HIV Prevention Among Injection Drug Users: Strengthening U.S. Support for Core Interventions, CSIS Global Health Policy Center, April 2010 

This report examines data on the burden of HIV among IDUs and access to and receipt of MAT, needle and syringe programs (NSP), and ART services in 14 countries.

These core interventions have proven to have the greatest impact on preventing the further spread of HIV among IDUs and are key components of a comprehensive package of prevention, treatment, and care.  In the 14 countries examined in this report, 10 have concentrated epidemics of HIV among IDUs: China, Georgia, Indonesia, Kazakhstan, the Kyrgyz Republic, Malaysia, Russia, Tajikistan, Ukraine, and Vietnam. Four have heterosexually driven epidemics, and HIV among IDUs has only recently been reported: Cambodia, Kenya, South Africa, and Tanzania. With the exception of Malaysia, all are PEPFAR countries.

This report also examines barriers to the introduction and expansion of IDU interventions in the 14 countries surveyed, as well as the status of U.S. HIV/AIDS support for IDUs through the PEPFAR program.