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. 2020 Aug 21;69(33):1117–1121. doi: 10.15585/mmwr.mm6933a2

TABLE. Characteristics of syringe service program (SSP) respondents (N = 263)* — United States, 2019.

Characteristic No. (%)
U.S. Census division†, §
East North Central
40 (15)
East South Central
13 (5)
Middle Atlantic
10 (4)
Mountain
28 (11)
New England
24 (9)
Pacific
83 (32)
South Atlantic
44 (16)
West North Central
15 (6)
West South Central
6 (2)
Provide overdose prevention education
258 (98)
Stage of OEND implementation
Exploration
8 (3)
Preparation
8 (3)
Early implementation (<12 months)
74 (28)
Sustained implementation (≥12 months)
173 (66)
Receive health department funding for OEND
142 (57)
Local community support** for OEND, median (IQR)
80 (70–90)
Naloxone offered every time syringe services offered
191 (77)
Number of days offering OEND in past 28 days, median (IQR)
15 (6–20)
Naloxone refills provided as often as participants ask
214 (87)
Proactive refill system
199 (80)
Ran out of naloxone in past 3 months
45 (18)
Rationed naloxone in the past 3 months
61 (25)
Data system for OEND
No data collected
9 (4)
Data collected via paper forms, then stored
50 (20)
Data collected via paper forms, then entered into database
149 (60)
Electronic data entry
29 (12)
No. of programs by count of persons provided naloxone in the past 12 mos ††
Small (<100)
63 (27)
Medium (100–499)
76 (32)
Large (500–999)
36 (15)
Very large (≥1000)
62 (26)
No. of programs by count of naloxone doses distributed in the past 12 mos ††
Small (<250)
76 (32)
Medium (250–999)
48 (20)
Large (1,000–9,999)
99 (42)
Very large (≥10,000) 14 (6)

Abbreviations: IQR = interquartile range; OEND = overdose education and naloxone distribution.

* Participating SSPs were identified by using the North America Syringe Exchange Network database.

Of the 263 SSPs that responded to the survey.

§ Region classification was determined by using the U.S. Census Bureau’s Census Regions and Divisions of the United States. https://www2.census.gov/geo/pdfs/maps-data/maps/reference/us_regdiv.pdf.

Of the 247 SSPs that had implemented OEND.

** Respondents were asked to characterize the local community support for OEND on a scale of 1–100.

†† Of the 237 SSPs that had implemented OEND and reported naloxone distribution data.