Monash University
L155_amendedPHD_DanielOKeefe_13089781_Redacted.pdf (18.79 MB)

Individual-level needle and syringe coverage amongst people who inject drugs

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posted on 2019-03-22, 01:53 authored by DANIEL JOHN OKEEFE
“Coverage” is a means of evaluating any public health programs effectiveness. Needle and syringe distribution coverage for people who inject drugs is traditionally measured at the population-level, which has a number of recognised limitations. Alternatively, syringe coverage can be measured at the individual-level, which provides a more complete and nuanced assessment of coverage and associated areas of deficiency. This thesis explores individual-level syringe coverage, broadening the understanding of syringe coverage, its measurement and barriers, and provides recommendations for the improvement of harm reduction service delivery and hence the reduction of injecting risk behaviours and blood-borne virus transmission.


Principal supervisor

Paul Mark Dietze

Additional supervisor 1

Campell Aitken

Year of Award


Department, School or Centre

Public Health and Preventive Medicine

Additional Institution or Organisation

Burnet Institute

Campus location



Doctor of Philosophy

Degree Type



Faculty of Medicine Nursing and Health Sciences