title: Effectiveness of harm reduction programmes for injecting drug users in Dhaka city.
abstract: This paper provides a brief overview of the harm reduction programme for injecting drug users (IDU) of CARE, Bangladesh in Dhaka city and uses data from surveillance and a focussed research study on a cohort of IDU, to evaluate the programme. The harm reduction programme in Dhaka is run by CARE, Bangladesh and includes needle/syringe exchange, awareness raising on HIV/STI, abscess management, condom distribution and advocacy with different groups of people. The needle/syringe exchange programme (NEP) has been in place since 1998, the 2nd Generation Surveillance in Bangladesh is being conducted since 1998, and an in-depth cohort study, started in 2002, is being conducted in two areas of Dhaka city with approximately 500 IDU under CARE's NEP who are being followed bi-annually to assess risk behaviour, incidence of HIV, hepatitis C and syphilis. As the surveillance and the cohort study are both closely associated with the NEP of CARE, Bangladesh, these data can be used to monitor the NEP.
authors.affiliation: ICDDR, B: Centre for Health and Population Research, Mohakhali, Dhaka 1212, Bangladesh. tasnim@icddrb.org
authors.forename: Tasnim
authors.initials: T
authors.lastname: Azim
authors.forename: Najmul
authors.initials: N
authors.lastname: Hussein
authors.forename: Robert
authors.initials: R
authors.lastname: Kelly