Enrolment and retention of people who inject drugs in the Needle & Syringe Exchange Programme in Malaysia

Chandrasekaran, S. and Kyaw, N.T.T. and Harries, Anthony and Yee, I.A and Ellan, P. and Kurusamy, T. and Yusoff, N. and Mburu, Gitau and Mohammad, W.M.Z.W. and Suleiman, A. (2017) Enrolment and retention of people who inject drugs in the Needle & Syringe Exchange Programme in Malaysia. Public Health Action, 7 (2). pp. 155-160. ISSN 2220-8372

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Abstract

Setting: Needle and Syringe Exchange Programme (NSEP) implemented by non-governmental organisations in Malaysia. Objectives: To determine enrolment, characteristics and retention in the NSEP of people who inject drugs (PWID) between 2013 and 2015. Design: Retrospective cohort study. Results: There were 20 946 PWID, with a mean age of 38 years. The majority were male (98%) and of Malay ethnicity (92%). Follow-up data were available for 20 761 PWID. Annual retention of newly enrolled PWID for each year was respectively 85%, 87% and 78% for 2013, 2014 and 2015, although annual enrolment over these years declined from 10 724 to 6288 to 3749. Total person-years (py) of follow-up were 27 806, with loss to follow-up of 40 per 100 py. Cumulative probability of retention in NSEP was 66% at 12 months, 45% at 24 months and 26% at 36 months. Significantly higher loss to follow-up rates were observed in those aged 15–24 years or 50 years, females, transgender people and non-Malay ethnic groups. Conclusion: Annual retention of new PWID on NSEP was impressive, although enrolment declined over the 3 years of the study and cumulative loss to follow-up was high. A better understanding of these programmatic outcomes is required.

Item Type:
Journal Article
Journal or Publication Title:
Public Health Action
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/aacsb/disciplinebasedresearch
Subjects:
ID Code:
86966
Deposited By:
Deposited On:
06 Jul 2017 13:04
Refereed?:
Yes
Published?:
Published
Last Modified:
03 Jul 2020 03:08