Introduction
There are 260,000 Vietnamese infected with HIV 2006. A projection for 2010 puts the
figure at 310,000. Of this figure, seventy-percent are thirty years old or below. There is an
alarming trend that this is not confined to high risk populations. Considering that a greater part
of 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 on
its 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 through
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 the
middle income status. The development will provide a gap which if not addressed beforehand
Studies have shown that information advocacy is crucial as well as a developed social
work approach to fight adolescent HIV and AIDS. The indicated gap left by international donors
will have to be filled up by local resources as well as a more expanded role for the social workers
is needed. We need to scale-up the social work responses in the micro- and macro- levels. There
is 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 are
Literature Review
The Joint United Nations Program on HIV/AIDS (UNAIDS) 2008 Country Situation
Report on Vietnam enumerated several challenges that the country is facing in its fight to prevent
the 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 it
the harm reduction programs, addressing stigma and discrimination, strengthening the national
surveillance system, gathering more data on key populations at higher risk, particularly men
having 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 only
difference at this time is for implementors to seriously take heed since Vietnam is expected to
achieve middle-income status by 2010. This would mean donors withdrawing support from
national and provincial programs since government on its own has more national resources to
respond to HIV and AIDS. There is a need then in light of new and critical developments to plan
for the future of programs that are multi-sectoral in approaches and would impact greatly on the
“The AIDS epidemic continues to take its toll on the world, in Asia, and more recently in
Vietnam. All 64 provinces in Vietnam have been affected, and the country is facing a
growing epidemic. More than 260,000 people are living with HIV. By the year 2010 this
number will have grown to more than 310,000. With increasing numbers of men and
women affected, the epidemic is no longer confined to high-risk groups. In fact, the
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, more
than half of the population of Vietnam is below 25 years of age. Seventy percent of all reported
HIV 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 be
the contributed to their engaging in risky behaviors. This is further complicated by the fact that
many of them do not understand the risks involving HIV and the measures necessary to protect
themselves. Results from the recent Survey Assessment of Vietnamese Youth (SAVY) indicated
that 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. Most
young 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 condoms
with improper behavior. Only fifty-percent of young people used contraception during their first
sex. Mass media is most common source of information about HIV especially TV (Ministry of
Lerdboon, etal studied HIV/AIDS Education in Vietnam come up with results not
favorable to the current procedures and methods. They claimed that, evidence–based HIV/AIDS
training and intervention programs and materials for youth are limited. The Ministry of
Education and Training has made efforts to integrate reproductive health and HIV/AIDS
education into school textbooks of related subjects (e.g., biology). However, the information is
primarily knowledge based and delivered in a lecture style, with few or no materials related to
skills building for practical application in youths’ lives. Moreover, these programs are most often
constrained by a shortage of teaching aids and resources and limited teacher training, resulting in
a low capacity among teachers to integrate and deliver the information in their classrooms.
Within mixed-gender classes, youth are most likely hesitant to ask sensitive questions. In
addition, because majority of teachers are females, male students are also less likely to ask
questions outside of the classroom setting (Lerdboon, Pham, Green, & Riel, 2008).
Considering the statistics on the youth and other information and being basically in a
state of transition as far as international funding support is concerned, there is a need to identify
what particular areas should be given priority by our social workers, non-government advocates
and government key persons. The general consensus among stakeholders is the involvement of
young peer educators in National Strategic Planning (NSP) and ensures interventions targeting at
risk groups with like peers. Care Thailand paralleled each new project or program with its Living
with AIDS Project where involvement of the intended population group or youth in the process
of designing and implementation of project activities was an essential factor. In addition the
concomitant support of youth networks became a very effective way in involving the youth and
reaching more others on a constant basis (Panitchpakdi, 2004). Raks Thai, a Foundation in
Thailand described involving the youth as a long-term investment in social capital. Another
strategy would be increase accessibility and acceptability of voluntary counseling and testing
(VCT) services for young people: make them youth friendly and take the services closer to most
at risk youth (MARA). Young people must know their status to protect themselves and their
families. Peer education networks guided by social workers and other advocates are a basic need
in all programs relating to HIV/AIDS prevention programs. In sum, we our future actions could
Considering the framework in mind, the Botswana experience on sex workers is worth
mentioning. Botswana has the highest rate of HIV prevalence in the world, with 38.8 percent of
the population aged between 15 and 49 being HIV positive (UNDP, 2000). Among the high risk
groups, women sex workers were prominent in the statistical profile. Poverty and
unemployment drove these women to prostitution and to the HIV/AIDS risks. Ntseane’s
research recorded a sex worker’s response as, “We don't like what we do but what else is there,
not educated, having given up to finding a job, what would you do? We have no choice but to get
money for what you would otherwise give for free and still risk HIV infection' (Ntseane, 2003, p.
24).”
