A study of knowledge and behaviour in relation to the risk of HIV among injecting drug users in Bhaktapur district of Nepal

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Injecting drug has played a critical role in the global diffusion of HIV-1 injection. There is also increasing concern throughout the world about the complications such as Hepatitis B and C, Syphilis, and other complications such as overdose among the IDUs 25 . There are at least five and half million and possibly up to 10 million injecting drug users in the world today ranging across 128 countries and territories up from around 80 years ago 26 . By the end of 1996, injection of illicit drugs had been reported in over 121 countries in all regions of the world, with HIV transmission associated with injection reported in at least 84 of these countries. This is substantial increase over the 52 countries known to have HIV-1 infection among IDUs 27 . Therefore, it can be assumed that phenomenon of injecting drugs as well as HIV diffusion among and from IDUs' communities is spreading out all over the world rapidly like diffusion of new fashion in the market. Nepal is not also untouchable from this phenomenon. It has been facing the problem of drug trafficking and drug abuse since the beginning of 1970s 28 . The consumption of opium and its derivatives has been found to be decreasing among the drug users but the use of pharmaceutical drugs is increasing in an alarming proportion in Nepal. Increased use of psychotropic drugs is due to the easy availability and low price. Psychoactive drugs are smuggled into Nepal from India. Codeine based cough syrup, Burpernorphine, Diazepam, Nitrazepam, etc. are the common psychotropic drugs, which are sold and consumed locally. The quantity of psychotropic substances seized by the law enforcement agencies is increasing every year. The problems of drug abuse are localized especially in the urban and semi urban areas. However, there have been few instances of drug abuse in rural parts as well (ibid). Though people have been using Cannabis and Hashish since very beginning, people started to look the drug use as problem from the 60's when Hippies entered in Nepal with drug abuse culture. At mid of 70's, there were only 50 drug users in Nepal 29 , whereas at the present time, it is estimated that there are about 50,000 drug addicts in Nepal out of 25 Rapid Assessment and Response Guide. WHO, Geneva, 1994 26 Cowal, Sally, Preventing the spread of HIV through Drug Injecting. Paper for the panel on Drug abuse and HIV/AIDS, presented at UN's General assembly special session on drugs, New York, June 1998 27 Rapid Assessment and Response Guide. WHO, Geneva, 1994 28 Narcotic Control Bulletin. Year 9 No. 1 (Jan-Dec. 1999) 29 Dr. Bhandari, Bishnu, Status of Drub abuse and its prevention: from United Nations to nepal. Drug Abuse in Nepal: Prevalence, Prevention, Treatment and Rehabilitation. Drug Abuse Prevention Nepal (DAPAN), Kathmandu, 1988b 16

Anteprima della Tesi di Bishnu Prasad Shrestha

Anteprima della tesi: A study of knowledge and behaviour in relation to the risk of HIV among injecting drug users in Bhaktapur district of Nepal, Pagina 8

International thesis/dissertation

Autore: Bishnu Prasad Shrestha Contatta »

Composta da 138 pagine.


Questa tesi ha raggiunto 95 click dal 09/02/2007.

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