Kenya has a generalized epidemic among mainstream population, and ‘concentrated’ epidemic among specific Most at Risk Populations (MARP) which include PWID. Although PWID population is small, potential to transmit HIV is very high. Most PWID hidden due to criminal nature of drug use, marginalization and intolerance at all levels of society. Current interventions are limited by lack of local evidence and data on PWID numbers and distribution. Kenya National HIV prevention summit 2008 report recommended more evaluations and research on prevalence, behaviour and service uptake among MARP. Since Kenya is starting from scratch in providing needles and syringes to PWID, the need to understand what constitutes the 'injecting package' by the PWID populations will be underscored by this research agenda.
This qualitative study will aim to describe the preferred needles and syringes, preferred number of alcohol and cotton swabs, volume of water for injection - whether 5ml or 10ml ampoules, steri cups, filters and tourniquet for PWID in Kenya based on arrival of a new harm reduction technology in Kenya, the Needle and Syringe programme. This is an opportune time to inform future programmes, and the scale up of this intervention since the Government of Kenya wishes this population to use the auto-disable syringes. Is this ideal for blanket admission to all? This research will seek to answer this integral question.