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in Report - 05 Apr, 2015
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Nepal’s HIV and AIDS epidemic is concentrated amongst most-at-risk populations (MARP). The number of people living with HIV and AIDS in Nepal have increased in recent years. As of 2008 National estimate indicate that approximately 70,000 adults and children are infected with HIV in Nepal, with an estimated prevalence of about 0.49% in the adult population (15-49 years old). As of December 2009, more than 14,320 cases of HIV and 1,755 AIDS cases had been reported to the National Centre for AIDS and STD control (NCASC). The sex ratio among HIV positive cases is 2.9:1 (male: female).Despite rapid increase of VCT and other service outlets, only 20% of all estimates were tested and reported. Of total reported, approximately 17% had developed AIDS.The epidemic is more pronounced among the female sex workers (FSWs) and injecting drug users (IDUs) in Kathmandu, Pokhara, and three districts (Jhapa, Morang and Sunsari) in the Eastern Terai. HIV prevalence among injecting drug users was 34.7% in Kathmandu in 2007 and ranged from 6.8% to 17.1% in other sites under surveillance. 10% of HIV infection in Nepal is due to injecting drug use. As in other location of the country, sharing of injecting equipment and drugs with others is a common practice among the Injecting Drug Users (IDUs) in Morang District too. Injecting Drug Users (IDUs) are familiar with each other in their own localities, they could inject with anyone they are acquainted with. As most of the injecting drug users in Morang are unmarried they are also at risk of unsafe sex which may result in dual risk of HIV transmission. Drug users are disliked, discriminated and marginalized by the society which reinforces their needle sharing behavior due to frustration of life, lack of proper education on risk behavior and economic crisis to afford new syringe. Stigmatization and discrimination towards drug users has made it more difficult for them to seek basic health care. These groups of IDUs are in need of services because they are at risk of HIV transmission. Henceforth, it is highly important to provide a comprehensive service to the Injecting Drug Users to reduce the HIV and AIDS transmission amongst this group. So as to bridge this gap, Richmond Fellowship Morang has been providing comprehensive services to drug users and injecting drug user objectively to reduce HIV transmission and to provide Behavior Change Communication Education through HIV/AIDS Targeted Intervention Services for IDUs, Social Care Unit for Methadone Maintenance Treatment Program, Post Rehabilitation Care and Drug Treatment Center.

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