Injection drug users’ knowledge about overdose prevention and take home Naloxone in Ukraine. ICF 'International HIV/AIDS Alliance in Ukraine Liudmyla Shulga.

Slides:

Advertisements

Similar presentations

Syringe Access Programs & Law Enforcement: Building Alliances New York State Current April 2012.

Advertisements

Strategic, service provider and user responses to reducing fatal and non-fatal poisonings Rowan Williams, Development Manager, Drugaid.

STRATEGIES FOR SAMPLING IDU FOR SURVEILLANCE Tasnim Azim Kolkata April 2007.

Professor Avril Taylor University of Paisley Does written hepatitis C information meet the needs of injecting drug users?

HIV and Hepatitis C in non- MSM Rural Communities: Issues and Interventions Shari Wells-Weiss, CASAC Director of Prevention Services Southern Tier AIDS.

Prescription Opioids: Extramedical Use and Overdose

IS MENTAL DEPRESSION A SERIOUS ISSUE AMONG FEMALE SEX WORKERS? EVIDENCE FROM SOUTHERN INDIA Sangram Kishor Patel 1, Niranjan Saggurti 1, Saroj Pachauri.

Module 1: Final Case Study #1-CS-1. Case Study: Instructions v Try this case study individually. v We’ll discuss the answers in class. # 1-CS-2.

Performance of Community- based Management of Acute Malnutrition programme and its impact on nutritional status of children under five years of age in.

From Science to Policy ─ Evolution of China’s Needle Exchange Program (NEP) Xiaobin Cao Ph.D National Center for AIDS/STD Control and Prevention China.

AMHO Conference May 26 The State of Peer Support Work in Ontario: Summary of Findings and Next Steps Toward a Community of Practice.

The Take Home Naloxone Program in British Columbia, Canada Erin Gibson, Despina Tzemis, Jane Buxton BC Centre for Disease Control Harm Reduction Program.

Divergent Patterns of Amphetamine Use in the City and Rural Areas in Northwest Poland Sobeyko J (1), Leszczyszyn-Pynka M (2), Parczewski M (2), Burris.

HIV and drug prevention in Estonia Harm reduction services

Strategies for Incorporating OD Prevention Into Your Work Eliza Wheeler Drug Overdose Prevention & Education (DOPE) Project Harm Reduction Coalition

Population-based estimates of prevalence of HIV, HBV and HCV and HIV-related risk behaviors among male injecting drug users in Lagos, Nigeria Waimar Tun.

Domestic violence-not with us! 27 June -5 July 2011 Poland, Nowy Sacz “SOS - Families at risk” Foundation VARNA, BULGARIA.

Overview of Harm Reduction and Sterile Syringe Access Anna Benyo Syringe Access Policy Coordinator Harm Reduction Coalition New Jersey Syringe Access Informational.

Recommendations on the Management of Opioid Overdose Ruth Birgin.

Evaluating Factors that Affect Nurses’ comfort Level with Emergency Interventions in the Rural Hospital Setting By: Erin Ross RN. BSN.

1 Assessing and Improving ARV Adherence HAIVN Harvard Medical School AIDS Initiative in Vietnam.

Effects of an HIV/AIDS peer prevention intervention on sexual and injecting risk behaviors among injecting drug users (IDUs) and their risk partners in.

RESULTS Individual characteristics % (N) unless otherwise specified Gender Male 65% (255) Female 35% (136) Race/Ethnicity African American 35% (137) White-not.

Police leadership in public health: what do we get? G e o f f r e y M O N A G H A N Police Leadership in Public Health What Do We Get? Workshop December.

PROGRAM UPDATE OVERCOMING HIV/AIDS EPIDEMICS IN UKRAINE NATIONAL PROGRAM SUPPORTED BY GFATM COMPONENT: TREATMENT, CARE AND SUPPORT Presentation by Treatment,

Overdose: A major preventable cause of death in Eastern Europe and Central Asia Shona Schonning.

