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Agency staff were deeply aware of participant needs and provided participant-driven services from a recovery-oriented and harm reduction framework.
Taking care to ground SCC in a harm reduction framework that focuses on reducing both horizontal and vertical transmission risk will likely enhance providers' ability to embrace a stance that is supportive of PLHA self-determination rights with regard to childbearing.
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(Recently, the Costa Rican government approved a harm reduction model).
In the context of harm reduction, the risk environment framework is helpful as it redistributes the focus of interventions and responsibility for drug harms from individuals to "something shared between individuals and social-economic structures" [ 32].
Harm reduction also addresses the legal framework in which these behaviors are carried out.
The result is an empirically grounded framework of harm reduction strategies and the accumulated evidence of their effectiveness.
This includes support to the government to develop a monitoring system for HIV and AIDS and development of legal framework for harm reduction activities.
The strategy facilitated the creation of a legal framework for the implementation of harm reduction (needle and syringe exchange and methadone maintenance treatment) activities and distribution of supplies throughout the country.
Access to harm reduction programmes for IDUs increased nationwide within the framework of a Global Fund supported programme, particularly during 2005 2007, which is also likely to have contributed to increasing coverage of VCT for IDUs, including female IDUS.
This conceptual framework will be used to position human rights more centrally in the harm reduction debate.
Harm reduction is controversial.
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