Should pharmacists have a role in harm reduction services for IDUs? A qualitative study in Tallinn, Estonia.

Journal of Urban Health : Bulletin of the New York Academy of Medicine
Sigrid VorobjovDon Des Jarlais

Abstract

Despite the high number of injecting drug users (IDUs) in Estonia, little is known about involving pharmacies into human immunodeficiency virus (HIV) prevention activities and potential barriers. Similarly, in other Eastern European countries, there is a need for additional sources for clean syringes besides syringe exchange programmes (SEPs), but data on current practices relating to pharmacists' role in harm reduction strategies is scant. Involving pharmacies is especially important for several reasons: they have extended hours of operation and convenient locations compared to SEPs, may provide access for IDUs who have avoided SEPs, and are a trusted health resource in the community. We conducted a series of focus groups with pharmacists and IDUs in Tallinn, Estonia, to explore their attitudes toward the role of pharmacists in HIV prevention activities for IDUs. Many, but not all, pharmacists reported a readiness to sell syringes to IDUs to help prevent HIV transmission. However, negative attitudes toward IDUs in general and syringe sales to them specifically were identified as important factors restricting such sales. The idea of free distribution of clean syringes or other injecting equipment and disposal of used syringes i...Continue Reading

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Citations

Jul 23, 2011·BMC Public Health·Claire E EadesRonan E O'Carroll
Mar 20, 2013·Canadian Pharmacists Journal : CPJ = Revue Des Pharmaciens Du Canada : RPC·Tyler Watson, Christine Hughes
Mar 8, 2016·The International Journal on Drug Policy·Suzanne Nielsen, Marie Claire Van Hout
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May 3, 2021·Substance Abuse Treatment, Prevention, and Policy·Sarah FataniAnas El-Aneed

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