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Table 2 Programmatic modifications and change achieved through SAIA-Naloxone cycles

From: Optimizing naloxone distribution to prevent opioid overdose fatalities: results from piloting the Systems Analysis and Improvement Approach within syringe service programs

Naloxone Delivery Cascade Step

Programmatic Modification

Change to Cascade Step

Screening for naloxone

Increased staffing for naloxone screening at exchange sites

70% improvement in number of naloxone screenings conducted

Naloxone training

Developed system to proactively screen participants for prior training experience

51% improvement in number of naloxone trainings conducted

Naloxone refill

Provided naloxone refills with other syringe supplies

78% improvement in number of people receiving naloxone refills

Possess naloxone

Provided reusable bags with pocket for naloxone

60% improvement in number of people possessing naloxone

Possess naloxone

Educated and reminded participants about carrying naloxone

110% improvement in number of people possessing naloxone

Possess naloxone

Allowed secondary distribution of naloxone by participants

116% improvement in number of black, indigenous and people of color possessing naloxone