Models, experts and mutants: Exploring the relationships between peer educators and injecting drug user clients, in Delhi’s harm reduction programs

2013 ◽  
Vol 13 (1) ◽  
pp. 69-84
Author(s):  
Gayatri Moorthi
Keyword(s):  
Harm Reduction ◽  
Drug User ◽  
Peer Educators ◽  
Injecting Drug User

scholarly journals Fatal case of extensively drug-resistant Mycobacterium tuberculosis Beijing genotype infection in an injecting drug user, Athens, Greece, 2012

2013 ◽  
Vol 18 (12) ◽  
Author(s):  
K Leuow ◽  
D Papaventsis ◽  
S Kourkoundi ◽  
P Ioannidis ◽  
S Karabela ◽  
...  
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Drug User ◽  
Fatal Case ◽  
Beijing Genotype ◽  
Drug Resistant ◽  
Binary File ◽  
Extensively Drug Resistant ◽  
Injecting Drug User ◽  
Genotype Infection

Binary file ES_Abstracts_Final_ECDC.txt matches

Barriers and Facilitators of HIV and Hepatitis C Care Among People Who Inject Drugs in Nairobi, Kenya: A Qualitative Study with Peer Educators

2021 ◽  
Author(s):  
Natasha Ludwig-Barron ◽  
Brandon L Guthrie ◽  
Loice Mbogo ◽  
David Bukusi ◽  
William Sinkele ◽  
...  
Keyword(s):  
Hepatitis C ◽  
Law Enforcement ◽  
Harm Reduction ◽  
People Who Inject Drugs ◽  
Community Level ◽  
Barriers And Facilitators ◽  
Peer Educators ◽  
Prevention Education ◽  
Individual Level ◽  
Policy Level

Abstract Background: In Kenya, people who inject drugs (PWID) are disproportionately affected by HIV and hepatitis C (HCV) epidemics, including HIV-HCV coinfections; however, few have assessed factors affecting their access to and engagement in care through the lens of harm reduction specialists. This qualitative study leverages the personal and professional experiences of peer educators to help identify HIV and HCV barriers and facilitators to care among PWID in Nairobi, including resource recommendations to improve service uptake. Methods: We recruited peer educators from two harm reduction facilities in Nairobi, Kenya, using random and purposive sampling techniques. Semi-structured interviews explored circumstances surrounding HIV and HCV service access, prevention education and resource recommendations. A thematic analysis was conducted using the Modified Social Ecological Model (MSEM) as an underlying framework, with illustrative quotes highlighting emergent themes. Results: Twenty peer educators participated, including six women, with 2 months to 6 years of harm reduction service. Barriers to HIV and HCV care were organized by (a) individual-level themes including competing needs of addiction and misinterpreted symptoms; (b) network-level themes including social isolation and drug pusher interactions; (c) community-level themes including transportation, mental and rural healthcare services, and limited HCV resources; and (d) policy-level themes including nonintegrated services, clinical administration, and law enforcement. Stigma, an overarching barrier, was highlighted throughout the MSEM. Facilitators to HIV and HCV care were comprised of (a) individual-level themes including concurrent care, personal reflections, and religious beliefs; (b) network-level themes including community recommendations, navigation services, family commitment, and employer support; (c) community-level themes including quality services, peer support, and outreach; and (d) policy-level themes including integrated services and medicalized approaches within law enforcement. Participant resource recommendations include (i) additional medical, social and ancillary support services, (ii) national strategies to address stigma and violence and (iii) HCV prevention education. Conclusions : Peer educators provided intimate knowledge of PWID barriers and facilitators to HIV and HCV care that were described at each level of the MSEM, and should be given careful consideration when developing future initiatives. Recommendations emphasized policy and community-level interventions including educational campaigns and program suggestions to supplement existing HIV and HCV services.

Drug Sharing and HIV Transmission Risks: The Practice of Frontloading in the Dutch Injecting Drug User Population

1991 ◽  
Vol 23 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Jean-Paul C. Grund ◽  
Charles D. Kaplan ◽  
Nico F.P. Adriaans ◽  
Peter Blanken
Keyword(s):  
Drug User ◽  
Hiv Transmission ◽  
Injecting Drug User

Current Management of Infectious Complications in the Injecting Drug User

1998 ◽  
Vol 15 (2) ◽  
pp. 95-106 ◽  
Author(s):  
Carlo Contoreggi, md ◽  
Vivian E Rexroad, rph ◽  
W.Robert Lange, md, mph
Keyword(s):  
Drug User ◽  
Infectious Complications ◽  
Current Management ◽  
Injecting Drug User
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