NEEDLE SYRINGE EXCHANGE PROGRAMMES. GOAL To ensure that every injecting act is covered with a safe...
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- Slide 1
- NEEDLE SYRINGE EXCHANGE PROGRAMMES
- Slide 2
- GOAL To ensure that every injecting act is covered with a safe
needle/syringe
- Slide 3
- KEY OBJECTIVES OF NSEP 1. To facilitate safe injecting
practices by: Providing sterile/ new injecting equipment Practicing
safe disposal option Removing contaminated needles/ syringes from
circulation
- Slide 4
- CONTD. 2. To educate and inform IDUs & partners about safe
injecting practices for prevention of HIV transmission thereby
minimising the hazardous consequences of unsafe injection 3. To
befriend the IDU for establishment of a line of communication that
ultimately links them with other services & assists in
reduction of high risk practices/ behaviour
- Slide 5
- BASIC COMPONENTS Distribute Collect Dispose & Inform
- Slide 6
- WHO WILL IMPLEMENT NSEP? 1. PEs & ORWs in: Areas where IDUs
congregate/reside 2. Health Workers (nurse/counsellor/ANMs) at:
DICs/Clinics 3. PEs/Others designated as Secondary Distributors
(SD) in: Far flung areas difficult for ORW/PE to reach 4.
Sometimes, NSE may be implemented by a local key informant
- Slide 7
- WHERE? Static/Fixed sites Clinics or DICs Outreach Teams - on
predetermined routes Mobile clinics (not practiced in TIs
currently)
- Slide 8
- WHAT WILL BE DISTRIBUTED? Commodity Distribution 1.Needles: 24,
26 2.Syringes: 1ml, 2ml, 5ml, 10ml 3.Other equipment: filter,
cooker, tourniquet (where budget permits) 4.Need based IEC
5.Alcohol/ spirit swabs (to prevent abscesses) 6.Swabs, bandages,
etc (to manage abscesses) 7.Condoms 8.Distilled Water
- Slide 9
- NSEP OPERATIONAL ASPECTS NSEP should operate all 7 days in a
week o At times when IDUs need it most A carefully planned outreach
will determine o Locations for delivering NSEP o Number of N/S
required o Timing of operation o Division of IDUs & areas
amongst the outreach team o Individual tracking and monitoring
- Slide 10
- CONTD. N/S distribution should be accompanied by IDUs returning
used N/S o However, the return should not be a prerequisite for
distribution Collection of used N/S from IDUs reduces number of
used N/S available for recirculation and risk of
contamination/sharing The return rate of N/S depends on: o The
relationship between IDU and staff o Conducive environment for
NSE
- Slide 11
- NSEPS SUCCESS DEPENDS ON: Easy accessibility of N/S
Confidentiality of the IDU and partner o many IDUs are fearful of
being identified and seen as an IDU by the public and
family/friends while accessing NSEP Supply (delivery) meeting
demand The behaviour & attitude of outreach staff during
interaction with IDUs & partners
- Slide 12
- NEEDLE SYRINGE ESTIMATION FOR IDU PROJECTS
- Slide 13
- WHY DO WE REQUIRE ESTIMATES OF NEEDLES/SYRINGES? The outreach
staff (ORW and PEs) would be able to know how many needles/syringes
should be carried during field visits for outreach purpose The TI
staff is able to know whether the demands of the clients in terms
of needles/syringes are met The Programme Manager is able to
calculate how much stock of needles/syringes is available for
distribution, and how much stock needs to be ordered (stock
projection and stock management)
- Slide 14
- ASSESSING THE ESTIMATES FOR OUTREACH PURPOSE? Who does it? The
outreach team led by Outreach Worker. The Counsellor/ Project
Manager can help the ORW in calculating the estimates. Where should
it be done? At the DIC before going for outreach. How frequently
should it be done? Ideally on a monthly basis. Additionally, the
ORW can also review the estimates during weekly review meeting with
his PEs.
- Slide 15
- HOW SHOULD IT BE DONE? Information will be available from two
sources: Source one: Outreach planning tools the Spot analysis
exercise will give the approximate number of IDUs in a particular
hotspot the volume of injecting further divided into high, medium
and low volume: - high volume may be >3 injecting episodes in a
day - medium volume may be 1 3 injecting episodes in a day - low
volume may be