Another issue might be arise due to needle and syringe exchange program is legal and law enforcement. The legal and the regulatory of government do not permit the distribution of clean needles and syringes which create the obstacles and difficulties to the successful operation of the program mainly for Intravenous Drug Users (IDU).
Most recent survey of The Centre of Public Policies (2000), one of non-profit organization, show that they operate in “illegal background” for 25% which means they drive in a state with a prescription law and do not have formal support of local officials. While another 22% of programs reported that they were “illegal tolerated” or they function in a state prescription law and received a formal vote of support of local elected body. As for 53 % of programs views them as “illegal” as they manage in a state that has no law required by a prescription in order to purchase syringes and needles.
The security in the government merely not tolerant as the program became the goals of routine ‘hunt’ harassment. This undermines of customer confident and eventually drives to the distributions clean needle underground, partially lead to the rising number in the reuse and sharing of needles. For instance, in Bangladesh, one of the famous ranking of HIV’s patients, the police frequently impede with N & SNP’s through “harassment, raids and pot evictions”. Recently, many countries in Asia have facing criminal laws which against the controlling and distributing drug paraphernalia which include clean syringes. Philippines, Sri Lanka, Thailand, Myanmar, Malaysia, PDR Laos, Japan, Hong Kong, Bhutan and Bangladesh, all of the countries listed impeded the distribution of needles and syringes in their countries mainly to specific reasons. For example, for Thailand’s aggressive “war on drugs” and forbidding the provision of needles has largely forced the clean needles to distribute underground. This has become a major problem to the organizer to achieve their objectives of the program.
According to Hankins, Bruneau and Remis (1998), in order to maintain and distributing a sufficient supply of clean sterile needle and syringes, it requires high cost and demand of funding to support the program Hankins
Training staff, building enforcement agencies and community organizations, evaluating program models and settings, further syringe return rates, reaching undeserved population such as women and ill people and integrate the syringes exchange into existing health services requires a lot of funding and need more co-workers to participate in the programs.
The issues on time and location as the program could not be remain open 24 hours a day at sites make it inconvenient to all drug users and to all other participants would not willing to enrol and appear at different sites of location as reported in Morbidity and Mortality Weekly Report (1997). In a case such as deregulation of needles in Connecticut,in United State which the sales in pharmacies...