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These Changes, along with a change in the size of the injecting room (to increase the amount of social distance between clients), meant our services were forced to make changes to its policies, procedures and physical arrangement, including the arrangements made to restrict client access. In this section, we conduct a detailed analysis of these changes (including the size of room), discuss the implications of each change for the social and health impacts of service provision, and describe three emergent strategies SIFs adopted to respond to the pandemic.
A review of the literature revealed no existing peer-reviewed study that has analysed the impact of SIFs on the risk of acquiring and transmitting COVID-19. Anecdotal evidence in the form of published reports suggests that SIFs can be effective at reducing the frequency of injecting (i.e., as a preventative measure) and engaging people in (i.e., as part of a harm reduction strategy). Anecdotes of SIFs can also be used to inform pandemic response strategies. However, there is a lack of peer-reviewed published studies and there are no systematic reviews of this literature to date.
In this section, we describe a comprehensive literature review of scientific studies from around the world on SIFs and other community-based services (CBSs) (Faust et al. 2009). CBOs are expected to play a central role during pandemics, and to minimise the risk of disease transmission within their services (Faust et al. 2009). The primary aim of this review was to determine if there were scientific studies on SIFs that demonstrated the effectiveness of SIFs in preventing the spread of the Covid-19. In addition, we assessed the effectiveness of SIFs in other social development programs (SDGs). We have also made use of data from SIFs to examine the associations between the size of SIFs and: (1) the prevalence of needle sharing and the use of paraphernalia among clients; (2) the percentage of people who have been tested for COVID-19; and (3) the number of contactless cases of COVID-19 identified by the Australian authorities. d2c66b5586