Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study.
Identifieur interne : 000D55 ( PubMed/Corpus ); précédent : 000D54; suivant : 000D56Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study.
Auteurs : Lucas Wiessing ; Marica Ferri ; Vendula B Lá Ková ; Patrizia Carrieri ; Samuel R. Friedman ; Cinta Folch ; Kate Dolan ; Brian Galvin ; Peter Vickerman ; Jeffrey V. Lazarus ; Viktor Mrav K ; Mirjam Kretzschmar ; Vana Sypsa ; Ana Sarasa-Renedo ; Anneli Uusküla ; Dimitrios Paraskevis ; Luis Mendão ; Diana Rossi ; Nadine Van Gelder ; Luke Mitcheson ; Letizia Paoli ; Cristina Diaz Gomez ; Maitena Milhet ; Nicoleta Dascalu ; Jonathan Knight ; Gordon Hay ; Eleni Kalamara ; Roland Simon ; Catherine Comiskey ; Carla Rossi ; Paul GriffithsSource :
- Harm reduction journal [ 1477-7517 ] ; 2017.
Abstract
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.
DOI: 10.1186/s12954-017-0141-6
PubMed: 28431584
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pubmed:28431584Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study.</title>
<author><name sortKey="Wiessing, Lucas" sort="Wiessing, Lucas" uniqKey="Wiessing L" first="Lucas" last="Wiessing">Lucas Wiessing</name>
<affiliation><nlm:affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal. Lucas.Wiessing@emcdda.europa.eu.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ferri, Marica" sort="Ferri, Marica" uniqKey="Ferri M" first="Marica" last="Ferri">Marica Ferri</name>
<affiliation><nlm:affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="B La Kova, Vendula" sort="B La Kova, Vendula" uniqKey="B La Kova V" first="Vendula" last="B Lá Ková">Vendula B Lá Ková</name>
<affiliation><nlm:affiliation>Department of Addictology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Carrieri, Patrizia" sort="Carrieri, Patrizia" uniqKey="Carrieri P" first="Patrizia" last="Carrieri">Patrizia Carrieri</name>
<affiliation><nlm:affiliation>Marseille Univ, INSERM, IRD, SESSTIM, Marseille, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Friedman, Samuel R" sort="Friedman, Samuel R" uniqKey="Friedman S" first="Samuel R" last="Friedman">Samuel R. Friedman</name>
<affiliation><nlm:affiliation>Institute of Infectious Disease Research, National Development and Research Institutes, New York, USA.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Folch, Cinta" sort="Folch, Cinta" uniqKey="Folch C" first="Cinta" last="Folch">Cinta Folch</name>
<affiliation><nlm:affiliation>Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Agència de Salut Pública de Catalunya (ASPC), Barcelona, Spain.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Dolan, Kate" sort="Dolan, Kate" uniqKey="Dolan K" first="Kate" last="Dolan">Kate Dolan</name>
<affiliation><nlm:affiliation>Program of International Research and Training, National Drug and Alcohol Research Centre, The University of New South Wales (UNSW), Sydney, Australia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Galvin, Brian" sort="Galvin, Brian" uniqKey="Galvin B" first="Brian" last="Galvin">Brian Galvin</name>
<affiliation><nlm:affiliation>Health Research Board, Dublin, Ireland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Vickerman, Peter" sort="Vickerman, Peter" uniqKey="Vickerman P" first="Peter" last="Vickerman">Peter Vickerman</name>
<affiliation><nlm:affiliation>School of Social and Community Medicine, University of Bristol, Bristol, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Lazarus, Jeffrey V" sort="Lazarus, Jeffrey V" uniqKey="Lazarus J" first="Jeffrey V" last="Lazarus">Jeffrey V. Lazarus</name>
<affiliation><nlm:affiliation>CHIP, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mrav K, Viktor" sort="Mrav K, Viktor" uniqKey="Mrav K V" first="Viktor" last="Mrav K">Viktor Mrav K</name>
<affiliation><nlm:affiliation>Department of Addictology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kretzschmar, Mirjam" sort="Kretzschmar, Mirjam" uniqKey="Kretzschmar M" first="Mirjam" last="Kretzschmar">Mirjam Kretzschmar</name>
<affiliation><nlm:affiliation>Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sypsa, Vana" sort="Sypsa, Vana" uniqKey="Sypsa V" first="Vana" last="Sypsa">Vana Sypsa</name>
<affiliation><nlm:affiliation>Department of Hygiene Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sarasa Renedo, Ana" sort="Sarasa Renedo, Ana" uniqKey="Sarasa Renedo A" first="Ana" last="Sarasa-Renedo">Ana Sarasa-Renedo</name>
<affiliation><nlm:affiliation>Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Uuskula, Anneli" sort="Uuskula, Anneli" uniqKey="Uuskula A" first="Anneli" last="Uusküla">Anneli Uusküla</name>
<affiliation><nlm:affiliation>Department of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Paraskevis, Dimitrios" sort="Paraskevis, Dimitrios" uniqKey="Paraskevis D" first="Dimitrios" last="Paraskevis">Dimitrios Paraskevis</name>
