Study of Outcomes of the Comprehensive Package of Services Model for Injecting Drug Users: Yunnan and Guangxi
|Li Jianhua, Luo Jian, Zhang Cunmin, Limin Mao, and Dave Burrows. Edited by Paul Hardacre|
Full Document (pdf 1,465.8 kb)
The comprehensive package of services (CPS) funded by the United States Agency for International Development (USAID) for injecting drug users (IDUs) is currently provided in seven hot spots in China: Kunming, Gejiu, Mengzi, and Kaiyuan in Yunnan province; and Nanning, Ningming, and Luzhai in Guangxi province. The elements of the CPS for IDUs consist of behavior change communication (BCC); condom distribution; needle-syringe programs (NSP); methadone maintenance therapy (MMT); voluntary counseling and testing (VCT); diagnosis and treatment of sexually-transmitted infections (STIs); and linkages to care and support: clinical, community-based, and home-based care and treatment (including antiretroviral therapy) and community-based group support services for HIV-positive IDUs and their families.
In 2010, USAID commissioned a two-phase external evaluation methodology (Track 1 and Track 2) to better understand its programs for IDUs. The focus of the Track 1 study was to use qualitative methods to describe the achievements, strengths, shortcomings, and weaknesses of the USAID-funded CPS and make recommendations for programs among IDUs being implemented in the framework of the CPS in Guangxi and Yunnan. The focus of the Track 2 study, which used both qualitative and quantitative methodologies, was to evaluate the CPS IDU services that have been implemented among IDUs and compare levels and types of IDUs' risk behavior and other outcomes between sites where CPS services are available and matched sites where no such services are available. It must be noted that USAID-funded projects are not isolated from exposure to other donors and projects. In fact, programs are encouraged to link to existing services to provide the comprehensive package. The results of Track 2 are the primary focus of this report.
This Track 2 study examined differences in behavior - specifically, levels and types of risk behavior and other outcomes - between IDUs in four sites where USAID-funded projects are operating (survey: N = 421 in project sites) and two matched sites where no such projects exist (N = 200 in control sites). In addition, qualitative data were collected from 40 respondents in project sites and 20 in control sites. This study has confirmed the results of the earlier assessment and provides additional quantitative and qualitative data to support the finding that the USAID-funded IDU projects have made a substantial difference in the lives of the drug users they have reached. IDUs in China are difficult to find and reach because of the policies and laws governing the behavior of all who come into contact with drug users. Within this difficult environment, the USAID-funded projects have managed to achieve a real engagement with drug users on a number of levels related to knowledge and service utilization. This study was also able to provide some evidence that the elements of the CPS, provided together, appear to lead to increased knowledge and access to services.
|Document Type:||Technical Reports: Country|
|No. of Pages:||106|
|Country:||China, ASIA & MIDDLE EAST|
|Keywords:||Advocacy, Leadership, Champions, Models, Networks, Operational Policy, Policy Implementation, S&D or Human Rights, Counseling and Testing, PLHIV, GIPA, HIV/AIDS, MARPs (IDU, SW, MSM), Police/Armed Forces, Treatment, Lessons Learned, Best Practices, Legal & Regulatory|