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
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
