challenges and successes of harm reduction services in drop-in centers: perspectives of service providers

Background:in iran, the most common mode of hiv transmission among male intravenous drug users is sharing injection needles and syringes.harm reduction initiatives, as a way of reducing the burden of this problem , are a set of policies and programs which attempt primarily to reduce the adverse health, social, and economic consequences of substances to drug users, their families, and communities. objectives:the objective of this study was to elucidate the challenges and successes of hiv/aids services delivery as perceived by senior officials and service providers. patients and methods:face-to-face, semistructured interviews were conducted in shiraz, iran with a purposive sample of subnational service providers. a thematic analysis of these qualitative data was conducted by the authors. results:participants identified major challenges and successes of hiv/aids services delivery. service delivery and accessibility, in terms of challenges and successes, were classified. conclusions:our study demonstrates that, despite greater availability of hiv/aids services, this availability is not associated with greater accessibility and utilization because of multiple, complex, and interrelated barriers to hiv/aids service provision at the service delivery level.