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Thoughts on Research Design
Donald Shepard
Azizbek Boltaev
Schneider Institute for Health Policy,
The Heller School for Social Policy and Management,
Brandeis University
August 18, 2004
Problem
• Uzbekistan faces growing HIV
infection, primarily related to IV drug
use
• International literature suggests
promising approaches:
• Syringe exchange
• Condom promotion
• Substitute treatment
Objectives
• Identify the barriers to participation in
harm reduction programs in
Uzbekistan.
• Test whether an application of program
theory, tangible incentives improves the
coverage and effectiveness of harm
reduction programs.