Nguyen Hai Thuong. Determinants related to the utilization of voluntary counselling and HIV testing services in Vietnam. Master's Degree(Primary Health Care Management ). Mahidol University. : Mahidol University, 2006.
Determinants related to the utilization of voluntary counselling and HIV testing services in Vietnam
Abstract:
This cross sectional research used data of the Leadership Investment in the
Fighting against Epidemic Global AIDS Program (LIFE GAP) project in 2004.
The objective of the study was to describe the socio-demographic and physical
factors, risk behaviors of clients and their sex-partners, information sources which
affect utilization of the Voluntary Counselling and HIV Testing (VCT) service. 1200
clients who had obtained service from selected VCT sites in 2004 were chosen by
random stratified sampling from 20816 clients of 40 provinces in Vietnam. Chi-
Square test was used for analysis at 0.05 confident interval.
Most (88.17%) clients had completed the VCT process. 75.5% of clients were
younger than 35. The greater part (53.42%) of clients was married or lived with sexpartners.
12.92% of clients had college or higher education. Almost (79.33%) of
clients were living in urban areas. Some clients had STD symptom (16.92%) and TB
symptom (7.58%). 59.75% of clients had admitted some high risk behaviors such as
being CSW, IDU. Many (59.25%) clients had sex-partners who had high risk
behaviors. 56.33% of VCT clients had received information about the service from
mass-media. The study revealed that there were associations of following variables
with utilization of VCT service: marital status; residence; health problems related to
HIV infection such as TB, STD; risk behaviors of clients sex-partners; and
information sources of VCT service (P-value < 0.05).
Based on the above findings, health supporters should have a more important
role in term of transfer clients to VCT site by building a larger network of hospitals,
HIV/AIDS prevention and care programs, social unions, NGOs and local community.
VCT programs should be conducted not only in urban areas but also in rural areas.