News / Asia

Wider Availability of Methadone Helps Curb HIV in Vietnam

A health worker collects blood from a patient at an HIV/AIDS consulting centre while U.S. Health Secretary Mike Leavitt visits the centre in Vietnam's northern Hai Phong City, 92 km east of Hanoi October 15, 2005.
A health worker collects blood from a patient at an HIV/AIDS consulting centre while U.S. Health Secretary Mike Leavitt visits the centre in Vietnam's northern Hai Phong City, 92 km east of Hanoi October 15, 2005.
TEXT SIZE - +
Marianne Brown
— Treatment for intravenous drug users in Vietnam remains a very sensitive subject, but the expansion of methadone treatment has been welcomed by HIV clinicians.

In 2002 international donors warned that rapidly rising numbers of HIV/AIDS cases could threaten Vietnam’s economic development. A decade later aid groups are praising the country for expanding harm reduction policies, at least in the availability of methadone.

By the end of 2011 there were more than 170,000 registered drug users in Vietnam, 85 percent of them addicted to heroin. Drug use and sex work are categorized as “social evils” and are among the three groups most vulnerable to catching HIV. The third is men who have sex with men.

AIDS patient Pham Huu Khoi lays in his bed at the Mai Hoa Center for HIV and AIDS in An Nhon villages, northwest of Ho Chi Minh City, Vietnam, Oct, 10, 2009.
AIDS patient Pham Huu Khoi lays in his bed at the Mai Hoa Center for HIV and AIDS in An Nhon villages, northwest of Ho Chi Minh City, Vietnam, Oct, 10, 2009.

Until a few years ago the only option for many local authorities to deal with drug users and sex workers was to segregate them from society in controversial rehabilitation centers. The centers met with international condemnation last year after a report last year by Human Rights Watch accused them of forced labor. Relapse rates are high and some experts have said the money used to fund the centers would be better spent on public health.

However, since 2008 there has been another solution, methadone maintenance treatment, welcomed by some as a cheaper and more effective way of dealing with heroin addiction.
 
Do Duy Cuong, head of the HIV outpatient unit at Bach Mai hospital, says methadone treatment, along with distribution of condoms and clean syringes, can make a huge difference in preventing the spread of HIV/AIDS.

Taken daily in liquid form, methadone eases symptoms of heroin withdrawal and helps stop the spread of HIV caused by the use of dirty needles. Cuong says it also helps reduce crime because people do not need to steal to buy heroin.

Since 2008, a U.S. program called the President's Emergency Plan for AIDS Relief, or PEPFAR, has built 13 methadone clinics across Vietnam. By 2015, the Vietnamese government plans to have 30 such clinics, reaching 80,000 of the country’s drug users. At the moment the clinics now treat nearly 10,000 people.

Increased access to methadone treatment is overdue, says Thi Van Anh, deputy head of infectious diseases at Hai Phong Medical University.

“I think we need to expand more because it doesn’t meet the needs of the people who are in need because we still have a lot of IDU (injecting drug users) who still cannot approach methadone treatment." She thinks methadone treatment should be integrated into the rehabilitation centers.

Many medical staff who treat HIV/AIDS patients do not provide recommendations for support of drug or alcohol addicts.

However, a new website set up with assistance from the U.S. embassy in Hanoi, the Centers for Disease Control and the Vietnamese government could help change that. The website provides training and advice in Vietnamese to clinicians across the country. Anyone can set up an account and access the site, but Van Anh says it will be particularly useful for medical staff.

“The number of doctors in Hai Phong who can read English is very few so their capacity to read English journal and capacity to analyze an article is very limited, but this website was made by national experts and it is in Vietnamese and available 24 hours," she said.

In a response to what some observers say is a combination of international pressure and a changing attitude within the government, last month the National Assembly passed an amendment to a law which will mean all sex workers detained in the centers, reported at around 900, will be released in July. Many hope the same will be said of drug users in the not-so-distant future.

