ART for Injecting Drug Users

Training Materials: 

Course description

Course name ART for Injecting Drug Users (IDUs) - with or without Substitution Therapy (ST) component
(course developed in collaboration with OSI/IHRD)
Main Learning Objectives
  • Strengthen basic skills of counselling HIV-positive IDUs;
  • Understand etiological, psychological and social factors of addiction.
  • Learn about the substitution treatment approaches, including methadone and buprenorphine and the basics of Substitution Therapy;
  • Understand principles of ART in IDUs;
  • Learn about ARV interactions with psychotropics and illegal drugs;
  • Learn about infectious diseases in IDUs with focus on coinfection with Hepatitis B and C and TB;
  • Learn how to screen IDUs for common mental disorders associated with this population;
  • Understand how to manage ART in pregnant women with addiction problems.
  • Learn about adherence promotion and treatment monitoring in IDUs.
  • Learn about development of resistance to ARV drugs;
  • Learn evidence-based clinical practice guidelines and recommendations for the diagnosis and treatment of opportunistic infections (OIs);
  • Learn how to work effectively as part of a team;
Key Topics Focus on counseling and support during ART and ST; special issues in adherence for IDUs on ART and ST; drugs interactions and adjustments in therapy; WHO protocols on management of OIs and other HIV-related illnesses (2006); specifics of ART for IDUs; referrals and needed care; outreach work; how to work effectively as part of a team.
Basis of Curriculum, Key Teaching Documents and Materials provided
  • Relevant national protocols and policies;
  • Curriculum on ART4IDUS developed by the WHO and OSI's International Harm Reduction Network,
  • Materials on ST and ART for IDUs developed at Yale University
  • Comprehensive set of course slides and handouts.

All materials available printed or electronically, in Russian and English.

Teaching Methods Presentation, small group discussion, role-play, case studies.
Target Audience Infectious disease physicians from ART care-teams, narcologists; social workers from AIDS centers, outreach network, narcological centers. Maximum class size: 25 participants.
Faculty Multidisciplinary, international and national.
Duration 5 days course.