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Behavioural Surveillance Surveys - The Wisdom of Whores

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In the past some HIV prevention programs<br />

among injecting drug users promoted carefully<br />

cleaning injecting equipment with bleach<br />

between users as an HIV prevention method.<br />

Recent research calls into question the<br />

effectiveness <strong>of</strong> this method, and few programs<br />

for drug users now actively promote it. It is<br />

therefore not included as a prevention method<br />

in this indicator.<br />

Many programs aimed at drug injectors<br />

also promote condom use in order to limit<br />

the spread <strong>of</strong> HIV from infected drug users<br />

to their sexual partners. This is covered in<br />

indicators <strong>of</strong> sexual risk, and is not included<br />

in the indicator <strong>of</strong> knowledge specific to<br />

prevention in drug-injecting situations.<br />

But, it may be useful to include an indicator<br />

similar to Adult Indicator 1 for the an IDU<br />

sub-population as well.<br />

Injecting Drug User Indicator 2<br />

No incorrect beliefs about<br />

AIDS transmission<br />

Definition<br />

Numerator :<br />

Number <strong>of</strong> respondents<br />

who in response to prompted<br />

questions correctly reject the<br />

two most common local<br />

misconceptions about AIDS<br />

transmission or prevention,<br />

and who know that a healthylooking<br />

person can transmit<br />

AIDS.<br />

Denominator : Total number <strong>of</strong> respondents<br />

surveyed.<br />

Measurement tools<br />

Injecting drug user<br />

questionnaire<br />

Q1104, Q1107<br />

(questions depend<br />

on context)<br />

What it measures<br />

This measure is identical in principle<br />

to Adult Indicator 2. However it is worth<br />

mentioning that there may be prevention or<br />

cure myths specific to the world <strong>of</strong> injecting<br />

drug users. <strong>The</strong>se should be explored in the<br />

survey planning stage, and be used to replace<br />

more generally held misconceptions where<br />

appropriate.<br />

146<br />

C H A PTER 9 B EHAV I OR A L S U R V EI L L A NC E S U R V EY S

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