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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.