Mediums to reach injection drug using populations: a discussion paper

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Presents a synthesis of information on mediums to reach the injection drug using (IDU) population compiled from the published literature, as well as from discussions with national/international organizations working with this population. Indicates that the focus of most research in this area has been on assessing the effectiveness of prevention and harm reduction initiatives in changing risky behaviours, particularly in relation to HIV and not the more easily blood-to-blood transmissible hepatitis C virus (HCV). Identifies the challenge of reaching a target population, the exact number and location on the social margins of which is difficult to establish reliably. Explains briefly the various strategies employed -- professional outreach, peer outreach (demonstratedly effective) and mass media communication -- and their success in reaching segments of the IDU population. Examines these 'ways and means' of reaching those most at risk of contracting the hepatitis C virus, the people who inject or who are at risk of injecting drugs. Emphasises the mediums to access these populations and not the effectiveness of strategies in changing risky behaviour. Also available in French under the title: Moyens de joindre les utilisateurs de drogues injectables : document de travail.