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Inter country consultation on preventing HIV among IDU from evidence to action. Bangladesh Presentation. HIV IN male IDU from central-a over the rounds. Official estimates of opiate users & sources. Injection drug users low range- 20000 Injection drug users high range-40000 Ref:
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Inter country consultation on preventing HIV among IDU from evidence to action Bangladesh Presentation
Official estimates of opiate users & sources • Injection drug users low range- 20000 • Injection drug users high range-40000 Ref: Working group on size estimation of HIV/AIDS infection in Bangladesh, March 22, 2004; final estimate recommended by the same group in Nov 28, 2004.
Coverage among IDUs • 40% IDUs of lowest estimate • 20% IDUs of highest estimate • 50% Heroin smokers • Harm reduction program-through drop-in-center and out reach (peer approach) • Blended experience and contribution of multiple stakeholders, GoB, ICDDR,B, MSCS, APOSH and other PNGOs. • Drug treatment through FHI-Implementing Agencies, SHGs and private treatment centers
Opportunities to scale up • Increase coverage of I/DUs • Introduce ODS • Facilitate linkages and ownership within government infrastructure for a sustainable and cost effective program (e.g. STI/OI mgt, Detox and GH). • More community involvement e.g. to explore alternative options of DIC, its mgt and referral.
Challenges • NASP/DNC understands the importance of HR program and ODS but both not legalised . Proactive steps needed to legalize both. • Limited in-country technical capacity/resources in ODS, VCT, PEP, minimum standard STI etc. • Limited capacity of NGOs to implement harm reduction program • Resources are there but uninterrupted fund flow to field is poor
NEXT STEPS • Policy influence in favor of NEP and ODS • Sensitize and build capacity of GoB and local partners to deal the issues drug users. • Better community involvement in addressing the issues of IDUs • Job placement/social reintegration through multisectoral approach. • National and regional networking in addressing the issues of drug users • Coordination among donors and implementers in avoiding duplication of work • Strengthen IDU-SHGs so that they can articulate and meet their needs independently. Their organizational capacity is poor compared to other SHGs.