Student Dissertation

Agency : KAP Assessment; Sexual Behaviour; HIV/AIDS; IDU’s Enrolled; OST Centre

Objective : • To assess the Knowledge, Attitude, and Practices of IDU’s regarding Sexual Behaviour and HIV/AIDS • To calculate OST treatment retention. • To find out the reason for dropouts. • To understand the factors that increased the likelihood of relapse and longer duration in treatment.

Background : IDU as a person ‘who has used any psychoactive substance through injecting route for the non-medical purpose at least once in the last three months. The prevalence of HIV among IDU is found to be 9.9% which is quite high as compared to other high-risk groups. Opioid substitution therapy (OST) is an evidence-based intervention for opiate-dependent persons that replaces illicit drug use with medically prescribed, orally administered opiates such as buprenorphine and methadone, OST reduces HIV risk behaviors and harms associated with injecting (such as abscesses, septicemia and endocarditis), overdose and participation in criminal activity, thereby improving the quality of life and health of injecting drug users

Methodology : Study Period: 12 weeks (19th February 2018 to 16th May 2018) Place of Study: OST Centre, Sarojini Naidu, Medical College, District Agra, Uttar Pradesh. Study population: All clients enrolled in an OST program in Agra between April 2017 to January 2018. Sampling technique: Non-probability Convenient type of sampling. All Clients. who were enrolled in the OST and active (taking a dose once in a month) were interviewed? Sample size: 53 Note: Number of Clients Enrolled=167 (Feb-2018 A number of Active Clients =93. Due to some limitations, only 53 clients out of 93 clients were interviewed. Limitations are mentioned at the end of the report. Data collection method: The primary quantitative data is collected through structured and semi-structured data collection to collect data on demographics, drug use history, and practices, sexual behavior & Knowledge, attitude and practice about HIV/AIDS. Research Design: The research design selected for this study was Descriptive cross-sectional type of study It included a collection of information and data directly from the subjects of the study through a predesigned questionnaire.

Findings : All the clients interviewed were male and belong to the urban area. A key finding was that as proposed every single client should be tested with HIV, but it was not so. Out of all clients interviewed six of them found positive and they were sexually active and in spite of counseling, they were not using precaution while sexual intercourse with their partners. Clients have very low knowledge regarding HIV/AIDS and sexual behavior.

Recommendations : It is concluded from the study that counseling should be more focused upon subjects of HIV and sexual behavior as they have very weak knowledge related to this subject and moreover the clients enrolled are HIV positive and sexually active as well, but they are not using any precautionary measures which the possible reason for the increase in prevalence of HIV could be.

Research Questions: • What are the reasons for drop out of OST Clients? • What is the OST treatment retention rate? • What are the factors that increased the likelihood of relapse and longer duration in treatment?