Evidence map›Paper›PMID 32571365›Full record

ArticleBMC public health2020

Access to and use of health and social services among people who inject drugs in two urban areas of Mozambique, 2014: qualitative results from a formative assessment.

Liliana Dengo-Baloi, Makini Boothe, Cynthia Semá Baltazar, Isabel Sathane, Denise Chitsondzo Langa, Manuel Condula, Helena Ricardo, Celso Inguane, Eugénia Teodoro, Lídia Gouveia and 2 more

Abstract read
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Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Liliana Dengo-BaloiInstituto Nacional de Saúde, Maputo, Mozambique. liliana.dengo.baloi@gmail.com.ORCID http://orcid.org/0000-0002-0504-6599
Makini BootheUniversity of California, San Francisco, USA.
Cynthia Semá BaltazarInstituto Nacional de Saúde, Maputo, Mozambique.
Isabel SathaneNational HIV/STI Control Program, Public Health Directorate, Ministry of Health, Maputo, Mozambique.
Denise Chitsondzo LangaInstituto Nacional de Saúde, Maputo, Mozambique.
Manuel CondulaRede Nacional Contra Drogas (UNIDOS), Maputo, Mozambique.
Helena RicardoInstituto Nacional de Saúde, Maputo, Mozambique.
Celso InguaneDepartment of Anthropology, University of Washington, Seattle, USA.
Eugénia TeodoroMental Health Department, National Public Health Directorate, Ministry of Health, Maputo, Mozambique.
Lídia GouveiaMental Health Department, National Public Health Directorate, Ministry of Health, Maputo, Mozambique.
Henry F RaymondUniversity of California, San Francisco, USA.
Roberta HorthUniversity of California, San Francisco, USA.

Funding

NCHHSTP CDC HHS U2G PS002829U.S. President's Emergency Plan for AIDS Relief #5U2GPS002829
6 · The paper itself

Abstract

backgroundPrior to 2014, data about health seeking behaviors or service uptake for People who inject drugs (PWID) in Mozambique did not exist. We present the results from the formative assessment component of the Biological and Behavioral Survey (BBS).

methodsStandardized interview guides were used during key informant interviews (KII) and focus group discussions (FGD) in Maputo and Nampula/Nacala to discuss issues related to risk behaviors and access to and utilization of health and social services by PWID. The target sample size was not defined a priori, but instead KII and FGD were conducted until responses reached saturation. Data analysis was based on the principles of grounded theory related to qualitative research.

resultsEighty-eight respondents, ages 15 to 60, participated in KIIs and FGDs. Participants were majority male from diverse income and education levels and included current and former PWID, non-injection drug users, health and social service providers, peer educators, and community health workers. Respondents reported that PWID engage in high-risk behaviors such as needle and syringe sharing, exchange of sex for drugs or money, and low condom use. According to participants, PWID would rather rent, share or borrow injection equipment at shooting galleries than purchase them due to stigma, fear of criminalization, transportation and purchase costs, restricted pharmacy hours, personal preference for needle sharing, and immediacy of drug need. Barriers to access and utilization of health and social services include distance, the limited availability of programs for PWID, lack of knowledge of the few programs that exist, concerns about the quality of care provided by health providers, lack of readiness as a result of addiction and perceived stigma related to the use of mental health services offering treatment to PWID.

conclusionsMozambique urgently needs to establish specialized harm reduction programs for PWID and improve awareness of available resources. Services should be located in hot spot areas to address issues related to distance, transportation and the planning required for safe injection. Specific attention should go to the creation of PWID-focused health and social services outside of state-sponsored psychiatric treatment centers.

Indexed as

AdolescentAdultFemaleFocus GroupsHarm ReductionHealth BehaviorHealth Services AccessibilityHumansInterviews as TopicMaleMental Health ServicesMiddle AgedMozambiqueNeedle SharingPatient Acceptance of Health CarePharmaciesHealth accessHIV key populationMozambiquePWID

Identifiers

PMID32571365
PMCPMC7310000

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.