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Overcoming barriers to measuring HIV among IDUs

Overcoming barriers to measuring HIV among IDUs. Rapid Situation and Response Assessment Dr Samiran Panda (Overcoming barriers to scaling up HIV prevention among IDUs- overcoming stigma, gendr and socio-economic barriers). What’s there in a name……. Rapid anthropological procedures

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Overcoming barriers to measuring HIV among IDUs

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  1. Overcoming barriers to measuring HIV among IDUs Rapid Situation and Response Assessment Dr Samiran Panda (Overcoming barriers to scaling up HIV prevention among IDUs- overcoming stigma, gendr and socio-economic barriers)

  2. What’s there in a name…… • Rapid anthropological procedures • Rapid assessment • Rapid appraisals • SRA • RSA • RAR • RSRA

  3. Fields where Rapid Assessments have been applied: a few examples • Malaria • Diarrhea • Water sanitation • Nutrition • HIV prevention • HIV awareness and education • Illicit drug use & drug injecting

  4. E N V I R O N M E N T Individual health & health behaviors NETWORK & CULTURAL SETTING

  5. The overall scheme of RSRA Key informant interviews conducted (some pre-decided and some known through fieldwork) Collection of secondary data FGDs conducted with drug users, relatives / friends, youth club members etc Information about new sites obtained and observation conducted at new sites One-on-one interviews conducted with drug users selected from each of the identified sites Observation at drug using sites and building rapport with the drug users Qualitative and quantitative data analysis Synthesis of all the information (primary and secondary data)

  6. How Rapid is Rapid?3 weeks to 3 months

  7. Assessment-intervention cycle Implementation of intervention Re-examination of situation and responses RSRA Modification of intervention Reassessment Intervention development Further modification of intervention

  8. Crucial considerations for RSRA in the field of drug use • Involvement of those who would support the endeavor and those who would make use of the findings right from the beginning • Involvement of drug users at every step of RSRA • Ensuring organizational and political commitment for developing interventions from RSRA findings • Mapping of resources during RSRA that could be tapped subsequently during implementation of intervention • Minimizing the delay between Assessment and dissemination of findings and dissemination of findings and launching of intervention

  9. Rapid Situation and Response Assessment Can be used as an important public health tool provided we do it well following all the rules of the game Thank you

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