REPORT OF THE VISIT TO VIETNAM JANUARY 21-26, 2018 …ndips.org/assets/vietnam-visit-report.pdf · January 21-26, 2018, Hanoi, HoChimin AGENDA DAY 1: MONDAY – JANUARY 22, 2018 TIME

REPORT OF THE VISIT TO VIETNAM JANUARY 21-26, 2018

HANOI, HOCHIMIN

Центр обміну технологіями в сфері залежностей (ЦОТЗ)

Каліфорнійський Університет

в Сан Дієго

Школа медицини

Український науково-

дослідний інститут соціальної

і судової психіатрії та

наркології МОЗ України

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Directors: USA: Igor Koutsenok, MD Professor of Psychiatry University of California San Diego School of Medicine Tel: +1 858 699-3809 E-mail: [email protected] Ukraine: Irina Pinchuk, MD, PhD Director, Ukrainian Research Institute of Social and Forensic Psychiatry and Drug Abuse Ministry of Health, Ukraine Tel: +380 44 468-3215 E-mail: [email protected]

Директори: США: Ігор Куценок, ДМ професор психіатрії Каліфорнійський Університет Сан-Дієго, Школа медицини Тел. +1 858 699-3809 E-mail: [email protected] Україна: Ірина Пінчук, д.м.н., с.н.с. Український науково-дослідний інститут соціальної і судової психіатрії та наркології МОЗ України Тел. +380 44 468-3215 E-mail: [email protected]

Фінансується згідно з Надзвичайним планом Президента щодо зменшення тягаря СНІД через управління службами психічного здоров’я та залежності

www.ATTCnetwork.org

Report prepared by (in alphabetic order): Sherry Larkins, PhD Irina Pinchuk, MD, PhD. Yulia Yachnik, MD









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Day 1

Delegates from international ATTCs visited Hanoi Medical University, where North Vietnam ATTC is

located. We were introduced to Vietnam ATTC team and got information about their organizational

structure, principles of work and main activities. We were impressed by their broad range of activities

and by those results they achieved.

While presenting, Dr. Hoang Vu showed important background information which influenced the local

ATTC goas and focus during first years of work. He showed the importance of connecting PEPFAR

goals and local needs for developing activities. The red line of all operating efforts should be reducing

the epidemy and achievement of 90-90-90 goals. And for today Vietnam succeed to achieve 70-67-93

indicators.

Another important issue is having national champions – to promote the ATTC activities and advocate

among stakeholders and policymakers.

It seemed very helpful in ATTC work the support from government due to existing vice president

lobby of drug related policy.

Interesting, that Vietnam ATTC came to idea to get social university as a partner, which supports our

idea tha main ATTC goals cant be achieved only with medical universities efforts.

Pilot project of Drug courts seemed quite interesting and applicable to Ukraine but before this, as Dr

Hoang Vu mentioned, effective community-based treatment should be organized.

Operating only in frames of technical assistance Vietnam ATTC showed the variety of activities that

can be implemented: pre-service and postgraduate training, trainings for trainers, clinical mentoring,

clinical practical training sites, technical support of research and pilot projects, evaluation.

Visit to Sexual Health Promotion Clinic showed on practice the importance of cooperation with local

stakeholders and benefits for both sides. We got acknowledged with clinic structure, operating mode,

ideology and approach to managing problems in MSM.

Also we received information about research of Suboxone in patients with HIV, which helped us to

understand how ATTC can be linked to research practice and how in this case ATTC can support the

research.

Output for Ukraine:

- Leaders & partners. 1. We should pay attention on local opinion-makers in order to draw them

to ATTC (local champions). 2. We realized the importance of close education basis and due to

this, it is necessary to think about university-partners in Kiev.









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- We should consider the possibility to find a local partner with possibility to develop local clinical

practical training site.

- We payed attention on AB operating, incl. number of participants and regular meetings. It

seems reasonable to think how to manage extensive Ukrainian AB.

- In Ukraine there is a need of support of penitentiary system in order to deal with SUD related

issues.

