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Area of Science:

  • Public Health
  • Infectious Diseases
  • Harm Reduction

Background:

  • People who inject drugs (PWID) experience significant health challenges, including overdose, HIV, and hepatitis C.
  • Syringe services programs (SSPs) are trusted, evidence-based harm reduction services crucial for PWID.
  • The COVID-19 pandemic limited some services, but Baltimore's SSPs remained operational, distributing naloxone.

Purpose of the Study:

  • To evaluate the colocation of infectious disease testing and COVID-19 vaccination with an SSP in Baltimore.
  • To assess the impact of colocation on service engagement and uptake among PWID.

Main Methods:

  • Collaborative effort to integrate health services within an existing SSP.
  • Evaluation of service delivery and participant engagement during the colocation period.

Main Results:

  • Colocation facilitated engagement with essential health services for PWID.
  • Trusted community partners are key to successful service integration and uptake.
  • Consistent funding is vital for the sustainability and success of SSPs.

Conclusions:

  • Colocating health services within SSPs enhances healthcare access for PWID.
  • Expanding colocation to include medications for opioid use disorder and infectious disease treatment could further improve health outcomes.
  • Sustained funding is critical for maintaining and expanding these vital harm reduction services.