Assessment of the Quality of Services Offered to Heroin Users Under Methadone by the Dakar Center for Integrated Addiction Care (CEPIAD)
Diop Cheikh Tacko,
Leye Mamadou Makhtar Mbacke,
Ka Ousseynou,
Faye Djiby,
Bopp Martial,
Gueye Boubacar,
Sow Djiby,
Sow Papa Gallo,
Gomis Alexandre
Issue:
Volume 7, Issue 1, March 2022
Pages:
1-5
Received:
28 December 2021
Accepted:
20 January 2022
Published:
5 February 2022
Abstract: Drug addiction is a major public health problem in Senegal. One of the responses has been the establishment of a Center for Integrated Addiction Care in Dakar (CEPIAD). The objective of this study is to evaluate the quality of services offered to heroin users under methadone substitution treatment. This is a descriptive cross-sectional study based on a systematic sampling of one hundred (100) heroin users under methadone substitution treatment who had given their consent. Individual interviews were conducted with patients regularly followed at the center from December 16, 2016 to February 17, 2017. Data were entered and analyzed using Epi-info and Excel software. There was a male predominance with 92 males and 8 females (sex ratio of 11.5). The average age was 48.8 years with a standard deviation of 9.7. The vast majority of respondents were Senegalese (99%), with 78% living in the city and 22% in the suburbs of Dakar. The vast majority were single, divorced or widowed (61%). The level of education was relatively high; 11% had a university level, 47% a high school level, 31% an elementary school level, and only 1 person had no schooling. Among the respondents, 39 were unemployed, 1 was a housewife, 5 were retired; the other 55 had an income-generating activity, including 42 in the informal sector. All of the respondents were satisfied and had access to risk reduction materials for sexually transmitted infections (RDR). The 80 respondents participate regularly in social activities such as talks, community meals, etc. The other 20 do not have the time to participate. Methadone is delivered from 9:00 a.m. to 1:00 p.m. on weekdays. Only 57 respondents were satisfied with the schedule. The 28% of heroin addicts said they were very satisfied with the methadone program and 70 were moderately satisfied and asked for the possibility of taking a week's supply. The single use of the cups reserved for the oral administration of methadone was requested by 2% of patients. Heroin addicts are generally satisfied, but it is necessary to insist on awareness raising, information and withdrawal. It is important to extend CEPIAD's activities to other regions and, above all, to help heroin addicts get a socioprofessional reintegration.
Abstract: Drug addiction is a major public health problem in Senegal. One of the responses has been the establishment of a Center for Integrated Addiction Care in Dakar (CEPIAD). The objective of this study is to evaluate the quality of services offered to heroin users under methadone substitution treatment. This is a descriptive cross-sectional study based ...
Show More
An Analysis of the Costs and Consequences of Routine Immunization for Measles in Anambra State, Southeast Nigeria
Florence Tochukwu Sibeudu,
Obinna Onwujekwe,
Ijeoma Okoronkwo
Issue:
Volume 7, Issue 1, March 2022
Pages:
6-14
Received:
18 November 2021
Accepted:
10 December 2021
Published:
16 February 2022
Abstract: Background: Funding measles immunization in a resource constraint setting like Nigeria has been challenging. Nigeria needs a domestic cost data on measles routine immunization to inform measles routine immunization planning. This study assessed the costs and consequences of a dose of measles vaccine to children through routine immunization. Methods: A cross sectional retrospective costing study at twelve Primary health facilities was conducted. Ingredient approach to costing was used to collect data on routine immunization based on providers’ perspective. Costs attributable to measles vaccination were extracted from the data pool considering the fraction of a dose of measles vaccine to a total of ten doses of routine vaccines for a child. Microsoft excel was used for data analysis. Unit costs were calculated and compared between types of health facility. State estimates was computed using volume weighted mean method. Results: Cost per child immunized considering total and operational costs were $1.41 and $1.01 respectively. Personnel time and vaccine contributed 62%and 23% of the total cost respectively. Cost per child immunized and vaccine doses used were higher at the Health Post than Primary health facility. The percentage coverage was 39% and the wastage rate was 14%. Conclusion: The findings will guide the policy makers in planning for efficient and sustainable measles immunization financing.
Abstract: Background: Funding measles immunization in a resource constraint setting like Nigeria has been challenging. Nigeria needs a domestic cost data on measles routine immunization to inform measles routine immunization planning. This study assessed the costs and consequences of a dose of measles vaccine to children through routine immunization. Methods...
Show More
