'It's risky to walk in the city with syringes': understanding access to HIV/AIDS services for injecting drug users in the former Soviet Union countries of Ukraine and Kyrgyzstan
2011

Access to HIV/AIDS Services for Injecting Drug Users in Ukraine and Kyrgyzstan

Sample size: 202 publication Evidence: moderate

Author Information

Author(s): Neil Spicer, Daryna Bogdan, Ruairi Brugha, Andrew Harmer, Gulgun Murzalieva, Tetiana Semigina

Primary Institution: London School of Hygiene and Tropical Medicine

Hypothesis

What are the barriers to accessing HIV/AIDS services for injecting drug users in former Soviet Union countries?

Conclusion

Increased availability of HIV/AIDS services does not equate to greater accessibility due to multiple, complex barriers.

Supporting Evidence

  • Stigma and discrimination were significant barriers to accessing services.
  • Criminalization of drug use created fear and reluctance to seek help.
  • Limited knowledge of available services hindered access.
  • Shortages of necessary medical supplies affected service delivery.

Takeaway

This study shows that even when there are more HIV/AIDS services available, many people still can't get to them because of stigma, discrimination, and other barriers.

Methodology

Semi-structured interviews were conducted with clients, service providers, and stakeholders in Ukraine and Kyrgyzstan.

Potential Biases

Potential bias due to the sampling of only those already engaged with services.

Limitations

The study did not include individuals not using HIV/AIDS services and was limited to urban areas.

Participant Demographics

Clients included 202 individuals, with 41 females and 121 males from both countries.

Digital Object Identifier (DOI)

10.1186/1744-8603-7-22

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