Finding a place for needle exchange programs

  title={Finding a place for needle exchange programs},
  author={Carol Strike and Ted Myers and Margaret Millson},
  journal={Critical Public Health},
  pages={261 - 275}
Using the concepts of stigma, NIMBY and place, this paper examines the difficulties of finding a place for needle exchange programs (NEPs). Data were drawn from semi-structured interviews with NEP staff (Ontario, Canada) that focused on operational policies and routines. An iterative, inductive analytic process was used. NEPs, their staff and clients are not always welcome additions to organizations or communities because of concerns about the ‘dangerousness’ of clients and the potential… 

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This thesis explores the development and operation of a needle exchange service in one former health board area. It identifies the issues and barriers that are associated with these processes from

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HIV prevention varied in different areas of Wales depending on the particular professional group involved, local ideologies regarding drug use treatment, and the extent to which HIV prevention was seen either as a specialist area of expertise and specific remit of drug workers or a generic health care task.

Termination of an Established Needle-Exchange: A Study of Claims and Their Impact

The analysis provides a case study showing how a community's demonstrably effective HIV prevention efforts can be quickly eroded by the termination of a key harm-reduction service, the closure of a well-established needle-exchange.

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Continuing research is clearly needed regarding how to maximize the availability of sterile injection equipment and how to integrate this with other needed health and social services for drug users.

Resistance to a residential AIDS home: an empirical test of NIMBY.

NIMBY opposition in the case of an AIDS residence was found to be primarily related to fear of AIDS and homophobia.

Drug users' access to community-based services

Needle exchange, HIV infection, and the politics of science: Confronting Canada's cocaine injection epidemic with participant observation

The polemics generated by this counterintuitive quantitative data demonstrate the urgent need for a cross‐methodological dialogue between epidemiology and ethnography and public health should expand its scientific paradigm to include ethnographic documentation of the daily lives of vulnerable street addicts.

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HIV/AIDS prevention: problems and approaches to establishing needle exchange programs in rural areas.

  • D. Reilly
  • Medicine
    Australian health review : a publication of the Australian Hospital Association
  • 1990
The problems and approaches faced by health services managers in developing a needle exchange program in a conservative rural area are presented with the emphasis on 4 major groups: intravenous drug users; the media; the general community and the public health system.

Do needle exchange programmes increase the spread of HIV among injection drug users?: an investigation of the Vancouver outbreak.

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