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Voluntary Pregnancy Screening at Syringe Exchanges: A Feasibility Study.

Camille C Cioffi1, John R Seeley1

  • 1University of Oregon.

Journal of Prevention and Health Promotion
|October 25, 2021
PubMed
Summary

Pregnancy screening at syringe exchange programs is feasible and needed. This service can improve early detection and prenatal care for women who inject drugs, connecting them to vital substance use and infectious disease treatment.

Keywords:
Syringe exchangeimplementation scienceinjection drugpregnancy screening

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Area of Science:

  • Public Health
  • Implementation Science
  • Reproductive Health

Background:

  • Syringe exchange programs (SEPs) serve vulnerable populations, including women who inject drugs (WI D).
  • WI D often face barriers to accessing routine prenatal care.
  • Early pregnancy detection is crucial for timely intervention and improved health outcomes.

Purpose of the Study:

  • To assess the feasibility of offering voluntary pregnancy screening at SEPs.
  • To understand client and staff perspectives on integrating pregnancy screening into SEP services.
  • To identify organizational needs and supports for implementing this service.

Main Methods:

  • Utilized the National Implementation Research Network Hexagon Discussion and Analysis Tool.
  • Conducted surveys with female SEP clients regarding needs, values, and intentions.
  • Surveyed SEP staff and volunteers on organizational fit, capacity, and support requirements.

Main Results:

  • Both clients and staff affirmed the need for pregnancy screening at SEPs.
  • Participants indicated a need to expand capacity to offer these services.
  • Integration of screening requires enhanced organizational capacity.

Conclusions:

  • Pregnancy screening at SEPs is a feasible and needed intervention.
  • Early detection via SEP screening can improve access to prenatal care for WI D.
  • This can lead to better substance use and infectious disease treatment outcomes for this population.