Cadernos de Saúde Pública | |
Syringe exchange programs in Brazil: preliminary assessment of 45 programs | |
Elize Massard Da Fonseca2  José Mendes Ribeiro1  Neilane Bertoni2  Francisco I. Bastos2  | |
[1] ,Fundação Oswaldo Cruz Centro de Informação Científica e Tecnológica Rio de Janeiro,Brasil | |
关键词: Syringe-Exchange Programs; Acquired Immunodeficiency Syndrome; Intravenous Substance Abuse; Programas de Troca de Seringas; Síndrome de Imunodeficiência Adquirida; Uso Indevido de Drogas Parenterais; | |
DOI : 10.1590/S0102-311X2006000400015 | |
来源: SciELO | |
【 摘 要 】
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.
【 授权许可】
CC BY
All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License
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