Reporting to WHO Death certificate  National statistics  WHO International Classification of Disease (ICD) – All poisonings – Drug poisonings – Drug.

Implementation of the Substitution Maintenance Therapy in the framework of the Programme “Overcoming HIV/AIDS Epidemics in Ukraine” Stakeholders meeting.

National roll-out of database for HIV prevention programmes among civil society organizations in Ukraine Olga Varetska ICF “International HIV/AIDS Alliance.

CONCURRENT SEXUAL RELATIONSHIP AMONG MALE CLIENTS OF FEMALE SEX WORKERS IN CHINA Presenters: Shan Qiao, Chen Zhang, Xiaoming Li, Yuejiao Zhou.

The Council of Southeast Pennsylvania, Inc. Overdose Prevention and Education.

1 HIV and AIDS Data Hub for Asia-Pacific Review in slides Bangladesh.

Evaluation of an Urban Crisis Intervention Service for Persons with a Housing Crisis Karen Parhar and Peter R. Grant University of Saskatchewan.

Dealing with impaired and incompetent health care professionals Survey research amongst ten health care professions Jan-Willem Weenink MSc Tijn Kool Phd.

Evidence and good practices on HIV prevention for young people From evidence to action: experience from Ukraine Olena Sakovych UNICEF Ukraine 2011.

Trends in Opioid Use and Overdose in BC: Making the case for greater availability of Take Home Naloxone programs Ashraf Amlani Harm Reduction Epidemiologist.

How to improve law enforcement knowledge about HIV and to work with drug users and sex workers: experiences from Kyrgyzstan Aleksandr Zelichenko, Director.

STAFF MIGRATION MOTIVATION RESEARCH AT THE HUNGARIAN CENTRAL STATISTICAL OFFICE ESZTER VIRÁGH, HRMT, GENEVA,

Maryland’s “Good Samaritan” Law Annotated Code of Maryland, Criminal Procedure §1-210 Effective October 1, 2015 September

1 Evaluation of the Take Home Naloxone (THN) Project Trevor Bennett Katy Holloway.

Global Fund in Estonia Kaja Põlluste, MD, MPH Department of Public Health & Department of Internal Diseases University of Tartu Estonia.

Integration of collaborative TB/HIV activities with harm reduction services Maryna Zelenskaya Ph D State service on HIV/AIDS and other socially diseases.

AIDS 2014 Workshop on increasing access to TB services as part of integrated care for people who inject drugs Integrating TB services.

Naloxone nasal spray in Norway Thomas Clausen Professor (Dr. med) 5. November 2015.

Jennifer R. Havens, PhD, MPH Associate Professor

HIV and AIDS Data Hub for Asia-Pacific Review in slides Myanmar.

The Impact on Caregivers of Young Adult Opioid Use Sarah Bagley MD Addiction Medicine Fellow Clinical Addiction Research and Education Unit Boston University.

Transport Against HIV/AIDS in Cambodia Maria Margarita Nunez EASTE 28 November 2007.

Opioid Overdose Prevention with Naloxone an Adjunct to Basic Life Support Training for First Year Medical Students Noah Berland MS3 MS †, Babak Tofighi.

School of Nursing Health Literacy Among Informal Caregivers of Persons With Memory Loss Judith A. Erlen, PhD, RN, FAAN; Jennifer H. Lingler, PhD, RN; Lisa.

Medical Certification on Cause of Death Session V: Verbal Autopsy.

HIV and AIDS Data Hub for Asia-Pacific Review in slides Myanmar.

THE 6 TH NATIONAL SCIENTIFIC CONFERENCE ON HIV/AIDS H HIV Prevention for Female Sexual Partners of People Who Inject Drugs: Evaluation Results Theodore.

Falls and Fall Prevention. Prevalence of Falls in Older Adults  33% of older adults fall each year  Falls are the leading cause of fatal and nonfatal.

THE 6 TH NATIONAL SCIENTIFIC CONFERENCE ON HIV/AIDS Using peer driven intervention to increase HIV/AIDS case finding in Mai Son district, Son La province.

