Position Paper: Ending the HIV and Hepatitis C Epidemics among People who Inject Drugs. McLean S and et al. (2016)

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This is the Alliance's position paper on HIV, drugs and drug policy in the lead up to the UN General Assembly Special Session on the World Drug Problem, 2016.

The sharing of injecting equipment is driving HIV and hepatitis C (HCV) transmission in many parts of the world. Roughly one third of new HIV infections outside sub-Saharan Africa are the result of unsafe injecting. In 2014 alone, an estimated 110,000 people who inject drugs were newly infected with HIV.

The evidence for the effectiveness of harm reduction interventions is described by UNAIDS as irrefutable and all relevant UN agencies now endorse a harm reduction approach to HIV and drug use. Cost-effective harm reduction programmes that use peer-based outreach and feature clean needle and syringe programmes, opiate substitution therapy and HIV testing and treatment are proven to be effective in reducing HIV transmission and other harms such as hepatitis C transmission, crime rates and overdose deaths.

 

Keywords: HIV, testing, treatment, harm reduction, drug, police harassment, health services

 

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Readiness Assessment: Moving towards a Country-led and - Financed HIV Response for Key Populations. USAID, PEPFAR and Health Policy Project. (2016)

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This new guide from the USAID- and PEPFAR-funded Health Policy Project is a flexible tool for assessing the readiness and ability of country stakeholders (including government, development partners, and civil society) to sustain HIV epidemic control among key populations when donors transition to different levels and types of funding.


Keywords: guid, sex workers (SWs), men who have sex with men (MSM), transgender persons (TG), and people who inject drugs (PWID)

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The Case for a Harm Reduction Decade. Cook C, Phelan M, Sander G, Stone K and Murphy F. (2016)

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HIV-related deaths and new HIV infections among people who inject drugs could be almost entirely eliminated by 2030 with just a tiny shift in global drug control spending. This is one finding of our report The Case for a Harm Reduction Decade.

The study uses data we have collected over the last 10 years for our biennial Global State of Harm Reduction reports to assess progress and reflect on challenges faced around the world. Using mathematical modelling, it then outlines the potential impact of increased investment in harm reduction on avoidable health-related harms associated with injecting drug use over the next decade and beyond.


Keywords: HIV, harm reduction, human rights, cost-effectiveness 

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The Global State of Harm Reduction 2016. Stone K. (2016)

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The new data in this report shows a worrying slowdown in the provision of harm reduction services for people who use drugs, with no new countries introducing needle and syringe programmes since 2014.

Along with this, there has been a rise in injecting stimulant use across all regions of the world, and a dramatic increase in overdose deaths.

Harm reduction in prisons also remains vastly insufficient, with only a very small number of countries providing needle exchange or overdose training in at least one prison.

 

Keywords: HIV, PWID, prisoners, drug, OST, NSP, hepatitis C, needle/syringe

 

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The World Drug Report 2016. UNODC. (2016)

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The World Drug Report 2016 is published in the wake of the landmark moment in global drug policy, the special session of the General Assembly on the world drug problem. Chapter I provides a global overview of the supply of and demand for opiates, cocaine, cannabis, amphetamine-type stimulants (ATS) and new psychoactive substances (NPS), as well as their impact on health. It also reviews the scientific evidence on polydrug use, treatment demand for cannabis and developments since the legalization of cannabis for recreational use in some parts of the world. Chapter II focuses on the mechanisms of the interaction between the world drug problem and all aspects of sustainable development through the lens of the Sustainable Development Goals.


Keywords: HIV, PWID, PLHIV, drugs, prevalence, hepatitis, tuberculosis

 

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Women Speak Out: Understanding Women who Inject Drugs in Indonesia. Stoicescu C. (2016)

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Indonesia is home to about 74,000 people who inject drugs, of whom 11% are women. Compared with men who inject drugs, women who inject drugs experience an elevated risk of HIV and other blood borne virus transmission, disproportionately high rates of violence from both intimate and non-intimate partners, and social exclusion. Despite their specific needs and greater marginalisation, this group has been largely neglected in Indonesia’s national HIV strategy.

The study explored sexual and injecting behaviours, health indicators, gender-based violence, contact with law enforcement, and uptake of health and support services among women who inject drugs. The broad objective of the study was to better understand the experiences of women who inject drugs and to inform evidence-based responses that can mitigate the impacts of drug use and HIV and AIDS on this vulnerable population in Indonesia.

 


Keywords: HIV, PWID, women, sexual reproductive health, health services, needle and syringe

 

 

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Consensus Statement on Drug Use under Prohibition - Human Rights, Health, and the Law. Levy J. (2015)

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This is the International Network of People who Use Drugs’ (INPUD) Consensus Statement on Drug Use Under Prohibition. It focusses on human rights, health, and the law in relation to people who use drugs. The document is informed by the perspective of those who are so catastrophically impacted by global prohibition and by the so-called ‘war on drugs’: people who use drugs themselves. It stems from four regional consultations conducted by the INPUD Secretariat in 2015 with representatives of 24 drug user organisations from 28 countries. Consultations took place in Dar es Salaam, Bangkok, London, and in Tbilisi, and we also conducted a virtual consultation.


