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International Journal of Academic Research in Business and Social Sciences

Open Access Journal

ISSN: 2222-6990

The Implementation of Needle Syringe Exchange Program in Malaysia: A Short Communication

Azahah Abu Hassan Shaari

http://dx.doi.org/10.6007/IJARBSS/v12-i1/11987

Open access

In 2005, the Ministry of Health in Malaysia decided to introduce the needle syringe exchange program to curb the rapid increase of HIV transmission, specifically among people who inject drugs. This short communication paper examines the implementation of the needle syringe exchange program in Malaysia, including an overview of a welfare state that has shaped and influenced access to health care systems in Malaysia. Issues related to legal and socio-cultural context in response to the implementation of the needle exchange program will be discussed. A decrease in HIV cases among Malaysian people will support the social and economic development of the community as a whole. Ultimately, this will support the Malaysian government's commitment to achieving UNAIDS 2030 targets to end AIDS.

Abdullah, F., Hashi, A. A., Said, A. H., & Nor, M. (2019). Medical and Islamic perspectives on Human Immunodeficiency Virus infection and its prevention. IIUM Medical Journal Malaysia, 18(2).
Ahmad, D. (2019). Enhancing sustainability in healthcare delivery: A challenge to the new Malaysia. The Malaysian Journal of Medical Science, 26(1), 1-4.
https://doi.org/10.21315/mjms2019.26.1.1
Arsih, B., & Ngah, A. C. (2015). Challenges in the health care system in Malaysia and Indonesia. Scientific Journal of PPI-UKM, 2(6), 278-281.
https://doi.org/10.21315/mjms2019.26.4.9
Apenteng, O. O., Osei, P. P., Oduro, B., Kwabla, M. P., & Ismail, N. A. (2020). The impact of implementing HIV prevention policies therapy and control strategy among HIV and AIDS incidence cases in Malaysia. Infectious Disease Modelling, 5, 755-765.
https://doi.org/10.1016/j.idm.2020.09.009
Bakar, N. S. A., Adilius, M., & Jabrullah, A. H. (2019). Socioeconomic status affecting inequity of healthcare utilisation in Malaysia, The Malaysian Journal of Medical Sciences,26(4), 79-85.
Barmania, S., & Aljunid, S. M. (2016). Navigating HIV prevention policy and Islam inMalaysia: Contention, compatibility or reconciliation? Findings from in-depth interviews among key stakeholders. BMC Public Health, 16, Article number 524 (2016). https://doi.org/10.1186/s12889-016-3247-y
Bernama. (2017). Some 33,500 convicts in prison because of drug abuse. (2017, June 14). http://english.astroawani.com/malaysia-news/some-33-500-convicts-prison-because-drug-abuse-146240
Chan, Y. F., Sidhu, G. K., Lim, P. C., & Wee, E. H. (2016). Students' perceptions of substance abuse among secondary school students in Malaysia. Pertanika Journal of Social Sciences & Humanities, 24(2), 555-572.
Chandrasekaran, S., Kyaw, N. T. T., Harries, A. D., Yee, I. A., Ellan, P., Kurusamy, T., Yusoff, N., Mburu, G., Mohammad, W. M. Z. W., & Suleiman, A. (2017.) Enrolment and retention of people who inject drugs in the Needle & Syringe Exchange Programme in Malaysia. Public Health Action, 7(2), 55-160.
Chong, S. C., Kamarulzaman, A., Azwa, I., Ng, R. X., Chong, M. L., Raman, N., & Bourne, A. (2021). Delayed HIV testing and treatment seeking, and associated support needs among people living with HIV in Malaysia: A qualitative study. Sexual Health, 18(2), 147-155. http://dx.doi.org/10.1071/SH20180
