Guide to starting and managing needle and syringe programmes this manual was prepared by aids projects management group apmg acknowledgments 1needle exchange programs 2needle sharing adverse effects 3hiv infections prevention and control 4 substance abuse intravenous complications iworld health organization dept of . Well as practice examples from the many needle and syringe programs which have already started work in 16 countries in the region this chapter may be read as the first part of the complete guide to starting and managing needle and syringe programs or as a briefing paper for decision makers at local and. World health organisation who 2007 guide to starting and managing needle and syringe programmes p14 pdf 17 australian injecting and illicit drug users league 2018 needle and syringe programs in australia peer led best practice p6 pdf 18. A handbook for starting and managing needle and syringe programmes in prisons and other closed settings unodc vienna 16 harm reduction international hri 2014 the global state of harm reduction hri london 17 westcott b 2012 18 october. Sharing needles and syringes is a direct route of transmission for hiv and hepatitis b and c viruses scientific studies have found that syringe services programs ssps are an effective way to reduce hiv transmission and that they promote entry to and retention in drug treatment and medical services without increasing illegal drug use
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