![](/images/graphics-bg.png)
Evaluation of a Pilot Medication-Assisted Therapy Program in Kazakhstan : Successes, Challenges, and Opportunities for Scaleup
Joint Authors
Boltaev, Azizbek A.
Howard, Andrea A.
Kusainov, Almas
Deryabina, Anna P.
Source
Advances in Preventive Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-12-10
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Study Aims.
Evaluate the quality and effectiveness of the medication-assisted therapy (MAT) pilot in Kazakhstan and review implementation context and related challenges.
Methods.
We performed a desk review of MAT policy and program documents and reviewed medical records at three MAT sites in Kazakhstan.
MAT patients (n=93) were interviewed to assess their perceptions of the program and its impact on their health, criminal, drug use, and HIV risk related behaviors as well as expenditures on nonprescribed psychoactive drugs.
Persons injecting drugs who are not in treatment, MAT program staff, and other stakeholders were interviewed to obtain their perspectives on MAT.
Results.
Legislation supports introducing MAT as a standard of care for treatment of opioid dependence; however, its progress has been hampered by active opposition.
Inadequate access and coverage, insufficient supply management, scarce infrastructure of narcological facilities, limited opportunities for staff development, and restrictive methadone dispensing policies compromise the quality of the intervention and limit its potential benefits.
There were significant reductions in criminal, drug use, and HIV risk related behaviors in patients receiving MAT.
Conclusions.
The MAT pilot in Kazakhstan demonstrated its feasibility and effectiveness in the local context and is recommended for scaleup throughout the country.
American Psychological Association (APA)
Boltaev, Azizbek A.& Deryabina, Anna P.& Kusainov, Almas& Howard, Andrea A.. 2012. Evaluation of a Pilot Medication-Assisted Therapy Program in Kazakhstan : Successes, Challenges, and Opportunities for Scaleup. Advances in Preventive Medicine،Vol. 2012, no. 2012, pp.1-13.
https://search.emarefa.net/detail/BIM-462310
Modern Language Association (MLA)
Boltaev, Azizbek A.…[et al.]. Evaluation of a Pilot Medication-Assisted Therapy Program in Kazakhstan : Successes, Challenges, and Opportunities for Scaleup. Advances in Preventive Medicine No. 2012 (2012), pp.1-13.
https://search.emarefa.net/detail/BIM-462310
American Medical Association (AMA)
Boltaev, Azizbek A.& Deryabina, Anna P.& Kusainov, Almas& Howard, Andrea A.. Evaluation of a Pilot Medication-Assisted Therapy Program in Kazakhstan : Successes, Challenges, and Opportunities for Scaleup. Advances in Preventive Medicine. 2012. Vol. 2012, no. 2012, pp.1-13.
https://search.emarefa.net/detail/BIM-462310
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-462310