Programmes d’échange de matériel d’injection pour les personnes qui utilisent des drogues par injection : guide opérationnel

L’OMS, l’ONUSIDA et l’ONUDC proposent des orientations pratiques pour mettre en œuvre et développer des programmes d’échange de seringues en tant qu’intervention essentielle de réduction des risques afin de prévenir le VIH, l’hépatite C et les surdoses.

This operational guide provides practical, evidence-based guidance to support countries in planning, implementing and scaling up needle and syringe programmes for people who inject drugs as part of comprehensive harm reduction responses. It translates WHO's recommendations into actionable steps for programme managers, implementers, donors and community-led organizations.

The guide presents a structured framework covering assessment and planning, service delivery models, integration with broader health and social services, monitoring, and sustainability. It emphasizes community leadership, human rights, equitable access and adaptation to local contexts, including closed settings. Practical tools are included to support implementation and accelerate progress towards global targets for controlling HIV and eliminating viral hepatitis epidemics.