Scaling up the national methadone maintenance treatment program in China: achievements and challenges.
Scaling up the national methadone maintenance treatment program in China: achievements and challenges.
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DOI：
10.1093/ije/dyq210
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发表时间：
2010-12
影响因子：
7.7
通讯作者：
Wu Z
中科院分区：
文献类型：
--
作者：
Yin W;Hao Y;Sun X;Gong X;Li F;Li J;Rou K;Sullivan SG;Wang C;Cao X;Luo W;Wu Z
中国的美沙酮维持治疗项目于2004年启动，当时只是在8个地点进行的一个小型试点项目。此后，该方案扩大为一个全国性方案，包括覆盖27个省的680多个诊所，到2009年底为约24.2万海洛因使用者提供服务。负责扩大该计划的机构面临着许多挑战，包括辍学率高、地方政府之间的合作不力以及柜台服务质量差。尽管存在这些困难，但正在进行的评估表明，海洛因使用、危险注射做法以及重要的是客户之间的犯罪行为有所减少，从而为进一步扩大提供了动力。诊所服务已扩大，为客户提供一系列辅助服务，包括艾滋病毒、梅毒和丙型肝炎检测、信息、教育和交流、社会心理支持服务和转介治疗艾滋病毒、结核病和性传播疾病。通过定期会晤和对话，卫生和公安官员之间的合作得到了改善。但是，仍然需要进行机构能力建设，以提供可持续和标准化的服务，最终提高保留率。本文记录了中国在克服美沙酮项目成功的诸多障碍方面所采取的步骤。这些经验教训可能对该地区正在扩大美沙酮计划的其他国家有用。
China’s methadone maintenance treatment program was initiated in 2004 as a small pilot project in just eight sites. It has since expanded into a nationwide program encompassing more than 680 clinics covering 27 provinces and serving some 242 000 heroin users by the end of 2009. The agencies that were tasked with the program’s expansion have been confronted with many challenges, including high drop-out rates, poor cooperation between local governing authorities and poor service quality at the counter. In spite of these difficulties, ongoing evaluation has suggested reductions in heroin use, risky injection practices and, importantly, criminal behaviours among clients, which has thus provided the impetus for further expansion. Clinic services have been extended to offer clients a range of ancillary services, including HIV, syphilis and hepatitis C testing, information, education and communication, psychosocial support services and referrals for treatment of HIV, tuberculosis and sexually transmitted diseases. Cooperation between health and public security officials has improved through regular meetings and dialogue. However, institutional capacity building is still needed to deliver sustainable and standardized services that will ultimately improve retention rates. This article documents the steps China made in overcoming the many barriers to success of its methadone program. These lessons might be useful for other countries in the region that are scaling-up their methadone programs.
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影响因子：
105.7
作者：
FARRELL, M;WARD, J;STRANG, J
通讯作者：
STRANG, J
影响因子：
1.7
作者：
McCoy, CB;Lai, SH;Li, YL
通讯作者：
Li, YL
影响因子：
4.4
作者：
Lin, Chunqing;Wu, Zunyou;Rou, Keming;Pang, Lin;Cao, Xiaobin;Shoptaw, Steven;Detels, Roger
通讯作者：
Detels, Roger
影响因子：
3.8
作者：
Langendam, MW;van Brussel, GHA;van Ameijden, EJC
通讯作者：
van Ameijden, EJC
DOI：
10.1590/s0102-311x2006000400025
发表时间：
2006-04-01
期刊：
Cadernos de Saúde Pública
影响因子：
--
作者：
Burrows, Dave
通讯作者：
Burrows, Dave