Croke, K., Yusoff, M. B., Abdullah, Z., Hanafiah, M. A. N., Mokhtaruddin, K., Ramli, E. S., Borhan, N. F., Almodovar-Diaz, Y., Atun, R., & Virk, A. K. (2019). The political economy of health financing reform in Malaysia. Health Policy and Planning, 34(10), 732-739. https://doi.org/10.1093/heapol/czz089
Degenhardt, L., Peacock, A., Colledge, S., Leung, J., Grebely, J., Vickerman, P., Stone, J., Cunningham, E. B., Trickey, A., Dumchev, K., & Lynskey, M. (2017). Global prevalence of injecting drug use and sociodemographic characteristics and prevalence of HIV, HBV, and HCV in people who inject drugs: A multistage systematic review. The Lancet Global Health, 5(12), 1192-1207.
Du, P., Liu, X., Zhong, G., Zhou, Z., Thomes, M. W., Lee, C. W., Bong, C. W., Zhang, X., Hao, F., Li, X., & Zhang, G. (2020). Monitoring consumption of common illicit drugs in Kuala Lumpur, Malaysia, by wastewater-cased epidemiology. International Journal of Environmental Research and Public Health, 17(3), 889-900.
Golrokhi, R., Farhoudi, B., Taj, L., Pahlaviani, F. G., Mazaheri-Tehrani, E., Cossarizza, A., Alinaghi, S., Mohraz, M., & Voltarelli, F. A. (2018). HIV prevalence and correlations in prisons in different regions of the world: A review article. The Open AIDS Journal, 12, 81-92.
Hamid, S. F. A., Omar, N., Sulaiman, S., Hui, W. S., & Ismail, R. (2016). Cost Effectiveness of Harm Reduction: Comparison Needle and Syringe Exchange Programme. Journal of Economics, Business and Management, 3(2), 207-211.
Hamzah, N. M., Perera, P. N., & Rannan-Eliya, R. P. (2020). How well does Malaysia achieve value for money in public sector purchasing of medicines? Evidence from medicines procurement prices from 2010 to 2014. BMC Health Services Research, 20, 1-13.
Heng, E. S. (2018). Get Rid of HIV/AIDS Stigma, Sarawak Daily News, Malaysia. http://www.theborneopost.com/2017/05/14/get-rid-of-hivaids-stigma/.
Hussin, M. F. A., Salleh, M. A., Hehsan, A., & Junaidi, J. (2018). The roles of non-state actors in eradicating poverty in Malaysia, Conference Series: Earth and Environmental Science, 175(1).
Karlsson, N., Berglund, T., Ekström, A. M., Hammarberg, A., & Tammi, T. (2020). Could 30 years of political controversy on needle exchange programmes in Sweden contribute to scaling-up harm reduction services in the world? Nordic Studies on Alcohol and Drugs, 38(1), 66-88
Khairuddin, L. (2021). Cost of Living with HIV in Malaysia. Penang Institute.
https://penanginstitute.org/programmes/penang-institute-in-kuala-lumpur/1031-cost-of-living-with-hiv-in-malaysia/
Khan, F., Krishnan, A., Ghani, M. A., Wickersham, J.A ., Fu, J. J., Lim, S. H., Dhaliwal, S. K., Kamarulzaman, A., & Altice, F. L. (2018). Assessment of an innovative voluntary substance abuse treatment program designed to replace compulsory drug detention centers in Malaysia. Substance Use & Misuse, 53(2), 249-259.
Lim, S. C., Yap, Y. C., Barmania, S., Govender, V., Danhoundo, G., & Remme, M. (2020). Priority-setting to integrate sexual and reproductive health into universal health coverage: The case of Malaysia. Sexual and Reproductive Health Matters, 28(2), 842153.
Loeliger, K. B., Marcus, R., Wickersham, J. A., Pillai, V., Kamarulzaman, A., & Altice, F. L. (2016). The syndemic of HIV, HIV-related risk and multiple co-morbidities among women who use drugs in Malaysia: Important targets for intervention. Addictive Behaviors, 53, 31-39.
