'Sometimes I feel like the other life on heroin was better': transitioning experiences towards methadone, and HIV prevention implications in Urban Kenya.
In 2014 methadone as part of Medically Assisted Therapy (MAT) was introduced in Kenyan public health facilities as part of a comprehensive approach to HIV prevention and treatment. This paper explores the transition experiences for people moving from the use of heroin to MAT. The paper reports on a...
| Publicado en: | Drugs: Education, Prevention & Policy Vol. 28; no. 3; pp. 246 - 255 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jun2021
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150086283&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150086283 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09687637 5F1 jtl: Drugs: Education, Prevention & Policy issn: 09687637 maglogo: Y pubinfo: dt: Jun2021 vid: 28 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 150086283 145553833 150086283 150086283 10.1080/09687637.2020.1754764 150086283 ppf: 246 ppct: 9 formats: tig: atl: 'Sometimes I feel like the other life on heroin was better': transitioning experiences towards methadone, and HIV prevention implications in Urban Kenya. aug: au: Kageha Igonya, Emmy Guise, Andrew Ndimbii, James Owiti, Fredrick Rhodes, Tim Strathdee, Stephanie affil: Community Health, University of Nairobi College of Health Sciences, Nairobi, Kenya sug: subj: Substance Abuse Methadone Heroin Patient Attitudes HIV Infections Urban Areas Kenya Human Kenya Qualitative Studies Implementation Science ab: In 2014 methadone as part of Medically Assisted Therapy (MAT) was introduced in Kenyan public health facilities as part of a comprehensive approach to HIV prevention and treatment. This paper explores the transition experiences for people moving from the use of heroin to MAT. The paper reports on a qualitative study conducted in an urban setting in Kenya in 2015. Findings show that transitioning from the use of heroin to methadone can both be a liberating and disempowering experience. While study participants were reportedly pleased with the life changes brought about by methadone, they struggled with negotiating the transition from an 'old life' of heroin use to methadone. Tensions were navigating the 'new life' on methadone and the 'old life' on heroin. These tensions generate new forms of social exclusion, as well as feelings of uncertainty and ambivalence. A particular effect of this challenging transition is how new forms of risk and vulnerability for HIV are created even whilst others are attended to. MAT programs need to attend to the dynamics described to address the risk of HIV posed by a 'new life' and the broader tensions involved in transitioning from the use of heroin to methadone. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|