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Proposal for Scaling-Up Social Workers Skills for a More Developed HIV AIDS Prevention and Intervention Programs for Social Workers in Vietnam

Proposal for Scaling-Up Social Workers Skills for a More Developed HIV AIDS Prevention and Intervention Programs for Social Workers in Vietnam

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Published by Jonie Minguillan
Literature Review Sample for Sociological Studies
Literature Review Sample for Sociological Studies

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Categories:Types, Research
Published by: Jonie Minguillan on Apr 02, 2009
Copyright:Attribution Non-commercial


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There are 260,000 Vietnamese infected with HIV 2006. A projection for 2010 puts thefigure at 310,000. Of this figure, seventy-percent are thirty years old or below. There is analarming trend that this is not confined to high risk populations. Considering that a greater partof those infected are young, it could also be said that HIV is a youth issue.Despite the fact that awareness to HIV is high among Vietnamese youth, knowledge onits specifics is low. Crucial information then for the youth should be disseminated. The manner on which it is disseminated should also be examined. Studies have shown that there is a dearth of evidence-based HIV education materials for the youth. This needs to be address throughidentification and adoption of best practices.Vietnam is at a critical crossroad as far as the fight for HIV and AIDS is concerned.Since by 2010 it is expected to achieve middle income status as a nation, various donors who provided the backbone of HIV/AIDS program would be withdrawing to countries below themiddle income status. The development will provide a gap which if not addressed beforehandwill impact negatively on the fight against this pandemic.Studies have shown that information advocacy is crucial as well as a developed socialwork approach to fight adolescent HIV and AIDS. The indicated gap left by international donorswill have to be filled up by local resources as well as a more expanded role for the social workersis needed. We need to scale-up the social work responses in the micro- and macro- levels. Thereis acceptance that traditional approaches in dealing with adolescent related problems may not
achieve the projected result one has in mind. We have to identify what these best practices areand draw a plan that is updated and responsive.
Literature Review
The Joint United Nations Program on HIV/AIDS (UNAIDS) 2008 Country SituationReport on Vietnam enumerated several challenges that the country is facing in its fight to preventthe spread of HIV/AIDS. UNAIDS reiterated the need to focus on prevention, harmonization of laws and policies with the newly enacted 2006 Law on HIV/AIDS Prevention and Control as itdecried the lack of multisectoral response. It also recommended scaling-up of implementation of the harm reduction programs, addressing stigma and discrimination, strengthening the nationalsurveillance system, gathering more data on key populations at higher risk, particularly menhaving sex with men (MSM) and sex workers (Joint United Nations Programme on HIV/AIDS(UNAIDS), 2008). These recommendations are reechoes of previous UNAIDS reports. The onlydifference at this time is for implementors to seriously take heed since Vietnam is expected toachieve middle-income status by 2010. This would mean donors withdrawing support fromnational and provincial programs since government on its own has more national resources torespond to HIV and AIDS. There is a need then in light of new and critical developments to planfor the future of programs that are multi-sectoral in approaches and would impact greatly on thecommunity. This has to be done in the face of a looming logistical problem.Coming up with viable programs would require a reexamination of HIV/AIDS situationin Vietnam from the perspectives of actively involved organizations and entities.
Deputy Chairman of the Vietnam Commission for Population, Family and Childrendescribed the HIV/AIDS situation in the country as follows:“The AIDS epidemic continues to take its toll on the world, in Asia, and more recently inVietnam. All 64 provinces in Vietnam have been affected, and the country is facing agrowing epidemic. More than 260,000 people are living with HIV. By the year 2010 thisnumber will have grown to more than 310,000. With increasing numbers of men andwomen affected, the epidemic is no longer confined to high-risk groups. In fact, themajority of new infections are occurring through sexual transmission (VietnamCommission for Population, Family and Children, 2006).”What is not highlighted clearly on the above is that the majority at risk are the young.From this context, HIV should be seen as a youth issue. According to the 1999 census, morethan half of the population of Vietnam is below 25 years of age. Seventy percent of all reportedHIV cases are persons below the age of 30. Considering these statistics, HIV/AIDS efforts must pay special attention to young people. The increased vulnerability among the youth could also bethe contributed to their engaging in risky behaviors. This is further complicated by the fact thatmany of them do not understand the risks involving HIV and the measures necessary to protectthemselves. Results from the recent Survey Assessment of Vietnamese Youth (SAVY) indicatedthat most of the youth (98-100%) are aware of HIV. Yet knowledge levels are incomplete or limited. Youth in the context of SAVY refers to persons between ages 14 and 25 years old. Mostyoung people are also aware that condoms are very effective in preventing HIV and pregnancy;however attitudes to condoms are generally negative. There is a strong association of condomswith improper behavior. Only fifty-percent of young people used contraception during their first

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