Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study

BACKGROUND AND AIMS: Despite advances in our knowledge of effective services for people who use drugs over the last decades globally, coverage remains poor in most countries, while quality is often unknown. This paper aims to discuss the historical development of successful epidemiological indicator...

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Autores: Wiessing, Lucas, Ferri, Marica, Belackova, Vendula, Carrieri, Patrizia, Friedman, Samuel R., Folch, Cinta, Dolan, Kate, Galvin, Brian, Vickerman, Peter, Lazarus, Jeffrey V., Mravcik, Viktor, Kretzschmar, Mirjam, Sypsa, Vana, Sarasa-Renedo, Ana, Uusküla, Anneli, Paraskevis, Dimitrios, Mendao, Luis, Rossi, Diana, Gelder, Nadine van, Mitcheson, Luke, Paoli, Letizia, Diaz Gomez, Cristina, Milhet, Maitena, Dascalu, Nicoleta, Knight, Jonathan, Hay, Gordon, Kalamara, Eleni, Simon, Roland, Comiskey, Catherine, Rossi, Carla, Griffiths, Paul
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/110935
Acceso en línea:https://hdl.handle.net/2445/110935
Access Level:acceso abierto
Palabra clave:Drogoaddicció
Epidemiology
Drogoaddictes
Drug addiction
Epidemiologia
Drug addicts
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spelling Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus studyWiessing, LucasFerri, MaricaBelackova, VendulaCarrieri, PatriziaFriedman, Samuel R.Folch, CintaDolan, KateGalvin, BrianVickerman, PeterLazarus, Jeffrey V.Mravcik, ViktorKretzschmar, MirjamSypsa, VanaSarasa-Renedo, AnaUusküla, AnneliParaskevis, DimitriosMendao, LuisRossi, DianaGelder, Nadine vanMitcheson, LukePaoli, LetiziaDiaz Gomez, CristinaMilhet, MaitenaDascalu, NicoletaKnight, JonathanHay, GordonKalamara, EleniSimon, RolandComiskey, CatherineRossi, CarlaGriffiths, PaulDrogoaddiccióEpidemiologyDrogoaddictesDrug addictionEpidemiologiaDrug addictsBACKGROUND AND AIMS: Despite advances in our knowledge of effective services for people who use drugs over the last decades globally, coverage remains poor in most countries, while quality is often unknown. This paper aims to discuss the historical development of successful epidemiological indicators and to present a framework for extending them with additional indicators of coverage and quality of harm reduction services, for monitoring and evaluation at international, national or subnational levels. The ultimate aim is to improve these services in order to reduce health and social problems among people who use drugs, such as human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infection, crime and legal problems, overdose (death) and other morbidity and mortality. METHODS AND RESULTS: The framework was developed collaboratively using consensus methods involving nominal group meetings, review of existing quality standards, repeated email commenting rounds and qualitative analysis of opinions/experiences from a broad range of professionals/experts, including members of civil society and organisations representing people who use drugs. Twelve priority candidate indicators are proposed for opioid agonist therapy (OAT), needle and syringe programmes (NSP) and generic cross-cutting aspects of harm reduction (and potentially other drug) services. Under the specific OAT indicators, priority indicators included 'coverage', 'waiting list time', 'dosage' and 'availability in prisons'. For the specific NSP indicators, the priority indicators included 'coverage', 'number of needles/syringes distributed/collected', 'provision of other drug use paraphernalia' and 'availability in prisons'. Among the generic or cross-cutting indicators the priority indicators were 'infectious diseases counselling and care', 'take away naloxone', 'information on safe use/sex' and 'condoms'. We discuss conditions for the successful development of the suggested indicators and constraints (e.g. funding, ideology). We propose conducting a pilot study to test the feasibility and applicability of the proposed indicators before their scaling up and routine implementation, to evaluate their effectiveness in comparing service coverage and quality across countries. CONCLUSIONS: The establishment of an improved set of validated and internationally agreed upon best practice indicators for monitoring harm reduction service will provide a structural basis for public health and epidemiological studies and support evidence and human rights-based health policies, services and interventions.Biomed Central2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/110935Articles publicats en revistes (ISGlobal)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: http://dx.doi.org/10.1186/s12954-017-0141-6Harm Reduction Journal, 2017, vol. 14, num. 1, p. 19http://dx.doi.org/10.1186/s12954-017-0141-6cc by (c) Wiessing et al., 2017http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1109352026-05-27T06:46:51Z
dc.title.none.fl_str_mv Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study
title Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study
spellingShingle Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study
Wiessing, Lucas
Drogoaddicció
Epidemiology
Drogoaddictes
Drug addiction
Epidemiologia
Drug addicts
title_short Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study
title_full Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study
title_fullStr Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study
title_full_unstemmed Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study
title_sort Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study
dc.creator.none.fl_str_mv Wiessing, Lucas
Ferri, Marica
Belackova, Vendula
Carrieri, Patrizia
Friedman, Samuel R.
Folch, Cinta
Dolan, Kate
Galvin, Brian
Vickerman, Peter
Lazarus, Jeffrey V.
