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Assessment of the Quality of Services Offered to Heroin Users Under Methadone by the Dakar Center for Integrated Addiction Care (CEPIAD)

Received: 28 December 2021    Accepted: 20 January 2022    Published: 5 February 2022
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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.

Published in International Journal of Health Economics and Policy (Volume 7, Issue 1)
DOI 10.11648/j.hep.20220701.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Heroin, Methadone, Quality, Senegal

References
[1] United Nations Office Drugs and Crime Report 2008. ISBN 92-1-248138-8.
[2] CEPIAD Project Overview Document: 17 /09 / 2011, P 108.
[3] United Nations Office Drugs and Crime Report 2015 ISBN 92-1-248138-8.
[4] International Narcotics Control Organization (INCB) Report 2016.
[5] TARJUS T. Dépendance au tabac chez les parents sous Traitement de Substitution au Opiacés. 2012. Doctorate Thesis.
[6] Valkow, N. D, and LI, T. -K Drug addiction: The neurology of Behaviour gone awry. Nature Reviews Neuroscience, 2014, vol. 5, no. 12, pp. 963-970.
[7] Simoni-Wastila, Gail Strickler, "Risk Factors Associated With Problem Use of Prescription Drugs," American Journal of Public Health 94, no. 2 (February 1, 2004): pp. 266-268.
[8] Beck, AT, Steer RA. Internal consistencies of the original and revised Beck Depression Inventory. J Clin Psychol. 1984 Nov; 40 (6): 1365-7.
[9] Bryant, J. et al. The gendered context of initiation to injection drug use: Evidence for women as active initiates. Drug and Alcohol Review, 26 (3), 287-293. 2007.
[10] www.atlantico.fr/decryptage/2888697/les-cinq-substances-les-plus-addictives-au-monde-et-leurs-effets-sur-le-cerveau.
[11] KAMAL et al., Factors affecting the outcome of methadone maintenance treatment in opiate dependence. Ir Med J. 2007 Mar; 100 (3): 393-7.
[12] [Swiss Patient Safety, Quick-Alert®, Methadone Overdose, No. 35, 2015, available at: https://www.patientensicherheit.ch/aktuell/quick-alertr/ (consulté le 11.10. 20).
[13] [Swiss Society of Addiction Medicine. Medical recommendations for substitution-based treatment (SBT) for opioid dependence] - Révision de mars 2013: http://www.ssam.ch/d8/fr/substitution (consulté le 11.10.20).
[14] [French Office of Drugs and Drug Addiction. Directory of statistical sources] 2015. OFDT 2016; 228 p.
[15] Tucker D, Milloy M, Hayashi K, Nguyen P, Kerr T, Wood E. Factors associated with illicit methadone injecting in a Canadian setting. Am J Addict. 2015; 24: 532-7.
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    Diop Cheikh Tacko, Leye Mamadou Makhtar Mbacke, Ka Ousseynou, Faye Djiby, Bopp Martial, et al. (2022). Assessment of the Quality of Services Offered to Heroin Users Under Methadone by the Dakar Center for Integrated Addiction Care (CEPIAD). International Journal of Health Economics and Policy, 7(1), 1-5. https://doi.org/10.11648/j.hep.20220701.11

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    Diop Cheikh Tacko; Leye Mamadou Makhtar Mbacke; Ka Ousseynou; Faye Djiby; Bopp Martial, et al. Assessment of the Quality of Services Offered to Heroin Users Under Methadone by the Dakar Center for Integrated Addiction Care (CEPIAD). Int. J. Health Econ. Policy 2022, 7(1), 1-5. doi: 10.11648/j.hep.20220701.11

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    AMA Style

    Diop Cheikh Tacko, Leye Mamadou Makhtar Mbacke, Ka Ousseynou, Faye Djiby, Bopp Martial, et al. Assessment of the Quality of Services Offered to Heroin Users Under Methadone by the Dakar Center for Integrated Addiction Care (CEPIAD). Int J Health Econ Policy. 2022;7(1):1-5. doi: 10.11648/j.hep.20220701.11

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  • @article{10.11648/j.hep.20220701.11,
      author = {Diop Cheikh Tacko and Leye Mamadou Makhtar Mbacke and Ka Ousseynou and Faye Djiby and Bopp Martial and Gueye Boubacar and Sow Djiby and Sow Papa Gallo and Gomis Alexandre},
      title = {Assessment of the Quality of Services Offered to Heroin Users Under Methadone by the Dakar Center for Integrated Addiction Care (CEPIAD)},
      journal = {International Journal of Health Economics and Policy},
      volume = {7},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.hep.20220701.11},
      url = {https://doi.org/10.11648/j.hep.20220701.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20220701.11},
      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.},
     year = {2022}
    }
    

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    AU  - Diop Cheikh Tacko
    AU  - Leye Mamadou Makhtar Mbacke
    AU  - Ka Ousseynou
    AU  - Faye Djiby
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    AU  - Gueye Boubacar
    AU  - Sow Djiby
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    AU  - Gomis Alexandre
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    DO  - 10.11648/j.hep.20220701.11
    T2  - International Journal of Health Economics and Policy
    JF  - International Journal of Health Economics and Policy
    JO  - International Journal of Health Economics and Policy
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    AB  - 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.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Faculty of Community Health, Alioune Diop University, Bambey, Senegal

  • Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop University, Dakar, Senegal

  • Faculty of Community Health, Alioune Diop University, Bambey, Senegal

  • Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop University, Dakar, Senegal

  • Faculty of Community Health, Alioune Diop University, Bambey, Senegal

  • Faculty of Community Health, Alioune Diop University, Bambey, Senegal

  • Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop University, Dakar, Senegal

  • Faculty of Community Health, Alioune Diop University, Bambey, Senegal

  • Faculty of Community Health, Alioune Diop University, Bambey, Senegal

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