2023-09-28 14:46:10 +00:00
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abstract: 'Background Methadone, as part of Medically Assisted Therapy (MAT) for
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treatment of opioid dependence and supporting HIV prevention and
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treatment, has been recently introduced in Kenya. Few low income
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settings have implemented methadone, so there is little evidence to
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guide ongoing scale-up across the region. We specifically consider the
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role of community level access barriers and support. Objectives To
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inform ongoing MAT implementation we implemented a qualitative study to
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understand access barriers and enablers at a community level. Methods We
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conducted 30 semi-structured interviews with people who use drugs
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accessing MAT, supplemented by interviews with 2 stakeholders, linked to
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participant observation in a community drop in center within one urban
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area in Kenya. We used thematic analysis. Results We developed five
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themes to express experiences of factors enabling and disabling MAT
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access and how community support can address these: 1) time, travel and
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economic hardship; 2) managing methadone and contingencies of life, 3)
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peer support among MAT clients as treatment ambassadors, 4) family
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relations, and 5)outreach project contributions. Crosscutting themes
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address managing socioeconomic constraints and gender inequities.
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Conclusions People who use drugs experience and manage socio-economic
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constraints and gender inequities in accessing MAT with the support of
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local communities. We discuss how these access barriers could be
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addressed through strengthening the participation of networks of people
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who use drugs in drug treatment and supporting community projects
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working with people who use drugs. We also explore potential for how
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socio-economic constraints could be managed within an integrated health
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and social care response.'
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affiliation: 'Ndimbii, J (Corresponding Author), Kenya AIDS NGOs Consortium, Nairobi,
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Kenya.
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Ndimbii, James, Kenya AIDS NGOs Consortium, Nairobi, Kenya.
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Guise, Andy, Kings Coll London, Sch Populat Hlth \& Environm Sci, London, England.
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Igonya, Emmy Kageha; Owiti, Frederick, Univ Nairobi, Sch Med, Nairobi, Kenya.
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Igonya, Emmy Kageha; Owiti, Frederick, Kenya \& African Populat \& Hlth Res Ctr,
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Nairobi, Kenya.
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Igonya, Emmy Kageha, Univ Nairobi, Sch Med, Nairobi, Kenya.
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Strathdee, Steffanie, Univ Calif San Diego, Dept Med, San Diego, CA USA.
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Rhodes, Tim, London Sch Hyg \& Trop Med, Ctr Res Drugs \& Hlth Behav, London, England.
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Rhodes, Tim, Univ New S Wales, Syndey, NSW, Australia.'
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author: Ndimbii, James and Guise, Andy and Igonya, Emmy Kageha and Owiti, Frederick
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and Strathdee, Steffanie and Rhodes, Tim
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author-email: jndmbii@gmail.com
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author_list:
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- family: Ndimbii
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given: James
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- family: Guise
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given: Andy
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- family: Igonya
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given: Emmy Kageha
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- family: Owiti
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given: Frederick
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- family: Strathdee
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given: Steffanie
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- family: Rhodes
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given: Tim
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da: '2023-09-28'
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doi: 10.1080/10826084.2021.1922450
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earlyaccessdate: APR 2021
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eissn: 1532-2491
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files: []
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issn: 1082-6084
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journal: SUBSTANCE USE \& MISUSE
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keywords-plus: 'OPIOID SUBSTITUTION THERAPY; DRUG-USERS; STRUCTURAL INTERVENTIONS;
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ANTIRETROVIRAL THERAPY; HIV PREVENTION; ENVIRONMENTS; PEOPLE; HEROIN;
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IMPACT'
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language: English
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month: JUL 29
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number: '9'
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number-of-cited-references: '44'
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orcid-numbers: 'Ndimbii, James/0000-0003-2291-0868
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Rhodes, Tim/0000-0003-2400-9838'
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pages: 1312-1319
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papis_id: bfc900e5a78efd8d654d4507290d883e
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ref: Ndimbii2021qualitativeanalysis
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researcherid-numbers: 'Rhodes, Tim/DNJ-9679-2022
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Kageha Igonya, Emmy/GXH-9864-2022
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'
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times-cited: '1'
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title: Qualitative Analysis of Community Support to Methadone Access in Kenya
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000653533500001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '2'
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volume: '56'
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web-of-science-categories: Substance Abuse; Psychiatry; Psychology
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year: '2021'
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