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HUMAN RIGHTS ISSUES RELATED TO THE EVALUATION OF AN ILLEGAL NEEDLE EXCHANGE PROGRAM. Debra Harris, Ph.D., California State University, Fresno. Needle Exchange Program (NEP) - Fresno, California. Needles Exchanged in 1 hour – 10,000 used needles Number of Individual Attending - 150.

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human rights issues related to the evaluation of an illegal needle exchange program

HUMAN RIGHTS ISSUES RELATED TO THE EVALUATION OF AN ILLEGAL NEEDLE EXCHANGE PROGRAM

Debra Harris, Ph.D., California State University, Fresno

needle exchange program nep fresno california
Needle Exchange Program (NEP) - Fresno, California

Needles Exchanged in 1 hour – 10,000 used needles

Number of Individual Attending - 150

problem
Problem
  • 1.1 million people in the U.S. – HIV
  • 3.9 million in the U.S. – Hepatitis C
  • Transmission – illegal drug activity
  • Fresno Board of Supervisors – NEP encourage needle use
aim of program
Aim of Program
  • Decrease HIV & Hepatitis C
  • Encourage Treatment
  • Seek Legalization – Fresno County Board of Supervisors
aim of evaluation method
Aim of Evaluation / Method
  • Evaluate Participant Behavior –
    • Does the NEP have an effect on needle sharing?
    • Does the NEP have an effect on needle re-use?
    • Do people enroll in treatment?
  • Institutional Review Board – approved!
  • Quantitative Survey
  • Individual Interviews – researcher and students
  • No Rewards
results of evaluation
Results of Evaluation
  • 106 Individuals Interviewed
  • Gender
    • Male – 67.9% (72)
    • Females – 32.1% (34)
  • Age – 44.4 years
  • HIV Positive – 4.5% (5)
  • Hepatitis C – 39.6 (42)
  • Drug Used
    • Heroine 68.9% (73)
    • Methamphetamine 38.7% (41)
results of evaluation continued
Results of Evaluation (continued)
  • Few Individuals Sought Drug Treatment
result of evaluation continued
Result of Evaluation (continued)
  • Sharing Needles – Significant difference between those who shared before compared to those who shared after the NEP
    • Controlled for Gender – Males significant; not females
  • Re-Using Needles – Significant difference between those who shared before compared to those who shared after the NEP
    • Controlled for Gender – Males significant; not females
human rights issues related to evalution lessons learned
Human Rights Issues Related to Evalution (lessons learned)
  • Drug Using Individuals
    • Health Care Access
    • Treatment
  • Professionals
    • Free From Jail
    • Public Opinion
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