Pre-implementation findings on the barriers and potential solutions to initiate same-day antiretroviral therapy among people who inject drugs in Malaysia
Oliveros D, Jenarun G, Salleh N, Saifi R, Earnshaw V, Madden L, Bromberg D, Sutherland R, Nikitin B, Kamarulzaman A, Altice F. Pre-implementation findings on the barriers and potential solutions to initiate same-day antiretroviral therapy among people who inject drugs in Malaysia. International Journal Of Drug Policy 2025, 145: 104967. PMID: 40865440, DOI: 10.1016/j.drugpo.2025.104967.Peer-Reviewed Original ResearchCommunity health workersNominal group techniqueHIV specialistsPre-implementationHighest-ranked barrierSame-day ARTSame-day antiretroviral therapyHIV treatment servicesPre-implementation findingsFear of policeInjected drugsAntiretroviral therapyHIV servicesInterpersonal stigmaHealth workersHIV providersMixed-method research strategyPre-implementation activitiesSocioecological modelImplementation barriersFocus groupsHarm reductionTreatment servicesGreater Kuala LumpurNGO partnershipsExploration of the multi-level barriers to scaling up methadone for HIV prevention among people who inject drugs in Kazakhstan
Liberman A, Rozental Y, Ivasiy R, Kussainova A, Primbetova S, Madden L, Terlikbayeva A, Altice F. Exploration of the multi-level barriers to scaling up methadone for HIV prevention among people who inject drugs in Kazakhstan. Journal Of Substance Use And Addiction Treatment 2025, 172: 209640. PMID: 39986387, PMCID: PMC12009200, DOI: 10.1016/j.josat.2025.209640.Peer-Reviewed Original ResearchNominal group techniqueHIV preventionCommunity health workersMulti-level barriersIn-depth interviewsHealth workersPWID clientsSocioecological modelCommunity stakeholdersOpioid use disorderFocus groupsHIV epidemicClinical directorsClinical sitesEducating clientsOpioid agonist therapyImprove implementationGroup techniqueResearch teamCHWsPolicy levelUse disorderCliniciansAlternative medicationsEligibility
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