Needle exchange programs (NEPs) in the United States have demonstrated various levels of success in reducing HIV risks associated with drug injection. Success has been achieved in the use of sterile syringes and bleach, and with referrals to drug abuse treatment and associated social services. Nevertheless, concerns regarding the procurement of drugs, in particular pooling money to purchase drugs, and the injection process itself limits the potential success of some programs. NEPs must also focus on indirect modes of sharing, for example the shared use of the rinse water, the cooker, and the cotton, as well as examining back and front-loading of syringes. The presentation will highlight indirect sharing practices engaged in by NEP exchangers, and how NEPs can benefit from sustained and focused mini-interventions targeting such risks. Attendees will be able to articulate methods of indirect sharing and will gain an understanding of how these practices can be reduced.
Learning Objectives: At the conclusion of the presentation, participants will be able to recognize the need to focus on indirect sharing as a method for HIV transmission, and will be able to articulate targeted interventions
Keywords: HIV Risk Behavior, Needle Exchange Programs
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.