Evaluating the impact of global fund withdrawal on needle and syringe provision, cost and use among people who inject drugs in Tijuana, Mexico: a costing analysis.

ABSTRACT:

Objective

From 2011 to 2013, the Global Fund (GF) supported needle and syringe programmes in Mexico to prevent transmission of HIV among people who inject drugs. It remains unclear how GF withdrawal affected the costs, quality and coverage of needle and syringe programme provision.

Design

Costing study and longitudinal cohort study.

Setting

Tijuana, Mexico.

Participants

Personnel from a local needle and syringe programme (n=6) and people who inject drugs (n=734) participating in a longitudinal study.

Primary outcome measures

Provision of needle and syringe programme services and cost (per contact and per syringe distributed, in 2017 $USD) during GF support (2012) and after withdrawal (2015/16). An additional outcome included needle and syringe programme

SUBMITTER: Cepeda JA 

PROVIDER: S-EPMC6352756 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature