Report on Targeted Intervention of Injecting Drug User at Greater Guwahati
 


SITUATION REPORT:

The project is implemented in the area of Greater Guwahati extending from Baihata Chariali to Byrnihat in Assam and Meghalaya border. The target group is Injecting Drug Users (IDUs). Before starting the project size estimation was done in the targeted area by the project staff during the month of March’09 in which approximately 807 IDUs were identified. Out of those 807, 656 (six hundred and fifty six) Injecting Drug Users (IDUs) were registered by the Project till the writing of this report. Among the reached HRGs, Heroin is used for injecting while Spasmoproxyvon (SP) is preferred as a oral substitute in case Heroin is unavailable. Many of the IDUs are non - regular users while more than half of the registered Injecting Drug Users (IDUs) are regularly using injectable drugs. Almost all of them use psychotropic oral drugs like spasmoproxyvon (SP), alprazolum, nitrosun, diazepam etc. Most of them know about safe injecting technique but all of them had shared needle with their peers at one or other instances. One of the major concerns of the project is “overdose” as five (5) Injecting Drug Users (IDUs) passed away due to overdose even though “Nalaxone” a anti drug has been made available in the project and overdose management techniques has been taught. One of the major achievements of the project has been the rise in awareness level amongst the risk community and general population regarding the problem of HIV/AIDS to a great extent. People in the area have acquired knowledge about the menace and they have shown tendency to know more about the problem. The community in general is benefited from the project. Illiterates and poor section is almost unaware or indifferent towards HIV/AIDS. High risk population together with IDUs were given proper counseling and treatment at our clinics and medicine given as per requirement. During our activity we have found different categories of HRGs in the project site. During our intervention we have referred them to other TI’s who are providing services on the target group. Any significant change in the project area: The project have witnessed a marked increase in the level of knowledge to a greater extent. It is expected this will have a lasting positive effect in implementing the project. The prevalence of hepatitis B & C among IDU as detected during blood testing is a serious concern. Few of the IDUs who have had undergone rehabilitation and detoxification programme have relapsed. A very few of the IDU have returned to lead normal life by withdrawing from drugs.

Specific problem addressed by the project:
Awareness generation amongst the high risk population regarding the safe injecting
technique. Free needle syringe were supplied to the IDUs though the numbers are quite low.
Moreover the practice of returning used syringes too is very uninspiring. High risk populations
together with IDUs were given proper counseling and treatment at our clinic and they have shown tendency of coming to our clinics on their own. Out of the 538 clinic attendances 82 cases were treated with syndromic approach, while out of the 580 numbers referred to ICTC,287 numbers were actually tested for HIV, out of which 5 numbers were found to be HIV+ and referred for registration to ART Centre. Involvement of the General Community, including the poor and the vulnerable: The population in the project area is of cosmopolitan variety. The migrant population comprises of a major section in the community. The populations in the border areas mostly consist of Nepalis, Khasis and Garos having Inter-State connections, which attributes in the risk situation. Attempt has been made to cover these whole populations through community meetings, FGD etc. The immediate concern of the organisation was to identify the target group with provision of following activities:

  • .Awareness generation campaign
  •  Needle/Syringe exchange program
  • Counseling
  • STI treatment
  • Abscess treatment
  • Condom promotion

Results achieved: 100% safe needle use amongst covered IDUs. Condoms usage level increased from 30% to 60%.  

PROJECT ACHIEVEMENT
a) Accomplishments and Action Taken:
There are lot of activities, which were fulfilled during the 1st five months. Some of the major activities which was done are as given below:

1. Baseline Survey/Size Estimation
Size Estimation was done from 7th – 9th May’08 and 18th March’09 to 25th March’09.


2. Peer Educator Training
Need based Training given from time to time
PE Harm Reduction training given on 15th – 18th Nov 2010.
PE Harm Reduction training given on 23rd – 26th Mar 2011.

3. Advocacy
Conducted with stake holders
4. Community Meeting
Monthly two Community Meeting  conducted. 5. Sensitizing Meeting
Conducted at regular interval
6. FGD
Conducted at regular interval 7. STD treatment
82 nos. cases treated.
8. STD counselling
Done.
9. STD Drug Distribution
Drugs distributed as per requirement in the NGO  clinic .
10. Abscess Management
Sixty nine IDU with abscesses were treated. 11. Health Camp
 Two health camps were organized.
12.
IEC Material Distribution
IEC material distributed where necessary.
13. Condom Procurement
No new procurement. 14. Monitoring Condom Outlets
Regularly monitored.
15. Condom Distribution
Distributed. (Record maintained) 19. Formation of CBO/SHG
One SHG was formed, CBO yet to be formed.
20. Field Visits
Regular Field Visit by Project Manager
Visit of field by Joint director Visited.

b) Co-ordination & networking Activities: We contacted local clubs, Student Unions, SHG and labor union for the purpose of seeking co-operation and help to run the project activity smoothly. We are keeping regular contact with NGOs that are active in the area.

c) Revisions in Project Plan Made during Quarter:-
1. NSEP to be enhanced and return of used syringes to be stressed.

d) Lesson Learned:
1). Bringing the IDUs under the coverage, as they are very much afraid of getting trapped
in some police network.
2). Advocacy is one of the prime works in T.I. which helps in minimizing the  undue interferences   by Law Enforcement Agencies.
3). Making them aware of the services available, as they are very prone to forget out
things.
4). IDUs can counsel/motivate IDUs very well.

e) Support Needed :

 The organization will be highly benefited if there is funded program for
1. Oral Substitution Therapy.
2. Drug de-addiction program.
3. Some Economic/Logistic Rehabilitation Program for IDUs should be initiated.
4. Training on Record Maintenance.
5. Provision of special support for the Hepatitis- B & C infected people to bring affected  people in to the subsidized treatment .
6. Overdose Management should be one of the activities and financial provisions be made
available for the benefit of the HRG community.

g) Project Performance and Progress Indicators:
The IDUs had shown clear indication to enter de-addiction program. IDUs were referred to de-addiction centers. Law Enforcement Agencies and Health Services this time had shown keen interest in cooperating with the project activities.