In Vietnam: The Challenges of Addressing Drug Use and HIV
By Zarah Rahman
Zarah Rahman was a 2007-2008 Luce Scholar based in The Asia Foundation’s Vietnam office, where she focused on public health issues.
I sat cross legged on the floor of a single room house at the end of a bumpy dirt road, drinking bitter green tea and looking at the faces of the men around me as they told us about their lives. The family’s few belongings were neatly stacked under the beds and family photos were pinned to the white walls. We – a group of public health researchers – were sitting alongside a group of young Vietnamese heroin addicts, several of whom were HIV positive, hearing a few of the stories behind the statistics on drug use and HIV here in Vietnam. These young men, mostly under the age of thirty, have watched many of their peers die from drug overdose or from AIDS, and have felt their own lives crumble around them.
Contracting HIV/AIDS from infected needles is an urgent problem facing countries all over the world and, in Vietnam, HIV/AIDS in Vietnam cannot be separated from injection drug use, primarily of heroin. While the overall prevalence of HIV is under 1%, the rate among drug users is estimated to be 32%, with rates as high as 66% in some provinces. Sharing needles and unsafe injecting is the cause of 50 to 60% of HIV cases here.
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