University of Louisville
Kent School of Social Work

Research Objective:  To explore service provider perspectives on facilitators and barriers to needle exchange program participation by females who inject drugs.
SECTION A: DEMOGRAPHIC INFORMATION
INSTRUCTIONS: As the survey respondent, please provide information below.  Only respond once to the survey via mail or electronically.

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* 1. Date (mm/dd/2021)

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* 2. Age

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* 3. Gender

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* 4. Race

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* 5. Ethnicity

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* 6. Zip code of the NEP you are completing the survey for.

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* 7. The NEP organizational type is:

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* 8. What is your role at the NEP?

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* 9. Which type of NEP do you offer?

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* 10. In a typical week at the NEP, do you see more male or female clients?

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* 11. In an average month, what is the percentage of your clients that identify as female?

SECTION B: BARRIERS TO USAGE
Instructions: In your opinion, indicate the extent to which you believe the item listed below is a barrier for females who inject drugs in using the Needle Exchange Program in your community. Mark only 1 response for each item.

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* 12. Staff are community members

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* 13. Staff are persons who previously injected drugs

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* 14. Staff interaction with clients

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* 15. Number of NEP staff

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* 16. Gender of staff

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* 17. Age of staff

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* 18. Race/ethnicity of staff

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* 19. Staff turnover

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* 20. Staff knowledge about FWID and exchange sex for drugs

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* 21. Staff knowledge of sexual abuse/trauma/domestic violence females may have experienced.

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* 22. Days and times NEP are open

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* 23. Location of NEP

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* 24. Availability of a parking space

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* 25. Client confidentiality

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* 26. Accessibility of public transportation

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* 27. NEP mobile unit services

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* 28. Wait times to be seen

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* 29. Level of community support for a harm reduction program

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* 30. Availability of supplies

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* 31. Quality of supplies

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* 32. NEP staff knowledge regarding services provided

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* 33. Medical services provided

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* 34. Number of visits for medical tests/treatment

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* 35. Health communication campaigns reflect community/cultural norms

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* 36. Health communication campaigns reflect susceptibility/vulnerability of health complications related to injection drug use.

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* 37. Availability of childcare

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* 38. Specified days and times for females

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* 39. Private areas for females

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* 40. Availability of male condoms

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* 41. Availability of female condoms

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* 42. Prenatal services provided

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* 43. Clients concern of punitive action (reporting to CPS, CJ system, etc.) for NEP use.

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* 44. NEP registration of clients

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* 45. Number of supplies females can receive weekly

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* 46. Law enforcement involvement

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* 47. List any other barriers you believe are important for us to be aware of.

SECTION C: FACILITATORS TO USAGE
INSTRUCTIONS: In your opinion, indicate the extent to which you believe the item listed below is a facilitator for females who inject drugs in using the Needle Exchange Program in your community. Mark only 1 response for each item.

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* 48. Staff are community members

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* 49. Staff are persons who previously injected drugs

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* 50. Staff interaction with clients

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* 51. Number of NEP staff

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* 52. Gender of staff

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* 53. Age of staff

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* 54. Race/ethnicity of staff

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* 55. Staff turnover

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* 56. Staff knowledge about FWID and exchange sex for drugs

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* 57. Staff knowledge of sexual abuse/trauma/domestic violence female may have experienced

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* 58. Days and times NEP are open

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* 59. Location of NEP

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* 60. Availability of a parking space

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* 61. Client confidentiality

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* 62. Accessibility of public transportation

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* 63. NEP mobile unit services

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* 64. Wait times to be seen

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* 65. Level of community support for a harm reduction program

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* 66. Availability of supplies

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* 67. Quality of supplies

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* 68. NEP staff knowledge regarding services provided

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* 69. Medical services provided

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* 70. Number of visits for medical tests/treatment

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* 71. Health communication campaigns reflect community/cultural norms

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* 72. Health communication campaigns reflect susceptibility/vulnerability of health complications related to injection drug use.

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* 73. Availability of childcare

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* 74. Specified days and times for females

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* 75. Private areas for females

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* 76. Availability of male condoms

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* 77. Availability of female condoms/internal condoms

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* 78. Prenatal services provided

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* 79. Clients concern of punitive action (reporting to CPS, CJ system, etc.) for NEP use.

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* 80. NEP registration of clients

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* 81. Number of supplies persons can receive weekly

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* 82. Law enforcement involvement

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* 83. List any other facilitators you believe are important for us to be aware of.

SECTION D: SERVICES
INSTRUCTIONS: Below is a list of services that may be offered through your NEP.  Please indicate if the service is offered or not offered at your NEP.  If a service is not offered, indicate if you believe it should be offered at your NEP.

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* 84. HIV testing

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* 85. Hepatitis testing

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* 86. Specified days and times for females only

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* 87. Flu shot

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* 88. Pre-exposure prophylaxis (PrEP) for HIV

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* 89. STI/STD testing

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* 90. Tetanus shot

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* 91. Other vaccinations/immunizations

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* 92. NARCAN

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* 93. Drug treatment referrals

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* 94. Mental health counseling referrals

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