PSI/Russia develops and implements large-scale, long-term programs addressing HIV/AIDS, STI and substance abuse for most-at-risk populations, including:
- Injecting drug users (IDU).
- Sex workers (SW).
- Men having sex with men (MSM).
- High-risk youth.
Current programs include:
Case management among high-risk groups
In 2005, PSI/Russia became the first to promote HIV prevention case management among high-risk populations in the Russian Federation. This client-centered approach links vulnerable individuals, such as IDUs and SWs, to high-quality, non-stigmatizing services that benefit both HIV-negative and HIV-positive clients. Individual plans also include tuberculosis co-infection and reproductive health issues. Since 2008, reproductive health and family planning needs of female high-risk clients were incorporated into HIV prevention plans. This integration made the program more attractive and better tailored to women’s needs.
LaSky – Trusting Each Other
“LaSky” is a network of organizations that runs outreach, individual consultations, prevention trainings, motivational group activities, club events, mass media campaigns and distributed free Favorite condoms and lubricant for MSMs in 18 cities. Created in 2004, this MSM program is the only large-scale Russian effort of its kind.
This HIV and substance abuse prevention “Youth Center” program links high-risk youth in five Russian cities to positive leisure and developmental opportunities. Services provide correct prevention information, social skills training, psychological counseling, links to medical and social services, as well as involving parents and families in family therapy. The program model is tailored to youth ages 11-17 in youth leisure centers, family social centers, youth medical centers and schools, as well as to youth ages 17-21 in secondary technical colleges.
Overdose Death Prevention
The overdose (OD) death prevention initiative among IDUs delivers health information, behavior modification and life-saving first aid skills, to IDUs in two Russian cities. Activities focus on increasing knowledge and awareness among IDUs of OD, how to prevent OD, recognize the signs of OD, and deliver first aid, including naloxone, during OD. The program advocates for improved access of IDUs to naloxone during OD and systematic distribution of naloxone prior to OD.