THE UNAIDS Advisor to the Pacific, Renata Ram, has voiced strong support for the introduction of a Needle and Syringe Program (NSP) in Fiji, aimed at tackling the rising concerns around injecting drug use and its impact on public health.
In collaboration with the Ministry of Health, UNAIDS is backing the implementation of the NSP — a globally recognised strategy, or “gold standard,” proven to reduce new HIV infections and other blood-borne diseases among people who use drugs.
“In the current situation, it’s very well known that injecting drug use is a significant issue,” Ms Ram said, highlighting the urgent need for intervention.
She stressed that the aim of the program was not to encourage drug use.
“That is far from it,” she clarified.
She said the primary goal of the program was to prevent drug users from contracting HIV or other infections through contaminated needles.
She added, the program serves as a vital connection point, linking individuals who use drugs to health and treatment services, including HIV care.
“Studies have shown that many people who use drugs actually want to stop but are unsure where to go or what steps to take.
“A needle and syringe program can be the first point of contact where they receive health services, information, and referrals that can help them cease drug use.”
Beyond protecting individuals who use drugs, the program also aims to safeguard the wider community.
Ms Ram said improperly disposed needles and syringes posed health risks by potentially infecting others.
“We often see discarded needles in public spaces, which is very problematic.
“A well-run program includes proper disposal of used needles, helping protect everyone, including those who do not use drugs.”
She said efforts were being made to include national consultations to raise awareness and build support for the program.
“The first consultation was held last month, drawing a wide group of stakeholders including pharmacists, government ministry representatives, community members, traditional leaders, and faith-based organisations.
“Smaller group consultations are ongoing as well.”
Ms Ram said the Ministry of Health also planned to submit a Cabinet paper this month to outline the implementation of this program.
“At this stage, we are focused on sensitisation and education, including media campaigns, to explain why this is a critical health initiative.”