Picture 1. In order from left to right: Irina Pinchuk, MD, PhD, I-ATTC Director, Ukraine; Yulia Yachnik, MD, I-ATTC Project Coordinator, Ukraine

Picture 2. Near HMU. In order from left to right: Irina Pinchuk, MD, PhD, I-ATTC Director, Ukraine; Yulia Yachnik, MD, I-ATTC Project Coordinator, Ukraine









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Day 2

Visit to Nam Tu Liem District health center (MMT and OPC) showed the importance of close

location and collaboration of MMT and HIV clinic, which helps to keep clients in the program.

Location in the general hospital helps to reduce the stigma. Open methadone dispersion site

impressed by its easy accessibility.

Picture 3. In Nam Tu Liem District health center We continued meeting with ATTC partners by visiting Network of People who Use drug – “Going

home” Alliance office. They told about their experience, outreach work, counseling.

Output for Ukraine:

- We recognized the importance of connection ART and MMT and in relation to this –

multidisciplinary trainings and trainings of FD, who can prescribe methadone and ART in

Ukraine.

- Training to those who provide peer support, harm reduction and primary counseling.

Day 3

Visiting the community-based drug treatment at Thu Duc sowed us the possibility of connection

MMT and recovery program under Ministry of Social Policy jurisdiction.

Connection of medical and social care shows good results in terms of increasing the quality of

services and quality of life of clients.

Showing the example of good practice such center can become practical training center for other

specialists.









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We gained the information about structure, legislation aspects, funding, linkages with medical

structures, staffing and operating procedures, including aftercare and follow up procedures.

Visit to Psychiatrist hospital was very helpful in order to see the variety of training programs that can

be supported by ATTC - Pre-service training for students and postgraduate training for specialists of

general practice working in methadone clinics. Also we were impressed by real patients story which

made the theme more alive and emotional.

Patients opinion about open methadone site showed the different perspective – open sites help to

seem ‘reformed’ person in the eyes of community and police.

Picture 4. Visiting the community-based drug treatment at Thu Duc

Picture 5. Visiting psychiatric hospital









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Picture 6. Visiting psychiatric hospital

Output for Ukraine:

- In order to increase number of MMT patients to reach 90-90-90 goal it is necessary to consider

the possibility to open methadone clinics not only in MOH facilities but in social facilities also

located in the community.

- Cooperation with Ministry of Social Policy looks perspective in the direction of education

specialists.

- We should consider the possibility of methodological support of such pilot project in Kiev with

support of regional Department of Social Policy.

- The need of advocacy for MMT among specialists and patients in Ukraine

Day 4

Visiting South Vietnam ATTC and meeting with site PI, Dr. Do Van Dung. We recognized the

structure and main activities of ATTC and discussed many organizational issues starting from GPRA

forms collecting to invoicing and web-site development. We learned about invoicing procedures and

staffing.

Also we were introduced to N team and got possibility to know more about distance learning through

ECHO system and Zoom, organization of trainings, technical support, evaluation and developing

programs.

Output for Ukraine:

- It is necessary to consider ECHO training model based either in ATTC or in collaborative

university. Maybe pilot project with partners.









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Picture 7. South Vietnam ATTC office. With Vietnam, South Africa and Ukraine ATTC Teams









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Summary Visiting Vietnam ATTC gave us opportunity to see the organizational structure, functions, activities and operating modes of ATTC which resulted in better understanding of our field of work and in inspiration to conduct it. Additionally we had an opportunity to meet our colleagues from South Africa, who are also at the beginning of ATTC way and to discuss challenges and goals.