<affiliation><nlm:affiliation>Department of Hygiene Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mendao, Luis" sort="Mendao, Luis" uniqKey="Mendao L" first="Luis" last="Mendão">Luis Mendão</name>
<affiliation><nlm:affiliation>Group of Activists on Treatments (GAT), Lisbon, Portugal.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Rossi, Diana" sort="Rossi, Diana" uniqKey="Rossi D" first="Diana" last="Rossi">Diana Rossi</name>
<affiliation><nlm:affiliation>Intercambios Civil Association and University of Buenos Aires, Buenos Aires, Argentina.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Van Gelder, Nadine" sort="Van Gelder, Nadine" uniqKey="Van Gelder N" first="Nadine" last="Van Gelder">Nadine Van Gelder</name>
<affiliation><nlm:affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mitcheson, Luke" sort="Mitcheson, Luke" uniqKey="Mitcheson L" first="Luke" last="Mitcheson">Luke Mitcheson</name>
<affiliation><nlm:affiliation>Alcohol, Drug, and Tobacco Division, Health and Wellbeing Directorate, Public Health England, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Paoli, Letizia" sort="Paoli, Letizia" uniqKey="Paoli L" first="Letizia" last="Paoli">Letizia Paoli</name>
<affiliation><nlm:affiliation>Leuven Institute of Criminology (LINC), Faculty of Law, University of Leuven, Leuven, Belgium.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Gomez, Cristina Diaz" sort="Gomez, Cristina Diaz" uniqKey="Gomez C" first="Cristina Diaz" last="Gomez">Cristina Diaz Gomez</name>
<affiliation><nlm:affiliation>French Monitoring Centre for Drugs and Drug Addiction (OFDT), Saint-Denis, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Milhet, Maitena" sort="Milhet, Maitena" uniqKey="Milhet M" first="Maitena" last="Milhet">Maitena Milhet</name>
<affiliation><nlm:affiliation>French Monitoring Centre for Drugs and Drug Addiction (OFDT), Saint-Denis, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Dascalu, Nicoleta" sort="Dascalu, Nicoleta" uniqKey="Dascalu N" first="Nicoleta" last="Dascalu">Nicoleta Dascalu</name>
<affiliation><nlm:affiliation>The Romanian Association Against AIDS (ARAS), Bucharest, Romania.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Knight, Jonathan" sort="Knight, Jonathan" uniqKey="Knight J" first="Jonathan" last="Knight">Jonathan Knight</name>
<affiliation><nlm:affiliation>Department of Health, Wellington House, London, UK.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Hay, Gordon" sort="Hay, Gordon" uniqKey="Hay G" first="Gordon" last="Hay">Gordon Hay</name>
<affiliation><nlm:affiliation>Public Health Institute, Faculty of Education, Health and Community, Liverpool John Moores University, Liverpool, UK.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Kalamara, Eleni" sort="Kalamara, Eleni" uniqKey="Kalamara E" first="Eleni" last="Kalamara">Eleni Kalamara</name>
<affiliation><nlm:affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Simon, Roland" sort="Simon, Roland" uniqKey="Simon R" first="Roland" last="Simon">Roland Simon</name>
<affiliation><nlm:affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Comiskey, Catherine" sort="Comiskey, Catherine" uniqKey="Comiskey C" first="Catherine" last="Comiskey">Catherine Comiskey</name>
<affiliation><nlm:affiliation>Trinity College Dublin, The University of Dublin, Dublin, Ireland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Rossi, Carla" sort="Rossi, Carla" uniqKey="Rossi C" first="Carla" last="Rossi">Carla Rossi</name>
<affiliation><nlm:affiliation>Centro Studi Statistici e Sociali CE3S, Rome, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Griffiths, Paul" sort="Griffiths, Paul" uniqKey="Griffiths P" first="Paul" last="Griffiths">Paul Griffiths</name>
<affiliation><nlm:affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal.</nlm:affiliation>
</affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study.</title>
<author><name sortKey="Wiessing, Lucas" sort="Wiessing, Lucas" uniqKey="Wiessing L" first="Lucas" last="Wiessing">Lucas Wiessing</name>
<affiliation><nlm:affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal. Lucas.Wiessing@emcdda.europa.eu.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ferri, Marica" sort="Ferri, Marica" uniqKey="Ferri M" first="Marica" last="Ferri">Marica Ferri</name>
<affiliation><nlm:affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="B La Kova, Vendula" sort="B La Kova, Vendula" uniqKey="B La Kova V" first="Vendula" last="B Lá Ková">Vendula B Lá Ková</name>
<affiliation><nlm:affiliation>Department of Addictology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Carrieri, Patrizia" sort="Carrieri, Patrizia" uniqKey="Carrieri P" first="Patrizia" last="Carrieri">Patrizia Carrieri</name>
