Syringe exchange programs in Brazil: preliminary assessment of 45 programs

Cadernos de saúde pública
Elize Massard da FonsecaFrancisco I Bastos

Abstract

The present study aims to evaluate the current operation of Brazilian syringe exchange programs (SEP). After consulting national and regional networks of people working in projects/programs aiming to reduce drug-related harm, we identified 134 potential participant programs. Unfortunately, only 45 SEPs answered a survey, even after repeated attempts. The survey addressed: coverage, funding, procurement of basic supplies, managerial capacity, and the local political environment. Findings were triangulated with in-depth interviews with key informants. The main findings included: satisfactory adherence to the initiatives and adequate documentation, but deficiencies in terms of coverage and monitoring, and uneven procurement of resources. Program personnel work mostly on a provisional basis, despite the efforts of local coordinators. Most programs are funded by the National STDs/AIDS Program. A comprehensive agenda aiming to improve current operations should include: concerted efforts to improve local and regional databanks, incentives/sanctions toward full accountability of initiatives carried by the programs, and a genuine culture of monitoring and evaluation.

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Citations

Aug 11, 2007·The International Journal on Drug Policy·Francisco I BastosMonica Malta
Jan 30, 2014·Ciência & saúde coletiva·Aline Inglez-DiasKimberly Page
Jul 26, 2018·Revista Do Instituto De Medicina Tropical De São Paulo·Tatiana RozentalElba Regina Sampaio de Lemos
Jul 19, 2018·Ciência & saúde coletiva·Thaísa Borges Gomes, Marcelo Dalla Vecchia
Feb 17, 2009·Cadernos de saúde pública·Henrique Caetano Nardi, Rafaela de Quadros Rigoni
Nov 30, 2011·Ciência & saúde coletiva·Tarcísio Matos de Andrade
Jul 1, 2006·Substance Use & Misuse·Francisco I Bastos
Aug 19, 2007·Cadernos de saúde pública·Elize Massard da FonsecaJosé Mendes Ribeiro

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