Qualitative evaluation of a peer-based needle syringe programme in Vietnam.

Ngo, A., Schmich, L., Higgs, P. and Fischer, A. (2009) Qualitative evaluation of a peer-based needle syringe programme in Vietnam.. International Journal of Drug Policy, 20 2: 179-182. doi:10.1016/j.drugpo.2007.12.009


Author Ngo, A.
Schmich, L.
Higgs, P.
Fischer, A.
Title Qualitative evaluation of a peer-based needle syringe programme in Vietnam.
Journal name International Journal of Drug Policy   Check publisher's open access policy
ISSN 0955-3959
1873-4758
Publication date 2009-03
Year available 2008
Sub-type Article (original research)
DOI 10.1016/j.drugpo.2007.12.009
Volume 20
Issue 2
Start page 179
End page 182
Total pages 4
Place of publication Oxford
Publisher Elsevier
Language eng
Subject 1117 Public Health and Health Services
C1
920599 Specific Population Health (excl. Indigenous Health) not elsewhere classified
Abstract Background Harm reduction has been identified as an important HIV prevention strategy for injecting drug users (IDUs) in Vietnam. However, to date only small geographically limited formal needle syringe programmes (NSPs) have been implemented; and little attention has been given to assessing the effectiveness of the piloted models. Using data from a qualitative evaluation of an NSP in northern Vietnam, this paper assesses the effectiveness of the intervention, examines barriers to the NSP, and documents lessons which can be applied to replicate and scale up interventions across Vietnam. Methods Data were gathered using key informant interviews, focus group discussions, in-depth interviews, observation and intercept interviews with IDUs and other project stakeholders. IDUs were introduced to the evaluation by peer educators (PEs). Results The project contributed to a shift toward safe injecting practices and safe disposal of used needles and syringes (N&S) among IDUs. Collection of used N&S positively influenced community attitudes toward PEs and IDUs. Reduced community discrimination, achieved as a result of project advocacy activities, encouraged IDU to access free needle syringes and other project services provided by PEs. Resistance from the local government officials and community members was turned into support for the programme through intensive advocacy activities. The project highlighted the importance of involving law enforcement in the programme and promoted a public health approach toward working with IDU. However, periodic police campaigns against drug use continued to be an obstacle to successful programme implementation and demonstrated the need for continued efforts to address the issue. Conclusion Programme success is dependent upon community support. Resistance to NSPs can be overcome through a programme of intensive advocacy with community stakeholders including; local government, mass organizations, local residents, IDUs and their families. Garnering the support of law enforcement officials requires a sustained effort.
Keyword Injecting drug users
Needle syringe
Evaluation
Qualitative
Vietnam
Q-Index Code C1
Q-Index Status Provisional Code

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
 
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Created: Fri, 28 Mar 2008, 16:56:57 EST