Exploring the links between drug use and sexual vulnerability among young female injecting drug users in Manipur

Given the high prevalence of HIV in Manipur, India and the critical role that female injecting drug users play in the transmission of HIV infection, it is becoming increasingly important to understand the sexual behaviors and drug use experiences of this group. This report describes the health status and patterns of treatment-seeking of female injecting drug users aged 15–34 in Manipur, and explores the factors underlying their vulnerability to HIV, including limited in-depth awareness of safe sexual behaviors and drug use practices, and limited self-perception of HIV risk. The report recommends development of IEC materials that address these information gaps about safe sex and drug use; creation of a supportive environment that enables injecting drug users to discuss and address their needs more openly; nonjudgmental health providers who are sensitized to the particular needs of female drug injectors. In conclusion, the study underscores the need for programs in Manipur that recognize and address the vulnerabilities of drug injecting women and the multiple risks they face of acquiring HIV and of transmitting the infection to the general community

Continuum of care for HIV-positive women accessing programs to prevent parent-to-child transmission: Findings from India

This study examined the efforts of PPTCT programs in different cities in India to offer women a continuum of care, and shows that the programs have both strengths and shortcomings. The government launched a national treatment program that offers antiretroviral therapy (ART) to HIV-positive women, children below 15 years of age, and men. However, since the start-up of the ART program there have been concerns about limited access to and utilization of these services by women and children. To address these shortcomings, the PPTCT programs studied should strengthen their referral systems to public and private treatment and family planning services, better equip PPTCT providers to inform and counsel women about these topics, and engage NGOs in the community that have outreach services to maintain contact with women over time and link them and their families to a continuum of care

Transgender inclusive sanitation - insights from South Asia

This paper provides insights from initiatives to include transgender people in sanitation programming in South Asia. Three case studies of recent actions to make sanitation inclusive for transgender people (in India and Nepal) are presented, accompanied by reflections and recommendations to guide future practice. Practitioners are recommended to: engage with transgender people as partners at all stages of an initiative; recognise that the language of gender identity is not fixed, varying across cultures and between generations; and acknowledge that transgender people are not a single homogenous group but rather have diverse identities, histories and priorities. The case studies aim to raise awareness of the diversity of transgender identities, exploring the needs and aspirations of transgender women, transgender men, and third gender people