Evidence map›Paper›PMID 41386239›Full record

ReviewThe Lancet. Global health2026

Addressing policy barriers to scaling up needle and syringe programmes: a global call to action.

Guillaume Fontaine, Emma Day, Niklas Luhmann, Annie Madden, Keith Sabin, Andrew Scheibe, Mark Stoove, Peter Vickerman, Ernst Wisse, Jason Grebely and 2 more

Abstract readReview
In one paragraph

Review in The Lancet. Global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Guillaume FontaineMcGill University, Montréal, QC, Canada; Lady Davis Institute for Medical Research, Montréal, QC, Canada; Ottawa Hospital Research Institute, Ottawa, ON, Canada; Kirby Institute, University of New South Wales, Kensington, NSW, Australia. Electronic address: guil.fontaine@mcgill.ca.
Emma DayInternational Network on Health and Hepatitis in Substance Users, Barangaroo, NSW, Australia.
Niklas LuhmannWHO, Geneva, Switzerland.
Annie MaddenInternational Network of People Who Use Drugs, Barton, ACT, Australia.
Keith SabinUNAIDS, Geneva, Switzerland.
Andrew ScheibeTB HIV Care, Cape Town, South Africa; University of Pretoria, Hatfield, South Africa; University of Bristol, Bristol, UK.
Mark StooveBurnet Institute, Melbourne, VIC, Australia.
Peter VickermanUniversity of Bristol, Bristol, UK.
Ernst WisseMédecins du Monde, Paris, France.
Jason GrebelyKirby Institute, University of New South Wales, Kensington, NSW, Australia; International Network on Health and Hepatitis in Substance Users, Barangaroo, NSW, Australia.
Natalie TaylorImplementation to Impact (i2i), School of Population Health, University of New South Wales, Kensington, NSW, Australia.
International Network on Health and Hepatitis in Substance Users Policy Day Working Group

Funding

World Health Organization 001
6 · The paper itself

Abstract

Needle and syringe programmes (NSPs) are effective, affordable solutions for preventing the transmission of blood-borne viruses among people who inject drugs. Yet, global NSP coverage remains extremely low; only 2% of people who inject drugs live in countries with high coverage, and many low-income and middle-income countries do not have NSPs. This Health Policy reports outputs from an international working group who used implementation science approaches to prioritise barriers and co-design solutions to scale up NSPs across three domains: global policy, national policy, and procurement. We present six barriers and 11 strategies that align commodity selection and procurement with the needs and preferences of people who inject drugs, strengthen national commitment and regulatory environments, and improve forecasting and market access for preferred products. We provide sector-specific actions for funders, governments, procurement agencies, implementers, community networks, and researchers. Scaling up NSPs is essential for achieving global infectious disease-elimination goals and improving health outcomes among people who inject drugs.

Indexed as

Global HealthHealth PolicyNeedle-Exchange ProgramsSubstance Abuse, IntravenousHumans

Identifiers

PMID41386239
PMCPMC12696260

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.