network of low-threshold centres as a response to concentrated hiv epidemic among idus in latvia
TRANSCRIPT
Network of Low-Threshold Centres as a Response to Concentrated
HIV Epidemic among IDUs in Latvia
HIV Incidence by Transmission Group and Year
September 1, 2004198
7
198
8
198
9
199
0
199
1
199
2
199
3
199
4
199
5
199
6
199
7
199
8
199
9
200
0
200
1
200
2
200
3
200
4
15
122
192
382
663
396
231
82
2 6 3 2 4 13 32 73 71 91126
1 23 6 5 2 15 25 46 64 65 67
39
1 15 1 1 5 3 8 9 16 22
105 7 8 12
31 1
2 2 1
0
100
200
300
400
500
600
700
Changing philosophy
Transformation from Needle Exchange Point to Low Threshold Centre
– Needle&syringe exchange – outreach– Voluntary Counseling and Testing– condoms– disinfectants– Information– psychological and social support – reference and entry to drug and HIV treatment
programmes
HIV Cases and Locations of LTC
September 1, 2004
Jurmala – 20 km long sea side resort
Comparative Data of Low - Threshold Program in Latvia
(1999 – 2003)
9054 8354
5295150157
9414691447
56079
125696
116873
3621731
26614
3233
43793
3643
77893 76590
44232
2816 2406
0
20000
40000
60000
80000
100000
120000
140000
new clients Contacts Syringes for distribution Syringes disposed
1999 2000 2001 2002 2003
Results & Sustainability
Sevices: – Free of charge– VCT, N&S exchange, condoms, disinfectants, information etc.
6110 new clients engaged during the project More than 2000 HIV tests done Municipal responsibility:
– Insures operation of the center through municipal budget AIDS prevention center respponsibility:
– syringes, needles, – condoms, – Information materials, – HIV tests