Evaluating eight years of the implementation of the Ordinance of preventing and fighting against Human Immunodeficiency Virus (HIV/AIDS) in five provinces and cities
Evaluating eight years of the implementation
of the Ordinance of preventing and fighting against Human Immunodeficiency Virus (HIV/AIDS)
in five provinces and cities
Luu Hoai Chuan, Vu Thi Minh Hanh et al
Place of publication: Department oflegislation - Ministry of Health
Year of publication: 2004
Objectives: To evaluate the propaganda about the Ordinance of preventing and fighting against HIV/AIDS; its implementation and real effect; discover the inadequacies of the Ordinance and propose contents of amendment.
Subjects: Group of leaders and managing staff; inhabitants, people with high-risk behaviour in Ha Noi, Quang Ninh, Da Nang, Ho Chi Minh and Can Tho.
Methods: In-depth interview, group discussion.
Findings: The implementation of the ordinance at the localitites normally started three years after it was issued. The propaganda about the ordinance in most cities and provinces was not conducted regularly, therefore it was not continuous, synchronous and widespread.
Since the ordinance was issued, the task of communication and education about HIV/AIDS prevention has been emphasized by the authorities of many provinces and cities. However, the effects achieved were not as expected. The activities of consultation and testing for HIV did not meet the demand. The regulation about information privacy of people with HIV has been strictly followed, but it resulted in many difficulties in management of, care and assistance for people with HIV. The discriminatory attitude to infected people still exists. The health branch faced difficulties in accepting and treating patients with AIDS due to the lack of beds, equipments and medicine...
Constant changes in the organisation models of HIV/AIDS prevention at the central level showed the increase in the state management of this task, but also led to confusion at many localities and the standstill of HIV/AIDS prevention activities.
Recommendations: Increase propaganda about the Ordinance of preventing and fighting against HIV/AIDS; Reinforce the commitment oflocal authorities in the implementation of the ordinance; Make suitable changes to the forms of realisation of the ordinance; Make necessary amendments to the contents of the ordinance to suit current situation; Issue decrees and circulars about specific and detailed instruction for realisation of the ordinance; Increase the real effect of fining and rewarding regulations.