Syringe exchange programs in Brazil: preliminary assessment of 45 programs
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2746 |
Resumo: | The present study aims to evaluate the current operation of Brazilian syringe exchange programs (SEP). After consulting national and regional networks of people working in projects/ programs aiming to reduce drug-related harm, we identified 134 potential participant programs. Unfortunately, only 45 SEPs answered a survey, even after repeated attempts. The survey addressed: coverage, funding, procurement of basic supplies, managerial capacity, and the local political environment. Findings were triangulated with in-depth interviews with key informants. The main findings included: satisfactory adherence to the initiatives and adequate documentation, but deficiencies in terms of coverage and monitoring, and uneven procurement of resources. Program personnel work mostly on a provisional basis, despite the efforts of local coordinators. Most programs are funded by the National STDs/AIDS Program. A comprehensive agenda aiming to improve current operations should include: concerted efforts to improve local and regional databanks, incentives/sanctions toward full accountability of initiatives carried by the programs, and a genuine culture of monitoring and evaluation. |
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Syringe exchange programs in Brazil: preliminary assessment of 45 programsSyringe-Exchange ProgramsAcquired Immunodeficiency SyndromeIntravenous Substance AbuseThe present study aims to evaluate the current operation of Brazilian syringe exchange programs (SEP). After consulting national and regional networks of people working in projects/ programs aiming to reduce drug-related harm, we identified 134 potential participant programs. Unfortunately, only 45 SEPs answered a survey, even after repeated attempts. The survey addressed: coverage, funding, procurement of basic supplies, managerial capacity, and the local political environment. Findings were triangulated with in-depth interviews with key informants. The main findings included: satisfactory adherence to the initiatives and adequate documentation, but deficiencies in terms of coverage and monitoring, and uneven procurement of resources. Program personnel work mostly on a provisional basis, despite the efforts of local coordinators. Most programs are funded by the National STDs/AIDS Program. A comprehensive agenda aiming to improve current operations should include: concerted efforts to improve local and regional databanks, incentives/sanctions toward full accountability of initiatives carried by the programs, and a genuine culture of monitoring and evaluation.O presente estudo buscou avaliar a operação cotidiana dos programas de troca de seringas brasileiros (conhecidos, no país, como PRD). Foram identificados 134 PRD, com base na compilação de informações das redes que atuam na área. Por intermédio de uma pesquisa, avaliou-se a cobertura dos programas, o seu financiamento, o controle de insumos, a sua capacidade organizacional e o contexto político local. Os achados, referentes a 45 programas (que, de fato, responderam à pesquisa, após repetidos contatos), foram triangulados com entrevistas com informantes-chave. Foi identificada adesão satisfatória às ações e adequada documentação e registro, mas deficiências de cobertura e monitoramento, além de descontinuidades quanto aos insumos. Os profissionais que atuam nos programas têm, em sua maioria, inserção profissional precária, embora haja coordenação local, na maior parte dos casos. A maioria dos programas é financiada por verbas provenientes do Programa Nacional de DST/AIDS. Uma agenda abrangente nesse campo deve compreender um aprimoramento dos bancos de dados oficiais referentes aos programas, incentivos/sanções e a exigência de que reportem corretamente as suas ações, além de investimento em monitoração e avaliação.Reports in Public HealthCadernos de Saúde Pública2006-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2746Reports in Public Health; Vol. 22 No. 4 (2006): AprilCadernos de Saúde Pública; v. 22 n. 4 (2006): Abril1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2746/5520https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2746/5521Fonseca, Elize Massard daRibeiro, José MendesBertoni, NeilaneBastos, Francisco I.info:eu-repo/semantics/openAccess2024-03-06T15:27:12Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/2746Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:03:11.754338Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Syringe exchange programs in Brazil: preliminary assessment of 45 programs |
title |
Syringe exchange programs in Brazil: preliminary assessment of 45 programs |
spellingShingle |
Syringe exchange programs in Brazil: preliminary assessment of 45 programs Fonseca, Elize Massard da Syringe-Exchange Programs Acquired Immunodeficiency Syndrome Intravenous Substance Abuse |
title_short |
Syringe exchange programs in Brazil: preliminary assessment of 45 programs |
title_full |
Syringe exchange programs in Brazil: preliminary assessment of 45 programs |
title_fullStr |
Syringe exchange programs in Brazil: preliminary assessment of 45 programs |
title_full_unstemmed |
Syringe exchange programs in Brazil: preliminary assessment of 45 programs |
title_sort |
Syringe exchange programs in Brazil: preliminary assessment of 45 programs |
author |
Fonseca, Elize Massard da |
author_facet |
Fonseca, Elize Massard da Ribeiro, José Mendes Bertoni, Neilane Bastos, Francisco I. |
author_role |
author |
author2 |
Ribeiro, José Mendes Bertoni, Neilane Bastos, Francisco I. |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Fonseca, Elize Massard da Ribeiro, José Mendes Bertoni, Neilane Bastos, Francisco I. |
dc.subject.por.fl_str_mv |
Syringe-Exchange Programs Acquired Immunodeficiency Syndrome Intravenous Substance Abuse |
topic |
Syringe-Exchange Programs Acquired Immunodeficiency Syndrome Intravenous Substance Abuse |
description |
The present study aims to evaluate the current operation of Brazilian syringe exchange programs (SEP). After consulting national and regional networks of people working in projects/ programs aiming to reduce drug-related harm, we identified 134 potential participant programs. Unfortunately, only 45 SEPs answered a survey, even after repeated attempts. The survey addressed: coverage, funding, procurement of basic supplies, managerial capacity, and the local political environment. Findings were triangulated with in-depth interviews with key informants. The main findings included: satisfactory adherence to the initiatives and adequate documentation, but deficiencies in terms of coverage and monitoring, and uneven procurement of resources. Program personnel work mostly on a provisional basis, despite the efforts of local coordinators. Most programs are funded by the National STDs/AIDS Program. A comprehensive agenda aiming to improve current operations should include: concerted efforts to improve local and regional databanks, incentives/sanctions toward full accountability of initiatives carried by the programs, and a genuine culture of monitoring and evaluation. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2746 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2746 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2746/5520 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2746/5521 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 22 No. 4 (2006): April Cadernos de Saúde Pública; v. 22 n. 4 (2006): Abril 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1798943356918693888 |