Integrated Bio-Behavioral Survey (IBBS) among Male Injecting Drug Users (IDUs) in Western to Far Western Terai 2005. New ERA, STD/AIDS Counseling and Training Services, FHI, et al (2005)

Integrated Bio-Behavioral Survey (IBBS) among Male Injecting Drug Users (IDUs) in Western to Far Western Terai 2005. FHI and USAID (2005) HIV transmission among drug users is associated with injecting drug use that involves the sharing of needles or syringes. Risky sexual behavior associated with drug use also contributes to the spread of HIV. Injecting drug users function as a “bridging population” for HIV transmission between a core HIV risk group, other high-risk groups and the general population. The main objective of this study was “to estimate the prevalence rate of HIV among injecting drug users (IDUs) and assess their risky behavior". The study was conducted among IDUs in the municipalities and highway areas of Rupandehi, Banke, Kailali and Kanchanpur districts of the Western to Far Western Terai. Three hundred male IDUs were sampled using the respondent driven sampling (RDS) methodology. While structured questionnaires were used to collect behavioral data, clinical blood tests were used to determine the rate of HIV infection. The clinical test procedure used involved collecting blood from a subject’s pricked finger and then storing it in 2-4 capillary tubes until tests could be performed. In order to determine a participant's infection status, a rapid test kit algorithm was used in which two rapid tests (Capillus and Determine) were initially conducted with Uni-Gold reserved as a tie-breaker. In terms of socio- demographic characteristics, the study found that the median age of the IDUs was 25 years. About half of them were previously or currently married. The median age at marriage was 21 years. A majority of the IDUs had formal schooling. IDUs from different ethnic backgrounds participated in the study.

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