United
Nations Office on Drugs and Crime (UNODC) in Viet Nam
One of UNODC’s major objectives in Viet Nam is to address the
negative social and health consequences of the link between injecting
drug use and HIV/AIDS transmission.
In the past
The Most important landmark of UNODC’s HIV/AIDS prevention activities
in Viet Nam is the launching of the project AD/VIE/97/B07
Strengthening National Capacity for Prevention of Drug Abuse and
HIV/AIDS among High-risk Target Groups in 1998. This is a UNODC/UNAIDS
cost-sharing project which was implemented in three years from 1998
to 2000.
The project is a unique success in breaking through the then prevailing
conservative approach by initiating the first-ever harm reduction
programme in the country. Taking
into account the peculiarities of the country, the project adopted
the most creative and relevant approach to apply peer education
while promoting the involvement of the local police who became supportive
to the intervention activities at the community level. The project
has set a successful example of drug related harm reduction intervention
model in Viet Nam, and paved the way for more programmes to take
place in the country ever since.
Although two demand reduction projects AD/VIE/98/B52 on drug abuse
prevention in schools and AD/VIE/98/B93 on drug treatment and rehabilitation
which were implemented in 1998-2000 did not directly address HIV/AIDS
prevention issues, awareness about drug problems associated with
HIV/AIDS transmission were strongly enhanced through training activities.
The community-based pilot intervention modality of mutual and self-help
groups initiated in the project VIE/B93 has led to the creation
of 82 post-treatment clubs in Ha Noi City. All the club members
are recovering drug users who volunteer to carry out peer education
and drug/HIV prevention outreach activity in their community. The
clubs are named ‘B93 Clubs’ in recognition of the success of the
initiative.
UNAIDS PAF Project AD/VIE/01/F82 to Improve Risk Reduction Programmes
through Research into IDUs’ Behaviours and Support to People living
with HIV/AIDS. The project immediate objective was to assess HIV
and other health risks associated with injecting drug users and
develop effective intervention for HIV prevention among injecting
drug users in the selected provinces. The project provided a basis
for intervention and prevention of HIV/AIDS transmission through
an improved understanding of drug use and high-risk behaviors associated
with HIV/AIDS transmission.
UNAIDS PAF Project VIE/03/G61 - Strengthening the Existing Working
Models and Establishing a New Innovative Partnership with Local
NGO for Community-based Prevention of High-risk Behaviour Related
to IDUs. The objective is to strengthen existing capacities among
relevant stakeholders for the reduction of HIV transmission from
the IDUs and pilot prevention of drug use among vulnerable adolescents
at community level through continued technical assistance. The project
implementation was arranged through two main
counterparts, namely the Vietnamese Community Mobilization Centre
for HIV/AIDS Control (VICOMC), and the Da Nang Centre for Preventive
Medicine.
VICOMC carried out the project activities in 11 project sites in
5 cities and provinces:
Thai Nguyen, Nghe An, Hai Phong, Ha Noi and Lang Son. Efforts were
focused on drug-related harm reduction activities to prevent HIV
transmission among injecting drug users and drug use among vulnerable
adolescents. The project activities included peer educators raining
on communication skills; involvement of the local authorities with
a view to enhancing awareness about harm reduction and supports
to the project’s outreach activities; distribution of disposable
and clean syringes, condoms, and disseminating information about
drugs and HIV/AIDS prevention to drug users and vulnerable adolescents.
A baseline KABP survey on drug abuse and HIV/AIDS prevention among
three target groups of total 800 persons was conducted in Da Nang
City. 212 project facilitators to implement the project were selected
and trained.
Intervention activities were carried out among three target groups
of drug addicts, students and out-of-school young people. Training
on drug abuse / HIV prevention, behaviour change communication (BCC)
and counseling skills was provided to the drug addicts in the 05-06
Centre. 20 anti-drug clubs were established in Hai Chau and Thanh
Khe districts, with around 15-30 members each. In one year, the
clubs had 120 meetings with total 4,200 participations.
12,960 condoms, 200 disposable syringes and 25,000 BCC leaflets
were distributed.
At present
Project VIE/01/B85 and its extension phase VIE/04/H61 on Drug Abuse
Prevention among
Ethnic Minorities in Viet Nam aim at preventing drug use and drug-related
harms among the many remote ethnic minority populations in the rural
highland border provinces of Vietnam. In the first phase, the project
has successfully developed and initiated an original and unique
programme for a common donor response to drug use and drug-related
harm problems among six remote ethnic minority communities in three
highland border provinces, namely Lao Cai, Lai Chau and Son La.
Coordination and cooperation agreements surrounding the adoption
and implementation of ‘best practice’ drug demand and harm reduction
intervention activities have been arranged with other INGOs, NGOs,
UN and government agencies and organizations.
These agreements addressed needs related to technical assistance
and training surrounding the organization, development and support
of local drug use and harm prevention, intervention, and treatment
and rehabilitation measures. Additional support through the extension
phase is to enhance and sustain the cooperative network of action
and support within the current project communities, and to allow
for the scaling-up of the project model and activities to surrounding
communes and districts in these remote areas. This project is the
first one of its kind addressing these concerns within these remote,
poor and marginalized border populations.
Project AD/VIE/03/H05 - Comprehensive drug prevention through communications
and community mobilization. The project is a comprehensive drug
prevention program based on 5 key strategic components of communications,
capacity building, community mobilization, coordination and collaboration.
Primary prevention of drug abuse and associated HIV/AIDS will be
carried out through enhancement and integration of information and
communication by mass communication campaigns and outreach activities.
The project will involve a combination of mass media activity and
pilot community-based drug and HIV prevention programs in 5 selected
sites.
In future
Project AD/VIE/04/H68 - Diversification of Services for Drug Abusers
at Community and Institutional Level. The project is composed of
two components, one is addressing the need for capacity building
in government run institutionalized treatment centres, the second
addresses the urgent need for support to community-based treatment
and rehabilitation. Both components address the need for innovative
approaches to treatment and rehabilitation and the need for a variety
of services, while building on best practices resultant from previous
UNODC projects as well as government-led community treatment services.
The project also addresses the need rnuooH/Dpvtnmg r e.
UNAIDS PAF Project VNM/I66 - HIV Preventive Education in Drug Treatment
Centres in Viet Nam. The project aims to contribute to the reduction
of the transmission of mainly HIV, but also STIs and other bloodborne
disease (e.g Hepatitis C), both in the treatment centres and into
the wider community, to enhance the capacity of the treatment centre
staff including medical staff and social workers) to develop and
provide appropriate prevention activities for those who are infected
with HIV, by outlining effective management options and to improve
occupational health and safety, and prevention practices of the
staff. This initiative is carried out in collaboration with WHO,
as the educational tool to be used is being developed by WHO, and
it targets the inmates, the staff and the management at drug treatment
facilities. UNODC will build on this work, field test the programme,
improve the content as appropriate, and roll out the educational
curricula on a wider scale.
Contact (to be updated)
(Updated July 2005)
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