Impact of COVID-19 on substance use disorder treatment services in Kenya: Qualitative findings from healthcare providers.
Impact of COVID-19 on substance use disorder treatment services in Kenya: Qualitative findings from healthcare providers.
复制标题
COVID-19对肯尼亚药物使用障碍治疗服务的影响：医疗保健提供者的定性发现。
DOI：
10.1016/j.drugpo.2022.103710
复制
发表时间：
2022-07
影响因子：
4.4
通讯作者：
Kurth, Ann
中科院分区：
文献类型：
--
作者：
Muller, Abbe;Akiyama, Matthew J.;Riback, Lindsey;Nyakowa, Mercy;Musyoki, Helgar;Cherutich, Peter;Kurth, Ann
注射吸毒者感染SARS-CoV-2的风险增加，并在COVID-19大流行期间遇到了获得减少伤害服务的障碍。了解如何以最佳方式提供这些服务对于COVID-19缓解至关重要。这项研究的目的是确定在COVID-19大流行期间在肯尼亚照顾注射毒品者的挑战和成功。我们进行了焦点小组讨论和一对一的关键知情人采访的医疗服务提供者谁与人谁注射毒品在肯尼亚。访谈探讨了COVID-19和社交距离措施如何影响服务提供，以及采用了哪些策略来克服这些障碍。我们使用主题分析法来分析转录的访谈。参与者包括来自11个医疗保健专业的29名服务提供者，来自3个药物辅助治疗（MAT）和4个就诊中心（DIC）站点（N=15名男性和N=14名女性，平均年龄为35岁）。我们的专题分析中出现了四个首要主题，其中提供者描述了提供护理的障碍和克服这些障碍的解决方案：（1）与COVID-19相关的误解;（2）有限的COVID-19检测和筛查;（3）与服务提供相关的结构变化;以及（4）获得物质资源，如膳食、针头和注射器计划套件以及个人防护设备。我们的研究结果表明，2019冠状病毒病大流行给物质使用障碍治疗提供者和患者带来了挑战，但凭借独创性，许多挑战都能够克服。
People who inject drugs are at an increased risk for contracting SARS-CoV-2 and have experienced barriers to accessing harm reduction services during the COVID-19 pandemic. Understanding how to best provide these services is essential for COVID-19 mitigation. The goal of this study was to ascertain challenges and successes for caring for people who inject drugs in Kenya during the COVID-19 pandemic. We conducted focus group discussions and one-on-one key informant interviews with healthcare providers who work with people who inject drugs in Kenya. Interviews explored how COVID-19 and social distancing measures impacted service provision, as well as what strategies were used to overcome these barriers. We used thematic analysis to analyze transcribed interviews. Participants included 29 service providers from 11 healthcare professions at three medication assisted treatment (MAT) and four drop-in center (DIC) sites (N=15 males and N=14 females, with an average age of 35 years). Four overarching themes emerged in our thematic analysis in which providers described both barriers to providing care and solutions to overcome them: (1) COVID-19-related misconceptions; (2) Limited COVID-19 testing and screening; (3) Structural changes related to service provision; and (4) Access to material resources such as meals, needle and syringe program kits, and personal protective equipment. Our findings demonstrate the COVID-19 pandemic-imposed challenges for substance use disorder treatment providers and patients, however with ingenuity many of these challenges were able to be overcome.
登录
查看更多内容
影响因子：
2.9
作者：
Rhodes T;Guise A;Ndimbii J;Strathdee S;Ngugi E;Platt L;Kurth A;Cleland C;Vickerman P
通讯作者：
Vickerman P
DOI：
10.1097/qai.0000000000000769
发表时间：
2015-12-01
影响因子：
3.6
作者：
Kurth, Ann E.;Cleland, Charles M.;Cherutich, Peter
通讯作者：
Cherutich, Peter
DOI：
10.1016/s0140-6736(10)60743-x
发表时间：
2010-07-24
期刊：
Lancet (London, England)
影响因子：
--
作者：
Strathdee SA;Hallett TB;Bobrova N;Rhodes T;Booth R;Abdool R;Hankins CA
通讯作者：
Hankins CA
影响因子：
9.3
作者：
Ihekweazu, Chikwe;Agogo, Emmanuel
通讯作者：
Agogo, Emmanuel
影响因子：
4.4
作者：
Beckerleg S;Telfer M;Hundt GL
通讯作者：
Hundt GL