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findings graph

We present results of a qualitiative study in Ekaterinburg, Russia

anya sarang

on 15 May 2011

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Transcript of findings graph

From his peers
From health system
wait until disease manifests itself physically
convinced that ARV uptake is not compatible with drug or alcohol and thus excused their resistance to initiation
refuse to get information about HIV
lack assurance of sustainability of the
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
Full transcript