Implementation dilemmas of the Needle Syringe Exchange Programme (NSEP): Between the law and prevention

Singh, Paramjit Singh Jamir; Azman, Azlinda; Samsurijan, Mohamad Shaharudin; Firdaus, R. B. Radin; Vadevelu, Kumarashwaran; Yahaya, Mohd Haizzan; Latiff, Abdul Rais Abdul

doi:10.1016/j.psrb.2016.09.005

Cited by 4 publications

(6 citation statements)

References 12 publications

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“…In Amsterdam, full participation in the harm reduction programme resulted in a six- to seven-fold reduction in the risk of HCV seroconversion [36]. In Malaysia, since the implementation of the Needle and Syringe Exchange Programme in 2006, the percentage of HIV infections acquired via IDU has reduced from 75% in 2006 to 47.7% in 2010 [38].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Hepatitis B and C Co-Infection among HIV-Infected Patients in Singapore, 2006–2017

Choy

Ang

et al. 2019

TropicalMed

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Co-infection of hepatitis B virus (HBV) and hepatitis C virus (HCV) with human immunodeficiency virus (HIV) is associated with increased risk of hepatic complications and mortality. A retrospective study to estimate the proportion of HBV and HCV co-infections in Singapore was conducted using a clinical database. We included 3065 patients who were seen under the Clinical HIV Programme at the largest referral centre for HIV care between 2006 and 2017 and were tested for both HBV and HCV. Factors associated with HIV-HBV and HIV-HCV co-infections were determined using logistic regressions. The majority (86.3%) of HIV-infected patients were mono-infected, while 7.2% were co-infected with HBV, 6.0% with HCV, and 0.5% were co-infected with both HBV and HCV. The most common HCV genotype was GT1 (63%). Factors significantly associated with HBV co-infection in the multivariable model were: Aged 30–49 years and 50–69 years at HIV diagnosis, male gender, and HIV transmission through intravenous drug use (IDU). Independent factors associated with HCV co-infection were: Malay ethnicity, HIV transmission through IDU, and HIV diagnosis between 2006 and 2008. Behavioural risk factors such as IDU, as well as epidemiologic differences associated with co-infection, should inform further studies and interventions aimed at reducing viral hepatitis infection among HIV-infected individuals.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Hepatitis B and C Co-Infection among HIV-Infected Patients in Singapore, 2006–2017

Choy

Ang

et al. 2019

TropicalMed

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“…A comparison study of two Behavioral Surveillance Surveys (BSS) that were conducted in April 2006 and February 2007 by the MAC indicated that the provision of free needles and syringes through the NSEP had not increased the number of PWID or the frequency of drug injection between PWID (Sarnon et al, 2011). More recent studies from Wickersham et al (2016); Singh et al (2016) also found that high utilization of NSEP was related to low HIV transmission between PWID in Malaysia. Hamid et al (2016) also reported 80% of NSEP clients decided to return the used syringes and needles for an exchange of new and clean injecting equipment.…”

Section: Nsep To Reduce Hiv Transmission In Malaysiamentioning

confidence: 90%

“…This short communication paper examines the implementation of the needle syringe exchange program in Malaysia, including an overview of the welfare state that has shaped and influenced access to health care systems in Malaysia. After 16 years of its implementation, Singh et al (2016) and Zakaria et al (2016) reported that police officers in Malaysia are more prepared and ready to accept this program. Further, more community leaders agreed that NSEP's main goal fits with the Islamic principle, dafu al-dharar wa jalbul that views this program as 'an urgent need' to prevent more harm to the society.…”

Section: Discussionmentioning

confidence: 99%

“…As a result, countries such as Thailand, Indonesia, China, and Myanmar started their needle syringe exchange program (NSEP) as a method to reduce HIV cases among people who inject drugs (PWID). To date, NSEP plays a crucial role in containing blood-borne viral infections, mainly HIV, Hepatitis A, and Hepatitis B (Chandrasekaran et al, 2017;Low et al, 2010;Singh et al, 2016;Yusuff, & Mohamed, 2018). This program has been practiced in many countries around the world, with Western European countries and Sweden and Australia being among the leaders in the NSEP (Karlsson et al, 2020).…”

Section: Hiv In Malaysiamentioning

confidence: 99%

“…It was estimated that 170,000 people inject drugs in Malaysia (Singh et al, 2016). Consequently, sharing needles and syringes is one of the factors leading to rapid HIV transmission among people who inject drugs (PWID) in Malaysia.…”

Section: Aimmentioning

confidence: 99%

See 2 more Smart Citations

The Implementation of Needle Syringe Exchange Program in Malaysia: A Short Communication

Shaari¹

2022

IJARBSS

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In 2005, the Ministry of Health in Malaysia decided to introduce the needle syringe exchange program to curb the rapid increase of HIV transmission, specifically among people who inject drugs. This short communication paper examines the implementation of the needle syringe exchange program in Malaysia, including an overview of a welfare state that has shaped and influenced access to health care systems in Malaysia. Issues related to legal and socio-cultural context in response to the implementation of the needle exchange program will be discussed. A decrease in HIV cases among Malaysian people will support the social and economic development of the community as a whole. Ultimately, this will support the Malaysian government's commitment to achieving UNAIDS 2030 targets to end AIDS.

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Accessibility of Needle and Syringe Programs and Injecting and Sharing Risk Behaviors in High Hepatitis C Virus Prevalence Settings

Naserirad

Beulaygue

2020

Substance Use & Misuse

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Implementation dilemmas of the Needle Syringe Exchange Programme (NSEP): Between the law and prevention

Cited by 4 publications

References 12 publications

Factors Associated with Hepatitis B and C Co-Infection among HIV-Infected Patients in Singapore, 2006–2017

Factors Associated with Hepatitis B and C Co-Infection among HIV-Infected Patients in Singapore, 2006–2017

The Implementation of Needle Syringe Exchange Program in Malaysia: A Short Communication

Accessibility of Needle and Syringe Programs and Injecting and Sharing Risk Behaviors in High Hepatitis C Virus Prevalence Settings

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