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.

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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 NEEDLE EXCHANGE PROGRAM

Needles Exchanged in 1 hour – 10,000 used needles

Number of Individual Attending - 150


Needle exchange program fresno
Needle Exchange Program NEEDLE EXCHANGE PROGRAM- Fresno


Needle exchange program fresno1
Needle Exchange Program - Fresno NEEDLE EXCHANGE PROGRAM


Problem
Problem NEEDLE EXCHANGE PROGRAM

  • 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 NEEDLE EXCHANGE PROGRAM

  • Decrease HIV & Hepatitis C

  • Encourage Treatment

  • Seek Legalization – Fresno County Board of Supervisors


Aim of evaluation method
Aim of Evaluation / Method NEEDLE EXCHANGE PROGRAM

  • 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 NEEDLE EXCHANGE PROGRAM

  • 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) NEEDLE EXCHANGE PROGRAM

  • Few Individuals Sought Drug Treatment


Result of evaluation continued
Result of Evaluation (continued) NEEDLE EXCHANGE PROGRAM

  • 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 NEEDLE EXCHANGE PROGRAMEvalution (lessons learned)

  • Drug Using Individuals

    • Health Care Access

    • Treatment

  • Professionals

    • Free From Jail

    • Public Opinion



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