TODAY -
Social-structural contexts of syringe sharing behaviours of HIV-positive injecting drug users in Manipur
- 7thspace.com -
Author: Venkatesan Chakrapani | Peter Newman | Murali Shunmugam | Robert Dubrow
Few investigations have assessed risk behaviours and social-structural contexts of risk among injecting drug users (IDUs) in Northeast India, where injecting drug use is the major route of HIV transmission. Investigations of risk environments are needed to inform development of effective risk reduction interventions.
Methods: This mixed methods study of HIV-positive IDUs in Manipur included a structured survey (n=75), two focus groups (n=17), seven in-depth interviews, and two key informant interviews.
Results: One-third of survey participants reported having shared a needle/syringe in the past 30 days; among these, all the men and about one-third of the women did so with persons of unknown HIV serostatus.
Conclusions: Effective HIV prevention and care programmes for IDUs in Northeast India may hinge on several enabling contexts: supportive government policy on harm reduction programmes, including in prisons; an end to harassment by the police, army, and anti-drug groups, with education of these entities regarding harm reduction, creation of partnerships with the public health sector, and accountability to government policies that protect IDUs'human rights; adequate and sustained funding for NSPs to cover all IDU populations, including prisoners; and non-discriminatory access by IDUs to affordable needles/syringes in pharmacies.
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* * This Post is uploaded on May 13, 2011.
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