Emerging Issues in VCT Practice in Vietnam

1
Emerging Issues in VCT Practice in Vietnam

• Abstracts/reports Review

2
Outline

• Current VCT programs in Vietnam
• Emerging issues

3
Current VCT programs

• MOH/LIFE-GAP Project
• 40 provinces, 53 sites functioning
• CDC supported HCMC VCT program
• FHI
• Hanoi, Quang ninh, Hai phong, HCMC
• Global Fund
• 20 provinces
• MSI
• Reproductive health integrated model at HCMC,
  Nghe An, Ha Tinh, Hanoi, Binh Duong.
• Others PSI

4
Emerging issues

• Confidentiality
• Important and decisive role in service success
• Reinforced by anonymity
• LIFE-GAP VCT experience
• Panel discussion outcomes- National VCT meeting
  in Nha Trang
• Client survey at Hai phong and Thai binh-
  LIFE-GAP VCT program
• Client survey at ATS/ HCMC

5
Emerging issues

• Gender issue
• Significant difference in accessing VCT by male
  and female
• ATS Male 68, Female 32
• MOH/LIFE-GAP VCT
• Male 65, Female 35

6
Emerging issues

• Accessibility
• Fear of stigma and discrimination barriers the
  most
• Friends, relatives
• Health workers
• Low awareness on VCT benefits
• Measures to improve accessibility
• Accessible location- Integrated with other
  services
• Educate on VCT benefits

7
Emerging issues

• Referral network
• Maximize effectiveness of VCT services
• Referral to health care services Care and
  treatment, TB, STIand other support services
  peer outreach, drug detox
• Limitations/challenges
• Lack of necessary referral services
• Inability to track referred clients

8
Emerging issues

• Referral network
• Monthly meeting of all referral services should
  be conducted
• DOH/PPMU should be the coordinator of the
  referral network

9
Emerging issues

• Quality assurance and supervision
• Key component of VCT services
• Routine QA
• Higher client intake
• Higher testing acceptance rate
• Higher returned rate
• VCT staff supervisor, counselorshould be main
  actor in QA activities

10
Emerging issues

• Marketing and advertisement
• Diversification of marketing activities
• Mass media very important role
• Health care system
• Peer outreach programs
• VCT clients- Satisfied client
• Should not be dependant on mass media
• PSI social marketing model

11
Summary of Emerging issues

• Confidentiality
• Gender
• Accessibility
• Referral network
• Quality assurance and supervision
• Marketing

12
Program point of contact

• FHI VCT program
• Ðào Ð?c Giang giang_at_fhi.org.vn
• CDC supported HCMC VCT
• Vu Nguyên Huong vhuong_at_yahoo.com
• PSI social marketing program
• Trình Thu H?ng hangtrinh_at_psi.org.vn
• MOH/LIFE-GAP VCT program
• Nguy?n Tr?ng Th?ng trongthang69_at_lifegap.org.vn