Implementation and evaluation of a syringe vending machine trial in Tbilisi, Georgia

Otiashvili, David; Kirtadze, Irma; Mgebrishvili, Tamar; Beselia, Ada; Tabatadze, Mzia; Vardanashvili, Irina; Ober, Allison J.

doi:10.1016/j.drugpo.2022.103649

Cited by 7 publications

(29 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…HRVM users differed in a number of ways from participants who preferred xed site SSPs. Women and young people were more likely to use HRVM than men and older people which is consistent with other study ndings that identi ed the most common users of HRVM to be young and relatively new to injecting [27]. Moatti et al [28] also found that people who preferred HRVMs tended to be younger, HIV-positive, and less likely enrolled in a methadone program.…”

Section: Reachsupporting

confidence: 87%

“…In contrast, lack of cultural support and disinterest from the government were seen as challenges to implementation in Tijuana [23]. Also, some PWID did not want to use HRVMs because of fear of police or lack of anonymity associated with accessing services in a public space [27]. Police are a critical concern for HRVM use in many communities, particularly Black and Brown communities in the US that have been historically over-policed, and over-criminalized for drug use.…”

Section: Barriers To Harm Reduction Vending Machinesmentioning

confidence: 99%

“…This speaks to an inner setting of acceptance of people who use drugs, non-stigmatizing communication, and support of participants. This was most notable among women and younger people, who were more likely to convert from using only xed site services to also using HRVMs than were men and older people, because of perceived and experienced stigmatization [25,27].…”

Section: Barriers To Harm Reduction Vending Machinesmentioning

confidence: 99%

“…Multiple articles referenced engagement with PWUD to understand needed supplies, barriers to access, and ideal location for vending machine placement [26]. The organization should expect to change aspects of the HRVM based on formally collected participant feedback [26] and continuously distribute information on the location of placed machines [27].…”

Section: Facilitators Of Harm Reduction Vending Machinesmentioning

confidence: 99%

See 3 more Smart Citations

A scoping review of implementation considerations for Harm Reduction Vending Machines

Russell

Johnson

Kosinski³

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Community-based harm reduction vending machines (HRVM) are not new to the field of public health; numerous countries have implemented them in response to the needs of people who use drugs over the last three decades. However, until recently, few existed in the United States. Given the rapidity with which communities are standing up harm reduction vending machines, there is a pressing need for a consolidated examination of implementation evidence. This scoping review summarizes existing literature using multiple implementation science frameworks. Methods The scoping review was conducted in five stages including 1) Identify the research question; 2) Identify relevant studies; 3) Select the publications based on inclusion/exclusion criteria; 4) Review and extract data; and, 5) Summarize results. PubMed, Embase, and Web of Science were searched and authors screened publications in English from any year. Data were extracted by applying implementation constructs from RE-AIM and the Consolidated Framework for Implementation Research (CFIR). Both frameworks provided a useful lens through which to develop knowledge about the facilitators and barriers to HRVM implementation. The review is reported according to PRISMA guidelines. Results After applying the full inclusion and exclusion criteria, including the intervention of interest (“vending machines”) and population of interest (“people who use drugs”), a total of 23 studies were included in the scoping review. None of the studies reported on race, making it difficult to retroactively apply a racial equity lens. Among those articles that examined effectiveness, the outcomes were mixed between clear effectiveness and inconclusive results. Evidence emerged, however, to address all CFIR constructs, and positive outcomes were observed from HRVM’s after-hour availability and increased program reach. Recommendations: HRVM implementation best practices include maximizing accessibility up to 24 hours, 7 days a week, offering syringe disposal options, ensuring capability of data collection, and allowing for anonymity of use. Organizations that implement HRVM should establish strong feedback loops between them, their program participants, and the broader community upfront. Considerations for future research include rigorous study designs to evaluate effectiveness outcomes (e.g. reduced drug overdose deaths) and examination of HRVM reach among ethnic and racial communities.

show abstract

Section: Reachsupporting

confidence: 87%

Section: Barriers To Harm Reduction Vending Machinesmentioning

confidence: 99%

Section: Barriers To Harm Reduction Vending Machinesmentioning

confidence: 99%

Section: Facilitators Of Harm Reduction Vending Machinesmentioning

confidence: 99%

See 2 more Smart Citations

A scoping review of implementation considerations for Harm Reduction Vending Machines

Russell

Johnson

Kosinski³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Sterile syringe inventory is obtained through coins or syringe exchange limiting interaction requirements and increasing temporal service availability ( Islam et al, 2008b ). Evidence suggests public health vending machines (PHVMs) reach young injection drug using adults who are less engaged with other treatment services and have a shorter duration of drug use ( Islam and Conigrave, 2007 ; Otiashvili et al, 2022 ) Additionally, program evaluations have found no adverse events associated with machine use ( McDonald, 2009 ), a lack of association with syringe litter, and increased inquiries in Hep C services ( Islam et al, 2008a , 2008b ).…”

Section: Introductionmentioning

confidence: 99%

Qualitative exploration of public health vending machines in young adults who misuse opioids: A promising strategy to increase naloxone access in a high risk underserved population

Wägner

Kempe²,

Barnard³

et al. 2022

Drug and Alcohol Dependence Reports

View full text Add to dashboard Cite

Evaluating public health vending machine rollout and utilization in criminal-legal settings

Martin,

DaCunha,

Bailey

et al. 2025

Journal of Substance Use and Addiction Treatment

View full text Add to dashboard Cite

Implementation and evaluation of a syringe vending machine trial in Tbilisi, Georgia

Cited by 7 publications

References 38 publications

A scoping review of implementation considerations for Harm Reduction Vending Machines

A scoping review of implementation considerations for Harm Reduction Vending Machines

Qualitative exploration of public health vending machines in young adults who misuse opioids: A promising strategy to increase naloxone access in a high risk underserved population

Evaluating public health vending machine rollout and utilization in criminal-legal settings

Contact Info

Product

Resources

About