AIDSTAR-One Case Study CARE's STEP Program in Vietnam

8/3/2019 AIDSTAR-One Case Study CARE's STEP Program in Vietnam

1/12

Hjleh xlq tiaie}fz dtoyhb} }o }bi Qoajlf Imyal}joe Fldot

Aie}it cot ~io~fi xbo jeìa} mtyhq "^XJM* eilt Ale

]bo% J} xlq bit qiaoem lttiq}% Mytjeh bit cjtq} mi}ie}joe&

Hjleh tiaijsim imyal}joe oe lsojmjeh mtyh yqi lem tiaijsiml gleml}otz BJS }iq}% Oe bit tifilqi& qbi xlq }ofm }bl} qbi

xlq fjsjeh xj}b BJS lem xlq }btyq} dlak je}o }bi aoggyej}z

xj}b eo ~fle& eo jecotgl}joe oe xbiti }o tiaijsi BJS qitsjaiq&

eo gltki}ldfi qkjffq& lem eo oei }o }yte }o cot bif~% Bit clgjfz

ticyqim }o fi} bit je}o }bi boyqi& lem bit byqdlemxbo lfqo

jeìa}q mtyhqldyqim bit% Qbi xlq qooe dlak }o jeìa}jeh mtyhq

lem xlq qydqi|yie}fz lttiq}im%

]bjq }jgi& Hjlehq ir~itjieai l} }bi }til}gie} aie}it xlq sitz mjitie}%Dioti bit tifilqi& qbi tiaijsim jemjsjmylf aoyeqifjeh oe hieitlf bilf}blem ~tisie}joe o BJS& o}bit qirylffz }tleqgj}}im jeia}joeq "Q]Jq*& lem

bi~l}j}jq% Aie}it q}l lfqo gi} xj}b bit }o }lfk osit bit ti}yte bogi% Je}bi aoejmie}jlf aoyeqifjeh toog& Hjleh dtoyhb} bit iltq je}o }bi o~ie%Qbi xlq ltljm }bl} }bi lgjfz xoyfm tiìa} bit lhlje& lem }bl} }bi sjofieaiqbi iemytim l} bogi xoyfm aoe}jeyi% Lem qbi blm |yiq}joeq0 Box aoyfmqbi ilte goeiz }o bif~ qy~~ot} }bi lgjfz? Lem goq} jg~ot}le}fz& xbitiaoyfm qbi jem qitsjaiq }o bif~ bit ~to}ia} bit bilf}b lem q}lz lxlz togmtyhq? Aoyeqifotq mjqayqqim bit iltq lem }ofm Hjleh }bl} xbie qbiti}yteim }o }bi aoggyej}z }bjq }jgi& qbi aoyfm aoye} oe bif~ tog l ~oq}'tifilqi qy~~ot} aie}it "^TQA* je bit bogi }oxe% ^TQA q}l aoyfm ~tosjmiaoyeqifjeh oe ~todfigq qbi ir~itjieaim& tiit bit }o bilf}b qitsjaiq& otsjqj} bit l} bogi }o bif~ xotk }btoyhb lgjfz aoefja}q%

]bi ^TQA je Ale ]bo jq oei o }xo aie}itq qi}y~ lq ~lt} o }bi Q}tjsjeh ot]tleqotgl}joe }btoyhb Ig~oxitim io~fi "Q]I^* ~tohtlg je Sji}elgqqoy}bxiq}ite ~tosjeaioei o }bi tq} ~toìa}q je }bi aoye}tz }o lmmtiqqhiemit lem j}q iia}q oe }bi diblsjot lem fji abojaiq o do}b gie lemxogie% ]bi ~tohtlg& l aoffldotl}joe di}xiie ALTI Je}itel}joelf je

Dtilkjeh Eix Htoyem

LJMQ]LT'Oei vALQI Q]YMZ QITJIQ

LJMQ]LT'Oei

@obe Qeox& Jea%

xxx%ljmq}lt'oei%aog

]bjq ~ydfjal}joe xlq ~tomyaim dz }bi LJMQ Qy~~ot} lem ]iabejalf Lqqjq}leai Tiqoyta"LJMQ]LT'Oei* ^toìa}& Qia}ot '>8'>>>9:'>>& cyemim @leyltz 1>2%

Oa}odit 4>


2/12

4 LJMQ]LT'Oei vOa}odit 4>>:*%^tifjgjeltz tiqyf}q o }bi qiaoem toyem Je}ihtl}im

Djofohjalf lem Diblsjotlf Qytsijffleai je 4>>:&xbjab xlq aoemya}im je ~tosjeaiq ot QXq lem^XJM& lem oyt ~tosjeaiq ot gie xbo blsi qir xj}bgie "GQG*& qboxim le lsitlhi BJS ~tislfieai o1%4 ~itaie} lgoeh QXq& >:*;bieai& }bi ~to~ot}joe o ~io~fi fjsjeh xj}b BJSxbo lti xogie jq ir~ia}im }o jeatilqi%

