Importance of Harm Reduction Program
I Introduction Thirty percent of new global HIV infections now occur outside sub-Saharan Africa (which alone is home to almost 64% of all HIV infections), and of these, 30% now involve People Who Inject Drugs (PWID). This means that the sharing of injection equipment currently accounts for approximately one in every 10 new HIV infections in the world. HIV spreading among PWID has led to generalized epidemics in at least half a dozen countries. In some countries, HIV epidemics appear to have started with PWID sharing injecting equipment in prison. There are now an estimated 13 million PWID worldwide. Many spend several years of their period as PWID in prison. Injection drug use has been reported in 144 countries worldwide, among which 128 have detected HIV among PWID. Most HIV transmission among PWID involves the shared use of needles and syringes although other forms of injecting equipment, such as spoons and tourniquets, also make a contribution. As HIV prevalence in this po