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HIV Prevention Service Coverage for Men Having Sex with Men in 4 Provinces in Viet Nam
HIV Prevention Service Coverage for Men Having Sex with Men in 4 Provinces in Viet Nam
 
Duong Cong Thanh1, Keith Sabin2, David Jacka2, Nguyen Thanh Long3, Vo Hai Son3, Bui Hoang Duc3, Nguyen Tran Hien1, and Nguyen Anh Tuan1.
 
1 National Institute of Hygiene and Epidemiology, Viet Nam;
2 World Health Organization Representative Office in Viet Nam;
3 Viet Nam Administration of HIV/AIDS Control.

Backgrounds

 § HIV sentinel surveillance is conducted annually among 6 key populations in 39 provinces in Vietnam.

 § To obtain trends of key national and global indicators and HIV infection, some behavioral questions were added to the serosurveys in seven provinces in 2010.

 § This aims to determine HIV prevalence, risk behaviors, and coverage of prevention services among men who have sex with men (MSM).
 

Methods

 § Cross-sectional surveys were conducted. Participants were selected based on geographic mapping exercise and through peer educators.

 § A short questionnaire consists of 23 behavioral questions were added to the serosurveys among MSM in four voluntary provinces including Ha Noi, Hai Duong, Ho Chi Minh city, and An Giang in 2010.
 

Results

 § 1009 MSM provided blood and interviews.

 § Median HIV prevalence among MSM and drug injecting-MSM were 6.0% (range: 0.0%-16.0%) and 11.1% (0.0%-50.0%), respectively.
 
 
 § Median of MSM ever injecting drug was 12.3% (range: 0.0%-20.5%). The proportion of using clean needles in the most recent injection was low, median of 85.7% (range: 73.6%-91.6%).
 
 
 § Median of MSM reporting condom use during anal sex with most recently male partner was 73.4% (range: 66.5%-85.8%). Percentage of consistent condom use through anal sex with male partners in the past month in Hanoi the highest (72.0%), other provinces are below 50%, especially in HCMC was only 29.6%.
 
 
 § Median of MSM selling sex in the last 12 months was 35% (range: 0.8%-47.3%).
 
 

 § Medians of MSM receiving free condoms and syringes in the last month were 55.6% (43.4%-77.7%) and 36.9% (27.8%-86.2%), respectively.

 § Median of MSM receiving sexually transmitted infections screening in the last 3 months was 13.2% (6.2%-31.6%).
 
 
 § HIV testing in the past year and knowing the result was a median of 20.7% (4.4%-39.6%).
 
 

Conclusions

 § HIV prevalence was high among drug injecting-MSM and varying among provinces.

 § MSM practiced high risk for HIV transmission.

 § Access to HIV prevention services was very low and varied by service and province.

 § Although mapping was recommended, however, this was at core a convenience sample.

 § The integrating a short behavioral questionnaire into current HIV sentinel surveillance program can be done and routinely implemented annually.
 

Recommendations

 § Access to HIV prevention efforts needs to be broadened with a focus on drug injecting-MSM to prevent further HIV transmission from injection drug users to general MSM and their partners.

 § Investigation of methods to increase accessibility of HIV/STI services to MSM.

 § Increasing services to address needs of MSM selling sex where it is identified as a significant issue.

 § Improvement of the sampling of sentinel surveillance is a key next step to achieve more representative samples. 
 § Expand the application of the brief behavioral questionnaire to routine sentinel surveillance. 
 
                                                                                                Poster for ICAAP conference
                                                                          "The 10th International Congress on AIDS in Asia and the Pacific,
                                                                                                  Busan, Korea, 24 August 2011"
 
 
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Journal of Preventive Medicine

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