Comprehensive HIV prevention for people who use drugs: ways forward for inclusion of needle and syringe exchange programmes

2012 ◽  
Author(s):  
Sergii Dvoriak ◽  
Daniel Wolfe
Keyword(s):  
Hiv Prevention ◽  
People Who Use Drugs ◽  
Syringe Exchange ◽  
Exchange Programmes

Secondary Syringe Exchange as a Model for HIV Prevention Programs in the Russian Federation

2006 ◽  
Vol 41 (6-7) ◽  
pp. 979-999 ◽  
Author(s):  
Kevin Irwin ◽  
Evgeni Karchevsky ◽  
Robert Heimer ◽  
Larissa Badrieva
Keyword(s):  
Hiv Prevention ◽  
Russian Federation ◽  
Prevention Programs ◽  
Syringe Exchange ◽  
The Russian Federation

Direct evaluation of needle and syringe exchange programmes

The Lancet ◽  
1996 ◽  
Vol 347 (9003) ◽  
pp. 768 ◽  
Author(s):  
Martin Frischer ◽  
Avril Taylor ◽  
David Goldberg ◽  
Lawrence Elliott
Keyword(s):  
Syringe Exchange ◽  
Direct Evaluation ◽  
Exchange Programmes

scholarly journals Geographic approaches to quantifying the risk environment: Drug-related law enforcement and access to syringe exchange programmes

2009 ◽  
Vol 20 (3) ◽  
pp. 217-226 ◽  
Author(s):  
Hannah L.F. Cooper ◽  
Brian Bossak ◽  
Barbara Tempalski ◽  
Don C. Des Jarlais ◽  
Samuel R. Friedman
Keyword(s):  
Law Enforcement ◽  
Syringe Exchange ◽  
Risk Environment ◽  
Exchange Programmes

HIV non-occupational postexposure prophylaxis (nPEP) usage among five key populations in China

2021 ◽  
pp. sextrans-2020-054791
Author(s):  
Haochu Li ◽  
Ran Wei ◽  
Eduardo Piqueiras ◽  
Eric P F Chow ◽  
Kedi Jiao ◽  
...  
Keyword(s):  
High Risk ◽  
Hiv Prevention ◽  
Sex Workers ◽  
People Who Use Drugs ◽  
Key Populations ◽  
Multiple Use ◽  
Postexposure Prophylaxis ◽  
Cross Sectional ◽  
Prevention Services ◽  
Behavioural Factors

ObjectivesTo examine the feasibility of non-occupational postexposure prophylaxis (nPEP) as a national strategy for HIV prevention in China, we investigated nPEP usage and related sociodemographic and behavioural factors among five key populations at high risk of contracting HIV.MethodsWe conducted a cross-sectional study among five key populations from November 2018 to September 2019 in China using convenience sampling to recruit participants aged ≥18 years, self-reporting HIV status as either negative or unknown and providing written informed consent. Univariable and multivariable logistic regression models were fitted.ResultsOur analysis included data from 2022 participants with a mean age of 35 years (SD=11.62). Only 57 (2.82%) participants had ever used nPEP. Sociodemographic and behavioural factors related to nPEP usage included populations (p<0.0001), age (p<0.05), education (p<0.05), nPEP knowledge (p<0.01), receiving conventional HIV prevention services (p<0.05) and HIV testing (p<0.05). A significant percentage (26%) of nPEP users used nPEP medication more than once. Challenges and concerns, such as multiple use of nPEP and syndemic conditions, were emerging.ConclusionsKey populations in China had low nPEP usage rates. Female sex workers, people who use drugs, older and illiterate individuals with poor nPEP knowledge, not using HIV prevention services or never tested for HIV should be emphasised. Implementing nPEP services would be an important way to access high-risk individuals for intensive and tailored HIV prevention and intervention. Challenges of providing nPEP services and future study foci are highlighted.

scholarly journals Mobile Health App for Self-Learning on HIV Prevention Knowledge and Services Among a Young Indonesian Key Population: Cohort Study (Preprint)

2019 ◽  
Author(s):  
Priyanka Rani Garg ◽  
Leena Uppal ◽  
Sunil Mehra ◽  
Devika Mehra
Keyword(s):  
Cohort Study ◽  
Hiv Prevention ◽  
Mobile Health ◽  
Drug Users ◽  
Transgender Women ◽  
Asia Pacific ◽  
People Who Use Drugs ◽  
Key Populations ◽  
Sex With Men ◽  
Self Learning

BACKGROUND Indonesia is the only country in the Asia Pacific region where the incidence of HIV is still on the rise, and its prevalence is extremely high among the key populations such as men who have sex with men, transgender women, and people who inject/use drugs. Mobile health (mHealth) apps provide an innovative platform for delivering tailored HIV prevention and care among these populations more efficiently than possible through the direct face-to-face approach. OBJECTIVE The aim of this study was to assess the role of a peer-customized mobile app based on the principle of self-learning for improving HIV prevention knowledge and access to health services among men who have sex with men, transgender women (known as Waria in Indonesia), and people who use drugs in Indonesia. METHODS A prospective intervention cohort study was conducted among the key populations in five provinces of Indonesia (Jakarata, West Java, East Java, Special Region of Yogyakarta, and Bali). The data were evaluated using a pre-post assessment survey conducted on a sample of 200 unique users, including 50 men who have sex with men and transgender women each, and 100 people who use drugs, with a follow-up response rate of 98% and 70%, respectively. An mHealth app named RUMAH SELA was developed and implemented among the key populations. RESULTS From baseline to the endpoint of the study, there was a significant increase in comprehensive HIV-related knowledge from 20% (10/49) to 60% (29/49), 22% (11/49) to 57% (28/49), and 49% (34/70) to 74% (52/70) among men who have sex with men (<i>P</i>=.004), transgender women (<i>P</i>&lt;.001), and people who use drugs (<i>P</i>&lt;.001), respectively. There was also a reduction in sexual activities without condom use from 22% (11/49) to 19% (9/49), 18% (9/49) to 12% (6/49), and 21% (15/70) to 10% (7/70) among men who have sex with men (<i>P</i>=.45), transgender women (<i>P</i>=.25), and people who use drugs (<i>P</i>&lt;.001), respectively. There was an uptake of HIV testing by 31% (15/49) for men who have sex with men, 49% (24/49) for transgender women, and 26% (18/70) for people who use drugs after using the app. There was a reduction in injecting drugs with a used needle in drug users from 45/70 (78%) to 15/70 (26%). Measures of self-esteem increased among men who have sex with men (mean 26.4 vs mean 27.1), transgender women (mean 26.5 vs mean 27.8; <i>P</i>=.02), and people who use drugs (mean 24.0 vs mean 25.0). In addition, 27% (7/24) of men who have sex with men, 25% (4/15) of transgender women, and 11% (2/18) of drug users made an appointment for an HIV test through the app. The app was quite highly accepted by the key populations as nearly a quarter felt that they became more confident in discussing issues about sexuality, more than 80% found that the app provided sufficient knowledge about HIV, and more than half of the participants found the app to be user friendly. CONCLUSIONS This one-of-a-kind mHealth intervention with an mHealth app as a self-learning tool is effective in increasing HIV-related knowledge and behavior, and access to services with strong acceptability by the community. There is a need to scale up such interventions for efficacy testing in a larger population to provide evidence for national-level mHealth programs addressing HIV.

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