| Guidelines for better harm reduction: Evaluating implementation of best practice recommendations for needle and syringe programs (NSPs). | |
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MedLine Citation:
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PMID: 20413288 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: The objective of this study was to evaluate needle and syringe program (NSP) policies and procedures before and after the dissemination of a set of best practice recommendations. METHODS: An on-line survey of 32 core NSP managers (100% response rate) and 62 satellite NSP managers (63% response rate). The survey included items about the distribution of needles/syringes, other injection-related equipment and inhalation equipment, and use of a best practice recommendations document. RESULTS: The majority of NSPs reported following needle and syringe best practice recommendations. Most core NSPs (88%, n=28) and satellite NSPs (84%, n=52) distributed cookers following the dissemination of the document. All core NSPs (100%, n=32) and nearly all satellite NSPs (97%, n=60) distributed sterile water ampoules in 2008, many more than in 2006. Although more NSPs distributed safer inhalation equipment in 2008, the majority did not distribute these items. More satellite NSPs (44%, n=27) distributed glass stems than the core NSPs (16%, n=5). Commonly cited implementation barriers included funding, senior management and decision-making. CONCLUSION: Our findings demonstrate that NSPs will implement empirically based best practice recommendations and welcome such guidance. The managers we surveyed not only reported increased implementation of practices that have been empirically shown to help reduce disease transmission among injection drug users (IDUs), they also used the best practices document for additional purposes, such as planning and advocacy, and expressed interest in having sets of recommendations developed for other areas of harm reduction. Ensuring high-quality and consistent NSP services is essential to prevent transmission of HIV among people who inject drugs and others in the community. Best practice recommendations can assist in achieving these goals. |
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Authors:
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Carol Strike; Tara Marie Watson; Paul Lavigne; Shaun Hopkins; Ron Shore; Don Young; Lynne Leonard; Peggy Millson |
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Publication Detail:
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Type: Journal Article Date: 2010-04-22 |
Journal Detail:
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Title: The International journal on drug policy Volume: 22 ISSN: 1873-4758 ISO Abbreviation: Int. J. Drug Policy Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-01-31 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9014759 Medline TA: Int J Drug Policy Country: Netherlands |
Other Details:
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Languages: eng Pagination: 34-40 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier B.V. All rights reserved. |
Affiliation:
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Centre for Addiction and Mental Health, 33 Russell Street, T309, Toronto, ON, M5S 2S1, Canada. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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