]bi el}joelf tiq~oeqi }o }bi BJS i~jmigja jeSji}elg blq diie qydq}le}jlf& xj}b ~tisie}joe iot}q

l~~to~tjl}ifz oayqim oe GLT^q lem tl~jm qalfi'y~ o}til}gie} lem alti ot ~io~fi fjsjeh xj}b BJS% ]bi 4>>3Flx oe BJS/LJMQ ^tisie}joe lem Aoe}tof iemotqiqbltg timya}joe ~tohtlgq ot ^XJM lem q}tiqqiq ldiblsjot ablehi l~~tolab l} }bi q}tl}ihja ~fleejehlem ~tohtlggl}ja fisifq% Boxisit& }bjq l~~tolabmoiq eo} }lki je}o laaoye} }bl} BJS tjqk diblsjotq ltiigdimmim je lem tijeotaim dz }bi tjqk'}lkjeh eotgq oqoajlf ei}xotkq o QXq lem ^XJM "Flg 4>>2*% BJS'tifl}im ~ofjajiq lem ~tohtlgq lfqo ~lz fj}}fi l}}ie}joe}o }bi iia}q o hiemit'tifl}im eotgq lem }bi xlz je

xbjab qoajlf lem hiemit'tifl}im jei|ylfj}jiq jecyieaidiblsjot& tjqk ~tisie}joe& lem laaiqq lem lmbitieai }obilf}b qitsjaiq lem }til}gie}%

Hiemit Eotgq je Sji}elg

Sji}elgq }tleqotgl}joe je 9 aie}it mjtia}ot xj}b


3/12

Dtilkjeh Eix Htoyem0 Je}ihtl}jeh Hiemit je}o ALTIq Q]I^ ^tohtlg je Sji}elg 1


}bijt ldjfj}z }o qy~~ot} }bijt lgjfjiq jq le jg~ot}le}jemjal}ot o glqayfjej}z "Sy i} lf% %:4& jemjal}jeh aoeqjmitldfi iaoeogja ~lt}jaj~l}joedz xogie& iq~iajlffz je }bi lhtjayf}ytlf qia}ot% Je }bieoe'lhtjayf}ytlf ~ljm fldot qia}ot& xogie glki y~=> ~itaie} o }bi fldot otai% Boxisit& xogie ilteqjhejale}fz fiqq }ble gie ot }bi qlgi xotk "XotfmIaoeogja Cotyg 4>*%

Cyt}bitgoti& Sji}elgiqi qoaji}z jq bilsjfz

jecyieaim dz Aoeyajle ~bjfoqo~bz abltla}itjpimdz glfi mogjeleai lem ~tjsjfihi& qoe ~tiitieai&lem bjitltabjalf tifl}joeqbj~q }bl} qy~~ot} hiemitjei|ylfj}z "Yej}im El}joeq Sji} Elg 4>*% L}itglttjlhi& xogie gosi }o }bi bogi o }bijt je'flxqlem lti ir~ia}im }o q}tjsi ot }bi jmilf o }bi bl~~zlgjfz }bl} ig~blqjpiq xogieq tofiq lq go}bitq&xjsiq& lem qif'qlatjajeh altihjsitq% Xogie ltiir~ia}im }o di odimjie} lem jeeoaie} je qirylfgl}}itq& xbjfi j} jq laai~}ldfi ot gie }o qiikir}tlgltj}lf qir% Qoajlf eotgq mjqaoytlhi mjqayqqjoeldoy} qir ot qirylfj}z& xbjab aoeq}tljeq o~~ot}yej}jiq

ot qli qir& ti~tomya}jsi bil}b abojaiq& BJS }iq}jeh&lem o}bit ~tisie}jsi la}joeq% Sjofieai lhljeq} xogiejq l ljtfz aoggoe lem laai~}im ~tla}jai je Sji}elg&}boyhb j} jq eo} xiff moaygie}im "Hltmqdlei i}lf% 4>*% Xbjfi je glez xlzq GLT^q }tleqhtiqqqoaji}lf eotgq& }tlmj}joelf hiemit tofiq jecyieai }bijtholfq lem lq~jtl}joeqglttjlhi& lgjfz& hiemit'q~iaja ~tomya}jsi lem ti~tomya}jsi tofiqje }biqlgi xlz }biz lia} }bi hieitlf ~o~yfl}joe%

