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Mathers and others, “Mortality among people who inject drugs: a systematic review and meta-analysis”, Bulletin of the World Health Organization, vol. 91, No. 2 (2013), pp. 102-123. b WHO, UNODC, UNAIDS Technical Guide for Countries to Set Targets for Universal Access to HIV Prevention, Treatment and Care for Injecting Drug Users: 2012 Revision (Geneva, WHO, 2012). c Georgie J. MacArthur and others, “Opiate substitution treatment and HIV transmission in people who inject drugs: a systematic review and meta-analysis”, BMJ, vol.

Andrew Scheibe, Ben Brown and Monika dos Santos, Rapid Assessment of HIV Prevalence and HIV-related Risks among People Who Inject Drugs in Five South African Cities: Final Report (February 2015). 78,79 Females are more likely to be stigmatized and marginalized by society and are more likely to hide their injecting drug-use behaviour. 81,82,83 The combined risks of unsafe injecting and unprotected sex work substantially elevates the risks of acquiring HIV for females. One common feature that emerges from the different reviews and is seen in the data from UNAIDS is that the gender differences observed in individual surveys show a very wide variability.

UNAIDS, The Cities Report (Geneva, 2014). 17 The proportion of countries reporting these services as either not available or at low levels of coverage are 47 per cent, 41 per cent and 22 per cent, respectively. Most of the countries reporting information on service coverage are in Europe where the levels of service coverage are relatively high. 18 Prevalence of HIV among people who inject drugs in selected cities Libya, Tripoli 14 Availability of harm reduction services remains low Number of ƌĞƉŽƌƟŶŐcountries FIG.

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