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Views of Iranian Prison Staff Towards Needle-Exchange Program in Prison Publisher



Shahbazi M1 ; Moazen B2, 3 ; Rezaei F4 ; Shokoohi M5, 6 ; Farnia M7 ; Moradi G8 ; Dolan K9
Authors
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Authors Affiliations
  1. 1. United Nations Development Program (UNDP), Tehran, Iran
  2. 2. Institute of Public Health, University of Heidelberg, Heidelberg, Germany
  3. 3. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Shahid Beheshti Hospital, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Regional Knowledge Hub, and WHO Collaborating Centre for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  6. 6. Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, ON, Canada
  7. 7. Iran Prisons Organization, Health and Treatment Department, Tehran, Iran
  8. 8. Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
  9. 9. Program of International Research and Training, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia

Source: Drugs: Education# Prevention and Policy Published:2016


Abstract

Abstract: Aims: Prison staff members have a core role in the provision of harm reduction strategies in prison. This study aimed to evaluate the attitudes of prison directors, managers and health staff toward Needle Exchange Program (NEP) among people who inject drugs in Iranian prisons. Methods: With a grounded theory design, this qualitative study was conducted in 2011 in Iran. The study population included directors of provincial prison organisations, prison managers, heads of health departments in prisons, prison health officers, physicians, counsellors and healthcare workers in prisons. Participants’ responses were collected via focus group discussions. Results: Attitudes of the participants could generally be categorised in three including: Health-related aspects; Behavioural and social aspects; and Legal, organisational and financial aspects. Those who were in line with the existence of NEP in prisons mentioned some pre-requisites for supporting this program in prisons. Conclusion: Positive and negative views of Iranian prison staff toward NEP in prisons suggest that there are many obstacles to the provision of harm reduction strategies in prison. Consideration of socio-cultural parameters of the target community as well as combination of NEP and other harm reduction strategies might help to improve the effectiveness of harm reduction in prisons. © 2016 Informa UK Limited, trading as Taylor & Francis Group.
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