This report presents findings from the ethnographic study of injecting drug users (IDU) in Biratnagar. The objectives of this qualitative study were to:

• List out the current locations where IDUs gather for drug injecting purposes and estimate the number of IDUs there
• Examine patterns and behaviors of drug use and needle sharing and network relations in order to understand the relative degrees of risk related to the spread of HIV infections

A total of 16 male IDUs were interviewed in-depth in Biratnagar. Recruitment of IDUs was done in such a way that IDUs from various ages, martial status, education, occupation and ethnic groups were captured.

The study was conducted by the Center for Research on Environment, Health and Population Activities (CREHPA) in collaboration with the National Centre for STD and AIDS Control (NCASC) with technical assistance from FHI/Nepal and financial support from the United States Agency for International Development.