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Author Dutta, Arin
Title Global HIV Epidemics among People Who Inject Drugs
Imprint Herndon : World Bank Publications, 2012
book jacket
Descript 1 online resource (116 pages)
text txt rdacontent
computer c rdamedia
online resource cr rdacarrier
Series Directions in Development
Directions in Development
Note Front Cover -- Title -- Copyright -- Contents -- Acknowledgments -- Abbreviations -- Executive Summary -- Chapter 1 Background -- Introduction-A Situation Update -- Global Coverage of the Four Key Interventions among PWID -- Effects of the Four Key Interventions among PWID in the Context of the HIV Epidemic -- Evidence for NSP, MAT, and HCT Reducing Risk Behaviors among PWID -- Evidence for the Impact of NSP, MAT, ART, and HCT on HIV Incidence among PWID -- Organization of this Report -- Chapter 2 Methodology -- Country Case Studies -- Introduction to the Modeling Methodology -- Modeling the Effect of Scaling Up the Four Key Harm Reduction Interventions -- Data -- Chapter 3 Ukraine Case Study -- Overview of the Epidemic -- Modeling Analysis -- Results -- Discussion -- Chapter 4 Pakistan Case Study -- Overview of the Epidemic -- Modeling Analysis -- Results -- Discussion -- Chapter 5 Thailand Case Study -- Overview of the Epidemic -- Modeling Analysis -- Results -- Discussion -- Chapter 6 Kenya Case Study -- Overview of the Epidemic -- Modeling Analysis -- Results -- Discussion -- Chapter 7 Policy Perspectives -- Discussion of Modeling Results Across the Case Studies -- The Need to Scale Up: Policy and Human Rights Perspectives -- References -- Appendix A Unit Costs of Interventions -- Appendix B Barriers and Constraints to Provision and Scale-up of Key Interventions for PWID -- Boxes -- Figures -- Map -- Tables -- Back Cover
People who inject drugs (PWID) are at higher risk for acquiring HIV infection than the general population in many countries. Injecting drug use is present in 148 countries including a wide array of low and middle income countries where HIV incidence is growing in recent years - even as it declines elsewhere. This study was undertaken as the third of a series of three economic analyses examining the global epidemics of HIV/AIDS in vulnerable populations. Informed by a critical review of epidemiological evidence and the most recent analyses of intervention efficacy, this work modeled the costs and impact of addressing the needs of PWID at scale in various epidemic contexts. These particular research questions were addressed:What are the modeled epidemic impact and costs of implementing a minimum adaptable package of evidence-based and human rights affirming services for prevention, treatment, and care of HIV/AIDS in PWID in globally representative epidemic scenarios?What are the estimated returns on investment and costs of inaction of addressing these epidemics?Taken together, the findings indicate:Service coverage levels for ART and key harm reduction interventions with HIV prevention benefits are generally inadequate. Allocative decisions for HIV/AIDS should better reflect the burden of transmission and disease.HIV transmission dynamics can be significantly reduced by scaling up a package of four key harm reduction interventions specific to PWID: Needle and Syringe Programs, Medically Assisted Therapy and HIV Counseling and Testing, as well as proportionate access in ART scale-up. Evidence-based and effective interventions for PWID should be funded and implemented - in the context of HIV prevention services for the general population, such as condom promotion. Interventions for PWID - particularly in combination with treatment services - are cost
effective or highly cost effective investment choices across the breadth of the global epidemic.The study presents compelling evidence for the most cost-effective approaches to minimizing the transmission and impacts of HIV in this key population. This evidence may guide both operational design and policy dialogue in World Bank operations
Description based on publisher supplied metadata and other sources
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2020. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
Link Print version: Dutta, Arin Global HIV Epidemics among People Who Inject Drugs Herndon : World Bank Publications,c2012 9780821397763
Subject HIV infections -- Epidemiology.;Intravenous drug abuse
Electronic books
Alt Author Wirtz, Andrea
Stanciole, Anderson
Stanciole, Anderson
Oelrichs, Robert
Cleghorn, Farley
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