You May Like

Analysts Warn of Regional Proxy Conflict in Afghanistan

Analysts warn if Kabul’s neighbors do not start to cooperate, competing desires for influence could deteriorate into a bloody proxy war in the country More

Saudi Intelligence Chief Replaced

Bandar bin Sultan came under criticism for supporting al Qaida, prompting King Abdallah to wrest Syria operations away from him in February, handing them to Interior Minister Prince Mohammed bin Nayef More

Poetry Magazine editor Don Share talks what makes a good poem with VOA's David Byrd

What makes a good poem? And is poetry as viable an art form as it once was? To find out, VOA's David Byrd spoke to Don Share, the editor of Poetry Magazine. More

This forum has been closed.
Comments
     
There are no comments in this forum. Be first and add one

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Google Buys Drone Companyi
|| 0:00:00
...
 
🔇
X
George Putic
April 15, 2014
In its latest purchase of high-tech companies, Google has acquired a manufacturer of solar-powered drones that can stay in the air almost indefinitely, relaying broadband Internet connection to remote areas. It is seen as yet another step in the U.S. based Web giant’s bid to bring Internet to the whole world. VOA’s George Putic reports.
Video

Video Google Buys Drone Company

In its latest purchase of high-tech companies, Google has acquired a manufacturer of solar-powered drones that can stay in the air almost indefinitely, relaying broadband Internet connection to remote areas. It is seen as yet another step in the U.S. based Web giant’s bid to bring Internet to the whole world. VOA’s George Putic reports.
Video

Video Ray Bonneville Sings the Blues and More on New CD

Singer/songwriter Ray Bonneville has released a new CD called “Easy Gone” with music that reflects his musical and personal journey from French-speaking Canada to his current home in Austin,Texas. The eclectic artist’s fan base extends from Texas to various parts of North America and Europe. VOA’s Greg Flakus reports from Austin.
Video

Video Millions Labor in Pakistan's Informal Economy

The World Bank says that in Pakistan, roughly 70 percent work in the so-called informal sector, a part of the economy that is unregulated and untaxed. VOA's Sharon Behn reports from Islamabad on how the informal sector impact's the Pakistani economy.
Video

Video Passover Celebrates Liberation from Bondage

Jewish people around the world are celebrating Passover, a commemoration of their liberation from slavery in Egypt more than 3,300 years ago. According to scripture, God helped the Jews, led by Moses, escape bondage in Egypt and cross the Red Sea into the desert. Zlatica Hoke reports that the story of the Jewish Exodus resonates with other people trying to escape slave-like conditions.
Video

Video Police Pursue Hate Crime Charges Against Kansas Shooting Suspect

Prosecutors are sifting through the evidence in the wake of Sunday’s shootings in a suburb of Kansas City, Missouri that left three people dead. A suspect in the shootings taken into custody is a white supremacist. As VOA’s Kane Farabaugh reports, he was well-known to law enforcement agencies and human rights groups alike.
Video

Video In Eastern Ukraine, Pro-unity Activists Emerge from Shadows

Amid the pro-Russian uprisings in eastern Ukraine, there is a large body of activists who support Ukrainian unity and reject Russian intervention. Their activities have remained largely underground, but they are preparing to take on their pro-Moscow opponents, as Henry Ridgwell reports from the eastern city of Donetsk.
Video

Video Basket Maker’s Skills Have World Reach

A prestigious craft show in the U.S. capital offers one-of-a-kind creations by more than 120 artists working in a variety of media. As VOA’s Julie Taboh reports from Washington, one artist lucky enough to be selected says sharing her skills with women overseas is just as significant.
Video

Video UN Report Urges Speedier Action to Avoid Climate Disaster

A new United Nations report says the world must switch from fossil fuels to cleaner energy sources to control the effects of climate change. The Intergovernmental Panel on Climate Change released the report (Sunday) following a meeting of scientists and government representatives in Berlin. The comprehensive review follows two recent IPCC reports that detail the certainty of climate change, its impacts and in this most recent report what to do about it. VOA’s Rosanne Skirble has the details.
AppleAndroid