This report, prepared for the Government of Vietnam, details the first economic evaluation comparing the effectiveness and cost-effectiveness of the two dominant drug dependence treatment approaches in Vietnam: compulsory center-based rehabilitation (CCT) and voluntary community-based methadone maintenance treatment (MMT) in Hai Phong City, Vietnam.

This economic evaluation research follows internationally recognized economic evaluation principles and methods. The research aims to compare the costeffectiveness of the two dominant drug dependence treatment approaches in Vietnam: the center-based compulsory rehabilitation approach (CCT) and community-based voluntary methadone treatment (MMT), using three years of data on costs and effectiveness (2012-2015) in Hai Phong City. This is the first research on this topic ever conducted in Vietnam as well as in Southeast Asia.

With the approval of the People’s Committee of Hai Phong City, the Department of Labor, Invalids and Social Affairs provided official data on the costs of CCT modality and the Department of Health provided official data on the costs of MMT clinics. The independent research teams of UNSW Australia, Hanoi Medical University, and Hai Phong University of Medicine and Pharmacy collected the data on costs and effectiveness and conducted the data analysis. Within the partnership framework between FHI 360 and the Advisory Board to the Chairman of the National Committee on HIV/AIDS, Drugs and Prostitution Control (NCADP) signed on 24 June 2014, the Advisory Board organized a meeting for the research team to present the preliminary research findings. The Advisory Board facilitated the discussions for input and comments from the relevant national government agencies. Based on this input and comments, the research team finalized the data analysis and prepared the final research report. The Advisory Board organized another meeting on 17 April 2015 for the research team to present the official research findings to the relevant national government agencies and international organizations as the first step in disseminating the research findings. This report has incorporated the comments and input of the participants of the meeting on 17 April 2015.

The ultimate goal of this research is to provide scientific evidence to assist Vietnamese government leaders in evidence-based drug policy decision making for more effective allocation of resources, particularly in the context of declining international funding and a limited national government budget.

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