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This report presents the results of the 2017-18 Integrated Biological and Behavioural Survey (IBBS), among people who inject drugs (PWID) in selected sites in Myanmar, including a formative assessment and population size estimations. A formative assessment was conducted in September 2017 in each site to inform the implementation of the IBBS. The assessment was conducted to assess the particulars of PWID populations in each setting, to provide information to tailor RDS and PSE methods and logistic approaches to the different PWID population and epidemic context.
The objectives of the survey were to track the epidemic using behavioral risk, experience with stigma and discrimination and HIV seroprevalence markers and assess the progress of the response in terms of utilization of prevention, care and treatment services.
The objectives of the survey were to collect data which can be used to track the HIV epidemic among FSW and guide the response in terms of providing prevention, care and treatment services for this population. Key measures of the survey included HIV seroprevalence, key risk behavior data, service utilization, experience with stigma and discrimination, and estimates of population size. The eligibility criteria for the survey were women aged 15-49 years old, currently living or working in the survey city, and who sold sex for cash or kind in the last 12 months.
IBBS surveys have been successfully conducted in various rounds in Nepal for the last about a decade among key populations at higher risk for HIV. Different round of IBBS were successfully carried out under leadership of NCASC .Evidences from different rounds of IBBS surveys carried out in Nepal suggest that HIV prevalence is still high among PWID compared to other Key population such as Female Sex workers (PWID) and Male having sex with Male (MSM). This is six round of IBBS surveys among PWID West to Far West Terai Districts.
This is the seventh round of Integrated Biological and Behavioral Surveillance Survey conducted among People Who Inject Drugs (PWID) in Kathmandu Valley. The survey was undertaken primarily to track the trend of HIV, Hepatitis B (HBV), Hepatitis C (HCV) and Syphilis prevalence and to understand the associated risky sexual behaviors among the PWID of Kathmandu Valley.
HIV in Nepal is characterized as a concentrated epidemic. Nepal is categorized as a country facing concentrated HIV epidemic. The National Centre for AIDS and STD Control (NCASC) has estimated that there were 39,249 people living with HIV (PLHIV) in Nepal in 2014 with adult HIV prevalence 0.20% (NCASC, 2014). The National HIV/AIDS strategy 2011-2016 has adopted strengthening of the Second Generation Surveillance(SGS) system as one of the key principles of strengthening surveillance of HIV and STI in Nepal.
As per previous IBBS surveys, the trend of HIV in MSM population is 3.9 percent (2004), 3.3 percent (2007), 3.8 percent (2009 and 2012) and 2.4 percent (2015) in Kathmandu valley. In addition to that, the prevalence of HIV among the MSM/TG population in the first round of IBBS in Terai Highway districts of Nepal is 8.2 percent in the year 2016. It is evident from this results that the information regarding the MSM/TG population of Pokhara is lacking.
The number of MSM populations in Nepal is on an increasing trend. There are only a few reliable studies that highlight the current situation of MSM population in Nepal. Their risk behaviors, number and the impact of such behaviors in STI/HIV epidemic is not adequately known.
This is the sixth round of IBBS survey conducted among men who have sex with men (MSM) and Transgender (TG) population in the Kathmandu valley of Nepal. Previously, the survey was carried out in 2004, 2007, 2009, 2012, 2015 and 2017 in the same location among the same population. In line with the objectives of previous rounds of IBBS, this survey was undertaken primarily with the objectives to: a) determine the trend of HIV, Syphilis, Chlamydia Trachomati (CT) and Neisseria Gonorrhea (NG) and associated risk behaviors among MSM/ Transgender (TG), b) to assess socio-demographic characteristics, and, c) explore the association between the risk behaviors and HIV and other specific STIs among the MSM and TG population.
The survey was undertaken primarily to track the trend of HIV prevalence among MLMs and to understand risky sexual behaviors among MLMs of Western and Mid to Far Western Regions of Nepal. Information on the socio-demographic characteristics, work and migration, sexual behavior and condom use with different partners in Nepal and during the stay in India; knowledge perception and attitude on HIV/AIDS and STI; use of drug and injection; exposure to STI, HIV and AIDS awareness programs; and stigma/discrimination against HIV infected person were collected using a structured questionnaire.
This IBBS Survey among FSWs (FSWs) in Kathmandu Valley is sixth round of Survey. It was conducted first time in 2004. The survey was undertaken primarily to track the trend of HIV infection, to access information about the safe sex practices, sexual behavioral, knowledge of HIV and STI, explore the association between risk behaviors and infections with HIV or STI. More specifically, the survey was conducted to collect socio-demographic characteristics; alcohol and drug use and needle sharing behaviors; the experience of stigma, discrimination and physical, sexual and other forms of violence; and exposure to HIV and AIDs program.