]bi ôfjaz Iesjtoegie}]bi Aoeq}j}y}joe o Sji}elg ~tosjmiq ot i|ylf tjhb}qot lff je ~ofj}jalf& iaoeogja& ayf}ytlf& lem qoajlftilfgq& jeafymjeh }bi lgjfz% Qisitlf flxq blsi diie~lqqim je }bi flq} 4> ziltq }o q}tieh}bie jemjsjmylftjhb}q lem tiq~oeqjdjfj}jiq o gie lem xogie% L>> flx lffoxq flemyqi tjhb}q ot do}b byqdlem lem xjsiq% Flxq ~lqqim je4>>8 ~togo}i hiemit i|ylfj}z lem miei lem ~tobjdj}mogiq}ja sjofieai "}bi }itg hiemit'dlqim sjofieaixlq eo} laai~}im dz ~ofjazglkitq; Y%E% ô~yfl}joeCyem [YEC^LW Sji} Elg 4>>8*% Xbjfi }biqi flxqmigoeq}tl}i iot}q }o lmmtiqq hiemit jei|ylfj}z& goq}mo eo} zi} blsi hyjmifjeiq }bl} jeq}tya} othlejpl}joeq&}bi `ymjajltz& flx ieotaigie}& ot hositegie}gjejq}tjiq oe box }o jg~figie} ot goej}ot }big%

Ayttie} flxq lem ~ofjajiq tlgi qir xotk& mtyhyqi& lem bogoqirylfj}z lq misjle} diblsjotlfabojaiq "Eho i} lf% 4>>:* lem qoajlf isjfq }bl}mihtlmi ayf}ytlf lem lgjfjlf }tlmj}joeq% Qirxotk lem mtyh yqi lti do}b jffihlf "xbitilqbogoqirylfj}z jq eo}*& lem aoggyej}jiq qbyelem ~ofjai bltlqq lem lttiq} do}b htoy~q; }bi}btil} o bltlqqgie} lem lttiq} bijhb}ieq}biqi htoy~q syfeitldjfj}z dz mtjsjeh }big}o o~itl}i yemithtoyem "Flg 4>>2*% L}itlttiq}& QXq lem ^XJM glz di aoeeim }oQoajlf Imyal}joe Fldot Aie}itq ">9 aie}itq

ot QXq& >3 aie}itq ot ^XJM* ot ~itjomq oy~ }o si ziltq ot ti~il} oiemitq% Je 4>>8&}biti xiti l~~torjgl}ifz 9>&>>> tiqjmie}q bifmje le iq}jgl}im 21 >3 aie}itq "Je}itel}joelfBltg Timya}joe Misifo~gie} 4>>2*%< ]biqiaie}itq lai eygitoyq ~todfigq% Cot irlg~fi&lff aie}itq flak dlqja gimjajei lem lmi|yl}ifz}tljeim bilf}b ~itqoeeif& lem blsi fj}}fi al~laj}zot ~iit imyal}joe lem oy}tilab ~tohtlgq% ]bihositegie} blq dihye }o igdtlai }bi jmil omtyh'mi~iemieai }til}gie} je }bi >3 aie}itq&

dy} o~jl}i qydq}j}y}joe }bitl~z jq q}jff je }bi ~jfo}q}lhi lem jq eo} ~tosjmim je >3 aie}itq% Soal}joelf}tljejeh }o ~ti~lti QXq lem ^XJM ot ~tomya}jsixotk jq fjgj}im }o hiemitim eo}joeq }bl} qixjehlem xilsjeh aflqqiq lti }bi diq} òd o~}joeq ot

< Ml}l o }bi eygdit o ~tjqoeq lem ~tjqoeitq je Sji}elg lti mjayf} }oem%


4/12

= LJMQ]LT'Oei vOa}odit 4>


5/12



Q]I^ lmmtiqqiq }xo aog~figie}ltz q}tl}ihjiq }o ~ti~lti tiqjmie}qot tifilqi lem qy~~ot} }big y~oe tifilqi0

9 lem >3 aie}itq }o je}tomyai}bigqifsiq lem fi} }bi tiqjmie}q keox ldoy} }bi qitsjaiq }bl} xjffdi lsljfldfi xbie }biz ti}yte bogi% ]bi ^TQQ qitsi ti}yteiiqxbo xle} aoyeqifjeh ot tiittlfq; qoajlf xotkitq dlqim l} }bi qj}iqaoemya} bogi sjqj}q }o ~tosjmi qy~~ot} lem aoyeqifjeh }o ti}yteiiqxbo lti blsjeh lgjfz ~todfigq ot mjayf}jiq xj}b tije}ihtl}joe%]biz lfqo ~tosjmi aoggyejal}joe qiqqjoeq xj}b lgjfjiq lem je}bi aoggyej}z }o timyai q}jhgl lem mjqatjgjel}joe lhljeq} QXq&^XJM& lem ti}yteiiq l} }bi lgjfz fisif%

