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Needle exchange: how the meanings ascribed to needles impact exchange practices and policies
Oleh:
Millson, Margaret
;
Strike, Carol J.
;
Myers, Ted
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Aids Education and Prevention: An Interdisciplinary Journal vol. 14 no. 02 (Apr. 2002)
,
page 126-137.
Topik:
pencegahan HIV
Ketersediaan
Perpustakaan PKPM
Nomor Panggil:
A94
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
The consistency among netdle exchange practices, HIV prevention, harm reduction goals, and potential program effectiveness are analyzed. Using a modified ethnographic approach, qualitative interviews were conducted with staff (n = 59) of needle exchange programs (NEPs; n = 15). Interviews adciressed operational policies; funding and challenges. An iterative, inductive analytic process was used. Differences in exchange practices are traced to differences in how workers define needles as objects of "risk" and/or "prevention." The weight accorded to each definition has implications for service delivery. Among NEPs that ascribe a "risk" meaning, workers enforce a strict one-for-one exchange, encourage clients to take fewer needles, and penalize clients. Programs that focus on the "prevention" meaning of netdies work towards improving access, problem solving about proper dIsposal and do not penalize clients. Operational policies that restrict access to sterile equipment or discourage attendance need to be reconsidered if HIV prevention goals are to be realized.
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