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Analyzing The Relevance Of Needle Exchange Programme In The Advent Of Methadone Maintenance Therapy

Aims: This study aims to determine the prevalence of relapse in those receiving MMT and study the harmful practices done during the relapses with their perceived causes. Background: Opioid dependence carries a high cost to society by resulting in unemployment, crimes and family disruption; not to me...

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Main Authors: Nurulhuda, Mat Hassan, Husbani, Mohd Amin Rebuan, Aniza, Abd Aziz, Norwati, Daud
Format: Article
Language:English
Published: 2018
Subjects:
R Medicine (General)
RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine
Online Access:http://eprints.unisza.edu.my/5873/1/FH02-FP-19-23645.pdf
http://eprints.unisza.edu.my/5873/
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spelling my-unisza-ir.58732022-02-28T02:56:39Z http://eprints.unisza.edu.my/5873/ Analyzing The Relevance Of Needle Exchange Programme In The Advent Of Methadone Maintenance Therapy Nurulhuda, Mat Hassan Husbani, Mohd Amin Rebuan Aniza, Abd Aziz Norwati, Daud R Medicine (General) RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine Aims: This study aims to determine the prevalence of relapse in those receiving MMT and study the harmful practices done during the relapses with their perceived causes. Background: Opioid dependence carries a high cost to society by resulting in unemployment, crimes and family disruption; not to mention transmission of diseases such as HIV and Hepatitis C. Harm reduction practices, namely Methadone Maintenance Therapy (MMT) and needle exchange programme has been in Malaysia since 2005. For MMT, relapse during treatment remains an issue that hinders successful outcome of reducing transmission of blood-borne infections. Methods: This is a mixed-method cross-sectional study done from June-July 2016. All MMT clients in primary care therapy centres in Kuala Nees district, Terengganu, Malaysia who fulfilled the inclusion and exclusion criteria and consented were included. A semi-structured questionnaire was filled via face-to-face interview and reference to the case records was done. 122 questionnaires were assessed. Results: Response rate was 90.2%. Current relapse, defined as any episode of intake of heroine for the past one month after a period of abstinence was 34.4%. Of those relapsed, majority (78.6%) had Hepatitis C, 19.0% had HINT. Majority (97.6%) deny sharing needles during relapse, whom all attributed this due to ease of accessibility of needle exchange programme, and ability to withstand the urge for injection until getting a clean needle due to taking methadone. Conclusion: Relapse in opioid addiction remains high in those receiving MMT. Education to avoid harmful injecting practices is important even in this group. To achieve aim of harm reduction, MMT and needle exchange programme need to go hand. 2018-12 Article PeerReviewed text en http://eprints.unisza.edu.my/5873/1/FH02-FP-19-23645.pdf Nurulhuda, Mat Hassan and Husbani, Mohd Amin Rebuan and Aniza, Abd Aziz and Norwati, Daud (2018) Analyzing The Relevance Of Needle Exchange Programme In The Advent Of Methadone Maintenance Therapy. International Journal Of Current Research, 10 (11). pp. 75708-75710. ISSN 0975-833X
institution Universiti Sultan Zainal Abidin
building UNISZA Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sultan Zainal Abidin
content_source UNISZA Institutional Repository
url_provider https://eprints.unisza.edu.my/
language English
topic R Medicine (General)
RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine
spellingShingle R Medicine (General)
RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine
Nurulhuda, Mat Hassan
Husbani, Mohd Amin Rebuan
Aniza, Abd Aziz
Norwati, Daud
Analyzing The Relevance Of Needle Exchange Programme In The Advent Of Methadone Maintenance Therapy
description Aims: This study aims to determine the prevalence of relapse in those receiving MMT and study the harmful practices done during the relapses with their perceived causes. Background: Opioid dependence carries a high cost to society by resulting in unemployment, crimes and family disruption; not to mention transmission of diseases such as HIV and Hepatitis C. Harm reduction practices, namely Methadone Maintenance Therapy (MMT) and needle exchange programme has been in Malaysia since 2005. For MMT, relapse during treatment remains an issue that hinders successful outcome of reducing transmission of blood-borne infections. Methods: This is a mixed-method cross-sectional study done from June-July 2016. All MMT clients in primary care therapy centres in Kuala Nees district, Terengganu, Malaysia who fulfilled the inclusion and exclusion criteria and consented were included. A semi-structured questionnaire was filled via face-to-face interview and reference to the case records was done. 122 questionnaires were assessed. Results: Response rate was 90.2%. Current relapse, defined as any episode of intake of heroine for the past one month after a period of abstinence was 34.4%. Of those relapsed, majority (78.6%) had Hepatitis C, 19.0% had HINT. Majority (97.6%) deny sharing needles during relapse, whom all attributed this due to ease of accessibility of needle exchange programme, and ability to withstand the urge for injection until getting a clean needle due to taking methadone. Conclusion: Relapse in opioid addiction remains high in those receiving MMT. Education to avoid harmful injecting practices is important even in this group. To achieve aim of harm reduction, MMT and needle exchange programme need to go hand.
format Article
author Nurulhuda, Mat Hassan
Husbani, Mohd Amin Rebuan
Aniza, Abd Aziz
Norwati, Daud
author_facet Nurulhuda, Mat Hassan
Husbani, Mohd Amin Rebuan
Aniza, Abd Aziz
Norwati, Daud
author_sort Nurulhuda, Mat Hassan
title Analyzing The Relevance Of Needle Exchange Programme In The Advent Of Methadone Maintenance Therapy
title_short Analyzing The Relevance Of Needle Exchange Programme In The Advent Of Methadone Maintenance Therapy
title_full Analyzing The Relevance Of Needle Exchange Programme In The Advent Of Methadone Maintenance Therapy
title_fullStr Analyzing The Relevance Of Needle Exchange Programme In The Advent Of Methadone Maintenance Therapy
title_full_unstemmed Analyzing The Relevance Of Needle Exchange Programme In The Advent Of Methadone Maintenance Therapy
title_sort analyzing the relevance of needle exchange programme in the advent of methadone maintenance therapy
publishDate 2018
url http://eprints.unisza.edu.my/5873/1/FH02-FP-19-23645.pdf
http://eprints.unisza.edu.my/5873/
_version_ 1725977004585517056
score 13.211869

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