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HIV Prevention Planning
Council July 12,
2007 Substance Use
Issues and Structural Solutions
,Guiding
Questions:
Current policies and structural solutions
Are current policies regarding syringe access adequate for preventing HIV transmission among injection drug users?
Are there other structural solutions for preventing HIV transmission among injection drug users (i.e., safer injection facilities) that could work in
San Francisco? ,Guiding Questions (cont.):
Understanding crack and non
IDU drugs and how they are related to HIV risk
How is crack use related to HIV risk? What prevention strategies can help reduce HIV transmission among people who use crack?
Other non-injection drugs (including alcohol) and how they are related to HIV risk. ,
Key definitions Structural Interventions (
2006): Actions that aim at altering the physical environments in which we live, work, play or take risks to help reduce HIV transmission.
Structural
Changes: New or modified programs, practices or policies that are logically linkable to HIV transmission and acquisition, and can be sustained over time. ,Where did we start? With data, of course…
Divided work year by behavioral risk population (
BRP)
Ranked most commonly used drugs by BRP Looked at literature to determine what policies currently exist Considered community expertise Then we began generating draft solutions ,Barriers to
HIV testing among substance users
Lack of access to condoms in bars in SF Lack of coordinated services among
Mental Health, Substance Use, and
HIV prevention services
Consider new ways of encouraging people to get tested Consider a city-wide policy that would ensure access to condoms in all bars Consider ways to coordinate MH, SU and HIV prevention services GapsProposed
Solution
,Increased HIV prevention to populations that do not access prevention services (e.g.,
IDUs who don’t use needle exchange programs) Define performance measures in existing SF
DPH Harm Reduction Policy (
2000) Consider ways to expand access to HIV prevention services for new hard-to-reach clients Consider ways to clarify the existing SFDPH Harm Reduction Policy NeedsProposed Solution
,Acknowledgments
Shane Anglin, Pauli
Gray, Anthony Philips, Eiko Sugano,
Luke Woodward,
Tom Kennedy,
Abbie Zimmerman, and Emalie Huriaux
Elizabeth Davis, Ju Lei
Kelly, Vincent Fuqua ,Any questions?
- published: 21 May 2016
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