PMID- 28123964
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 2220-8372 (Print)
IS  - 2220-8372 (Electronic)
IS  - 2220-8372 (Linking)
VI  - 6
IP  - 4
DP  - 2016 Dec 21
TI  - Evaluation of the integrated clinic model for HIV/AIDS services in Ho Chi Minh 
      City, Viet Nam, 2013-2014.
PG  - 255-260
LID - 10.5588/pha.16.0065 [doi]
AB  - Setting: Ho Chi Minh City (HCMC), Viet Nam. Objective: To evaluate a new 
      integrated service model for human immunodeficiency virus/acquired 
      immune-deficiency syndrome (HIV/AIDS) care. Design: In HCMC, co-located services, 
      including voluntary HIV counseling and testing (VCT), HIV treatment at 
      out-patient clinics (OPC), and methadone maintenance therapy (MMT) for persons 
      who inject drugs, have operated under different administrative structures. In the 
      context of decreasing international financial support, integration of these 
      services into one administrative structure with reduced staff occurred in seven 
      districts in HCMC between October 2013 and June 2014. We used a pre-post study 
      design to compare service-related outcomes from routinely collected data at 
      health facilities 6 months before and 6 months after integration. Results: The 
      proportion of HIV-infected persons linked from VCT to OPCs was unchanged or 
      increased following integration. A higher percentage of patients eligible for 
      antiretroviral therapy (ART) were started on ART. The proportion of ART patients 
      lost to follow-up remained unchanged. The proportions of MMT patients who tested 
      positive for heroin or other substances decreased or were unchanged. Conclusions: 
      VCT, OPC and MMT service delivery quality remained the same or improved during 
      the 6 months following the integration. Expansion of the integrated model should 
      be considered for HIV-related services.
FAU - Hung, V
AU  - Hung V
AD  - Ho Chi Minh City Provincial AIDS Committee, Ho Chi Minh City, Viet Nam.
FAU - Nguyen, S T
AU  - Nguyen ST
AD  - US Centers for Disease Control and Prevention (CDC) Viet Nam Office, Hanoi, Viet 
      Nam.
FAU - Tieu, V T T
AU  - Tieu VT
AD  - Ho Chi Minh City Provincial AIDS Committee, Ho Chi Minh City, Viet Nam.
FAU - Nguyen, T T T
AU  - Nguyen TT
AD  - Ho Chi Minh City Provincial AIDS Committee, Ho Chi Minh City, Viet Nam.
FAU - Duong, T H
AU  - Duong TH
AD  - Partnership for Health Advancement in Viet Nam Ho Chi Minh City Viet Nam.
FAU - Lyss, S
AU  - Lyss S
AD  - US Centers for Disease Control and Prevention (CDC) Viet Nam Office, Hanoi, Viet 
      Nam.
FAU - Oeltmann, J E
AU  - Oeltmann JE
AD  - CDC, Atlanta, Georgia, USA.
LA  - eng
PT  - Journal Article
PL  - France
TA  - Public Health Action
JT  - Public health action
JID - 101624961
PMC - PMC5176051
OTO - NOTNLM
OT  - antiretroviral treatment
OT  - human immunodeficiency virus/acquired immune-deficiency syndrome
OT  - integrated care
OT  - methadone maintenance treatment
EDAT- 2017/01/27 06:00
MHDA- 2017/01/27 06:01
PMCR- 2016/12/21
CRDT- 2017/01/27 06:00
PHST- 2016/08/10 00:00 [received]
PHST- 2016/10/25 00:00 [accepted]
PHST- 2017/01/27 06:00 [entrez]
PHST- 2017/01/27 06:00 [pubmed]
PHST- 2017/01/27 06:01 [medline]
PHST- 2016/12/21 00:00 [pmc-release]
AID - 10.5588/pha.16.0065 [doi]
PST - ppublish
SO  - Public Health Action. 2016 Dec 21;6(4):255-260. doi: 10.5588/pha.16.0065.