       Document 0516
 DOCN  M9640516
 TI    Declining risk for HIV among injecting drug users in Kathmandu, Nepal:
       the impact of a harm-reduction programme.
 DT    9604
 AU    Peak A; Rana S; Maharjan SH; Jolley D; Crofts N; Lifesaving and
       Lifegiving Society, Kathmandu, Nepal.
 SO    AIDS. 1995 Sep;9(9):1067-70. Unique Identifier : AIDSLINE MED/96085723
 AB    OBJECTIVE: To measure changes in self-reported risk behaviour for HIV
       infections and HIV seroprevalence among injecting drug user (IDU)
       clients of an outreach harm-reduction programme in Kathmandu, Nepal.
       METHODS: The Lifesaving and Lifegiving Society (LALS) of Kathmandu began
       providing sterile injecting equipment and education to Nepalese IDU in
       1991. A sample of these IDU were interviewed and tested for HIV each
       year from 1991 through 1994. RESULTS: Indicators of unsafe injecting
       fell, as knowledge of HIV rose more in 1994 for those who had been in
       touch with LALS for longer. Indicators of unsafe sex did not change. HIV
       seroprevalence remained low, 1.6% in 1991 and 0% in 1994. CONCLUSION: We
       conclude that programmes for the prevention of HIV spread among IDU are
       possible and effective in Asia, and are urgently needed.
 DE    Adult  *Developing Countries  Female  Health Education/*TRENDS  Human
       HIV Infections/*PREVENTION & CONTROL/TRANSMISSION  HIV
       Seroprevalence/*TRENDS  Knowledge, Attitudes, Practice  Male
       Needle-Exchange Programs/*TRENDS  Nepal/EPIDEMIOLOGY  Risk Factors  Sex
       Behavior  Substance Abuse, Intravenous/*EPIDEMIOLOGY  Support, Non-U.S.
       Gov't  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

