{"id":4727,"date":"2023-03-28T01:42:40","date_gmt":"2023-03-27T23:42:40","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4727"},"modified":"2023-04-02T14:11:25","modified_gmt":"2023-04-02T12:11:25","slug":"the-long-winding-road-of-opioid-substitution-therapy-implementation-in-south-east-asia-challenges-to-scale-up","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/204\/","title":{"rendered":"The long winding road of opioid substitution therapy implementation in South-East Asia: challenges to scale up"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2014.204\">https:\/\/doi.org\/10.4081\/jphr.2014.204<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Gary Reid<\/strong><br \/>\n<\/span><span class=\"affiliation\">Independent Consultant HIV\/AIDS, New Delhi, India.<\/span><\/li>\n<li><span class=\"name\"><strong>Mukta Sharma<\/strong><br \/>\n<\/span><span class=\"affiliation\">World Health Organization, Thailand Country Office, Nonthaburi, Thailand.<\/span><\/li>\n<li><span class=\"name\"><strong>Peter Higgs<\/strong><br \/>\n<span class=\"affiliation\">National Drug Research Institute, Faculty of Health Sciences, Curtin University; Burnet Institute, Melbourne, Australia.<\/span><\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p>The South-East Asia Region contains an estimated 400,000-500,000 people who inject drugs (PWID). HIV prevalence among PWID is commonly 20% or higher in Indonesia, Thailand, Myanmar and some regions of India. Opioid substitution therapy (OST) is an important HIV prevention intervention in this part of the world. However, key challenges and barriers to scale up of OST exist, including: pervasive stigma and discrimination towards PWID; criminalisation of drug use overshadowing a public health response; lack of political will and national commitment; low financial investment; focus towards traditional treatment models of detoxification and rehabilitation; inadequate dosing of OST; and poor monitoring and evaluation of programmes. Our review of local evidence highlights that OST can be successful within the Asian context. Such evidence should be utilised more widely to advocate for policy change and increased political commitment to ensure OST reaches substantially more drug users.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2014.204 Gary Reid Independent Consultant HIV\/AIDS, New Delhi, India. Mukta Sharma World Health Organization, Thailand Country Office, Nonthaburi, Thailand. Peter Higgs National Drug Research Institute, Faculty of Health Sciences, Curtin University; Burnet Institute, Melbourne, Australia. ABSTRACT The South-East Asia Region contains an estimated 400,000-500,000 people who inject drugs (PWID). HIV prevalence among PWID is commonly &#8230; <a title=\"The long winding road of opioid substitution therapy implementation in South-East Asia: challenges to scale up\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/204\/\" aria-label=\"More on The long winding road of opioid substitution therapy implementation in South-East Asia: challenges to scale up\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4727","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The long winding road of opioid substitution therapy implementation in South-East Asia: challenges to scale up - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/204\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The long winding road of opioid substitution therapy implementation in South-East Asia: challenges to scale up - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2014.204 Gary Reid Independent Consultant HIV\/AIDS, New Delhi, India. Mukta Sharma World Health Organization, Thailand Country Office, Nonthaburi, Thailand. Peter Higgs National Drug Research Institute, Faculty of Health Sciences, Curtin University; Burnet Institute, Melbourne, Australia. ABSTRACT The South-East Asia Region contains an estimated 400,000-500,000 people who inject drugs (PWID). HIV prevalence among PWID is commonly ... 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