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Injection drug users’ knowledge about overdose prevention and take home Naloxone in Ukraine.

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.

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Injection drug users’ knowledge about overdose prevention and take home Naloxone in Ukraine.

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

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

  3. 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. 2009 • 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. 2010 • 81 Alliance-Ukraine supported organizations implement OD prevention • 57 of them buy Naloxone (15 948 ampoules).

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

  5. Survey, 2010 • Location: 15 cities • Sample size: 2821 IDUs (72% M, 28% F), aged 17 - 58 y.o. • Recruited by word of mouth • Interviewer-assisted questionnaires

  6. Respondent Characteristics

  7. OD cases

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

  9. 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.

  10. Instruction for naloxone use from the Ministry of Health documents

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

  12. When observing OD in someone what did you do?

  13. 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%

  14. Acknowledgement • Anna Tokar, MSc • MarynaVarban, PhD • Ukrainian organizations that took part in the survey with no extra funding.

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