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Appendix A. List of Delegates

# Name of Participant Professions Affiliation ATTC based

1 Sherry Larkins, PhD. ISAP Program Director

UCLA Vietnam

2 Beverley Cummings Technical Advisor SAMHSA South Africa

3 Sara Becker, Assist. Prof. Project Director Brown University School of Public Health

South Africa

4 Ntokozo Goodman Sibeko Co-Director University of Cape Town South Africa

5 Ben Piper Brown University School of Public Health

South Africa

6 Adele Pretorius Brown University School of Public Health

South Africa

7 Iryna Pinchuk, MD, PhD, Prof.

Director

Ukrainian Research Institute of Social and Forensic Psychiatry and Drug Abuse of Ministry of Health of Ukraine

Ukraine

8 Yuliia Yachnik, MD Research Associate

Ukrainian Research Institute of Social and Forensic Psychiatry and Drug Abuse of Ministry of Health of Ukraine

Ukraine









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Appendix B. Agenda of visit

January 21-26, 2018, Hanoi, HoChimin

AGENDA DAY 1: MONDAY – JANUARY 22, 2018

TIME ACTIVITY LOCATION NOTES/ PIC

8:30-9:00 HMU bus to pick

up at 8:30 at

Metropole Lobby

to travel to Hanoi

Medical

University

Hanoi Medical

University

1 Tôn Thất Tùng, Kim

Liên, Đống Đa, Hanoi

Toan Thinh

([email protected],

0912525836)

9:00-10:30 Meet with

REGIONAL

PEPFAR TEAM

HMU Dr. Hoang Vu, Dr. Nadine Rogers,

Thuong Nong to give overview of

Building/Growing an International HIV

ATTC

10:30-12:00 Meet with

VHATTC- HMU

team ; UCLA PI,

Sherry Larkins,

PhD

HMU Building/Growing an International HIV

ATTC; Supporting site efforts and

SAMHSA/PEPFAR efforts

12:00-2:00 LUNCH Luncheo with Dr Ke

(VUSTA Hai Phong), Dr

Tam (VAAC), SAMHSA

and VHATTC team

Venue to be determined

Linh Giang

([email protected])

Thuy Anh ([email protected])

2:00-3:00 Tour VHATTC

Program; Tour

Sexual Health

Promotion Clinic

Meet with

VHATTC key

trainers/ clinical

HMU Thuy Anh ([email protected])









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staff

Q&A

3:00-3:30 Return to Hotel

DAY 2: TUESDAY - JANUARY 23, 2018

TIME ACTIVITY LOCATION NOTES

8:00 HMU bus to pick

up at 8:00 at

Metropole Lobby

to travel to Nam

Tu Liem District

Health Center

Lien Co, Nam Tu Liem,

Hanoi

Linh Giang

([email protected])

Huu Anh ([email protected])

8:30- 10:30 Visit Nam Tu

Liem District

health center

(MMT and OPC)

Lien Co, Nam Tu Liem,

Hanoi

Linh Giang

([email protected])

Huu Anh ([email protected])

11:00-12:00 Visit Vietnam

Network of

People who Use

drug – “Going

home” Alliance

office

De To Hoang, Hanoi Thuy Anh ([email protected])

Linh Giang

([email protected])

12:00-1:30 BACK TO

HOTEL

Afternoon

Flight TBD

Flight to HCMC









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DAY 3: WEDNESDAY – JANUARY 24, 2018 – UMP


Person in charge

8:30-9:30 Travel from Hotel to

University of

Medicine and

Pharmacy, HCMC

University of Medicine and

Pharmacy

217 Hong Bang, Phong 11,

Quan 5 HCMC

Chu Thi Nhu TRang:

Email:

[email protected]

Phone: +84 0977 057 521

9.30 –

11.00

Visiting the

community-based

drug treatment at

Thu Duc

Thu Duc Clinic: 15 Đường

số 5, Hiệp Bình Chánh, Thủ

Đức, Hồ Chí Minh

Hospital: 766 Võ Văn Kiệt,

Phường 1, Hồ Chí Minh

Vu Thi Tuong Vi

Email: [email protected]

Phone: +84 90857 7767

11.00 –

11.12.00

Meeting DOLISA

HCMC for

community- based

drug treatment

Thu Duc Clinic Vu Thi Tuong Vi


Phone: +84 90857 7767

12.00 –

13.30

LUNCH Thu Duc Chu Thi Nhu TRang:

