CREA has been working since 2005 to contain the spread of Human Immunodeficiency Virus (HIV) and sexually transmitted infections (STIs) in the country through its HIV prevention projects funded by USAID and UNODC. The highest HIV infection rate in Bangladesh has always been recorded among the injecting drug users (IDUs) in the central region of Dhaka city. A cohort study showed 10.5% of the IDUs in one neighborhood of the city were HIV positive. Based on the study findings, CREA undertook its latest project in this area in October 2009 with financial assistance from USAID and technical support from Family Health International 360. The project titled CREA-HIV Prevention Project among PWIDs was designed to prevent the spread of HIV and STIs among marginalized IDUs in Dhaka city by providing comprehensive treatment and psychosocial rehabilitation services.

The specific objectives of the project were to:

  1. Provide a range of medical and psychosocial care and treatment to drug users, their sexual partners and families;
  2. Strengthen the continuum of care by enhancing referral mechanisms and linkage with other agencies;
  3. Increase knowledge, skills, and access to products such as needles, syringes, and condoms used to prevent HIV and sexually transmitted infections (STIs);
  4. Support economic rehabilitation of drug users through vocational training and income-generating programs;
  5. Create an environment supportive to HIV prevention and care of and support for drug users by mobilizing the society, especially the law enforcement agencies;
  6. Increase organizational competence through capacity-building initiatives and programmatic expansion;
  7. Create a structured quality assurance and quality improvement (QA/QI) system; and
  8. Improve medical waste management.

The project ended on July 31, 2014.

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