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
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
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DOI：
10.1590/s0102-311x2006000400025
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发表时间：
2006-04-01
期刊：
影响因子：
--
通讯作者：
Burrows, Dave
中科院分区：
文献类型：
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作者：
Burrows, Dave
为了预防或减轻艾滋病在注射吸毒者中的流行，需要在足够大的规模上开展有效的活动，以接触和帮助足够数量的吸毒者，从而改变他们与吸毒和性有关的危险行为。艾滋病规划署最近采用上述战略，在“高覆盖率地点”开展的工作表明，实现高覆盖率的关键因素之一是不断进行复杂的宣传。通过文献检索和现场访问，包括关键知情人访谈，审查服务统计数据和数据分析，对高覆盖率的减少危害地点进行了研究，以记录导致扩大规模的步骤，这些地点的覆盖率定义方式以及从他们的努力中吸取的经验教训。注射器交换方案可以实现注射吸毒者的高覆盖率。确定定期接触范围（定期接触减少危害服务的人）的监测应添加到减少危害计划进行的统一数据收集中。宣传对于实现高覆盖率至关重要。
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.