Email:

[email protected]

Phone: +84 0977 057 521

13.30 –

14.30

Travel from Thu Duc

to Psychiatrist

hospital

University of Medicine and

Pharmacy

217 Hong Bang, ward 11,

Quan 5 HCMC

Chu Thi Nhu TRang:

Email:

[email protected]

Phone: +84 0977 057 521

14.30 –

16.00

Visiting Psychiatrist

hospital

- Pre-services for

Hospital: 766 Võ Văn Kiệt,

Phường 1, Hồ Chí Minh

Dr. Nguyen Song Chi Trung

Phone: +84 989 987 665









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medical students at

hospital

Training on

substance use

disorder diagnosis

for doctors

Email:[email protected]

16.00 –

16.30

Return to Hotel Chu Thi Nhu TRang:

Email:

[email protected]

Phone: +84 0977 057 521

DAY 4: THURSDAY – JANUARY 25, 2018 - UMP


Person in charge

8:30-9:00 Travel from Hotel

to University of

Medicine and

Pharmacy,

HCMC

University of Medicine

and Pharmacy

217 Hong Bang, Phong

11, Quan 5 HCMC

Nguyen Viet Ngoc

Phone: +84 1282 105101

Email:[email protected]

9:00-10:00 Meet with site PI,

Dr. Do Van Dung

And PAC HCMC

VHATTC Office, Floor

15University of

Medicine and Pharmacy

217 Hong Bang, Phong

11, Quan 5 HCMC

Building/Growing an International HIV

ATTC

Dr. Do Van Dung


Phone: +84 918 382 253

10:00-

10:45

Meeting with

VHATTC-UMP

team

re-services


and Pharmacy

217 Hong Bang, ward

Vu Thi Tuong Vi


Phone: +84 90857 7767









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activities

- In-services activities

11, District 5 HCMC

10:45-

11:30

Meet with

Clinical, Training

and Admin Staff


and Pharmacy

217 Hong Bang, ward

11, District 5 HCMC

Detailed Agenda forthcoming

Chu Thi Nhu Trang:


Phone: +84 0977 057 521

11:30-

13:30

LUNCH BREAK TBD Le Huynh Thi Cam Hong:

Phone: 0903 863011


13:30 –

14:00

Tour VHATTC;

ECHO

Conference

Room;


and Pharmacy

217 Hong Bang, ward

11, District 5 HCMC

Introduction about online training

Chu Thi Nhu TRang:


Phone: +84 0977 057 521

14:00-

16:00

Participation in

real ECHO

training (optional)


and Pharmacy

217 Hong Bang, ward

11, Quan 5 HCMC

Floor #12A, Floor #1

Detailed Agenda forthcoming:

Chu Thi Nhu Trang:


Phone: +84 0977 057 521

Dr. Nguyen Nhat Vinh - HAIVN

Afternoon

Flights

TBD









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Ukrainian ATTC (Addiction Transfer Technology Center) had pleasant and fruitful meeting with

colleagues from Vietnam ATTC and South Africa ATTC in Vietnam. The meeting was organized with

SAMHSA and PEPFAR support in order to gain knowledge about international ATTC activities and

operating mode, and to exchange experience with colleagues. The Ukrainian ATTC is based in

structure of Ukrainian Research institute of Social and Forensic Psychiatry and Drug Abuse Ministry

of Health of Ukraine. By this project Ukraine received the opportunity to know about and implement

the unified standards in the field of addiction treatment and to broadly discuss this topic with

international colleagues and experts.

Vietnam is amazing country with interesting culture and folklore, kind and open people, delicious food

and enormous traffic. We hope that our colleagues will visit Ukraine soon and we will have the

opportunity to introduce them our activities and national traditions.

Documents

REPORT OF THE VISIT TO VIETNAM JANUARY 21-26, 2018 …ndips.org/assets/vietnam-visit-report.pdf · January 21-26, 2018, Hanoi, HoChimin AGENDA DAY 1: MONDAY – JANUARY 22, 2018 TIME