Provider Perspectives on Integration of Substance Use Disorder and HIV Care in Vietnam: A Qualitative Study

Andrew Edsall; Thanh Thuy Thi Dinh; Pham Phuong Mai; Kim Hoffman; Hang T. Nguyen; Tong Thi Khuyen; Nguyen Thu Trang; Gavin Bart; Le Minh Giang; P. Todd Korthuis

doi:10.1007/s11414-020-09730-4

Provider Perspectives on Integration of Substance Use Disorder and HIV Care in Vietnam: A Qualitative Study

Andrew Edsall, Thanh Thuy Thi Dinh, Pham Phuong Mai, Kim Hoffman, Hang T. Nguyen, Tong Thi Khuyen, Nguyen Thu Trang, Gavin Bart, Le Minh Giang, P. Todd Korthuis

Department of Medicine

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

UNAIDS recommends integration of medications for substance use disorders (SUD) with HIV care to improve HIV outcomes. Yet, integration of HIV and SUD services remains limited in many countries. The objective of this study was to assess provider perceptions of care integration in Vietnam. Qualitative interviews were conducted with 43 providers (nurses, physicians, counselors, pharmacists, and clinic managers) in 8 HIV clinics in northern Vietnam, 2013–2015. Providers identified five themes informing HIV and SUD treatment integration: (1) treatment for alcohol use disorder is often neglected compared to other SUD treatment; (2) structural challenges must be addressed to increase integration feasibility; (3) workforce limitations; (4) societal and healthcare stigmatization of SUD; and (5) providers’ conflicting views regarding integration challenges. The experience of providers in Vietnam may be useful to other countries attempting to integrate HIV and SUD services.

Original language	English (US)
Pages (from-to)	274-286
Number of pages	13
Journal	Journal of Behavioral Health Services and Research
Volume	48
Issue number	2
DOIs	https://doi.org/10.1007/s11414-020-09730-4
State	Published - Apr 2021

Keywords

Antiretroviral therapy
HIV treatment
Opioid use disorder
Substance use disorder treatment integration
Vietnam

ASJC Scopus subject areas

Health(social science)
Health Policy
Public Health, Environmental and Occupational Health

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abstract = "UNAIDS recommends integration of medications for substance use disorders (SUD) with HIV care to improve HIV outcomes. Yet, integration of HIV and SUD services remains limited in many countries. The objective of this study was to assess provider perceptions of care integration in Vietnam. Qualitative interviews were conducted with 43 providers (nurses, physicians, counselors, pharmacists, and clinic managers) in 8 HIV clinics in northern Vietnam, 2013–2015. Providers identified five themes informing HIV and SUD treatment integration: (1) treatment for alcohol use disorder is often neglected compared to other SUD treatment; (2) structural challenges must be addressed to increase integration feasibility; (3) workforce limitations; (4) societal and healthcare stigmatization of SUD; and (5) providers{\textquoteright} conflicting views regarding integration challenges. The experience of providers in Vietnam may be useful to other countries attempting to integrate HIV and SUD services.",

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AU - Mai, Pham Phuong

AU - Hoffman, Kim

AU - Nguyen, Hang T.

AU - Khuyen, Tong Thi

AU - Trang, Nguyen Thu

AU - Bart, Gavin

AU - Giang, Le Minh

AU - Korthuis, P. Todd

PY - 2021/4

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N2 - UNAIDS recommends integration of medications for substance use disorders (SUD) with HIV care to improve HIV outcomes. Yet, integration of HIV and SUD services remains limited in many countries. The objective of this study was to assess provider perceptions of care integration in Vietnam. Qualitative interviews were conducted with 43 providers (nurses, physicians, counselors, pharmacists, and clinic managers) in 8 HIV clinics in northern Vietnam, 2013–2015. Providers identified five themes informing HIV and SUD treatment integration: (1) treatment for alcohol use disorder is often neglected compared to other SUD treatment; (2) structural challenges must be addressed to increase integration feasibility; (3) workforce limitations; (4) societal and healthcare stigmatization of SUD; and (5) providers’ conflicting views regarding integration challenges. The experience of providers in Vietnam may be useful to other countries attempting to integrate HIV and SUD services.

AB - UNAIDS recommends integration of medications for substance use disorders (SUD) with HIV care to improve HIV outcomes. Yet, integration of HIV and SUD services remains limited in many countries. The objective of this study was to assess provider perceptions of care integration in Vietnam. Qualitative interviews were conducted with 43 providers (nurses, physicians, counselors, pharmacists, and clinic managers) in 8 HIV clinics in northern Vietnam, 2013–2015. Providers identified five themes informing HIV and SUD treatment integration: (1) treatment for alcohol use disorder is often neglected compared to other SUD treatment; (2) structural challenges must be addressed to increase integration feasibility; (3) workforce limitations; (4) societal and healthcare stigmatization of SUD; and (5) providers’ conflicting views regarding integration challenges. The experience of providers in Vietnam may be useful to other countries attempting to integrate HIV and SUD services.

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Provider Perspectives on Integration of Substance Use Disorder and HIV Care in Vietnam: A Qualitative Study

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Keywords

ASJC Scopus subject areas

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