Retention of service users on opioid substitution therapy in the City of Tshwane, South Africa

dc.contributor.authorGoeieman, Daniela S.
dc.contributor.authorNonyane, Dimakatso S.
dc.contributor.authorNzaumvila, Doudou
dc.contributor.authorJanse van Rensburg, Michelle Nedine Schorn
dc.date.accessioned2023-09-22T06:01:23Z
dc.date.available2023-09-22T06:01:23Z
dc.date.issued2023-01-30
dc.descriptionDATA AVAILABILITY : The data that support the findings of this study are available from the corresponding author, upon reasonable request.en_US
dc.description.abstractBACKGROUND : Opioid substitution therapy (OST) is evidence-based treatment for opioid use disorders and, when taken as maintenance therapy, has proven health and social benefits. The benefits of OST are achieved through the retention of service users in the treatment programme. AIM : To identify factors that affected retention of service users who had OST interrupted in less than 6 months of being in an OST programme. SETTING : This qualitative study was conducted with19 service users from eight Community-Oriented Substance Use Programme (COSUP) sites in the City of Tshwane, Gauteng, South Africa. METHODS : Participants were COSUP service users who had interrupted OST in less than 6 months since initiation and were purposefully selected from all COSUP sites. Demographic information was obtained and four focus group discussions covered challenges of OST retention. Discussions were recorded, transcribed and qualitatively analysed using Attride-Stirling’s thematic networks framework. RESULTS : The 19 participants were all male, mostly black African, with a mean age of 26 years. Facilitators of retention in OST were individual readiness to change OST accessibility, positive family and peer support, treatment monitoring, understanding and managing expectations of service users, contribution in society and meaningful opportunities for engagement. Barriers were the cost of OST, bureaucracy within the programme, inability to communicate challenges timeously and effectively to treatment providers, boredom, cravings and poverty. CONCLUSION : Opioid substitution therapy programmes can ensure a holistic approach to prevent and treat harms related to illicit opioid use if they remain person-centred and are well-funded. CONTRIBUTION : Understanding the barriers to, and facilitators of retention on OST can contribute to improved community-based service delivery.en_US
dc.description.departmentFamily Medicineen_US
dc.description.sponsorshipThe Community-Oriented Substance Use Programme is funded by the City of Tshwane.en_US
dc.description.urihttp://www.phcfm.orgen_US
dc.identifier.citationGoeieman, D.S., Nonyane, D.S., Nzaumvila, D.K. & Janse van Rensburg, M.N.S. Retention of service users on opioid substitution therapy in the City of Tshwane, South Africa.African Journal of Primary Health Care and Family Medicine 2023;15(1), a3392. https://doi.org/10.4102/phcfm.v15i1.3392.en_US
dc.identifier.issn2071-2936 (online)
dc.identifier.issn2071-2928 (print)
dc.identifier.other10.4102/phcfm.v15i1.3392
dc.identifier.urihttp://hdl.handle.net/2263/92388
dc.language.isoenen_US
dc.publisherAOSISen_US
dc.rights© 2023. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.en_US
dc.subjectOpioid dependenceen_US
dc.subjectOpioid substitution therapy (OST)en_US
dc.subjectRetentionen_US
dc.subjectHarm reductionen_US
dc.subjectMethadoneen_US
dc.subjectNyaopeen_US
dc.subjectCommunity-oriented primary care (COPC)en_US
dc.subjectCommunity-oriented substance use programme (COSUP)en_US
dc.subject.otherHealth sciences articles SDG-03
dc.subject.otherSDG-03: Good health and well-being
dc.titleRetention of service users on opioid substitution therapy in the City of Tshwane, South Africaen_US
dc.typeArticleen_US

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