From evidence to commitment to action: implementing HIV prevention measures in prisons in Ukraine XVI International AIDS Conference Toronto, 15 August.

High Coverage of Most-at-Risk Populations Reduces HIV Risk: Results from Central Asia Anna Deryabina, David S. Hausner, Bibigul Aubakirova, Yana Dobronravova,

ARV Treatment Scale Up: Progress in Ukraine Andriy Klepikov Executive Director, International HIV/AIDS Alliance in Ukraine ARV Treatment Scale Up: Progress.

Stepwise hospital accreditation certification: Can we learn from WHO-Afro Stepwise Laboratory Accreditation? 2 ND NATIONAL QUALITY IMPROVEMENT FORUM MLIMANI.

Non-Medical Staff Knowledge, Beliefs and Practices about HIV and Hepatitis for Injection Drug Users Rowe, KA 1, Tesoriero, JM 1, Heavner, KK 1, Rothman,

HIV/AIDS prevention and care among injecting drug users and in prison settings in Estonia, Latvia and Lithuania Riga, 29 May 2008 Sintija Šmite, UNODC.

Harm reduction evidence: Eastern Europe and Central Asia Raminta Stuikyte Central and Eastern European Harm Reduction Network.

The ‘official’ state of addiction problems and interventions in the Node Cam Wild.

An overdose Reduction PlaN

Responding to Overdose

Table 1: NHBS HET3 Participant Characteristics

Believed discrimination occurred because of their:

Experiences from a national overdose prevention strategy: Nasal naloxone distribution and lessons learned Philipp Lobmaier, MD, PhD Norwegian Centre.

Alyona Mazhnaya, Jill Owczarzak

2015 was 46 OD 9 deaths 2014 was 53 OD 12 deaths 141 overdoses and 31 deaths.

Presentation transcript:

Injection drug users’ knowledge about overdose prevention and take home Naloxone in Ukraine. ICF 'International HIV/AIDS Alliance in Ukraine Liudmyla Shulga Anna Tokar

Presentation outline Reasons for paying attention to OD – Ukrainian context Data available Challenges and solutions

Background 2008 Literature review on OD scale and use of Naloxone. First training on OD prevention and Naloxone use. No systemic work on organizational level Start of OD prevention programs with take home Naloxone in 37 NGOs –Training on programme implementation for social workers –Evaluation of Naloxone use efficacy During 12 months 500 ampoules of Naloxone distributed Alliance-Ukraine supported organizations implement OD prevention 57 of them buy Naloxone ( ampoules).

Addressing concerns Behavioral surveys (2007, 2009): 11-14% Peer Driven Intervention: 30-33% Survey, 2010: 49 (F) - 53 (M)%

Survey, 2010 Location: 15 cities Sample size: 2821 IDUs (72% M, 28% F), aged y.o. Recruited by word of mouth Interviewer-assisted questionnaires

Respondent Characteristics

OD cases

During Naloxone refill: which drugs did you use at last OD?

Challenges “behind the curtains” Naloxone is a prescription drug which makes its distribution more expensive and not anonymous. Absence of official statistic on OD prevalence and prevalence of OD-induced deaths. Death certificates contain information about “poisoning” without specification. This happens due to lack of equipment the cost of which is not affordable for the state. Naloxone is used as a method of IDUs control.

Instruction for naloxone use from the Ministry of Health documents

Alarming Issues Although there is educational programme on OD, absence of naloxone makes it less effective.

When observing OD in someone what did you do?

Alarming Issues: not calling ambulance 65% didn’t even try to cal an ambulance Out of those who called the ambulance, it arrived in 95% of cases Common reasons: fear of police: 35% - 67% Fear of dealing with medical staff: 26% - 35% Believed in being able to cope on their own: 42% - 57%

Acknowledgement Anna Tokar, MSc Maryna Varban, PhD Ukrainian organizations that took part in the survey with no extra funding.