Declining risk for HIV among injecting drug users in Kathmandu, Nepal: the impact of a harm-reduction programme.
OBJECTIVE
To measure changes in self-reported risk behaviour for HIV infections and HIV seroprevalence among injecting drug user (IDU) clients of an outreach harm-reduction programme in Kathmandu, Nepal.


METHODS
The Lifesaving and Lifegiving Society (LALS) of Kathmandu began providing sterile injecting equipment and education to Nepalese IDU in 1991. A sample of these IDU were interviewed and tested for HIV each year from 1991 through 1994.


RESULTS
Indicators of unsafe injecting fell, as knowledge of HIV rose more in 1994 for those who had been in touch with LALS for longer. Indicators of unsafe sex did not change. HIV seroprevalence remained low, 1.6% in 1991 and 0% in 1994.


CONCLUSIONS
We conclude that programmes for the prevention of HIV spread among IDU are possible and effective in Asia, and are urgently needed.
Lifesaving and Lifegiving Society, Kathmandu, Nepal.
A
A
Peak
S
S
Rana
S H
SH
Maharjan
D
D
Jolley
N
N
Crofts
D000328:Adult; D003906:Developing Countries; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D015528:HIV Seroprevalence / Q000639:trends*; D006266:Health Education / Q000639:trends*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D018671:Needle-Exchange Programs / Q000639:trends*; D009390:Nepal / Q000453:epidemiology; D012307:Risk Factors; D012725:Sexual Behavior; D015819:Substance Abuse, Intravenous / Q000453:epidemiology*