]bi si'gigdit ASE q}l alttz oy} }tljejeh& }iabejalf qy~~ot}& lemgoej}otjeh je aoffldotl}joe xj}b ~tosjeajlf MQI^ lem MOFJQL q}l%Foalf hositegie} q}l jg~figie} lff la}jsj}jiq l} }bi >9 lem >3 aie}itq&lem ti}jtim ot ayttie} mjq}tja}'fisif ig~foziiq q}l }bi ^TQQ aie}itq%

Cotgit ^XJM lem QXq& jeafymjeh otgit aie}it tiqjmie}q& xiti tiatyj}im}o qitsi lq ^TQQ q}l gigditq lem ~iit imyal}otq }o lyhgie} irjq}jeh

DOR


6/12

3 LJMQ]LT'Oei vOa}odit 4>9/>3 aie}itq lemaoggyej}z qi}}jehq%

Oy}~y} 40 Jeatilqi laaiqq }o hiemit'qieqj}jsibltg timya}joe lem lmmja}joe qy~~ot} qitsjaiqot gie lem xogie xbo je`ia} mtyhq& do}bxj}bje lem oy}qjmi o }bi >9/>3 aie}it qi}}jeh%

Oy}~y} 10 Jeatilqi }bi al~laj}z o }bi }lthi}im~o~yfl}joe }o ~tisie} lem lsojm }bi yqio hiemit'dlqim sjofieai%

Oy}~y} =0 Jeatilqi }bi qoajlf lem iaoeogjajeafyqjoe o }bi }lthi} >9/>3 aie}it ti}yteiiqlem }bijt lgjfjiq je }lthi}im mjq}tja}q%

Atoqqay}}jeh0 Hiemitgljeq}tilgjeh

Lmsoalaz

Altdoecoo}~tje}timya}joe

Clgjfz~fleejeh%

Qoytai0 tiatil}im ctog ALTI/Sji} Elg e%m%

Aog~oeie}


7/12



Je}itsjixq qboxim }bl} Q]I^ q}l lem ~lt}eitq yemitq}oom }bl} hiemitjecyieaiq syfeitldjfj}z lem }bi tjqk o yqjeh mtyhq& iehlhjeh je qir

xotk& lem tifl~qi& }boyhb }bi mihtii o yemitq}lemjeh sltjim% Goq}aie}it q}l jmie}jim q}jhgl lhljeq} xogie xbo jeìa} mtyhq lem QXqlq l glòt odq}lafi }o }bijt tije}ihtl}joe je}o }bi aoggyej}z% Q}jhgllhljeq} lff ^XJM lem QXq jq qydq}le}jlf& dy} xogie xbo yqi mtyhq otxotk je }bi qir }tlmi lti qiie lq sjofl}otq o eotgq }bl} ti|yjti gie}o oayq oe }bi lgjfz lem }o di mjqatii} lem qif'qlatjajeh& lem lti}bitioti goti fjkifz }o di tiìa}im dz }bijt lgjfjiq%

Jeatilqjeh laaiqq }o jeaogi lem ~tomya}jsi tiqoytaiq0 ]o lmmtiqq }bifox imyal}joe fisifq lem sitz fjgj}im ig~fozgie} o~~ot}yej}jiq ot aie}itti}yteiiq& Q]I^ jq xotkjeh xj}b MOFJQL }o jg~figie} l gjatoeleai

~tohtlg% Ti}yteiiq qydgj} l~~fjal}joeq }o MOFJQL& xbjab }bie qifia}q}bi htle}ii lem qy~itsjqiq }bi fole% Qo lt& 89 ti}yteiiq blsi tiaijsimqglff foleq o y~ }o 1&>>>&>>> moeh ilab "l~~torjgl}ifz Y%Q%-& Q]I^ aoemya}im l qytsiz }o lelfzpi }bi òd gltki} jeAle ]bo lem Le Hjleh% ]bi qytsiz qitsiq }o jeotg }bi ~toìa} lem j}q~lt}eitq o ayttie} xotk o~~ot}yej}jiq& xbjab xjff bif~ gl}ab lsljfldfi

