Availability of HIV prevention and treatment services for people who inject drugs: findings from 21 countries

Hdl Handle:
http://hdl.handle.net/10147/305240
Title:
Availability of HIV prevention and treatment services for people who inject drugs: findings from 21 countries
Authors:
Petersen, Zaino; Myers, Bronwyn; van Hout, Marie-Claire; Plüddemann, Andreas; Parry, Charles
Citation:
Harm Reduction Journal. 2013 Aug 19;10(1):13
Journal:
Harm reduction journal
Issue Date:
19-Aug-2013
URI:
http://dx.doi.org/10.1186/1477-7517-10-13; http://hdl.handle.net/10147/305240
Abstract:
Abstract Background About a third of the global HIV infections outside sub-Saharan Africa are related to injecting drug use (IDU), and this accounts for a growing proportion of persons living with HIV. This paper is a response to the need to monitor the state of the HIV epidemic as it relates to IDU and the availability of HIV treatment and harm reduction services in 21 high epidemic countries. Methods A data collection form was designed to cover questions on rates of IDU, prevalence and incidence of HIV and information on HIV treatment and harm reduction services available to people who inject drugs (PWID). National and regional data on HIV infection, IDU in the form of reports and journal articles were sought from key informants in conjunction with a systematic search of the literature. Results Completed data collection forms were received for 11 countries. Additional country-specific information was sourced via the literature search. The overall proportion of HIV positive PWID in the selected countries ranged from 3% in Kazakhstan to 58% in Vietnam. While IDU is relatively rare in sub-Saharan Africa, it is the main driver of HIV in Mauritius and Kenya, with roughly 47% and 36% of PWID respectively being HIV positive. All countries had antiretroviral treatment (ART) available to PWID, but data on service coverage were mainly missing. By the end of 2010, uptake of needle and syringe programmes (NSP) in Bangladesh, India and Slovakia reached the internationally recommended target of 200 syringes per person, while uptake in Kazakhstan, Vietnam and Tajikistan reached between 100-200 syringes per person. The proportion of PWID receiving opioid substitution therapy (OST) ranged from 0.1% in Kazakhstan to 32.8% in Mauritius, with coverage of less than 3% for most countries. Conclusions In order to be able to monitor the impact of HIV treatment and harm reduction services for PWID on the epidemic, epidemiological data on IDU and harm reduction service provision to PWID needs to be regularly collected using standardised indicators.
Item Type:
Article
Language:
en
Keywords:
HIV INFECTION; DRUG USER

Full metadata record

DC FieldValue Language
dc.contributor.authorPetersen, Zainoen_GB
dc.contributor.authorMyers, Bronwynen_GB
dc.contributor.authorvan Hout, Marie-Claireen_GB
dc.contributor.authorPlüddemann, Andreasen_GB
dc.contributor.authorParry, Charlesen_GB
dc.date.accessioned2013-11-12T12:05:00Z-
dc.date.available2013-11-12T12:05:00Z-
dc.date.issued2013-08-19-
dc.identifier.citationHarm Reduction Journal. 2013 Aug 19;10(1):13en_GB
dc.identifier.urihttp://dx.doi.org/10.1186/1477-7517-10-13-
dc.identifier.urihttp://hdl.handle.net/10147/305240-
dc.description.abstractAbstract Background About a third of the global HIV infections outside sub-Saharan Africa are related to injecting drug use (IDU), and this accounts for a growing proportion of persons living with HIV. This paper is a response to the need to monitor the state of the HIV epidemic as it relates to IDU and the availability of HIV treatment and harm reduction services in 21 high epidemic countries. Methods A data collection form was designed to cover questions on rates of IDU, prevalence and incidence of HIV and information on HIV treatment and harm reduction services available to people who inject drugs (PWID). National and regional data on HIV infection, IDU in the form of reports and journal articles were sought from key informants in conjunction with a systematic search of the literature. Results Completed data collection forms were received for 11 countries. Additional country-specific information was sourced via the literature search. The overall proportion of HIV positive PWID in the selected countries ranged from 3% in Kazakhstan to 58% in Vietnam. While IDU is relatively rare in sub-Saharan Africa, it is the main driver of HIV in Mauritius and Kenya, with roughly 47% and 36% of PWID respectively being HIV positive. All countries had antiretroviral treatment (ART) available to PWID, but data on service coverage were mainly missing. By the end of 2010, uptake of needle and syringe programmes (NSP) in Bangladesh, India and Slovakia reached the internationally recommended target of 200 syringes per person, while uptake in Kazakhstan, Vietnam and Tajikistan reached between 100-200 syringes per person. The proportion of PWID receiving opioid substitution therapy (OST) ranged from 0.1% in Kazakhstan to 32.8% in Mauritius, with coverage of less than 3% for most countries. Conclusions In order to be able to monitor the impact of HIV treatment and harm reduction services for PWID on the epidemic, epidemiological data on IDU and harm reduction service provision to PWID needs to be regularly collected using standardised indicators.-
dc.language.isoenen
dc.subjectHIV INFECTIONen_GB
dc.subjectDRUG USERen_GB
dc.titleAvailability of HIV prevention and treatment services for people who inject drugs: findings from 21 countriesen_GB
dc.typeArticleen
dc.identifier.journalHarm reduction journalen_GB
dc.language.rfc3066en-
dc.rights.holderZaino Petersen et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2013-11-10T05:04:54Z-
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