Kolling Institute of Medical Research, University of Sydney, Sydney, Australia ; Sydney Medical School, University of Sydney, Sydney, Australia ; Center for Promotion of Advancement of Society (CPAS), Hanoi, Vietnam.
PLoS One. 2013 Nov 28;8(11):e80951. doi: 10.1371/journal.pone.0080951. eCollection 2013.
This paper reports changes in behavioral outcomes related to the use of HIV testing service of a project that employed peer-based education strategies and integration of HIV voluntary counseling and testing (VCT) and Sexual and Reproductive Health (SRH) services targeting young people aged 15-24 across 5 provinces in Vietnam.
A pre-test/post-test, non-experimental evaluation design was used. Data were collected from cross-sectional surveys of youth and client exit interviews at project supported SRH clinics conducted at baseline and again at 24 months following implementation. The baseline samples consisted of 813 youth and 399 exit clients. The end line samples included 501 youths and 399 exit clients. Z test was used to assess changes in behavioral outcomes.
Results show that there was a significant increase (p<0.05) in the percentage of youth who wanted to obtain a HIV test (from 33% to 51%), who had ever had a test (from 7.5% to 15%), and who had a repeat test in the last 12 months (from 54.5% to 67.5%). Exit client interviews found a nearly five-fold increase in the percentage of clients seeking HIV VCT in their current visit (5.0% vs. 24.5%) and almost two-fold increase in the percentage of those having their last test at a project supported clinic (9.3% vs. 17.8%). There were also positive changes in some aspects of youth HIV/AIDS knowledge, attitudes, and risk perceptions.
This study provides preliminary evidence regarding the benefits of the integration of HIV VCT-SRH services in terms of increased access to HIV services and testing in Vietnam. Benefits of peer-based education regarding increased HIV knowledge were also identified. Further investigations, including experimental studies with assessment of health outcomes and the uptake of HIV testing services, are required to better elucidate the effectiveness and challenges of this intervention model in Vietnam.
本文报告了与一个项目的 HIV 检测服务使用相关的行为结果变化，该项目针对 5 个省份的 15-24 岁年轻人采用了同伴教育策略，并整合了 HIV 自愿咨询和检测（VCT）以及性与生殖健康（SRH）服务。
采用了预测试/后测试、非实验评估设计。数据来自在项目支持的 SRH 诊所进行的青年横断面调查和客户退出访谈收集，在实施后 24 个月进行了基线和再次调查。基线样本包括 813 名青年和 399 名退出客户。最终线样本包括 501 名青年和 399 名退出客户。Z 检验用于评估行为结果的变化。
结果表明，希望获得 HIV 检测的青年比例（从 33%增加到 51%）、曾经接受过检测的青年比例（从 7.5%增加到 15%）和过去 12 个月内重复检测的青年比例（从 54.5%增加到 67.5%）有显著增加（p<0.05）。退出客户访谈发现，当前访问中寻求 HIV VCT 的客户比例增加了近五倍（5.0%比 24.5%），在项目支持的诊所进行最后一次检测的客户比例增加了近两倍（9.3%比 17.8%）。青年对 HIV/AIDS 的知识、态度和风险认知也有一些积极的变化。
本研究提供了有关 HIV VCT-SRH 服务整合在越南增加 HIV 服务和检测方面的初步证据。还发现同伴教育在增加 HIV 知识方面的益处。需要进一步的调查，包括评估健康结果和 HIV 检测服务采用的实验研究，以更好地阐明这种干预模式在越南的有效性和挑战。
