Syphilis (+)

1. Risk Behavior among Current and Former Injecting Drug Users in Bandung, Indonesia S. Iskandar1,2, D. A.E.P Basar1, T. Hidayat1, I.M.P. Siregar1, L. Pinxten2, R. van Crevel3, A.J.A.M. Van der Ven3, C.A.J. de Jong5 1Padjajaran University/ Hasan Sadikin Hospital, Bandung, Indonesia 2Maastricht University, Maastricht, the Netherlands 3Radboud University Nijmegen Medical Centre, the Netherlands 4Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA); Nijmegen, the Netherlands Introduction Results (3) Risk Behour Among Current & Former IDUs • Efforts to prevent HIV-transmission through injecting drug use (IDU) mostly target subjects who regularly inject • The prevalence of HIV/AIDS in the people with a history of previous IDU (former IDUs) is high • Former IDUs are more accepted by community • The transmission of HIV from former IDUs to the general community is especially through sexual contacts. • to explore and compare the characteristics and the risk behaviors among current and former IDUs  a better understanding of these risk behaviors may contribute to the design of specifically tailored prevention programs Objective Interview Center Methods Results (2) HIV Status among IDUs Screening, informed consent Get a coupon New respondents Interview Free HIV, HBV, HCV, Syphilis Test Free coupon for free testing Former IDUs Reward & 2 coupons for recruiting other IDUs HIV (+) Syphilis (+) Payment for recruiting other IDUs Free CD4 test & Chest X-ray Free Syphilis Treatment Free ARV treatment Current IDUs This process (respondent driven sampling) is continued until the number of IDUs recruited reach 210 Results (1) Characteristics of IDUs (n=210) Conclusion • High HIV prevalence among former & current IDUs • Former & current IDUs engaged with high sexual & other skin penetration risk behavior • Harm reduction program should address current as well as former IDUs to prevent the spread of HIV to non-drug users Acknowledgments We would like to thank Prof. Cissy B. Sudjana Prawira, Director of Hasan Sadikin General Hospital, and Prof. Eri Surahman, Dean of the Medical Faculty Padjadjaran University for encouraging and accommodating research in their institutions. Municipal health department, the interviewers, Rinske de Graaff Stoffers, Mark Holland, staffs and ORC from Salam Primary Health Center. Rumah Cemara, Bahtera, PKBI, and Grapiks are thanked for their valuable help IMPACT (5-year program for HIV care and drug addiction in West Java, Indonesia) is funded by the European Union