<affiliation><nlm:affiliation>Marseille Univ, INSERM, IRD, SESSTIM, Marseille, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Friedman, Samuel R" sort="Friedman, Samuel R" uniqKey="Friedman S" first="Samuel R" last="Friedman">Samuel R. Friedman</name>
<affiliation><nlm:affiliation>Institute of Infectious Disease Research, National Development and Research Institutes, New York, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Folch, Cinta" sort="Folch, Cinta" uniqKey="Folch C" first="Cinta" last="Folch">Cinta Folch</name>
<affiliation><nlm:affiliation>Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Agència de Salut Pública de Catalunya (ASPC), Barcelona, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Dolan, Kate" sort="Dolan, Kate" uniqKey="Dolan K" first="Kate" last="Dolan">Kate Dolan</name>
<affiliation><nlm:affiliation>Program of International Research and Training, National Drug and Alcohol Research Centre, The University of New South Wales (UNSW), Sydney, Australia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Galvin, Brian" sort="Galvin, Brian" uniqKey="Galvin B" first="Brian" last="Galvin">Brian Galvin</name>
<affiliation><nlm:affiliation>Health Research Board, Dublin, Ireland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Vickerman, Peter" sort="Vickerman, Peter" uniqKey="Vickerman P" first="Peter" last="Vickerman">Peter Vickerman</name>
<affiliation><nlm:affiliation>School of Social and Community Medicine, University of Bristol, Bristol, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Lazarus, Jeffrey V" sort="Lazarus, Jeffrey V" uniqKey="Lazarus J" first="Jeffrey V" last="Lazarus">Jeffrey V. Lazarus</name>
<affiliation><nlm:affiliation>CHIP, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mrav K, Viktor" sort="Mrav K, Viktor" uniqKey="Mrav K V" first="Viktor" last="Mrav K">Viktor Mrav K</name>
<affiliation><nlm:affiliation>Department of Addictology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kretzschmar, Mirjam" sort="Kretzschmar, Mirjam" uniqKey="Kretzschmar M" first="Mirjam" last="Kretzschmar">Mirjam Kretzschmar</name>
<affiliation><nlm:affiliation>Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sypsa, Vana" sort="Sypsa, Vana" uniqKey="Sypsa V" first="Vana" last="Sypsa">Vana Sypsa</name>
<affiliation><nlm:affiliation>Department of Hygiene Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sarasa Renedo, Ana" sort="Sarasa Renedo, Ana" uniqKey="Sarasa Renedo A" first="Ana" last="Sarasa-Renedo">Ana Sarasa-Renedo</name>
<affiliation><nlm:affiliation>Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Uuskula, Anneli" sort="Uuskula, Anneli" uniqKey="Uuskula A" first="Anneli" last="Uusküla">Anneli Uusküla</name>
<affiliation><nlm:affiliation>Department of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Paraskevis, Dimitrios" sort="Paraskevis, Dimitrios" uniqKey="Paraskevis D" first="Dimitrios" last="Paraskevis">Dimitrios Paraskevis</name>
<affiliation><nlm:affiliation>Department of Hygiene Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mendao, Luis" sort="Mendao, Luis" uniqKey="Mendao L" first="Luis" last="Mendão">Luis Mendão</name>
<affiliation><nlm:affiliation>Group of Activists on Treatments (GAT), Lisbon, Portugal.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Rossi, Diana" sort="Rossi, Diana" uniqKey="Rossi D" first="Diana" last="Rossi">Diana Rossi</name>
<affiliation><nlm:affiliation>Intercambios Civil Association and University of Buenos Aires, Buenos Aires, Argentina.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Van Gelder, Nadine" sort="Van Gelder, Nadine" uniqKey="Van Gelder N" first="Nadine" last="Van Gelder">Nadine Van Gelder</name>
<affiliation><nlm:affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mitcheson, Luke" sort="Mitcheson, Luke" uniqKey="Mitcheson L" first="Luke" last="Mitcheson">Luke Mitcheson</name>
<affiliation><nlm:affiliation>Alcohol, Drug, and Tobacco Division, Health and Wellbeing Directorate, Public Health England, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Paoli, Letizia" sort="Paoli, Letizia" uniqKey="Paoli L" first="Letizia" last="Paoli">Letizia Paoli</name>
<affiliation><nlm:affiliation>Leuven Institute of Criminology (LINC), Faculty of Law, University of Leuven, Leuven, Belgium.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Gomez, Cristina Diaz" sort="Gomez, Cristina Diaz" uniqKey="Gomez C" first="Cristina Diaz" last="Gomez">Cristina Diaz Gomez</name>
<affiliation><nlm:affiliation>French Monitoring Centre for Drugs and Drug Addiction (OFDT), Saint-Denis, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Milhet, Maitena" sort="Milhet, Maitena" uniqKey="Milhet M" first="Maitena" last="Milhet">Maitena Milhet</name>
