Needle Exchange Flashcards
1
Q
What is the Ottawa Charter? (2 points)
A
- WHO convened 1st international conference on health promotion in 1986
- health promotion enables people to take responsibility for managing their own health with this guids
2
Q
What is in the Ottawa charter? (8 points)
A
Need -peace -shelter -education -food -income -sustainable environment -social justice -equity in order to be healthy
3
Q
Why is health promotion good? (5 points)
A
- enables us to improve own health
- work towards physical, mental and social well-being
- have and work towards achieving aspirations
- being empowered to act not only for ourselves but also for others
- use advocacy to enable better health
4
Q
How does HP affect health? (3 points)
A
- HP can lessen the harm that ppl do to themsevles
- Drug use can harm individuals in almost every part of their life incl. harm to health and wellbeing, social harm and financial harm.
- Ministry of health undertook a survey of NZers alcohol and drug use to develop a national drug policy
5
Q
What is the national drug policy 2015-2020? (3 points)
A
- guiding doc for policies & practices relating to use of alcohol & drugs in NZ
- sets shared goals, objectives, strategies and priorities for the next 5 years
- aims for a shared strategic vision to also address the social determinants that give rise to drug use and offending
6
Q
What does the new drug policy focus on? (5 points)
A
- ppl centred interventions
- shifting thinking & behaviour
- getting legal balance right
- disrupting organised crime
- improving info flow
7
Q
How can the new drug policy be implmented? (5 points)
A
- have a framework for adult & youth alcohol and drug services
- increase efforts for early intervention (esp with respect to foetal alcohol syndrome detection and prevention)
- further work to minimise harm by shifting offending and penalty regimes for possession within the MDA
- work with agencies to implement organised crime and anti-corruption legislation
- monitor emerging trends to lessen their impact in NZ
8
Q
What are the 3 pillars of harm minimisation?
A
- supply control
- demand reduction
- problem limitation
9
Q
What does needle exchange provide? (4 points)
A
- public health initiative
- services for ppl who inject drugs
- normalisation
- harm minimisation
10
Q
What is the Needle exchange programme (NEP)? (3 points)
A
- first implemented nationally to manage harmful consequences of injecting drug use
- provides dedicated peer-based needle exchanges as well as community pharmacies and other outlets to provide a service throughout NZ
- also provides health education material on injecting drug use: how to minimise harmful effects, and on safe injecting practices for those that continue to inject
11
Q
What is the process of NEP? (3 points)
A
- originally user pays scheme where IDU purchase new equipment and return used equipment for destruction (generally discounted if exchanged)
- in 2004, ministry extended funding available for NEP to allow free 1 for 1 provision of needles and syringes on return of old ones
- scheme has grown to become 78% of all transactions in any NE outlet, a significant pool of potentially infected equipment being safely disposed of
12
Q
Why help IDUs? (2 points)
A
- ppl who are addicted to opiates can access opioid substitution via methadone programme
- ppl addicted to amphteamine type stimulants don’t have access to a substitution programme and rely on abstinence, residential care and psychosocial support while going cold turkey -> withdrawal symptoms!
13
Q
What is the methadone programme? (4 points)
A
- public health initiative
- provides support for opiate addicted clients
- normalisation
- harm minimisation
14
Q
What is the difference between supplying methadone and clean injecting equipment? (4 points)
A
- both available through CPs
- available throughout NZ
- cost effective use of valuable health resource
- one is okay, but the other is stigmatised
