Human rights issues related to the evaluation of an illegal needle exchange program
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HUMAN RIGHTS ISSUES RELATED TO THE EVALUATION OF AN ILLEGAL NEEDLE EXCHANGE PROGRAM PowerPoint PPT Presentation


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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

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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


Needle Exchange Program - Fresno


Needle Exchange Program - Fresno


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

  • Decrease HIV & Hepatitis C

  • Encourage Treatment

  • Seek Legalization – Fresno County Board of Supervisors


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

  • 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)

  • Few Individuals Sought Drug Treatment


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)

  • Drug Using Individuals

    • Health Care Access

    • Treatment

  • Professionals

    • Free From Jail

    • Public Opinion


  • Fresno Board of Supervisors – denied any approval


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