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

Research output: Contribution to journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)274-286
Number of pages13
JournalJournal of Behavioral Health Services and Research
Volume48
Issue number2
DOIs
StatePublished - 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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