òdq }o }bi eiimq o tiqjmie}q xbo lti tiaijsjeh }tljejeh je }bi >9/>3

aie}itq& lem lfqo o ti}yteiiq fookjeh ot ig~fozgie}%

]bi ablffiehi oc sjofieai0 Q]I^ jeafymim HDS lq le odìa}jsije j}q xotk~fle& dy} la}jsj}jiq tifl}im }o }bjq odìa}jsi lti q}jff je }biotgl}jsi q}lhi% L glòt jqqyi& do}b je }til}gie} aie}itq lem je }biaoggyej}z& jq }bl} HDS jq hieitlffz miejim ot gjejgjpim "qii Dor4*% J} jq aoeqjmitim l ~tjsl}i jqqyi xj}bje }bi lgjfz lem hieitlffz eo}mjqayqqim dz eoe'lgjfz gigditq% Xbie lqkim ldoy} xbl} jq dijehmoei je }bi aoggyej}z }o lmmtiqq HDS& tiq~oemie}q o}ie qljm& J moe}keox o lez qyab alqiq%

Xj}bje }bi aoggyej}z& Tiaoeajfjl}joe Aoggj}}iiq& aoeqjq}jeh o sofye}iitqtog }bi sltjoyq Aoggyejq} ^lt}z glqq othlejpl}joeq qyab lq }biCltgitq Yejoe lem }bi Xogieq Yejoe& }bl} lti othlejpim tog }biel}joelf }o aoggyej}z fisif& tiq~oem }o l xjmi tlehi o jqqyiq& lem oit}o gimjl}i aoecja}q di}xiie aoggyej}z gigditq% ]bi Tiaoeajfjl}joeAoggj}}ii ot foalf ~ofjai& xbo blsi eo} tiaijsim lez qjhejale} }tljejehje aoecja} tiqofy}joe& glz di alffim oe }o je}itsiei je l alqi o HDS%

Laaotmjeh }o Q]I^ lem ^TQQ q}l& boxisit& }bjq tltifz bl~~ieq%Goti o}ie& }bi Tiaoeajfjl}joe Aoggj}}ii mjqayqq }bi gl}}it lem }tz}o ~itqylmi }bi byqdlem eo} }o ldyqi bjq xji ot ~lt}eit% Xbie lqkim

Î^CLT HIEMIT

Q]TL]IHJIQLMMTIQQIM DZ ]BI

Q]I^ ^TOHTLG

Jeatilqjeh hiemit i|yj}z je

BJS ~tohtlgq lem qitsjaiq

Lmmtiqqjeh bltgcyf hiemit

eotgq lem diblsjotq

Jeatilqjeh laaiqq }o jeaogi

lem ~tomya}jsi tiqoytaiq&

jeafymjeh imyal}joe%


8/12

2 LJMQ]LT'Oei vOa}odit 4>9/>3 aie}itq%

Jej}jl}jeh ablehiq je }tlmj}joelf difjicq ldoy} hiemit

tofiq0 Q]I^ qyaaiqqyffz je}tomyaim }bi aoeai~} o hiemit qieqj}jsj}zlem ieaoytlhim hositegie} q}l je }bi >9/>3 aie}itq xj}b xbjab }biz

DOR 4% QIFIA]IM

TIQÔEQIQ OE HDSCTOG Q]I^ IG^FOZIIQ

Mo zoy hjsi [xogieW lez

q}tl}ihjiq }o milf xj}b HDS?

Xi hjsi }big lmsjai% Xogie

qboyfm keox box }o aog~togjqi

xj}b }bi byqdlem% Xi lfxlzq lqk

xogie }o di qjfie} qo }bl} qbi

moiqe} mo lez}bjeh }o y~qi} }bi

byqdlem%

Mjm zoy ti~ot} }o ~ofjai?

Xi ti~ot}im j} }o }bi Xogieq

Yejoe "XY*% Goq} xogie mo

eo} ti~ot} }o XY dialyqi jc

}biz ti~ot} }biz xjff foqi }bi

ti~y}l}joe oc }bijt clgjfz% Qogi

aoy~fiq fjsi xj}b }bijt ~ltie}q'je'

flx lem }bi je'flxq glz eo} lffox

}big }o ti~ot} }o ~ofjai%

ôq}'Tifilqi Qy~~ot} Afyd q}lcc

Xi oyem }bl} tilqoeq ot mtyh tifl~qi lti mjitie} di'

