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Transcript of findings graph
State provision of treatment ARV uptake is percieved as final submission
to disease / official health moral boundary by multiplying regulations and bureaucratic procedures
required to initiate treatment the system builds barriers to accessing it IDU is not a formal contradition to ARV, but... “If you want to get ARVs – quit drugs and then come back” System too hard to navigate - a complex scheme of pre-requirements of getting on treatment: multiple doctors, multiple visits to psychologist etc Drug treatment inefficient institualized stigma could organized community bridge IDUs
and health system and facilitate change? Community is not organized
No faith in self-help
IDUs busy doing drugs
Groups very underdeveloped
Several small initiatives by Vanya's NGO
but all initiatives repressed and have little effect Yet, change is achieved on individual level Vanya's"battlefield"