Seguimiento comunitario del tratamiento con agonistas opiáceos

EHRA recopila ideas y recomendaciones de un proyecto regional destinado a empoderar a las comunidades a través de la vigilancia comunitaria del TAO. Más información, en inglés, está disponible abajo.

The CLM initiative led to policy changes in Ukraine, Georgia, Montenegro, and Moldova. For instance, in Ukraine, the research revealed gaps in psychological and social support within the OAT programme, prompting advocacy efforts to address these deficiencies. In Georgia, the findings influenced decisions on take-home dosing, while in Moldova, they sparked a formal investigation into programme outcomes. Additionally, the research led to increased access to buprenorphine in Moldova and improved staffing at a central clinic in Montenegro.

Furthermore, CLM enhanced the capabilities of community organisations by providing them with new research skills and in establishing partnerships with professional researchers. Getting approval from ethics committees added credibility to the community organisations, allowing them to engage with institutions and to strengthen their advocacy. This initiative also boosted the confidence of communities and helped them fine-tune their advocacy goals.

Overall, CLM not only generated crucial knowledge about OAT programmes but also transformed community organisations, enabling them to play a more influential role in advocating for positive changes in policy and practice.

Based on the findings, the following recommendations are proposed:

• Quality of life and client satisfaction should be frequently and routinely monitored as part of the M&E approach to OAT programming.
• Community-led monitoring should be leveraged for the monitoring and evaluation of OAT programmes as such enabling collaboration with communities allows are more informed understanding on how best to improve quality of life and client satisfaction.
• Referral systems should be strengthened between OAT programmes and HIV, hepatitis C virus (HCV), and tuberculosis (TB) related prevention, testing, treatment and support programmes.
• Psychosocial support provided at OAT sites should be enhanced.
• OAT service hours should be adjusted to enable OAT participants to more easily pursue employment.
• Individual approaches to take-home doses should be enabled.
• Decriminalisation would reduce imprisonment of OAT clients and until decriminalisation is instituted, continuity of access to OAT programming should be guaranteed for people experiencing detention.
• Quality of life and client satisfaction studies can be leveraged to counter efforts to cut costs, or to “optimise” spending, which would otherwise push for the elimination of psychosocial support as a service that is too costly.
• Quality of life and client satisfaction studies can be leveraged to counter efforts to cut costs, or to “optimise” spending, which would otherwise push for the elimination of psychosocial support as a service that is too costly.
• Quality of life and client satisfaction studies can be leveraged to counter efforts to cut costs, or to “optimise” spending, which would otherwise push for the elimination of psychosocial support as a service that is too costly.
• Quality of life and client satisfaction studies can be leveraged to counter efforts to cut costs, or to “optimise” spending, which would otherwise push for the elimination of psychosocial support as a service that is too costly.
• Quality of life and client satisfaction studies can be leveraged to counter efforts to cut costs, or to “optimise” spending, which would otherwise push for the elimination of psychosocial support as a service that is too costly.
• Quality of life and client satisfaction studies can be leveraged to counter efforts to cut costs, or to “optimise” spending, which would otherwise push for the elimination of psychosocial support as a service that is too costly.