The toolkit is designed to help health professionals improve their monitoring practice in order to reduce the burden of disease in this vulnerable group and improve the coverage and quality of services delivered.
Prepared closely with experts, country representatives and international and EU agencies, the toolkit updates earlier guidance (3), and presents new monitoring methods and indicators in a more flexible and user-friendly format. It is currently composed of three modules:
Module 1: Behavioural indicators — Behavioural and sociodemographic information is crucial to the monitoring of infectious diseases. This is because the transmission of viruses such as HIV and hepatitis B and C among PWID strongly depends on risk behaviours (e.g. needle sharing, unprotected sex) and socioeconomic, policy and other environmental factors (e.g. marginalisation, contact with services).
Module 2: Example questionnaire — The questionnaire presented in this module will help standardise the epidemiological measures used in the surveillance of behavioural and other drug-related infectious disease indicators. It provides detailed sample questions to be used in interviews in care centres or community settings and is designed to be applied in national or local studies.
Module 3: Methods of bio-behavioural surveys — This module provides guidance on how to implement and use biological and behavioural studies conducted among PWID as a tool in routine surveillance at country and European level. It provides an overview of methods and existing resources for monitoring through repeated studies in this group.