دورية أكاديمية
A qualitative assessment of methadone maintenance therapy program in Nepal: evidence to scaling up at national level.
| العنوان: | A qualitative assessment of methadone maintenance therapy program in Nepal: evidence to scaling up at national level. |
|---|---|
| المؤلفون: | Singh PM, Shrestha DM, Bhandari GP |
| المصدر: | Nepal Medical College journal : NMCJ [Nepal Med Coll J] 2014 Sep; Vol. 16 (1), pp. 17-9. |
| نوع المنشور: | Journal Article; Multicenter Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: The College Country of Publication: Nepal NLM ID: 101129937 Publication Model: Print Cited Medium: Print ISSN: 2676-1319 (Print) Linking ISSN: 26761319 NLM ISO Abbreviation: Nepal Med Coll J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Kathmandu : The College, 1998- |
| مواضيع طبية MeSH: | Opiate Substitution Treatment* , Patient Satisfaction* , Program Evaluation*, Focus Groups ; Humans ; Methadone/therapeutic use ; Narcotics/therapeutic use ; Nepal ; Opioid-Related Disorders/drug therapy |
| مستخلص: | Methadone maintenance therapy is widely accepted form of substitution therapy in people with Opioid dependent client. It is a kind of harm reduction strategy which prevents the spread of HIV and hepatitis among injecting drug users. It also improves quality of life and help decrease crime and other social issues. The program has been in Nepal for few years. The clients are increasing more each day and the demand for the program is also increasing. There is an urgent need of scaling-up the program in Nepal to address the increasing number of clients and unreached clients. This is an attempt to assess qualitatively the methadone maintenance therapy program in Nepal to generate evidences as a support to existing programs and to scale up the program in unreached population. The qualitative study revealed that the clients had adequate knowledge on the program and the program is quite satisfactory. However, they have to wait for a long to get enrollment in the program, there is no counseling session and they were more concern about the quality of the drug. Despite many lacunae, the participants found the program very useful in terms of developing good relation with family members, decreasing the necessity of money, being able to attend social functions, health and economic benefits, time saving, easily getting job. On the other hand, they were experiencing adverse effect such as decreasing sexual performance, dental caries, nausea, social stigma due to misuse of the program by some clients which are not properly addressed by the program. The program can be improved by making it priority problem at national level by the government, improving it as one stop shopping such as providing counseling, medicine and skill development program at one place. |
| المشرفين على المادة: | 0 (Narcotics) UC6VBE7V1Z (Methadone) |
| تواريخ الأحداث: | Date Created: 20150325 Date Completed: 20150424 Latest Revision: 20150324 |
| رمز التحديث: | 20240628 |
| PMID: | 25799804 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2676-1319 |
|---|