|
June 26, 2007, three days before the aniversery of the AIDS Law approval, a government's decree guiding the implementation of AIDS Law was released. The Decree No.108 provides relatively concrete instructions on 5 most critical and/or controversial issues stipulated by the Law. Harm reduction is the first to be addressed, followed by ARV management, supply and utilisation; care for abandoned infected children and adults, and establishment ofnon-public institutions providing care for PLWH; integration of HIV/AIDS in socio-economic development programs; and occupational mandatory testing.
Harm reduction, which is spelt out as consisting of supply and instruction of condom use; supply of and instruction for usingclean needle and syringe; and opiate substitution treatment, is to be applied for 6 target groups: sex workers and their clients; opioid addicts; PLWH;same sex group;mobile population; and sexual partners of the earlier 5 groups.Harm reduction outreach workers whohas an ID, andinforms commune's people committee and police in advancewill not be considered illegalwhile distributing of condom, clean neelde and syringe or providing subtitution treatment. The Decress also stipulates that Minister of Health has the authorities to approve harm reduction projects that operate in 2 provinces or more. The approval authority for single-province projects is with Chairperson of Provincial People's Committee. Other related ministeries can approve programs/projects operatedunder their administrative authorities.
ARV drugs purchased with government funding or donated are to be provided free of charge. The Decree makes the ARV supply system centralized and managed by the MOH. According to the Decress, MOH appoints pharmaceutical companies to receive, store and distribute ARV drugs according toannual ARV MOH-approvedsupply plan - for both HIV/AIDS and post-exposuretreatment. The companies will supply ARV directly to treatment sites on a monthly or quarterly basis.
Regarding non-public institutions that provide care for PLWH, the Decree requires that those institutions to be financial independent, and should provide level of support financially equivalent to or more than that of the government.
To make HIV/AIDS a part of localsocio-economic development, the Decreestipulates that local plan will be approved onlyif it includes indicators and activities on HIV/AIDS, or analysis of impacts on HIV/AIDS.
Pilots and peoplerecruitedto special forces of national defense and public securitymust be tested for HIV. The Decree, however, stipulated that if the employees are found having HIV after recruitment, they should not be discriminated.
The Decree consists of 22 articles in 6 chapters. The draft was widely consulted with different groups, including people living with HIV and civil society organizations. Although it does not meet all expectations, the content of the Decree reflects that some critical comments from consultations were taken seriously.
|
HAIVN (Chương trình AIDS của Đại học Y Harvard tại Việt Nam) là một nỗ lực hợp tác quốc tế nhằm tăng cường công tác đào tạo về HIV/AIDS cho bác sĩ và công việc chăm sóc bệnh nhân tại Việt Nam. Phương hướng hoạt động của HAIVN là hợp tác, linh hoạt và bền vững.
