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 Burrows¹ 

[1] ,AIDS Projects Management GroupSydney,Australia

关键词: Syringe-Exchange Programs;    Intravenous Substance Abuse;    Acquired Immunodeficiency Syndrome;    Harm Reduction;    Programas de Troca de Seringas;    Uso Indevido de Droga Parenterais;    Síndrome da Imunodeficiência Adquirida;    Redução de Danos;   

DOI  :  10.1590/S0102-311X2006000400025

来源: SciELO

【 摘 要 】

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.

【 授权许可】

CC BY   
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