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Mapping and situation assessment of key populations at high risk of HIV in three cities of Afghanistan (Inglês)

As yet, little is known about the HIV epidemic status and potential in Afghanistan. The country seems to be at an early epidemic phase with low HIV prevalence, but there are a number of underlying vulnerability factors that could lead to the conditions for epidemic expansion, including drug trafficking, the post-conflict situation with displacement of populations, a fledgling health care system, and a low level of knowledge and awareness about HIV/AIDS. As in other parts of central and south Asia, the most important proximate determinants of the scale and distribution of an HIV epidemic in Afghanistan will be the size and characteristics of high risk networks involving injecting drug users (IDUs), female sex workers (FSWs) and men who have sex with men (MSM) who are at high risk. Assessments from elsewhere in central Asia indicate an explosive growth in injecting drug use and commercial sex work throughout the region, concurrent epidemics of sexually transmitted infections (STIs), and economic and political migration. As yet, little information is known about the size, distribution, and characteristics of IDU and sex worker sub-populations in Afghanistan. Therefore, the World Bank (WB) agreed with the Ministry of Public Health (MOPH) to contract with the University of Manitoba (UM) to conduct an assessment of these three key, high risk populations in three cities of Afghanistan (Mazar-i-Sharif, Jalalabad, and Kabul).

Detalhes

  • Autor

    Claeson, Mariam

  • Data do documento

    2008/04/01

  • TIpo de documento

    Documento de Trabalho (Série Numerada)

  • No. do relatório

    43733

  • Nº do volume

    1

  • Total Volume(s)

    1

  • País

    Afeganistão,

  • Região

    Sul da Ásia,

  • Data de divulgação

    2010/07/01

  • Disclosure Status

    Disclosed

  • Nome do documento

    Mapping and situation assessment of key populations at high risk of HIV in three cities of Afghanistan

  • Palavras-chave

    men who have sex with men;female sex workers;commercial sex worker;national aids control;biological survey;prevalence hiv;sex work networks;HIV and AIDS;hiv prevalence;needle and syringe;hepatitis b virus;displacement of people;average monthly income;provision of service;illicit drug use;public health aspects;duplication of efforts;law enforcement agencies;health care system;Sexually Transmitted Infection;high risk population;subject to confirmation;large urban areas;Human Immunodeficiency Virus;code of conduct;patients in prisons;number of refugees;receipt of money;high risk group;cases of hiv;social mapping;high-risk group;geographic distribution;hiv epidemic;high-risk activity;risk behaviour;home base;master trainer;injecting drugs;hot spot;injecting behaviour;adult man;adult woman;research capacity;sampling strategy;Health Service;injection equipment;informed consent;city map;research plan;complementary activities;Armed Conflict;social research;taxi driver;marital status;population group;high-risk population;behavioral assessment;vulnerable group;displaced people;personal communication;female researcher;social context;sexual partner;population size;stakeholder involvement;blood sample;sterile syringe;study including;shop owner;young age;snowball sample;representative sample;casual conversation;provincial hospital;female interviewer;regional estimates;collected information;injection history;cultural barrier;public place;average duration;city zone;needle sharing;personal identity;assessment process;research materials;secondary data;concentrated epidemics;male circumcision;sexual networks;hiv transmission;aid history;international border;sexual encounter;International Phone Call;contiguous area;occupational group;field conditions;operational detail;transmission dynamic;general population;university student;serological testing;prevention program;pregnant woman;Social Sciences;local stakeholder;geographical approach;prevalence level;legal system;high-risk communities;social worker;epidemic expansion;drug traffic;therapeutic injections;high-risk behaviour;syphilis testing;strategy development;program planning;behavioural correlate;social disruption;porous borders;social infrastructure;accurate information;vulnerable population;hiv strains;educational workshop;nationwide survey;research experience;community outreach;ethical risks;health specialist;security concern;research consortium;Disease Surveillance;vulnerable communities;truck driver;survey sample;behavioural data;focus group;survey population;heroin addiction;family breakdown;hiv positive;societal change;red light;civil strife;social upheaval;data gathering;female doctor;average age;college graduate;hotel owners;local knowledge;resource persons;women physician;reference point;interview skills;international donor;non-governmental organization;female prisoner;homosexual acts;project plan;field visits;health institution;obstetric care;social landscape;course material;qualitative study;sexual relation;field survey;natural disaster;seasonal migration;public domain;approval process;

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