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Scaling Up HIV Prevention among IDUs in South Asia: the key issues & gaps

Scaling Up HIV Prevention among IDUs in South Asia: the key issues & gaps. Dr. M. Suresh Kumar MD DPM MPH Chennai India. Inter-country Consultation on Preventing HIV among IDUs Scaling Up: From Evidence to Action April 10 2007, Kolkata, India. Diffusion of injecting drug use in South Asia.

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Scaling Up HIV Prevention among IDUs in South Asia: the key issues & gaps

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  1. Scaling Up HIV Prevention among IDUs in South Asia: the key issues & gaps Dr. M. Suresh Kumar MD DPM MPH Chennai India Inter-country Consultation on Preventing HIV among IDUs Scaling Up: From Evidence to Action April 10 2007, Kolkata, India

  2. Diffusion of injecting drug use in South Asia UNODC ROSA, 2007

  3. Current pharmaceutical drug use in South Asia UNODC ROSA, 2007

  4. Age at initiation of drug use in South Asia UNODC ROSA, 2007

  5. HIV prevalence among IDUs in certain places, India NACO Sentinel Surveillance

  6. HIV prevalence among IDUs in Bangladesh Ministry of Health and Family Welfare, Bangladesh

  7. HIV prevalence among IDUs in Nepal Source: IBBS Study – NCASC/New Era/SACTS/USAID/FHI, 2003, 04

  8. Injection related risk behaviour of IDUs – South Asia UNODC ROSA, 2007

  9. Sharing injection equipment – new sites in India Project Network, SHARAN India, 2007

  10. Sexual risk behaviour of IDUs – South Asia UNODC ROSA, 2007

  11. Sexual risk behaviour of IDUs – South Asia UNODC ROSA, 2007

  12. IDU related interventions in South Asia

  13. Coverage of IDUs with effective approaches in South Asia

  14. Scaling-up interventions in one yearDFID PMO Harm Reduction ProjectsDelivery throughNetworksEngagement of ‘peers’Liaison with SACSComprehensive services and continuum of services

  15. Clients referred to different services through Peer Led Interventions – SPYM, India Number of drug users / injecting drug user contacted through PLI - 67314

  16. Comprehensive Services through DICs – Project Network

  17. Key issues in coverage

  18. Key issues in coverage

  19. Major gaps in coverage of IDUs in South Asia • Lack of coordinated response to drug use related problems • NGO supported initiatives only • Lack of continued support to ongoing harm reduction projects • Opioid substitution treatment coverage low in the region

  20. Next steps • Policy briefs • Coordinated efforts between different Ministries • Government – NGO partnerships • Scaled-up implementation of essential harm reduction components • Operational guidelines • Standard protocols • Continued support for harm reduction • Expansion of services to women drug users, prisoners and other hidden groups

  21. Acknowledgements • DFID PMO Projects • Emmanuel Hospital Association • Project Network – SHARAN India • SPYM • UNODC ROSA • H-13 Project RSRA

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