Needle and syringe programs (NSP) are an integral component of Australia's response to the HIV/AIDS epidemic and as such, have been in place since the early days of the epidemic. Because of their early implementation, they have played a key role in helping to stem the spread of HIV among people who inject drugs. Also, they have been instrumental in ensuring that clients have had access to appropriate resources and education. However, these programs have often operated in the face of considerable resistance from a range of stakeholders and in particular, local communities. This article provides an insider's perspective on the operation of a large Sydney NSP and describes how the Program caters to the expressed needs of all members of the community, while continuing to provide an effective and responsive health service to people who inject drugs.
