Addicts in Điện Biên get better access to methadone treatment

April 06, 2021 - 09:00
Opioid addicts will be able to pick up several days supply of methadone for use at home after an event that was held yesterday in the northern mountainous province of Điện Biên.
Patients have methadone at a supply station in Noong Bua Ward, Điện Biên Phủ City in Điện Biên Province. — VNA/VNS Photo Xuân Tư

ĐIỆN BIÊN — Opioid addicts will be able to pick up several days supply of methadone for use at home after an event that was held yesterday in the northern mountainous province of Điện Biên.

The event was held by the Việt Nam Administration of HIV/AIDS Control (VAAC) under the Ministry of Health (MoH), the World Health Organization (WHO) in Việt Nam and the provincial Department of Health.

The MoH said methadone has been used to treat opioid addicts in Việt Nam since 2008.

Currently, more than 52,000 people receiving methadone treatment in 330 treatment facilities in all 63 provinces and cities.

The coverage of the programme has reached 28 per cent of the total number of addicts, with the six-month period for medicine adherence rate at 83 per cent, above the world average of is 80 per cent.

Điện Biên Province has recorded more than 9,000 drug addicts and currently, more than 2,400 are undergoing methadone treatment at the province's 35 methadone dispensing facilities.

Hoàng Đình Cảnh, deputy director of the VAAC, said after more than 12 years of implementation, the treatment of opioid addiction with methadone has revealed a number of limitations.

They included low access to treatment and very different regional adherence to treatment. The rate of treatment dropout accounts for more than 50 per cent, mostly in mountainous provinces.

One of the main reasons leading to discontinuation of treatment is patients having to receive treatment at a medical facility.

To tackle the problem, different countries around the world have allowed some patients to bring methadone to use at home.

Providing patients with methadone for many days will reduce travel time, travel-related costs and create favourable conditions for patients to access, maintain and comply with treatment.

This helps to improve treatment for patients, improve quality of life and increase patient and family satisfaction with methadone treatment facilities. 

Cảnh said Điện Biên was one of three localities, along with Lai Châu and Hải Phòng City, to run the pilot programme, because Điện Biên was a mountainous province which is difficult to travel in.

Many patients have to travel tens of kilometres to get to treatment facilities for their daily medicine. Methadone dispensing points have been deployed in some commune health stations but still cannot meet the needs of patients because the villages are too far away and the roads to medical facilities and dispensers are very high in mountainous areas.

This is also a very active locality that has achieved good results in methadone treatment in recent years.

The successful pilot implementation of this programme in the three localities would serve as the basis for a nationwide expansion, he said. — VNS

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