Aim 1: To describe the relationship between Islam, local culture, drug use, and utilization of harm reduction services among injecting drug users in Kabul, Afghanistan. Aim 2: To assess the impact of integrated VCT-NSP programs in terms of behavioral risk reduction, client satisfaction, incident HIV, syphilis, and hepatitis B and C infection, and program uptake over time. Aim 3: To measure community knowledge of, attitudes towards, and support for harm reduction programming, informing and potentially improving ongoing programs.
Integration of Needle Exchange & VCT in Kabul, Afghanistan