups for those on ART at the baseline and increased motivation to engage in treatment at the 3-month follow-up (60.2% vs 34.4% for the intervention and control groups, respectively). Conclusions The community capacity-building intervention had shown promising yet limited outcomes among a subset of PLHWUD in the community, that is, PLHWUD who had already initiated ART.

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“…Health specialists were included in the Facebook groups to provide HIV and addiction treatment-related technical support and consultation for CHW. Details regarding Facebook group management and monitoring were described elsewhere (Li et al, 2019).…”

Section: Facebook Activity and Engagement Measuresmentioning

confidence: 99%

“…Mobile-based strategies have become promising to strengthen CHW's capacity and quality of care (Agarwal et al, 2015;Braun et al, 2013). Social media platforms have become pivot to virtual events to connect health professionals in clinical practice, training, and professional collaboration (Chan & Leung, 2018;Li et al, 2019). For instance, mobile instant messages have shown effects to improve CHWs' peer communication and support (Bertman et al, 2019;Henry et al, 2016;Pimmer et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…However, Vietnam faces similar challenges in service integration and decentralization as in other countries, including the gap in CHW's service provision capacity (Lin et al, 2018;UNAIDS, 2016). Our previous study has demonstrated the feasibility of using social media in network building among HIV and addiction treatment specialists in Vietnam (Li et al, 2019). Based on the previous successful experiences, we further expanded the social media-based virtual networking to CHW to tackle the challenges associated with service integration.…”

Section: Introductionmentioning

confidence: 99%

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Networking community health workers for service integration: role of social media

Li¹,

Lin²,

Pham³

et al. 2022

AIDS Care

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Community health workers (CHW) can play an active role in providing integrated HIV and harm reduction services. We used social media to create a virtual network among Vietnamese CHW. This paper reports CHW's social media engagement and the relationships with other workrelated indicators. Sixty CHW participated in an intervention for integrated HIV/drug use service delivery. Following two in-person sessions, Facebook groups were established for CHW to share information, seek consultation, and refer patients. CHW's levels of online engagements were tracked for six months and linked to their service provision confidence, interaction with patients and other providers, and job satisfaction. The CHW made 181 posts, which received 557 comments and 1,607 reactions during the six months. Among the 60 CHW, 22 (36.6%) had three or more posts, 19 (31.7%) had one or two posts, and 19 (31.7%) had no post. Comparing the baseline and 6-month follow-up data, we observed that those who posted three or more times showed better service provision confidence (p = 0.0081), more interaction with providers in other settings (p = 0.0071), and higher job satisfaction (p = 0.0268). Our study suggests using social media to engage CHW in virtual communications to improve service provision in communities.

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Using Social Media to Enhance Provider Network for HIV and Harm Reduction Service Integration in Vietnam

Cited by 4 publications

References 39 publications

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

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

A community approach to promote healthcare services for people living with HIV who use drugs in Vietnam

Networking community health workers for service integration: role of social media

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