Drug-related HIV epidemic in Pakistan: a review of current situation and response and the way forward beyond 2015Reportar como inadecuado




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Harm Reduction Journal

, 12:43

Harm Reduction in Asia and the Pacific

Abstract

Pakistan is among four countries in Asia where the estimated number of new HIV infections has been increasing year by year ever since 1990. The Asian Epidemic Modelling AEM, conducted in 2015, reconfirmed that the use of contaminated injection equipment among people who inject drugs PWID remains the main mode of HIV transmission in the country. The estimated number of PWID ranges from 104,804 to 420,000 PWID. HIV prevalence in this population is above 40 % in several cities, including Faisalabad 52.5 %, D.G. Khan 49.6 %, Gujrat 46.2 %, Karachi 42.2 % and Sargodha 40.6 %, respectively. Harm reduction service delivery is being implemented through a public-private partnership led by the National and Provincial AIDS Control Programmes and Nai Zindagi with funding support from the Global Fund. Current programmatic coverage of the needle and syringe programme, HIV testing and counselling and antiretroviral treatment among PWID remain insufficient to control ongoing transmission of HIV in the country. While opioid substitution therapy OST is yet to be introduced, significant progress and coordination among various ministries have taken place recently to register buprenorphine in the dosage required for treatment of opioid dependence, and possible introduction of OST will greatly facilitate adherence to antiretroviral treatment among PWID living with HIV.

KeywordsInjection drug use Pakistan HIV AIDS Hepatitis C Prisoners  Download fulltext PDF



Autor: Anne Bergenstrom - Baseer Achakzai - Sofia Furqan - Manzoor ul Haq - Rajwal Khan - Marc Saba

Fuente: https://link.springer.com/







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