<affiliation><nlm:affiliation>French Monitoring Centre for Drugs and Drug Addiction (OFDT), Saint-Denis, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Dascalu, Nicoleta" sort="Dascalu, Nicoleta" uniqKey="Dascalu N" first="Nicoleta" last="Dascalu">Nicoleta Dascalu</name>
<affiliation><nlm:affiliation>The Romanian Association Against AIDS (ARAS), Bucharest, Romania.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Knight, Jonathan" sort="Knight, Jonathan" uniqKey="Knight J" first="Jonathan" last="Knight">Jonathan Knight</name>
<affiliation><nlm:affiliation>Department of Health, Wellington House, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Hay, Gordon" sort="Hay, Gordon" uniqKey="Hay G" first="Gordon" last="Hay">Gordon Hay</name>
<affiliation><nlm:affiliation>Public Health Institute, Faculty of Education, Health and Community, Liverpool John Moores University, Liverpool, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kalamara, Eleni" sort="Kalamara, Eleni" uniqKey="Kalamara E" first="Eleni" last="Kalamara">Eleni Kalamara</name>
<affiliation><nlm:affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Simon, Roland" sort="Simon, Roland" uniqKey="Simon R" first="Roland" last="Simon">Roland Simon</name>
<affiliation><nlm:affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Comiskey, Catherine" sort="Comiskey, Catherine" uniqKey="Comiskey C" first="Catherine" last="Comiskey">Catherine Comiskey</name>
<affiliation><nlm:affiliation>Trinity College Dublin, The University of Dublin, Dublin, Ireland.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Rossi, Carla" sort="Rossi, Carla" uniqKey="Rossi C" first="Carla" last="Rossi">Carla Rossi</name>
<affiliation><nlm:affiliation>Centro Studi Statistici e Sociali CE3S, Rome, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Griffiths, Paul" sort="Griffiths, Paul" uniqKey="Griffiths P" first="Paul" last="Griffiths">Paul Griffiths</name>
<affiliation><nlm:affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal.</nlm:affiliation>
</affiliation>
</author>
</analytic>
<series><title level="j">Harm reduction journal</title>
<idno type="eISSN">1477-7517</idno>
<imprint><date when="2017" type="published">2017</date>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
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<pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28431584</PMID>
<DateCreated><Year>2017</Year>
<Month>04</Month>
<Day>22</Day>
</DateCreated>
<DateRevised><Year>2017</Year>
<Month>04</Month>
<Day>26</Day>
</DateRevised>
<Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1477-7517</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>14</Volume>
<Issue>1</Issue>
<PubDate><Year>2017</Year>
<Month>Apr</Month>
<Day>22</Day>
</PubDate>
</JournalIssue>
<Title>Harm reduction journal</Title>
<ISOAbbreviation>Harm Reduct J</ISOAbbreviation>
</Journal>
<ArticleTitle>Monitoring quality and coverage of harm reduction services for people who use drugs: a consensus study.</ArticleTitle>
<Pagination><MedlinePgn>19</MedlinePgn>
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<Abstract><AbstractText Label="BACKGROUND AND AIMS" NlmCategory="OBJECTIVE">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.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="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.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText>
</Abstract>
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<Identifier Source="ORCID">http://orcid.org/0000-0002-2078-2826</Identifier>
<AffiliationInfo><Affiliation>European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Praça Europa 1, Cais do Sodré, 1249-289, Lisbon, Portugal. Lucas.Wiessing@emcdda.europa.eu.</Affiliation>
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<Language>eng</Language>
<GrantList CompleteYN="Y"><Grant><GrantID>DP1 DA034989</GrantID>
<Acronym>DA</Acronym>
<Agency>NIDA NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>P30 DA011041</GrantID>
<Acronym>DA</Acronym>
<Agency>NIDA NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>R01 DA013336</GrantID>
<Acronym>DA</Acronym>
<Agency>NIDA NIH HHS</Agency>
<Country>United States</Country>
</Grant>
</GrantList>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2017</Year>
<Month>04</Month>
<Day>22</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Harm Reduct J</MedlineTA>
<NlmUniqueID>101153624</NlmUniqueID>
<ISSNLinking>1477-7517</ISSNLinking>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Best practice</Keyword>
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<Keyword MajorTopicYN="N">HCV</Keyword>
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