scholarly journals Impact of funding harm reduction programs for people who inject drugs in Mexico

Salud Mental ◽  
2019 ◽  
Vol 42 (4) ◽  
pp. 157-163 ◽  
Author(s):  
Marisol Valenzuela-Lara ◽  
Marisol Ponce-Ramos ◽  
Karen Ruiz-Herrera ◽  
Agustín López-González
Keyword(s):  
Harm Reduction ◽  
People Who Inject Drugs ◽  
Deterministic Model ◽  
Cost Effective ◽  
Hiv Infections ◽  
Limited Data ◽  
Community Based ◽  
Public Health Burden ◽  
Community Based Organizations ◽  
Using Data

Introduction. Despite evidence from harm reduction programs, there are limited data on their impact in Mexico. The Mexican National HIV Program has supported harm reduction programs implemented by community-based organizations both financially and technically. Objective. To obtain an estimate of HIV infections averted from 2015 to 2018. Method. A deterministic model was developed to estimate the number of infections, with harm reduction projects financed by CENSIDA and implemented by Community-Based Organizations, using data reported from the period 2015 to 2018. The benefit was obtained by estimating the costs of providing prevention programs and comparing the latter to the costs of providing care. Results. An analysis of 66,973 people included in harm reduction programs showed that an estimated 869 HIV infections were averted between 2015 and 2018. Potential savings obtained by providing these harm reduction services exceeded over $600,000 Mexican pesos for every infection averted. Discussion and conclusion. Harm reduction services play a key role in reducing the incidence of HIV in Mexico. Ensuring their financing is necessary since, combined with other services, they are a cost-effective tool for reducing the economic and public health burden of HIV/AIDS.

scholarly journals Inequalities in women’s empowerment and prevalence of HIV in India

2020 ◽  
Vol 7 (8) ◽  
pp. 3069
Author(s):  
Shri Kant Singh ◽  
Deepanjali Vishwakarma ◽  
Bhawana Sharma ◽  
Santosh Kumar Sharma
Keyword(s):  
Gender Gap ◽  
Hiv Infections ◽  
Women's Empowerment ◽  
Hiv Prevalence ◽  
Women’S Empowerment ◽  
Spousal Violence ◽  
Sexual Rights ◽  
Community Based ◽  
Using Data ◽  
Hiv Aids

Background: Over the years, there has been growing evidence of continuous narrowing gender gap in new HIV infections, despite stagnation in overall HIV prevalence in India. Among others, one of the reasons behind the exiting pattern in HIV/AIDS in the country is the poor status of women, lack of control over their sexuality and poor reproductive and sexual rights.Methods: This paper analyses the troika of women’s empowerment, spousal-violence, and HIV prevalence in India using data from two rounds (2005-2006 and 2015-2016) of Indian DHS having a community-based HIV testing.Results: Results corroborate the recent spurts in women’s empowerment in India, which cuts across socio-economic groups. It has positively influenced a decline in spousal-violence even in the lowest socio-economic strata despite significant inequality across states. HIV prevalence among women has not been changed over the last decade (0.22% to 0.23%) despite decreased adult HIV prevalence. Women having control over their sexuality is significantly less likely to have HIV infection. Relationship between marital control behavior of husband and HIV prevalence, which was significant in 2005-06 (OR=1.2, p<0.10), has emerged to be insignificant in 2015-16. This means that increasing women's empowerment has altered their HIV prevalence through increasing sexual-rights and reducing the intensity of marital control behavior.Conclusions: A combative relationship has been established between women’s empowerment and their risk of HIV/AIDS. The results have been consistently showing the variations of inequality in women’s empowerment across different states, consequently affecting the risk of HIV/AIDS. Ensuring sexual-rights of women should be the best strategy.

scholarly journals Young and invisible: a qualitative study of service engagement by people who inject drugs in India

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e047350
Author(s):  
Lakshmi Ganapathi ◽  
Aylur K Srikrishnan ◽  
Clarissa Martinez ◽  
Gregory M Lucas ◽  
Shruti H Mehta ◽  
...  
Keyword(s):  
Harm Reduction ◽  
Opioid Dependence ◽  
People Who Inject Drugs ◽  
Hiv Infections ◽  
Young Female ◽  
Structural Factors ◽  
Semistructured Interview ◽  
Initiation Phase ◽  
Injection Initiation ◽  
Service Engagement

ObjectivesThe HIV epidemic in India is concentrated in key populations such as people who inject drugs (PWID). New HIV infections are high among young PWID (≤30 years of age), who are hard to engage in services. We assessed perspectives of young PWID to guide development of youth-specific services.SettingWe conducted focus group discussions (FGDs) with PWID and staff at venues offering services to PWID in three Indian cities representing historical and emerging drug use epidemics.ParticipantsPWID were eligible to participate if they were between 18 and 35 years, had initiated injection as adolescents or young adults and knew adolescent PWID in their networks. 43 PWID (81% male, 19% female) and 10 staff members participated in FGDs. A semistructured interview guide was used to elicit participants’ narratives on injection initiation experiences, barriers to seeking harm reduction services, service delivery gaps and recommendations to promote engagement. Thematic analysis was used to develop an explanatory model for service engagement in each temporal stage across the injection continuum.ResultsInjection initiation followed non-injection opioid dependence. Lack of services for non-injection opioid dependence was a key gap in the preinjection initiation phase. Lack of knowledge and reliance on informal sources for injecting equipment were key reasons for non-engagement in the peri-injection phase. Additionally, low-risk perception resulted in low motivation to seek services. Psychosocial and structural factors shaped engagement after established injection. Housing and food insecurity, and stigma disproportionately affected female PWID while lack of confidential adolescent friendly services impeded engagement by adolescent PWID.ConclusionsDevelopment of youth-specific services for young PWID in India will need to address unique vulnerabilities and service gaps along each stage of the injection continuum. Scaling-up of tailored services is needed for young female PWID and adolescents, including interventions that prevent injection initiation and provision of confidential harm reduction services.

