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The Overlap of HIV, Key Populations and Psycho-Stimulant drugs

The Overlap of HIV, Key Populations and Psycho-Stimulant drugs. CRISTINA PIMENTA, PhD Brazilian Ministry of Health National AIDS Programme Consultant. HIV/AIDS EPIDEMIC IN BRAZIL.

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The Overlap of HIV, Key Populations and Psycho-Stimulant drugs

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  1. The Overlap of HIV, Key Populations and Psycho-Stimulant drugs CRISTINA PIMENTA, PhD Brazilian Ministry of Health National AIDS Programme Consultant

  2. HIV/AIDS EPIDEMIC IN BRAZIL • Concentrated epidemic: populations with higher prevalence are MSM, Female sex workers, drug users, and prison inmates. • Unequal distribution of epidemics within marked regional differences ( HIV associated with IDU still persistent in the south region of boarders the country); • Sexual transmission of HIV is the most frequent, nevertheless there is persistent vulnerability of HIV transmission related to different drug use dynamics; • HIV/Aids prevalence increase (2011) in young people, aged between 17 and 29, specially gay and bisexual men;

  3. MARPS HIV/AIDS EPIDEMIOLOGICAL DATA IN BRAZIL Ministryof Health, 2011,,

  4. Alcohol and Drug UseBrazil-2010 • 68.87% reported crack use - (n=3406); • 7.74% amphetamines

  5. MARPS: DATA SET IN BRAZIL PROFILE EPIDEMIC IN BRAZIL

  6. HIV TEST COVERAGE- MARPSBrazil, 2010

  7. STIGMA AND VIOLENCE MARPS BRAZIL Stigma and discrimination among DU(18+) in 10 municipalities (n=3.600). Brazil, 2010 • 54.5% of study participants reported they were discriminated by a person or service/institution related to their social-economic status; • and, 66.4% because of drug use

  8. Study Summary • Crack user population in Brazil is more impoverished when compared to the overall alcohol and drug user populations, with high prevalence of HIV and syphilis. • The drug user is still marginalized, has less access and suffers many barriers to HIV counseling and testing, and STI treatment services. • Health services present initial reluctance in providing access to treatment for this population. • It is evident that there is need to sensitize and build the capacity of public health services for proper reception and treatment of this much vulnerable and marginalized populations.

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