tailieunhanh - báo cáo khoa học: " ’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"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: ’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 | Spicer et al. Globalization and Health 2011 7 22 http content 7 1 22 H2 globalization 7 AND HEALTH RESEARCH Open Access 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 I ZA I I c f I 11 Ì AZA AAA A D r r Á zl AAA2 Dl I A n D I r Á I A 2 A A A zl A ZAA A Ị I_I A AAVA z 1 I I I S I I AA I I irTZ I I AAA z4 AAA zl I z a I A A A A c A AVA I Z A I A A A 2 Nell Spicer uaryna Bogdan Kuaiii Diugna Andrew Harmer Gulgun Murzaiieva and Tetiana Semigina Abstract Background Despite massive scale up of funds from global health initiatives including the Global Fund to Fight AIDS Tuberculosis and Malaria Global Fund and other donors the ambitious target agreed by G8 leaders in 2005 in Gleneagles to achieve universal access to HIV AIDS treatment by 2010 has not been reached. Significant barriers to access remain in former Soviet Union FSU countries a region now recognised as a priority area by policymakers. There have been few empirical studies of access to HIV AIDS services in FSU countries resulting in limited understanding and implementation of accessible HIV AIDS interventions. This paper explores the multiple access barriers to HIV AIDS services experienced by a key risk group-injecting drug users IDUs . Methods Semi-structured interviews were conducted in two FSU countries-Ukraine and Kyrgyzstan-with clients receiving Global Fund-supported services Ukraine n 118 Kyrgyzstan n 84 service providers Ukraine n 138 Kyrgyzstan n 58 and a purposive sample of national and subnational stakeholders Ukraine n 135 Kyrgyzstan n 86 . Systematic thematic analysis of these qualitative data was conducted by country teams and a comparative synthesis of findings undertaken by the authors. Results Stigmatisation of HIV AIDS and drug use was an important barrier to IDUs accessing HIV AIDS services in both countries. Other connected barriers .