Rapid Situational Assessment, including mapping and HIV surveillance among people who inject drugs (PWIDs) in the city of Rawalpindi

Executive summary

Background

Nai Zindagy Charity (NZC) has, in agreement with Mainline Foundation, set up an activity plan to develop a care model for people who use drugs (PWUD), in particular people who inject drugs, in the city of Rawalpindi, Pakistan. This interim progress report is an assessment of the activities conducted between September 2011 and April 2012. To obtain the programme’s objectives, different activities have been conducted and facilities have been introduced. The objectives of the programme are:

  • Improving the access to quality HIV/AIDS services, drug treatment, and socio economic rehabilitation and reintegration;
  • Improving the human rights situation;
  • Integrating specific services for PWUD into the generic health care system;
  • Strengthening the capacity of civil society organisations that work on HIV and PWUD/people who inject drugs.

Methods

Different ongoing activities are reported in this study. The operational research was a mapping of 650-800 street-based people who inject drugs in Rawalpindi, Pakistan. In total 201 people who inject drugs consented to participate in NZC’s rapid situational assessment/survey, of whom 80 were living with HIV.

Results

Key findings include information on the living conditions, drug using behaviour, health seeking behaviour and sexual behaviour of people who inject drugs. They show amongst other things that, while almost all respondents report the need for access to drug treatment, only 50% has had a chance to access drug treatment. This report also gives insight into the programme’s staffing, management, management information system, targets, and finances.

Conclusions

Based on the situational assessment, further programme planning decisions can be made.