Harm reduction is a framework in which effective HIV prevention can be carried out among IDUs and their sexual partners. Harm reduction means that there is an emphasis on short term pragmatic goals over longterm idealistic ones. Harm reduction aims to prevent the transmission of HIV by reducing the harm associated with high risk behaviours such as sharing needles, syringes and other equipment for preparing and injecting drugs, and unsafe sexual behaviours. Needle and syringe exchange and oral substitution therapy are integral parts of the spectrum of harm reduction services: drug use counselling, needle and syringe exchange, oral substitution, primary health care, detoxification and rehabilitation, leading finally to abstinence from drug use.

1. Brown Sugar (Heroin)

2. Pharmacetical Drugs: Injection Fortwin, Tidigesic, Calmpose, and Avil.

Evidence regarding Benefits

1. Positive impact on HIV risk behaviors and HIV infection.

2. Limit sexual transmission of HIV between IDUs as well as to their non-injecting sexual partners.

3. Reach out to more marginalized drug users than any other intervention

4. Some of the IDUs move on to maintenance treatment and even abstinence

5. Does not increase drug use

Outreach Services

1. Strategy to reach out to the hidden drug users

2. Reaches to people within their own communities or closer to door steps