Hangzo C, Chatterjee A, Sarkar S, Zomi G T, Deb B C, Abdul-Quader A S
ICMR-WHO collaborative project, Churachandpur, Manipur, India.
Addiction. 1997 Jul;92(7):813-20.
Outreach interventions using ex-IDUs to inform and educate their peers about HIV/AIDS prevention measures have been found to be effective in the United States and other developed countries. While HIV/AIDS prevention programmes targeting IDUs have also been implemented in a number of developing countries, very little information is available on the process of implementation of these programmes. This paper attempts to document some of this knowledge by describing the implementation process of an outreach intervention targeting IDUs in a small town--Churachandpur--with high injection drug use and high HIV infection rates, in the north-eastern state of Manipur. The paper describes the barriers encountered in implementing the outreach and how these barriers were minimized. In conclusion, the paper makes the case for targeting outreach to the larger community before targeting the IDUs.
在美国和其他发达国家,利用曾经的注射吸毒者向其同伴宣传和教育艾滋病毒/艾滋病预防措施的外展干预措施已被证明是有效的。虽然一些发展中国家也实施了针对注射吸毒者的艾滋病毒/艾滋病预防方案,但关于这些方案实施过程的信息却非常少。本文试图通过描述在印度东北部曼尼普尔邦一个注射吸毒率高且艾滋病毒感染率高的小镇——丘拉昌德布尔开展的针对注射吸毒者的外展干预措施的实施过程,来记录其中的一些情况。本文描述了实施外展工作时遇到的障碍以及如何将这些障碍最小化。总之,本文主张在针对注射吸毒者之前,应先将外展工作目标扩大到更广泛的社区。