Enhancing the Role of Commune Health Workers in HIV and Drug Control in Vietnam

描述(申请人提供)：我们在越南提出了一个为期5年的实施科学项目，旨在加强社区卫生工作者在艾滋病毒和药物使用预防和治疗中的作用。我们计划展示对越南社区卫生工作者、注射吸毒者及其家庭成员的综合干预的发展、实施和评估的过程。在第一阶段，将通过一系列焦点小组讨论制定干预主题、形式、交付程序和辅助材料。在第二阶段，将进行实施试点和流程评估，通过在两个社区卫生中心的深入访谈，收集参与的社区卫生服务机构、注射吸毒者及其FM的反馈。在第三阶段，我们将在60个社区卫生中心进行干预试验(CHW CARE干预)(每个社区中心有5名社区卫生工作者、15名静脉注射者和10名妇女)，总共300名妇女、900名静脉注射者和600名妇女。将在社区一级进行随机化(将30个社区分配给干预组；将30个社区分配给控制组)。在分配给干预的每个社区，干预措施将首先提供给社区卫生工作者，参与干预的社区妇女将被要求与其社区内的注射吸毒者和妇女进行个人和小组会议。在基线、3个月、6个月、9个月和12个月的随访中，通过比较干预组和对照组的CHW、IDU和FM的结果指标来评估干预的效果。还将探讨社区卫生工作者、注射吸毒者和妇幼保健员干预结果之间的关系。

DESCRIPTION (provided by applicant): We propose a 5-year implementation science project in Vietnam, aiming to enhance the role of commune health workers (CHWs) in HIV and drug use prevention and treatment. We plan to demonstrate the process of development, implementation, and evaluation of an integrated intervention for CHWs, IDUs, and their family members (FMs) in Vietnam. In Phase 1, intervention topics, format, delivery procedures, and supporting materials will be developed through a series of focus group discussions. In Phase 2, implementation pilot and process evaluation will be conducted to collect feedback from participating CHWs, IDUs and their FMs by in- depth interviews in two commune health centers. In Phase 3, we will conduct an intervention trial (CHW CARE intervention) in 60 commune health centers (5 CHWs, 15 IDUs and 10 FMs from each commune center), totaling 300 CHWs; 900 IDUs and 600 FMs. Randomization will occur at the commune level (30 communes assigned to the intervention group; 30 communes assigned to the control group). At each commune assigned to the intervention, the intervention will be delivered to CHWs first, and the participating CHWs will be required to conduct individual and group sessions with IDUs and FMs in their communes. The efficacy of the intervention will be assessed at baseline, 3, 6, 9, and 12-month follow-ups by comparing outcome measures of CHWs, IDUs and FMs in the intervention group to those in the control group. Relationships between the intervention outcomes of CHWs, IDUs and FMs will also be explored.