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close this bookDrug Abuse and HIV/AIDS: Lessons Learned - Case Studies Booklet - Central and Eastern Europe and the Central Asian States (UNAIDS, 2001, 113 p.)
close this folderIV. Conclusions: Challenges and lessons learned
View the documentBackground
View the documentCommon challenges
View the documentLessons learned

Common challenges

As part of the preparation of the present booklet, 22 representatives of projects on HIV prevention among injecting drug users met at Minsk, from 13 to 15 July 2000, to discuss common challenges and lessons learned (UNDCP, 2000). They identified several issues that would need to be tackled with regard to development and implementation of strategies for HIV prevention among injecting drug users. The discussions showed that there is high awareness among project implementers that a comprehensive interventive strategy for HIV prevention requires, as in other fields of health promotion, an integrated approach to encouraging individual, community and political action (Rhodes, 1996).

Policy issues

Common challenges at the policy level were identified as: (a) awareness-raising and advocacy; (b) strategic planning of a multisectoral response; (c) design of implementation policies that are able systematically to broaden and diversify existing treatment and care approaches, including reducing the health and social consequences of drug abuse; (d) situation analysis of available resources and needs assessment; and

(e) sustainability.

Project implementation

With regard to the implementation of preventive interventions, the experts considered the involvement of non-governmental organizations and the target population as vital, and the establishment of broad local alliances and constructive partnerships with all stakeholders was viewed as a major challenge. This included relationships with the local administration, the police and providers of health care from the state and non-governmental sectors, as well as representatives of the target populations. To improve services on the basis of local assessments and to tailor them towards the target population was viewed as a further challenge.