wow-inequalities/02-data/intermediate/wos_sample/18df3fa79b6f7476f1ad9736dfab3a6a-ndimbii-james-and-g/info.yaml

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