This study examined methamphetamine use among people who inject heroin in Hai Phong, Vietnam, using survey data collected from more than 4,000 participants between 2016 and 2018. It explored trends in methamphetamine initiation and current use, related risk behaviors, and implications for public health. The findings highlighted the rapid rise of methamphetamine use since the mid-2000s and discussed the potential role of community-based harm reduction approaches in addressing methamphetamine use in the absence of widely accessible treatment options.
 

This paper focuses on the interactions between medical professionals in Hanoi, Vietnam and their HIV-positive patients who desire children. Drawing on ethnographic research, we argue that despite ongoing state and civil society efforts to reduce discrimination against people living with HIV (PLHIV), doctors do stigmatize patients who choose to reproduce, even if the patients are found to have carefully considered all associated risks. While the effects of the Social Evils Campaign linger, the doctors’ prejudicial stance towards PLHIV’s reproductive desires and risks also reflects the messages communicated by the more recent governmental campaign on Population Quality. The result of this stigmatization is a stratification of reproduction among the Vietnamese citizenry whereby PLHIV are considered obstacles to ‘the cleanliness of the race’.