Leveraging Community Engagement: The Role of Community-Based Organizations in Reducing New HIV Infections Among Black Men Who Have Sex with Men

2020 ◽  
Vol 7 (2) ◽  
pp. 193-201
Author(s):  
Paul A. Burns ◽  
Michelle S. Williams ◽  
Leandro A. Mena ◽  
Marino A. Bruce ◽  
Melverta Bender ◽  
...  
Keyword(s):  
Community Engagement ◽  
Black Men ◽  
Hiv Infections ◽  
Community Based ◽  
Community Based Organizations ◽  
Sex With Men

Community-based Organizations and Issues in Community Development in an Era Constant Change

2019 ◽  
Vol 10 (7) ◽  
pp. 585-605
Author(s):  
Terrence Thomas ◽  
◽  
Befikadu Legesse ◽  
Cihat Gunden ◽  
◽  
...  
Keyword(s):  
Community Action ◽  
Black Belt ◽  
Valuable Insight ◽  
Top Down ◽  
Community Based ◽  
Community Based Organizations ◽  
Constant Change ◽  
Black Belt Region ◽  
Local Problems ◽  
Community Based Organization

The failure of top-down categorical approaches for generating solutions to many local problems has led to the adoption of alternate approaches. Many scholars believe that a confluence of local and global forces have generated complex problems, which call for new approaches to problem solving. Previously, the top-down approach relied entirely on the knowledgeable elite. Communities were seen as passive study subjects and information flow was one way only- from knowledgeable elites to the less knowledgeable community agents or community-based organization acting on behalf of communities. The objectives of this study are to provide a review of governance as a means of organizing community action to address community problems in the Black Belt Region (BBR) of the Southeastern United States, and an assessment of community problems in the BBR from the perspectives of community-based organizations (CBOs). Data was collected from CBOs via a telephone survey in eleven Southeastern states and via listening sessions conducted with CBOs in 9 Southeastern states. The study provides valuable insight regarding the challenges faced by these organizations and strategies they employ in adapting to serve their communities.

E-Voting Kepala Desa dan Modal Sosial

2019 ◽  
Vol 2 (6) ◽  
pp. 759
Author(s):  
Khaulah Afifah ◽  
Lala M Kolopaking ◽  
Zessy Ardinal Barlan
Keyword(s):  
Social Capital ◽  
Random Sampling ◽  
Qualitative Data ◽  
Sampling Technique ◽  
Cost Effective ◽  
Simple Random Sampling ◽  
Community Based ◽  
Time Saving ◽  
The Social ◽  
Voting System

Head of a village election with e-voting system is a new thing for community The success level of e-voting system can be reached by fulfil several principles in order to the implementation going effective and the result of the election can be accepted by all. The objectives of this research is to analyze the relation between the success level of e-voting system with social capital of the community. This research is carried out with the quantitative approach and supported by qualitative data. This research takes 60 respondents using simple random sampling technique. The results showed that the success level of e-voting has a correlation with the level of social capital of the community. Based on the field study, the social capital of the community is classified as high. The high social capital makes the implementation of e-voting successful and the success level is also high, because in the election ten years ago occurred a conflict. The community considers e-voting easier and more practical, cost effective and time-saving, and the results of e-voting are also reliable. A practical and fast of e-voting system can be a solution especially for “rural-urban” community who are busy or work outside the village.Keywords: E-voting, the success level of the system, social capital Pemilihan kepala desa dengan sistem e-voting merupakan hal yang baru bagi masyarakat. Keberhasilan penerapan sistem e-voting dilihat dari terpenuhinya beberapa prinsip agar penerapannya berlangsung efektif dan hasilnya dapat diterima oleh seluruh masyarakat. Penelitian ini bertujuan untuk menganalisis hubungan tingkat keberhasilan sistem e-voting dalam pemilihan kepala desa dengan tingkat modal sosial masyarakat. Bentuk penelitian ini adalah penelitian kuantitatif yang didukung oleh analisis data kualitatif. Penelitian ini mengambil enam puluh responden dengan teknik simple random sampling. Hasil penelitian menunjukkan bahwa tingkat keberhasilan e-voting memiliki hubungan dengan tingkat modal sosial masyarakat. Berdasarkan kajian di lapang, modal sosial masyarakat tergolong tinggi. Tingginya modal sosial tersebut membuat pelaksanaan e-voting berhasil dan tingkat keberhasilannya juga tergolong tinggi karena pada pemilihan sepuluh tahun silam sempat terjadi konflik. Masyarakat menganggap sistem evoting lebih mudah dan praktis, hemat dalam segi biaya dan waktu, serta hasil dari pemilihan juga dapat dipertanggungjawabkan. Sistem e-voting yang praktis dan cepat dapat menjadi solusi khususnya bagi masyarakat daerah “desa-kota” yang memiliki kesibukan atau pekerjaan di luar desa.Kata Kunci: E-voting, keberhasilan sistem, modal sosial. 

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