Keywords: INPUD, HIV, harm reduction, human rights, gender, health services, violence

 

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Double Trouble: Injection Drug Use and Sexual Behaviour. Bhattacharya A, et al. (2015)

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Findings from a cross-sectional qualitative study of HIV vulnerabilities among People Who Inject Drugs and their sex partners in Bihar and Manipur, India.
The study is one of the first qualitative comparative studies to seek an in-depth understanding of the vulnerabilities to HIV acquisition among PWID in the states of Manipur and Bihar. The study also aims to describe the factors that influence vulnerability to sexual transmission of HIV between PWID and their sexual partners. Additionally, the study focuses on logistical issues associated with the delivery of various harm reduction services to PWID and their sexual partners, as the quality of services offered to these groups has not been adequately documented in the past.


Keywords: HIV, PWID, needle/syringe, harm reduction, stigma, discrimination

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Factsheet: Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs (PWIDs) in the Kathmandu Valley Round VI – 2015. National Center for AIDS and STD Control. (2015)

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Under the leadership of the National Center for AIDS and STD Control (NCASC) according to the National HIV Surveillance Plan for generating the strategic information needed for guiding and monitoring the national response to HIV and AIDS, since 2002 Nepal has been successfully carrying out IBBS surveys among People Who Inject Drugs (PWIDs).
The latest round (round VI, 2015) of the IBBS survey was conducted among PWIDs within the Kathmandu Valley with coverage of 340 sample size, funded by TI Pooled Fund, under the leadership of NCASC and in close collaboration with key stakeholders. The survey was carried out primarily to track the trends in the prevalence of HIV and syphilis infection among male PWIDs and to assess their sexual and injecting behaviors. The surveys also explored the respondents’ knowledge of HIV and sexually transmitted infections (STI), the presence of STI symptoms, sexual and injecting behaviors, and exposure to HIV programs. For the first time in IBBS history this round has introduced Hepatitis C (HCV) and Hepatitis B (HBV) test and its prevalence among PWIDs.


Keywords: Nepal, Kathmandu Valley, HIV, IBBS, PWID, needle/syringe, condom

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Factsheet: Integrated Biological and Behavioral Surveillance (IBBS) Survey among People Who Inject Drugs in the Eastern Terai of Nepal Round VI –2015. National Center for AIDS and STD Control. (2015)

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This is the sixth round of the IBBS survey conducted among People Who Inject Drugs (PWID) in Eastern Terai. In line with the objectives of the previous rounds of the IBBS, this survey was also undertaken primarily to determine trends of HIV and STIs, HIV and STI related risk behaviours, drug injecting behaviours, the level of awareness about HIV/STIs and exposure to HIV intervention programs among PWID in Eastern Terai. Moreover, this survey examined the prevalence of Hepatitis B and Hepatitis C among PWID for the first time. Fieldwork for data collection was conducted in July, 2015.

 

Keywords: Nepal, Eastern Terai, HIV, IBBS, PWID, condom, prevalence, syphilis

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Highlighted publications
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Nepal-IBBS-FIDU-Kathmandu-valley-RI-2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_Get_on_the_Fast-Track_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/NEC_HIV_July-Oct-AIDSreg2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_methods_for_deriving_estimates_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_Global_AIDS_Response_Progress_Reporting_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/2015_Size_Estimation_of_Key_Affected_Populations_in_Philippines.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Assessment_of_Decentralization_of_ART_in_MMR_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS-2016-prevention-gap-report_en.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_AIDS_by_the_numbers_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_Biomedical_AIDS_research_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Implementing_comprehensive_HIV_and_STI_programmes_with_transgender_people_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/UNAIDS_cities_ending_the_aids_epidemic_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Philippines_2015_IHBSS_Factsheets.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Pakistan_IBBS_Report_Punjab_2014_0.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/WHO_Integrating_collaborative_TB_and_HIV_services_within_a_comprehensive_package_of_care_for_PWID_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/India_IBBS_report_2014-15.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/India_HSS_report_2014-15.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/The_negative_impact_of_drug_control_on_public_health_2015.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/2015_young_people_drugs_en.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Death_Penalty_for_Drug_Offences_Global_Overview_2015.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Transforming_our_world_2015_UN.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/WHO_Consolidated_on_the_use_of_antiretroviral_drugs_for_treating_and_preventing_HIV_infection_2016.pdf
http://aidsdatahub.org/sites/default/files/highlight-reference/document/Consolidated_Strategic_Information_Guidelines_for_HIV_in_Health_Sector_2015.pdf
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