Abstract
Objective: This thesis investigates the contributions of the Global Fund in controlling malaria in Vietnam since 2014, focusing on its multifaceted approaches, strategies, and interventions in malaria prevention, detection, and treatment, as well as overall health system strengthening.
Subject and Methods: The research employs a case study design combined with a desk review of project documents, financial reports, impact assessments, and academic literature. Qualitative methodologies, including key informant interviews and thematic analysis, are used to evaluate the advantages and disadvantages of the Global Fund's interventions.
Key Findings: The study finds that the Global Fund's contributions have significantly enhanced malaria control in Vietnam through increased funding, technical support, and infrastructural improvements. Notable successes include improved diagnostic capabilities, the introduction of rapid diagnostic tests (RDTs), and increased community awareness and engagement. However, challenges such as logistical issues, funding constraints, and the emergence of drug-resistant malaria strains were identified. The research highlights the critical role of international collaboration, government commitment, and community involvement in sustaining malaria control efforts and provides insights into effective public health interventions.
Substance Abuse Journal
Background: Patients report that familial support can facilitate initiation and maintenance of antiretroviral therapy (ART) and medications for opioid use disorder (MOUD). However, providing such support can create pressure and additional burdens for families of people with opioid use disorder (OUD) and HIV. We examined perspectives of people with HIV receiving treatment for OUD in Vietnam and their family members. Methods: Between 2015 and 2018, we conducted face-to-face qualitative interviews with 44 patients and 30 of their family members in Hanoi, Vietnam. Participants were people living with HIV and OUD enrolled in the BRAVO study comparing HIV clinic-based buprenorphine with referral to methadone treatment at 4 HIV clinics and their immediate family members (spouses or parents). Interviews were professionally transcribed, coded in Vietnamese, and analyzed using a semantic, inductive approach to qualitative thematic analysis. Results: Family members of people with OUD and HIV in Vietnam reported financially and emotionally supporting MOUD initiation and maintenance as well as actively participating in treatment. Family members described the burdens of supporting patients during opioid use, including financial costs and secondary stigma. Conclusions: Describing the role of family support in the lives of people living with OUD and HIV in the context of Vietnam enriches our understanding of their experiences and will support future treatment efforts targeting the family unit.
Drugs: Education, Prevention and Policy
Social Science & Medicine
BMC Infectious Diseases
Background: HIV Pre-exposure prophylaxis (PrEP) is being considered for implementation among MSM nationwide in Vietnam. However, there may be concerns about potential obstacles for PrEP adherence among Vietnamese MSM. This study aims to assess the accepta
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