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[Harm Reduction--its history and practice].

In September 1997, Médecins sans Frontières-Holland (MSF-H) began a project to provide training and support for HIV/AIDS prevention among injecting drug users in the Russian Federation. The training course is based on the use of the Rapid Assessment Methodology developed by the World Health Organization (WHO) Programme on Substance Abuse (WHO, 1997) and the European Peer Support Manual (Trautmann and Barendregt, 1994) developed by the Trimbos Institute for the European Commission (both of which have been translated into Russian and, where necessary, adapted for use in Russia), as well as significant articles and books. The training programme also receives advice from the reports to UNAIDS Task Force on HIV Prevention among injecting drug users in Eastern Europe and the Newly Independent States. MSF-H is a permanent member of this Task Force.

Global Health↗

[Experience in realizing the Harm Reduction program in Moscow].

The data on the realization of the program of the prevention of HIV infection among intravenously injecting drug users in the South-Western administrative district of Moscow are presented. In the course of the realization of the project drawn up in accordance with this program the information package permitting the collection, analysis and transmission of the necessary information on the epidemic situation and leading risk factors in the zone of the action of the project has been compiled, and on the basis of this information the tactics and strategy of preventive measures have been worked out. The main advantage of the information system thus developed is the possibility of its use in computers of any class, in any operational system, as well as its use in Internet.

Adolescent↗

[The 1st results in the realization of the Harm Reduction program for intravenous narcotic users in the city of Penza].

To achieve the aims of the project, the following stages were consecutively defined: (1) the exchange of syringes, organized by outreach workers, with the simultaneous popularization of the project, (2) the orientation of intravenous drug users to attending syringe exchange stations and (3) the extension of the area covered by the activities of outreach workers. Our experience showed that outreach workers, especially those working in the street, were the main force to count on for achieving success in the work of the projects. The budget of the project should provide for the publication of information material. Special assignments for outreach workers to study some concrete problem (drug service, the use of blood, etc.) can be useful. It is expedient to raise the status of syringe exchange stations by turning them into multi-purpose consultation centers.

Adolescent↗