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Inter country consultation on preventing HIV among IDU from evidence to action

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

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  1. Inter country consultation on preventing HIV among IDU from evidence to action Bangladesh Presentation

  2. HIV IN male IDU from central-a over the rounds

  3. 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.

  4. 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

  5. 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.

  6. 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

  7. 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.

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