i/du situation and response in bangladesh national aids/std programme (nasp), dghs/mohfw dr. sm...

I/DU Situation and Response In Bangladesh

National AIDS/STD Programme (NASP), DGHS/MOHFW

Dr. SM Mustafa AnowerDirector, CME and

Line DirectorNational AIDS/STD Programme &

SBTP

Bangladesh

Area: 1,47,570 sq. km

Population: 140 million

Population Density: 948/sq. km

Urban Population: 25%

Youth Population: 33 million

Primary school enrolment: 84%

Total fertility rate: 3

Life expectancy: 67 Yrs (approx.)

HIV IN male IDU from central-a over the rounds

7

4.944

1.71.4

0

1

2

3

4

5

6

7

8

RoundII

RoundIII

RoundIV

RoundV

RoundVI

RoundVII

Per

cen

tag

e

Official estimates of opiate users & sources

• Injection drug users low range- 20000• Injection drug users high range-40000

Ref: NASP working group on size estimation of HIV/AIDS infection in Bangladesh, March 22, 2004; final estimate recommended by the same group in Nov 28, 2004.

Coverage among IDUs

• 40% IDUs of lowest estimate

• 20% IDUs of highest estimate

Opportunities to scale up• To increase coverage by scaling

up IDU intervention

• To introduce Oral Drug Substitution Therapy

Challenges

• Harm Reduction program and Oral Substitution Therapy are yet to be legalized. It requires involvement of multiple departments and ministries.

• Uninterrupted resource allocation in right program is often difficult.

Next Steps/Follow-up action

What? When? Where? Who?

Scaling of IDU intervention

By Dec 2007

Country wide

NASP, Implementing agencies (IA).

Oral substitution for IDU

By Dec 2007

In Central Dhaka

MoHFW(NASP, DDA), IA, MoHA(DNC)

Thank You