The Role of Context in Integrating Buprenorphine into a Drop-In Center in Kampala, Uganda, Using the Consolidated Framework for Implementation Research. Int J Environ Res Public Health 2022 Aug 20;19(16)
Date
08/27/2022Pubmed ID
36012015Pubmed Central ID
PMC9407835DOI
10.3390/ijerph191610382Scopus ID
2-s2.0-85137125963 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
BACKGROUND: Although Africa has long borne the brunt of the human immunodeficiency virus (HIV) epidemic, until recently, the continent has been considered largely free of illicit drug use and injection drug use in particular. In Uganda, the number of people who use or inject drugs (PWUD and PWID, respectively) has increased, and PWID are a key population at high risk for human immunodeficiency virus (HIV) and hepatitis C virus (HCV) infection. However, harm reduction practices, including providing clean injection equipment and medication-assisted treatment (MAT), have only recently been piloted in the country. This project aims to integrate buprenorphine into a harm reduction drop-in center (DIC).
METHODS: The Consolidated Framework for Implementation Research was used to guide our preparations to integrate buprenorphine into existing practices at a harm reduction DIC. We conducted key informant interviews with members of a community advisory board and DIC staff to document this process, its successes, and its failures.
RESULTS: Results indicate that criminalization of drug use and stigmatization of PWUD challenged efforts to provide buprenorphine treatment in less regulated community settings.
CONCLUSIONS: DIC staff and their commitment to harm reduction and advocacy facilitated the process of obtaining necessary approvals.
Author List
Dickson-Gomez J, Krechel S, Katende D, Johnston B, Twaibu W, Glasman L, Ogwal M, Musinguzi GAuthors
Julia Dickson-Gomez PhD Professor in the Institute for Health and Humanity department at Medical College of WisconsinBryan Johnston MD Associate Professor in the Family Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
BuprenorphineHIV Infections
Harm Reduction
Hepatitis C
Humans
Substance Abuse, Intravenous
Substance-Related Disorders
Uganda