The research further showed that the commonly referred to as “ABC’s” of prevention do
not apply in Botswana’s sex workers since neither of them could abstain from sex nor be faithful
Ntseane’s research enumerated the implications for HIV education and communication,
namely: Education and communication remain critical components of what can be done to
achieve behavioral change that will lead to the reduction of HIV/AIDS transmission. One, the
focus of future HIV/AIDS education and training prevention intervention strategies, research
showed that participants acknowledged that a lot was already being done on the HIV/AIDS
epidemic but there was still room for empowerment activities. They particularly stressed the
need for a focus on information and training on risks of sex work in the context of HIV/AIDS, as
representatives emphasized a focus on training that deals with one's mindset, for example
educating people on morals and ethical issues. They see information sharing and real
consultation with all actors in the sex business as the most appropriate strategy. Based on these
suggestions, the inclusion of adult education in poverty alleviation programmes makes sense (P
program..
In line with the UNAIDS recommendations and other non-government stakeholders, the
Vietnamese government has identified the following major steps to take up in its fight against
HIV/AIDS. Its National Strategy Programs of Action calls for behavior change IEC, Harm
Reduction, Care and Support, surveillance, access, and a host of other peripheral services.
social workers of Vietnam in practicing social work with adolescents. The social workers are
very crucial not only on the counseling aspect for persons living with HIV/AIDS (PLWHA) but
as articulately by the National Association of Social Workers (NASW), the unique perspectives
and breadth of social work practice provide systemic linkages between the social work
profession and the social entities that affect adolescent development. Adequately meeting the
needs of youth means engaging all systems— individual, family, and the broader community—in
efforts to prevent problems and promote health and well being. To meet the needs of young
understanding of adolescent development and the critical role of biological, psychological, and
social systems (National Association of Social Workers, 2003). More specifically the care of
HIV/AIDS suffering children (and youth) requires high quality synchronization and combination
of health and social services with taking account on special needs of these PLWHAs (Botek,
2006). The need for a more enhanced social work system and empowered social
workers/advocate is reinforced by Krisberg when he stated that the functions of an advocate include
interventions on both a micro and macro level. Social workers providing case management services can
help clients by assisting them with the disability determination process. Macro level social workers can
affect change by lobbying for increased funding from varied sources to assist in the treatment of clients
with HIV/AIDS and prevention efforts (Krisberg, 2006). Lobbying for change could be directly or
indirectly either through consultations with peer educators networks or institutionalizing high-profiled
such as World AIDS Day, AIDS Candlelight Memorial, and other HIV-prevention related national
events. Micro level interventions may encompass the counseling process of both the PLWH and
his/her family, friends. This may also include providing assistance or inputs in peer education
validate evaluation and monitoring or vice-versa. The Family Health International (FHI) boast of
the AVERT model which they claimed can be used to estimate the impact of prevention
interventions, such as those that focus on increasing use of condoms, improving treatment of
sexually transmitted infections (STIs), or changing sexual behaviors, on the reduction of primary
HIV transmissions through sexual intercourse over a given time period. Various types of
computer models of the AIDS epidemic have been devised for various purposes (Thomas Rehle,
Saidel, & Mills, 2001). It is also indicated that the AVERT model answers the need for less
complex models in a manner consistent with the availability of local program data which means
that data requirements are considerably less extensive than those for more sophisticated
simulation models.
Project Purpose
The general objective of this project is to identify the areas of social work responses in
Vietnam against adolescent HIV/AIDS, examine such responses vis-à-vis actual impact and in
comparison with identified best practices, come up with a viable skills enhancement program for
social workers dealing with adolescent HIV and AIDS and PLWHA.
1. Conduct interviews and gather additional empirical data and statistics on social work
2. Identify different modes of social work approaches, styles, and gather data relevant to
Botek, O. (2006). Social work with HIV/AIDS suffering children in Cambodia. Trnava
University: Trnava University.
Joint United Nations Programme on HIV/AIDS (UNAIDS). (2008). 2008 Report on the Global
AIDS epidemic. Mexico City: UNAIDS.
Krisberg, K. (2006). Changes for Ryan White Act as HIV/AIDS Evolves in U.S. Nation's Health
, 1-14.
Lerdboon, P., Pham, V., Green, M., & Riel, R. (2008). Strategies for Developing Gender-Specific
HIV-Prevention for Adolescents. AIDS Education and Prevention , 384-398.
Ministry of Health, General Statistics Office, UNICEF, and WHO. (2005). Survey Assessment of
Vietnamese Youth. Hanoi: Ministry of Health.
National Association of Social Workers. (2003). Standards for the Practice of Social Work with
Adolescents. NASW.
Thomas Rehle, E., Saidel, T., & Mills, S. (2001). Evaluating Programs for HIV/AIDS Prevention
and Care in Developing Countries. Research Triangle Park: Family Health International.
Vietnam Commission for Population, Family and Children. (2006). HIV/AIDS in Vietnam.
Hanoi: Vietnam Commission for Population, Family and Children.