Author/Authors :
Afsar Kazerooni Parvin نويسنده Control and Surveillance of Diseases Unit, Shiraz University of Medical Sciences, Shiraz, Iran , Ravaghi Hamid نويسنده Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Ir , Alipouri Sakha Minoo نويسنده Cardiovascular Research Center, Shiraz University of Medical Sciences, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran , Zandian Hamed نويسنده School of Health, Ardabil University of Medical Sciences,
Ardabil, IR Iran , Sabet Mojhgan نويسنده Shiraz HIV/AIDS Research Center, Shiraz University of
Medical Sciences, Shiraz, IR Iran , Mostafavi Hakimeh نويسنده School of Public Health, Department of Health Management
and Economics, Tehran University of Medical Sciences, Tehran, IR
Iran
Abstract :
Background In Iran, the most common mode of HIV transmission among
male intravenous drug users is sharing injection needles and
syringes.Harm reduction initiatives, as a way of reducing the burden of
this problem , are a set of policies and programs which attempt
primarily to reduce the adverse health, social, and economic
consequences of substances to drug users, their families, and
communities. Objectives The objective of this study was to elucidate the
challenges and successes of HIV/AIDS services delivery as perceived by
senior officials and service providers. Patients and Methods
Face-to-face, semi-structured interviews were conducted in Shiraz, Iran
with a purposive sample of sub-national service providers. A thematic
analysis of these qualitative data was conducted by the authors. Results
Participants identified major challenges and successes of HIV/AIDS
services delivery. Service delivery and accessibility, in terms of
challenges and successes, were classified. Conclusions Our study
demonstrates that, despite greater availability of HIV/AIDS services,
this availability is not associated with greater accessibility and
utilization because of multiple, complex, and interrelated barriers to
HIV/AIDS service provision at the service delivery level.
