Peak A, Rana S, Maharjan S H, Jolley D, Crofts N
Lifesaving and Lifegiving Society, Kathmandu, Nepal.
AIDS. 1995 Sep;9(9):1067-70. doi: 10.1097/00002030-199509000-00013.
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.
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.
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.
We conclude that programmes for the prevention of HIV spread among IDU are possible and effective in Asia, and are urgently needed.
评估尼泊尔加德满都一项外展减害项目中注射吸毒者（IDU）客户自我报告的HIV感染风险行为及HIV血清流行率的变化。
加德满都的救生与给予生命协会（LALS）于1991年开始向尼泊尔注射吸毒者提供无菌注射设备及教育。1991年至1994年期间，每年对这些注射吸毒者样本进行访谈并检测HIV。
不安全注射指标下降，1994年与LALS接触时间更长的人对HIV的了解程度提升更多。不安全性行为指标未发生变化。HIV血清流行率依然较低，1991年为1.6%，1994年为0%。
我们得出结论，在亚洲，预防HIV在注射吸毒者中传播的项目是可行且有效的，且迫切需要开展此类项目。
