In a significant advancement for global HIV research, University of North Carolina (UNC) researchers are spearheading multiple clinical trials in Vietnam, aimed at improving HIV care and prevention strategies. The research initiatives, led by Professors Vivian Go from the health behavior department and Dr. Bill Miller from the epidemiology department, are showing promising results in enhancing patient care and treatment adherence.
Successful Implementation of Tailored Counseling Approaches
A recently completed study revealed that HIV clinics implementing customized support systems demonstrated superior outcomes in counseling interventions compared to those using conventional top-down approaches. The research showed that brief counseling sessions were particularly effective in building patient trust and improving medication adherence understanding.
"We found that clinics that were given support more tailored to the clinic's specific needs did better implementing the counseling intervention than clinics that used a more standard 'top-down' approach," explained Dr. Miller.
Expanding Research Portfolio
The research team is currently conducting four additional HIV-related clinical trials:
- A novel drug trial for tuberculosis prevention in HIV-positive individuals
- Testing of a new hepatitis B vaccine specifically designed for people living with HIV
- An intervention study focusing on alcohol reduction and HIV care retention
- A specialized intervention targeting alcohol use among men who have sex with men, aimed at improving PrEP adherence
Collaborative Approach with Health Ministry
The success of these trials largely stems from strong partnerships with Vietnam's health ministry. The researchers employ a comprehensive engagement strategy, securing ministry buy-in before study initiation and maintaining continuous communication throughout the research process.
"We always work with the ministry to get buy-in before we start a study, inform them along the way and then have a dissemination workshop to share the outcomes," noted Dr. Miller. This collaborative approach has led to sustained implementation of successful interventions.
Capacity Building Initiatives
Through National Institutes of Health funding, the team is also conducting training programs for Vietnamese healthcare professionals, including university staff, policymakers, and ministry workers. This initiative aims to build local capacity for implementing evidence-based interventions.
Beyond Treatment: Addressing Social Impact
The research team's work extends beyond clinical outcomes, addressing crucial social aspects of HIV care. Their experience in similar programs, such as their work in St. Petersburg, Russia, has demonstrated the importance of creating safe, nonjudgmental spaces for vulnerable populations.
Looking forward, the researchers plan to focus on helping vulnerable populations manage healthcare-related stigma. Their ultimate goal remains ensuring research findings translate into practical, sustainable healthcare solutions through meaningful collaboration with local health authorities.