Mravcik, Viktor
Kretzschmar, Mirjam
Sypsa, Vana
Sarasa-Renedo, Ana
Uusküla, Anneli
Paraskevis, Dimitrios
Mendao, Luis
Rossi, Diana
Gelder, Nadine van
Mitcheson, Luke
Paoli, Letizia
Diaz Gomez, Cristina
Milhet, Maitena
Dascalu, Nicoleta
Knight, Jonathan
Hay, Gordon
Kalamara, Eleni
Simon, Roland
Comiskey, Catherine
Rossi, Carla
Griffiths, Paul
author Wiessing, Lucas
author_facet Wiessing, Lucas
Ferri, Marica
Belackova, Vendula
Carrieri, Patrizia
Friedman, Samuel R.
Folch, Cinta
Dolan, Kate
Galvin, Brian
Vickerman, Peter
Lazarus, Jeffrey V.
Mravcik, Viktor
Kretzschmar, Mirjam
Sypsa, Vana
Sarasa-Renedo, Ana
Uusküla, Anneli
Paraskevis, Dimitrios
Mendao, Luis
Rossi, Diana
Gelder, Nadine van
Mitcheson, Luke
Paoli, Letizia
Diaz Gomez, Cristina
Milhet, Maitena
Dascalu, Nicoleta
Knight, Jonathan
Hay, Gordon
Kalamara, Eleni
Simon, Roland
Comiskey, Catherine
Rossi, Carla
Griffiths, Paul
author_role author
author2 Ferri, Marica
Belackova, Vendula
Carrieri, Patrizia
Friedman, Samuel R.
Folch, Cinta
Dolan, Kate
Galvin, Brian
Vickerman, Peter
Lazarus, Jeffrey V.
Mravcik, Viktor
Kretzschmar, Mirjam
Sypsa, Vana
Sarasa-Renedo, Ana
Uusküla, Anneli
Paraskevis, Dimitrios
Mendao, Luis
Rossi, Diana
Gelder, Nadine van
Mitcheson, Luke
Paoli, Letizia
Diaz Gomez, Cristina
Milhet, Maitena
Dascalu, Nicoleta
Knight, Jonathan
Hay, Gordon
Kalamara, Eleni
Simon, Roland
Comiskey, Catherine
Rossi, Carla
Griffiths, Paul
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Drogoaddicció
Epidemiology
Drogoaddictes
Drug addiction
Epidemiologia
Drug addicts
topic Drogoaddicció
Epidemiology
Drogoaddictes
Drug addiction
Epidemiologia
Drug addicts
description BACKGROUND AND AIMS: Despite advances in our knowledge of effective services for people who use drugs over the last decades globally, coverage remains poor in most countries, while quality is often unknown. This paper aims to discuss the historical development of successful epidemiological indicators and to present a framework for extending them with additional indicators of coverage and quality of harm reduction services, for monitoring and evaluation at international, national or subnational levels. The ultimate aim is to improve these services in order to reduce health and social problems among people who use drugs, such as human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infection, crime and legal problems, overdose (death) and other morbidity and mortality. METHODS AND RESULTS: The framework was developed collaboratively using consensus methods involving nominal group meetings, review of existing quality standards, repeated email commenting rounds and qualitative analysis of opinions/experiences from a broad range of professionals/experts, including members of civil society and organisations representing people who use drugs. Twelve priority candidate indicators are proposed for opioid agonist therapy (OAT), needle and syringe programmes (NSP) and generic cross-cutting aspects of harm reduction (and potentially other drug) services. Under the specific OAT indicators, priority indicators included 'coverage', 'waiting list time', 'dosage' and 'availability in prisons'. For the specific NSP indicators, the priority indicators included 'coverage', 'number of needles/syringes distributed/collected', 'provision of other drug use paraphernalia' and 'availability in prisons'. Among the generic or cross-cutting indicators the priority indicators were 'infectious diseases counselling and care', 'take away naloxone', 'information on safe use/sex' and 'condoms'. We discuss conditions for the successful development of the suggested indicators and constraints (e.g. funding, ideology). We propose conducting a pilot study to test the feasibility and applicability of the proposed indicators before their scaling up and routine implementation, to evaluate their effectiveness in comparing service coverage and quality across countries. CONCLUSIONS: The establishment of an improved set of validated and internationally agreed upon best practice indicators for monitoring harm reduction service will provide a structural basis for public health and epidemiological studies and support evidence and human rights-based health policies, services and interventions.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/110935
url https://hdl.handle.net/2445/110935
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: http://dx.doi.org/10.1186/s12954-017-0141-6
Harm Reduction Journal, 2017, vol. 14, num. 1, p. 19
http://dx.doi.org/10.1186/s12954-017-0141-6
dc.rights.none.fl_str_mv cc by (c) Wiessing et al., 2017
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Wiessing et al., 2017
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Biomed Central
publisher.none.fl_str_mv Biomed Central
dc.source.none.fl_str_mv Articles publicats en revistes (ISGlobal)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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