Injecting drug use and HIV in northeast India: negotiating a public health response in a complex environment
Injecting drug use and HIV in northeast India: negotiating a public health response in a complex environment
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DOI：
10.1080/19472491003592953
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发表时间：
2010-01-01
影响因子：
0.5
通讯作者：
Manning, Greg
中科院分区：
文献类型：
--
作者：
Kermode, Michelle;Deutschmann, Peter;Manning, Greg
印度东北部的曼尼普尔邦和那加兰邦的特点是长期存在、有时甚至是暴力的内乱、部落主义和宗教保守主义。在这两个邦，叛乱组织和印度军方、敌对的叛乱组织和不同的部落组织之间正在上演一些冲突。这对个人和社区的日常生活以及区域内的发展产生了深远的影响。注射吸毒的问题很严重，大约2%的人口注射毒品，既有海洛因，也有药剂。因此，曼尼普尔邦和那加兰邦是印度艾滋病毒流行率最高的两个邦。认识到注射吸毒和艾滋病毒是值得注意的问题，并制定有效的应对办法，这一点因深深感受到的社会保守主义而变得复杂。将描述和讨论在这一复杂环境中出现的预防艾滋病毒的有效公共卫生对策。
The northeast Indian states of Manipur and Nagaland are characterized by longstanding and sometimes violent civil insurgence, tribalism and religious conservatism. A number of conflicts are being played out in these two states between insurgent groups and the Indian military, rival insurgent groups and different tribal groups. This has a profound effect on the daily lives of individuals and communities, and development within the region. The problem of injecting drug use is substantial, with approximately 2% of the population injecting drugs, both heroin and pharmaceutical agents. Consequently, Manipur and Nagaland are the two highest HIV-prevalence states in India. Acknowledgement of injecting drug use and HIV as issues worthy of attention and the development of an effective response to them have been complicated by deeply felt social conservatism. The emergence of an effective public health response for HIV prevention in this complex setting will be described and discussed.