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Family Health International
Behind the Pleasure: Sexual Decision-Making Among High-Risk Men in Urban Vietnam
Family Health International and USAID, 2006, 84 pp

Working Papers on HIV Prevention, Care and Treatment in Vietnam.


"Male clients of sex workers play a critical role in the spread of HIV among sex workers and further into the general population through their wives and other sex partners. Yet their role in HIV prevention is often ignored in favor of focusing on prevention programs for sex workers, contributing to the perception that women have the most responsibility and often blame - for HIV transmission. In December 2004, Family Health International (FHI) Vietnam hosted a meeting with external partners to discuss the involvement of men in HIV/AIDS prevention. A key result of the meeting was an acknowledgement that a greater understanding of the sexual decision-making process of men who purchase commercial sex needs to occur in order to develop more effective interventions. From April to June 2005, a research team comprising FHI staff and consultants as well as representatives of non-governmental organizations (NGOs and national social research agencies conducted a qualitative study of male clients of sex workers and other key informants. Candidates included men at high risk of purchasing sex, married women, and entertainment establishment (EE) owners. Researchers facilitated eighteen meetings, six each in Hanoi (HN), Haiphong (HP) and Ho Chi Minh City (HCMC). In all, 324 candidates participated, including 222 men, 61
married women, and 41 EE owners. A rapid, participatory method called Community Dialogue Meetings (CDM) collected detailed information in a short amount of time. The method used larger than normal group interviews based on focus group discussions (FGDs). Each meeting lasted three to four hours, much longer than normal FGDs. Larger groups and longer meeting times allowed for a more detailed level of inquiry, participatory activities, and the ability to include discussion topics thought to be relevant by participants."

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NGOs or Civil Society Organisations