HIV-related stigma and discrimination is a major barrier to achieving the 90-90-90 goal. Through technical collaboration with CDC-Vietnam and the Partnership for Health Advancement in Vietnam (HAIVN), the Vietnam Administration for HIV/AIDS Control (VAAC) has raised this issue to national attention, providing tools to departments of health and hospitals to help them address stigma in their provinces and institutions.
VAAC launched a series of a workshops to disseminate a new Ministry of Health Directive on combatting HIV-related stigma and discrimination in health care settings. Leaders of Departments of Health and Provincial AIDS Centers attended the workshops and committed to developing plans and allocating resources for activities to reduce stigma and discrimination in healthcare institutions in their provinces
To support provinces, VAAC adapted and tested a training intervention from one used internationally and developed a Guideline which provides instruction on best-practice approaches to address stigma in the healthcare setting. In March 2018, VAAC organized 3 training of trainers (TOT) workshops for key staff in 34 provinces. Facilitators from VAAC, HAIVN, and the Vietnam Network of People Living with HIV (VNP+) guided participants through participatory sessions focused on recognizing stigma and its harmful effects, avoiding blame and shame, reducing fear and applying universal precautions, and understanding key populations. Participants were guided on using active teaching methods and had the opportunity to practice facilitating sessions so they could be confident to lead the intervention in their home provinces.