Unveiling Key Determinants for Scaling-up Systems Navigation and Psychosocial Counselling (SNaP) for People Who Inject Drugs with HIV in Vietnam Using the Consolidated Framework for Implementation Research

Objective: Systems Navigation and Psychosocial counseling (SNaP) is an evidence-based intervention that was clinically proven to improve HIV-related health outcomes among people who inject drugs living with HIV in a study in Indonesia, Ukraine, and one province in Vietnam. However, whether or not the SNaP intervention is effective when it is scaled up to different regions in Vietnam. This study was conducted in 2 provinces (Hanoi and Thai Nguyen) to explore key determinants for scaling up the SNaP intervention in Vietnam.

Methods: Data were collected via 4 focus group discussions (FGDs) with leaders of provincial and site health departments. FGDs were transcribed, translated into English, and coded using Dedoose software to categorize determinants based on five domains of the Consolidated Framework for Implementation Research (CFIR).

Results:  The SNaP intervention's alignment with the country’s current health regulations (outer setting) was most highlighted as the key facilitator for scaling up, followed by the willingness of healthcare leaders and providers to incorporate SNaP into their clinical practices, which was due to the intervention’s strong evidence base and quality (intervention characteristics). The most prevalent barrier was clinics’ limited resources, specifically, time, personnel, and financial support (inner setting).

Conclusions: The reported determinants provided practical implications to inform the development of relevant implementation strategies to scale up the SNaP intervention across Vietnam.

Bài báo liên quan

• Nurse practice environment and work engagement among nurses in selected public hospitals in Hanoi, Vietnam, 2024
• Status of outpatient treatment management of patients with type 2 diabetes at Buon Ma Thuot city general hospital, 2024
• Unveiling Key Determinants for Scaling-up Systems Navigation and Psychosocial Counselling (SNaP) for People Who Inject Drugs with HIV in Vietnam Using the Consolidated Framework for Implementation Research
• Current compliance with surgical hand hygiene practices among surgical staff at An Giang General Hospital, 2024
• The violation of the bans on tobacco advertising and promotion at points of sale in Vietnam, 2024
• The prevalence of stress, anxiety, and depression symptoms among primary and secondary school teachers in Ha Noi, 2020
• The effect of vitamin D on patients with depression symptoms: A systematic review and meta-analysis
• Financial performance of Anh Quat General Hospital in the period 2021 – 2023
• Stress and associated factors among 12th-grade students of the Hung Yen High School for Gifted Students in 2024
• Knowledge about Universal Health Coverage among TB-related community-based organizations in Vietnam and associated factors
• The effectiveness of buprenorphine treatment for people with opioid use disorder in Vietnam
• Evaluation of the Public-Private Mix for Tuberculosis Control in Vietnam (2015–2023)
• Traditional medication adherence and its related factors among patients with lumbar spine pain at Thua Thien Hue province