Low, W. Y., Yeap, R., & Tong, W. T. (2010). Achieving the UN's millennium development goal in combating HIV and AIDS: The Malaysia scenario. Asian J. WTO & Int'l Health L & Pol'y, 5, 427.
Malaysian AIDS Council and Malaysian AIDS Foundation. (2016). Snapshot of HIV & AIDS in Malaysia 2016. https://www.mac.org.my/v3/wp- content/uploads/2017/11/Snapshot-of-HIV-AIDS-in-Malaysia 2016_Brochure_31072017-Web.pdf
Ministry of Health. (2020). Global AIDS Monitoring. Malaysia HIV/AIDS Progress Report.
https://www.moh.gov.my/moh/resources/Penerbitan/Laporan/Umum/Laporan_Global_AIDS_Monitoring_2020_new.pdf
Reid, G., Kamarulzaman, A., & Sran, S. K. (2007). Malaysia and harm reduction: The challenges and responses. International Journal of Drug Policy, 18 (2), 136-140.
Safurah, J., Nor Asiah, M., Normi, M., MuhamadIrfanYasin, A. U., Subashini, A., Nazrila, H. N., Ruziaton, H., Sarmiza, S., Zaleha, J., Norlizah, P., & Rokiah, M. (2018). Working towards universal health coverage through the family doctor concept in Malaysia, International Journal of Medical and Health Sciences, 7(3), 98-106.
Singh, D., Chawarski, M. C., Schottenfeld, R., & Vicknasingam, B. (2013). Substance abuse and the HIV situation in Malaysia. Journal of Food and Drug Analysis, 21(4), S46-S51.
Singh, P. S. J., Azman, A., Samsurijan, M. S., Badaruddin, R. F. R., Vadevelu, K., Yahaya, M. H., & Latiff, A. R. A. (2016). Implementation dilemmas of the needle syringe exchange programme (NSEP): Between the law and prevention. Pacific Science Review B: Humanities and Social Sciences, 2(2), 53-57.
Vicknasingam, B., & Mazlan, M. (2008). Malaysian drug treatment policy: An evolution from total abstinence to harm reduction. Jurnal Antidadah Malaysia, 3, 107-121.
Wickersham, J. A., Loeliger, K. B., Marcus, R., Pillai, V., Kamarulzaman, A., & Altice, F.L. (2016). Patterns of substance use and correlates of lifetime and active injection drug use among women in Malaysia. The American Journal of Drug and Alcohol Abuse, 42(1), 98-110.
Wong, S. L., Ibrahim, S., Kadir, N. A., & Salleh, S. M. (2019). Access and affordability of medicines in Malaysia: Need for a national pricing policy. Applied Health Economics and Health Policy, 17(5), 641-654.
Yusuff, I., Md, Y., & Mohamed, M. (2018). Scientific imperatives in entailing the legitimacy for harm reduction approach to drug use: Reduction of HIV incidence. Indian Journal of Public Health Research & Development, 9(11).
Zahid, S. J. (2019). Amid debate over regulating price of medicine in Malaysia, cost of HIV drugs hits record low Monday. Free Malaysia Today.
https://www.malaymail.com/news/malaysia/2019/07/15/amid-debate-over-regulating- price-of-medicine-in-malaysia-cost-of-hiv-drugs/1771403
Zakaria, E., Sarnon, N., Ibrahim, F., Saleem, M., Hoesni, S. M., & Manap, J. (2016). Drug law enforcement dilemmas in practicing discretion of the needle and syringe exchange program (NSEP). Science International, 27(6), 6335-6340.
Zelenev, A., Long, E., Bazazi, A. R., Kamarulzaman, A., & Altice, F. L. (2016). The complex interplay of social networks, geography and HIV risk among Malaysian drug injectors: Results from respondent-driven sampling. International Journal of Drug Policy, 37, 98-106.

In-Text Citation: (Shaari, 2022)
To Cite this Article: Shaari, A. A. H. (2022). The Implementation of Needle Syringe Exchange Program in Malaysia: A Short Communication. International Journal of Academic Research in Business and Social Sciences, 12(1), 1959–1967.