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Don’t Mistake India is going to HIV/AIDS epidemic.

Ms. Muslema Khan Bulon
AIDS Researcher
bulon@email.com

HIV/AIDS is mounting in every country in the world. If we compare with other disease, it is only AIDS that will get significantly worse in every year. Other problems don't grow but AIDS will overcome the medical alliance. The HIV/AIDS programme specialist Mr. Mohammad Khairul Alam said, “several social norms and immature behavior fueled of this disease to scatter rapidly. There are several social components link to develop this harmful situation. Poverty-behind to force it, Gender discrimination plays a vital role; Frustration & risk behavior help to sink humanity resulting infection. The link between poverty & gender discrimination are help to decline socio economic prosperity. This link creates several anti social poisonous issues also. Such as trafficking to prostitute, sell sex for earn or living, break down family norm to create frustration and driven drug point. We notice easily that Illiteracy is the main watchword of all circumstance. So it is not easy to remove it from the society, several programs & strategy are needed to gain sustainable position�.

These findings are of concern when viewed against the general awareness levels of HIV/AIDS in India. For example, while close to 90 percent people in urban areas have heard of AIDS, only about 72 percent of people in the rural areas know about it. Tellingly, the study also highlights low awareness levels of HIV/AIDS in heavily populated states as a "danger signal". About three out of four rural women in Bihar, Gujarat and Uttar Pradesh had never heard of HIV/AIDS.

The ‘Rainbow Nari O Shishu Kallyan Foundation’ identified four major approaches in a groundbreaking study on spread out HIV in Asia. This study undertook by comparing of social-economic norm, family pattern, economic dependency, cause of mounting sex industries, gender discrimination status & global analysis fact. There are four factors that appear to play a crucial role in HIV transmission in Asian Countries: Injection/ intravenous drug use (By sharing needle), female sex work (Due to lack of safe sex knowledge), gender discrimination (which indirectly force females commercial or non-commercial sex), Same sex/ homosexually/ Hizra (Due to lack of HIV/AIDS information, because they act invisible in this society). Poverty & illiteracy fueled it proportionally.

With regard to preventive measures, three out of ten men and five out of ten women were not aware of the condom’s protective value. Less than 30 percent of women in rural areas of Bihar, Gujarat, Uttar Pradesh and West Bengal were aware that HIV/AIDS could spread through blood transfusion. Only about 66 percent of women in urban areas but less than 50 percent in rural areas were aware of dangers of HIV-infected mothers breast feeding their children and possibly passing the infection on to the child.

The most significant recent shift in drug use patterns in the region, as well as in India, is the move from smoking or chasing to injecting drug use. Heroin, buprenorphine (tidigesic/tamgesic) and dextropropoxyphene (spasmo-proxyvan) are the most commonly injected drugs in India.

A Rapid Assessment Survey (RSA) of drug users in 14 cities collected and collated street-based information on drug use and drug-related HIV. In-depth thematic studies of drug use in the border areas, female drug users, drug use in rural areas and patterns of drug use in prison populations were also launched. A National Household Survey having a sample size of over 40,000 males in the 12-60 age group, documenting the extent, patterns and trends of drug use in India was a major part of the research collaboration.

RSAs conducted in Jamshedpur, Hyderabad, Bangalore, Shillong, Dimapur, Thiruvanthapuram, Goa, Ahmedabad, Imphal, Chennai, Mumbai, Delhi and Kolkata indicate that 43 per cent of clients interviewed had injected at some point. Needle sharing was reported by 53-85 per cent of injectors. Non-cleaning of needles/syringes was common and knowledge of modes of HIV/AIDS transmission was limited. Consequently, risk-perception of HIV was low. Significantly, women drug users also reported injecting drug use. Clearly, there is need to extend interventions and prevention activities into areas other than the north-eastern states and particularly the metropolitan cities of India where injecting drug use is a problem. There are over 100,000 estimated injecting drug users in India outside of the north-eastern part of the country.

References: SHYAM, Rainbow Nari O Shishu Kallyan Foundation

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