Service Package

Injecting Drug Users
(IDUs)

Organization and locations of IDUs in the project area

• Geographical / Social mapping of IDUs in the project area 

Appropriate BCC strategies

• Detailed BCC strategy plan for prevention of HIV transmission both through injecting drug and unprotected sex, based on the information from mapping

• Hiring, training and supervision of staff and/or peer educators to undertake BCC activities

• Review and revision of BCC strategy and activities based on revised mapping, project experience and behavioral surveillance results

Harm reduction activities, including needle exchange and referral to drug treatment centers

• Establishment of a “clean needles” program, including providing sterile injecting equipment and disinfectant materials, along with PHC services

• Provision of appropriate counseling and mental health services, or referral to such services

• Linkage and provision of referrals with local medical services (government, private) on the medical care of IDUs

• Provision of BCC to the spouses/partners and family members of IDUs

Condom education and distribution

• Inclusion of condom education in BCC strategies, materials and activities

• Provision of condoms to peer educators and outreach workers for distribution to IDUs

STI education and access to acceptable and appropriate STI services

• Inclusion of STI education in BCC strategies, materials and activities

• Provision of STI services including referral where appropriate

• Ensure that condom promotion and distribution are undertaken in local STI services used by IDUs

BCC on VCR / VCT, including access to VCT services

• Inclusion of VCT education in BCC strategies, materials and activities

• Establishment and linkage with local VCT services to ensure that IDUs have effective and appropriate access to services

• Monitoring the experience of IDUs in accessing VCT services, and taking remedial actions in the VCT educational activities and with the VCT services where needed

Enabling environment in the project area

• Develop plan to promote a more positive environment for HIV prevention with IDUs in the project area, based on the information from mapping

• Undertake advocacy and educational activities to promote understanding of local police officials and officers and other government officials towards the importance of HIV prevention and in working with IDUs for HIV prevention

• Develop referral systems for other key support activities, e.g., drug rehabilitation, legal services

Detoxification services

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