}xiie gie lem xogie% Gie lti goti fjkifz }o hi} }ohi}b'

it xj}b o}bit gie ot [tjaiW xjei mtjekjeh lem l}it }bl}

j} jq sitz ilqz ot }big }o yqi mtyhq lhlje& xbjfi iglfi

otgit jeìa}jeh mtyh yqitq blsi l bjhbit dytmie o q}jh'

gl lem mjqatjgjel}joe& isie dz }bijt lgjfz gigditq lemqyttoyemjeh aoggyej}z& xbjab glz film }big }o mtyh ti'

yqi% Qo }bi hiemit qieqj}jsi je}itsie}joeq }bl} xi ~tosjmi

jeafymi mjitie} }o~jaq o aoyeqifjeh oe mtyh tifl~qi ot

xogie lem gie% Xi mo goti oy}tilab lem aoyeqifjeh }o

lgjfz gigditq o oyt iglfi afjie}q%

Q]I^ tohtlg Glelhit& Ale ]bo


9/12

Dtilkjeh Eix Htoyem0 Je}ihtl}jeh Hiemit je}o ALTIq Q]I^ ^tohtlg je Sji}elg :


aoffldotl}i }o irlgjei lem ablehi }bijt oxe l}}j}ymiqldoy} hiemit lem hiemit tofiq% Cot qogi& }bjq

xlq l qjhejale} ~itqoelf oy}aogi o xotkjeh xj}bQ]I % Cot irlg~fi& l qiejot glelhit o oei o }bitibldjfj}l}joe aie}itq qljm }bl} bi }tjiq }o gomif }bixlz bi xle}q bjq q}l }o diblsi }oxltm xogie xbojeìa} mtyhq& lem q}tjsiq }o jeatilqi lxltieiqq o xbzxogie diaogi jeìa}jeh mtyh yqitq%

Jej}jl}jeh iccot}q }o lmmtiqq mogiq}ja

sjofieai0 ASE blq migoeq}tl}im filmitqbj~ jeqiikjeh }o gii} le ir~fjaj} odìa}jsi tifl}im }o HDS%Qyab le odìa}jsi jq sitz tlti je ~tohtlgq }bl} xotk

xj}b QXq lem ^XJM& do}b je Sji}elg lem hfodlffz%

Lmmtiqqjeh }bi eiim cot iaoeogja

o~~ot}yej}jiq0 Q]I^ tiaohejpiq }bl} iaoeogjao~~ot}yej}jiq ot ti}yteiiq gyq} ticia} }bijt l~}j}ymi&imyal}joe fisif& je}itiq}& lem qkjffqlem }bl} }bitiqyf}jeh qkjffq ot dyqjeiqqiq gyq} } je xj}b }bieiimq o }bi foalf iaoeogz% Isie }boyhb }bjq jq lqglff aog~oeie} o Q]I^& }bjq la}jsj}z tiq~oemq }odo}b gltki} eiimq lem }bi dlttjitq lem aoeq}tlje}q}bl} ^XJM lem QXq lai je tiafljgjeh }bijt fjsiq lemqy~~ot}jeh }bijt lgjfjiq%

AblffiehiqQ]I^ jq blfxlz }btoyhb j}q jg~figie}l}joe ~itjomlem ~fleeim }o aoemya} l gjm}itg lqqiqqgie} jeGlz 4>


10/12

LJMQ]LT'Oei vOa}odit 4>>9* qboxq }bl} }bi mihtii o mjqayqqjoe

je}it~itqoelf aoggyejal}joeldoy} l hjsiediblsjot jq aottifl}im }o }bi mihtii o ~itai~}joe&ot gjq~itai~}joe& o j}q ~tislfieai% Bieai& lq eooei mjqayqqiq HDS& }bi aoggoe ~itai~}joe jq }bl}j} eisit bl~~ieq% J} jq yefjkifz }bl} HDS qitsjaiq xjffdi iq}ldfjqbim je }bi eilt y}yti je ij}bit Ale ]bo ot

Le Hjleh% Je }bi }xo ziltq tigljejeh je }bi ~toìa}&Q]I^ gjhb} oayq j}q HDS la}jsj}jiq oe irlgjejehot ablehjeh aoggyej}z eotgq }bl} lffox HDS xbjfidflgjeh lem qblgjeh }bi xogie xbo ir~itjieai j}%Cot irlg~fi& }bi ~toìa} aoyfm misifo~ aoggyej}z

mjlfohyiq1

lem }tljejeh oe HDS ot q}l l} >9 lem>3 aie}itq& Tiaoeajfjl}joe Aoggj}}ii gigditq& lemaoggyej}z'fisif othlejpl}joeq& lem ~tosjmi }tljejeh jeqkjffq& q}tl}ihjiq& lem la}joeq ot mjqayqqjeh& tiq~oemjeh}o& lem ~tisie}jeh HDS je }bi aoggyej}z% ^tohtiqqaoyfm di }tlakim }btoyhb l dlqifjei lem iem'o'~toìa}tlemogjpim afyq}it qytsiz qlg~fjeh l~~tolab%

Coayq }tljejeh oe q}tieh}biejeh atj}jalf

}bjekjeh ldoy} hiemit eotgq lem }bijt

iccia}q0 Dialyqi hiemit qieqj}jsj}z jq eix je }bjqqi}}jeh& Q]I^ q}l lem ~lt}eitq eiim hyjmleai

}o bif~ }big aoeqjmit goti mii~fz }bi iia} ohiemit oe syfeitldjfj}z }o BJS lem qir xotk% Cy}yti}tljejeh& gie}otjeh& lem qy~itsjqjoe la}jsj}jiq qboyfmje}tomyai Q]I^ q}l lem ~lt}eitq }o iritajqiq }bl}bif~ }big }bjek goti atj}jalffz ldoy} hiemit eotgqot do}b xogie lem gie& lem box }biqi eotgqjecyieai eo} oefz q}jhgl dy} lfqo miajqjoe glkjeh

1 Aoggyej}z'dlqim }oofq misifo~im dz othlejpl}joeq fjki Tljqjeh Sojaiqaoyfm di lml~}im ot yqi je Sji}elg "qii Tiqoytaiq qia}joe*%

oe l xjmi tlehi o jqqyiq& jeafymjeh ti~tomya}jsibilf}b& Q]J ~tisie}joe& }til}gie} qiikjeh& lem

fjsifjboom o~~ot}yej}jiq%

Qy~~ot} i|yj}ldfi dyqjeiqq lem òd

o~~ot}yej}jiq0 @od }tljejeh ale di yqiyf& dy}je }bjq qi}}jeh& òdq lti q}toehfz hiemitim "gie jegiablejaq& ifia}toejaq& lem aoeq}tya}joe; xogie jebljtmtiqqjeh lem qixjeh*& xj}b gieq xotk }z~jalffzbjhbit ~ljm }ble xogieq òdq% Gie lem xogieqboyfm di ieaoytlhim }o fook l} òd o~~ot}yej}jiqdlqim oe }bijt l}}j}ymiq lem je}itiq}q& eo} }bijthiemit tofiq% ]bi altiit qytsiz tisilfim je}itiq}q

o tiqjmie}q lem ti}yteiiq lem qboyfm di yqimlq isjmieai }o jecyieai }bi >9/>3 aie}itq }ojeaot~otl}i goti ~tla}jalf l~~tolabiq lem je}itiq}'mtjsie oaay~l}joeq xj}bje }bi òd }tljejeh ~tohtlg%

Aoeqjmit ~tosjmjeh dlqja imyal}joe0

Qisitlf hositegie} q}l eo}im }bl} ^XJM lemQXq xitie} je}itiq}im je soal}joelf }tljejeh%Boxisit& hjsie }bi fox imyal}joe fisifq o ^XJMlem QXq& dlqja imyal}joe glz di eiimim dioti}biz lti tilmz ot soal}joelf }tljejeh% L q}i~'xjqil~~tolab& xbjab oitq dlqja fj}itlaz lem eleajlf

imyal}joe lem }bie laaiqq }o soal}joelf }tljejeh ot lgjatoeleai ~tohtlg& gjhb} di goti l~~to~tjl}i%

Jeatilqi }bi fisif oc fole qy~~ot} cot

xogie0 Tiaoeqjmit }bi tl}joelfi ot folejehxogiexbo lti goti fjkifz }ble gie }o ti~lzfoleqoefz blf }bi yemjeh }bl} gie tiaijsi% Hjsjehxogie qglffit foleq tijeotaiq }bi q}itio}z~i}bl} xogie aleeo} mo djh dyqjeiqqiq; ~tosjmjehfoleq l~~to~tjl}i ot flthit ie}it~tjqiq& ~tosjmim}bi xogie ale ti~lz }big& hjsiq xogie di}}it

o~~ot}yej}jiq je }bi dyqjeiqq }biz ~tiit%

Q}tieh}bie goej}otjeh lem islfyl}joe0

]bi ayttie} jemjal}otq lti ~timogjele}fz oy}~y}jemjal}otq glkjeh j} mjayf} }o lqait}lje }bi ir}ie}}o xbjab ~tohtlg la}jsj}jiq blsi le iia} oe }bije}iemim oy}aogiq% Jg~tosjeh }bi aoffia}joe ooy}aogi ml}l "lem ~o}ie}jlf jg~la} ml}l j }bi~tohtlg jq yemim ot lmmj}joelf ziltq* xoyfm htil}fzjg~tosi }bi ~tohtlgq al~laj}z }o yemitq}lem


