An assessment of an HIV prevention intervention among people who inject drugs in the states of Manipur and Nagaland, India
| Autor: | Prabuddhagopal Goswami, Gajendra Kumar Medhi, Gregory Armstrong, Maninder Singh Setia, Shajan Mathew, Gay Thongamba, Lakshmi Ramakrishnan, Bitra George, Rakesh Kumar Singh, Ramesh S. Paranjape, Jagadish Mahanta |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
Cross-sectional study Integrated behavioural and biological assessment Medicine (miscellaneous) HIV Infections law.invention Condoms law Prevalence Condom use Substance Abuse Intravenous education.field_of_study Traditional medicine Health Policy Hepatitis C Hepatitis B Needle-Exchange Programs Sexual Partners Adult medicine.medical_specialty Hepatitis B&C Adolescent Sexual Behavior Population Sexually Transmitted Diseases India Young Adult Risk-Taking Condom medicine Humans education PWID Hepatitis business.industry Public health Needle/syringe exchange programme Cross sectional survey HIV Odds ratio medicine.disease CMIS Cross-Sectional Studies Multivariate Analysis HIV prevention programme STI business Demography |
| Zdroj: | The International journal on drug policy. 25(5) |
| ISSN: | 1873-4758 |
| Popis: | BackgroundThe present study describes an assessment of a large-scale intervention, “Avahan”, using an evaluation framework that assesses the program coverage, changes in injection patterns, condom use, and STI and HIV prevalence among People Who Inject Drugs (PWID) in two states of India – Manipur and Nagaland.MethodsProgram monitoring data and results from two rounds of a cross sectional biological and behavioural surveys in 2006 (Round 1) and 2009 (Round 2) were used. The sample included 839 and 860 PWIDs from Manipur and 821 and 829 PWIDs from Nagaland in Round 1 and Round 2 respectively for current analysis. Bivariate and multivariate analyses were done to measure the changes in behavioural and biological outcomes between the two rounds and to examine the association between programme exposure and behavioural outcomes.ResultsIn Manipur, about 77% of the PWIDs were contacted by the peer educators/outreach workers every month and about 18% of the PWIDs visited the clinic every month by March 2010. In Nagaland, however, the proportion of PWIDs visiting the clinic monthly remained low (11% in March 2010). PWIDs in both states were more likely to report ‘consistent safe injection practice in the last six months’ in Round 2 compared to Round 1 (Manipur: adjusted odds ratio (aOR): 1.88, 95% confidence intervals (CI): 1.46–2.43; Nagaland: aOR: 2.35, 95% CI: 1.86–2.80) PWIDs were also more likely to report consistent condom use with regular partners in Round 2. The prevalence of Hepatitis B virus (HBV) increased in Round 2 in Manipur (11% vs 6%, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect