Advocacy and coverage of needle exchange programs: results of a comparative study of harm reduction programs in Brazil, Bangladesh, Belarus, Ukraine, Russian Federation, and China

Cadernos de saúde pública
Dave Burrows

Abstract

To prevent or mitigate an AIDS epidemic among injecting drug users (IDUs), effective activities need to be implemented on a large enough scale to reach and assist sufficient numbers of drug users and thereby change their risk behaviors related to drug use and sex. Recent work by UNAIDS on "high coverage sites", adopting the above strategies, has shown that one of the key elements in achieving high coverage is ongoing and sophisticated advocacy. High coverage harm reduction sites were studied through literature search and site visits, including key informant interviews, review of service statistics, and data analysis, in order to document the steps that led to scaling up, the way coverage was defined in these sites, and the lessons learned from their efforts. Syringe-exchange programs can achieve high coverage of IDUs. Monitoring to determine regular reach (those who are in regular contact with harm reduction services) should be added to uniform data collection carried out by harm reduction programs. Advocacy is crucial to achieving high coverage.

References

Mar 30, 2004·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Don C Des JarlaisJudith Milliken
Dec 4, 2004·AIDS·Carmen AceijasUNKNOWN United Nations Reference Group on HIV/AIDS Prevention and Care among IDU in Developing and Transitional Countries

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Citations

Dec 9, 2010·International Journal of Epidemiology·Wenyuan YinZunyou Wu
Dec 27, 2013·Harm Reduction Journal·Rahim Taghizadeh AslAli Mirzazadeh
Jan 22, 2008·The International Journal on Drug Policy·Catherine S ToddSteffanie A Strathdee
Aug 11, 2007·The International Journal on Drug Policy·Sheena G Sullivan, Zunyou Wu
Aug 11, 2007·The International Journal on Drug Policy·Mukta SharmaRicky Bluthenthal
Jan 30, 2014·Ciência & saúde coletiva·Aline Inglez-DiasKimberly Page
Feb 15, 2017·Harm Reduction Journal·Qing WuJan Hendrik Richardus
Jul 19, 2018·Ciência & saúde coletiva·Thaísa Borges Gomes, Marcelo Dalla Vecchia

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