11/12

Dtilkjeh Eix Htoyem0 Je}ihtl}jeh Hiemit je}o ALTIq Q]I^ ^tohtlg je Sji}elg % Hiemit'Dlqim Sjofieai0 Jqqyi ^l~it% Yej}im El}joeq

Sji} Elg% Lsljfldfi l} b}}~0//se%oei%ye%oth/ie/~ydfjal}joeq/

~ydfjal}joeq'dz'lhieaz/moa_mi}ljfq/>2>1>=/

misifo~gie}q_4>>2>1>=%~m "laaiqqim @leyltz 4>2% Mtyhq& Qir lem LJMQ0 Qirylf Tifl}joeqbj~q

lgoeh Je`ia}jeh Mtyh Yqitq lem }bijt Qirylf ^lt}eitq je

Sji}elg% Ayf}yti& Bilf}b # Qirylfj}z "Qy~~figie}*0

Q9% Le Ir~fjal}joe o

Qoajlf Eotgq% Aoggyejal}joe ]biotz:% Glfi Bogoqirylf Jmie}j}jiq& Tifl}joeqbj~q

lem ^tla}jaiq lgoeh Zoyeh Gie xbo blsi Qir xj}b Gie je

Sji}elg0 Jg~fjal}joeq ot BJS ^tisie}joe%LJMQ Imyal}joe

lem ^tisie}joe 4>2Miaigdit

4>>:% Bleoj0 ]bi Qoajlfjq} Ti~ydfja o Sji} Elg% Lsljfldfi l}

xxx%yeljmq%oth/ie/ml}llelfzqjq/goej}otjehaoye}tz~tohtiqq

/4>~tohtiqqti~ot}qqydgj}}imdzaoye}tjiq/sji}elg_4>_

aoye}tz_~tohtiqq_ti~ot}_ie%~m"laaiqqim Qi~}igdit 4>*

YELJMQ% 4>>:% BJS ]tleqgjqqjoe je Je}jgl}i ^lt}eit

Tifl}joeqbj~q je Lqjl% Hieisl0 YELJMQ% Lsljfldfi l} b}}~0//

ml}l%yeljmq%oth/~yd/ti~ot}/4>>:/je}jgl}i_~lt}eitq_ti~ot}_

ie%~m"laaiqqim Gltab 4>*

Sy& G%F%& ]%B% Sy& B%G% Ehyzie& lem @% Afigie}%


12/12

>:*0 xxx%msae%oth/y~folmq/afjie}_8>/

fiq/GleylfBJSSLXIE%~m

Hiemit I|ylfj}z je Lyq}tlfjlq Ljm ^tohtlgXbz lem Box

"LyqLJM 4>>8*0 xxx%lyqljm%hos%ly/kizljm/hiemit%ag

Ti}bjekjeh Mogiq}ja Sjofieai0 L ]tljejeh ^toaiqq

cot Aoggyej}z La}jsjq}q "Tljqjeh Sojaiq 4>>=*0 xxx%

tljqjehsojaiq%oth/~ydfjal}joeq%~b~

LAKEOXFIMHGIE]Q

LJMQ]LT'Oei xoyfm fjki }o }blek }bi ALTI Sji}elg}ilg& iq~iajlffz Byzeb Ehoa Gjeb& Q]I^ ^toìa} Mjtia}ot

ot }bijt boq~j}lfj}z lem xjffjeheiqq }o ~lt}jaj~l}i je }bjq

alqi q}ymz; }bi Aie}it ot Atil}jsi Jej}jl}jsiq je Bilf}b

lem ô~yfl}joe "AAJB^* ot }bijt }iabejalf ir~it}jqi lem

fohjq}jalf lem }iabejalf qy~~ot}; Gq% Ehyzie Ehoa Qyoeh&

Mjtia}ot o Bilf}b o }bi Mi~lt}gie} o Fldot& Jeslfjmq

lem Qoajlf Lljtq "MOFJQL* lem Gq% ^blg Ehoa ^byoeh&

Abji o Mi~lt}gie} ot Qoajlf Isjf ^tisie}joe& do}b o

Ale ]bo Aj}z; lem }bi ^tiqjmie}q Igithieaz ^fle ot

LJMQ Tifji "Î^CLT* }ilg je Bleoj ot }bijt qy~~ot}

je aoemya}jeh }bjq alqi q}ymz& lq xiff lq }bi Î^CLT

Hiemit ]iabejalf Xotkjeh Htoy~ ot }bijt qy~~ot} lemaltiyf tisjix%

TIAOGGIEMIM AJ]L]JOE

Q~tl}}& Klj& lem \ylab ]bj ]by ]tleh% 4>

Documents

AIDSTAR-One Case Study CARE's STEP Program in Vietnam