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