Evidence map›Paper›PMID 30170604›Full record

ArticleHarm reduction journal2018

Feasibility of needle and syringe programs in Tajikistan distributing low dead space needles.

William A Zule, Alisher Latypov, David Otiashvili, Steffani Bangel, Georgiy V Bobashev

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Harm reduction journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

William A ZuleRTI International, 3040 E. Cornwallis Road, PO Box 12194, Research Triangle Park, NC, 2709-2194, USA. zule@rti.org.
Alisher LatypovGlobal Health Research Center of Central Asia, Columbia University, New York, NY, USA.
David OtiashviliAddiction Research Center - Alternative Georgia, 14A Nutsubidze Street, Office 2, 0177, Tbilisi, Georgia.
Steffani BangelInstitute of Women and Ethnic Studies, 365 Canal St #1550, New Orleans, LA, 70130, USA.
Georgiy V BobashevRTI International, 3040 E. Cornwallis Road, PO Box 12194, Research Triangle Park, NC, 2709-2194, USA.
RTI International · USGlobal Health Research Center of Central Asia · USInstitute of Women and Ethnic Studies · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Pilot Test of an Intervention to Change Syringes Used by Injecting Drug UsersR34DA035094 · NIDA · RESEARCH TRIANGLE INSTITUTE · PI ZULE, WILLIAM A · 2013 to 2015
$665k
NIAID NIH HHS P30 AI050410NIDA NIH HHS R34 DA035094NIDA NIH HHS R34DA035094
6 · The paper itself

Abstract

backgroundIn 2012, the World Health Organization recommended that needle and syringe programs offer their clients low dead space insulin syringes with permanently attached needles. However, in many countries, these syringes are not acceptable to a majority of people who inject drugs. This study assessed the feasibility of working with needle and syringe programs to implement the WHO recommendation using low dead space detachable needles. The study also assessed the acceptability of the needles.

methodsTwo needle and syringe programs in Tajikistan-one in Kulob and one in Khudjand-received 25,000 low dead space detachable needles each. The programs distributed low dead space detachable needles and a marketing flyer that emphasized the relative advantages of the needles. Each program also enrolled 100 participants, and each participant completed a baseline interview and a 2-month follow-up interview.

resultsAt follow-up, 100% of participants reported trying the low dead space detachable needles, and 96% reported that they liked using the needles. Both needle and syringe programs distributed all their needles within the first 60 days of the project indicating use of the needles, even among clients who did not participate in the study.

conclusionsThis project demonstrates that it is feasible for needle and syringe programs to offer and promote low dead space needles to their clients. The findings indicate that low dead space needles are acceptable to needle and syringe program clients in these Tajikistan cities. To reduce HIV and hepatitis C virus transmission, needle and syringe programs should offer low dead space needles, low dead space insulin syringes in addition to standard needles, and syringes to their clients.

Indexed as

AdultEquipment DesignFeasibility StudiesFemaleHarm ReductionHealth PromotionHumansMaleNeedle-Exchange ProgramsNeedlesPatient Acceptance of Health CarePatient SatisfactionPilot ProjectsProgram EvaluationSubstance Abuse, IntravenousTajikistanCentral AsiaHeroinImplementation scienceNeedle exchangePeople who inject drugsSyringe exchange

Identifiers

PMID30170604
PMCPMC6119303
OpenAlexW2889452479

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.