| Literature DB >> 32940824 |
Andrew Edsall1, Thanh Thuy Thi Dinh2, Pham Phuong Mai2, Kim Hoffman3, Hang T Nguyen4, Tong Thi Khuyen2, Nguyen Thu Trang2, Gavin Bart5, Le Minh Giang2, P Todd Korthuis6.
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.Entities:
Keywords: Antiretroviral therapy; HIV treatment; Opioid use disorder; Substance use disorder treatment integration; Vietnam
Mesh：
Year: 2021 PMID： 32940824 PMCID： PMC7965786 DOI： 10.1007/s11414-020-09730-4
Source DB: PubMed Journal: J Behav Health Serv Res ISSN： 1094-3412 Impact factor: 1.505