Welcome to CDC Stacks | Heroin shortage in Coastal Kenya: A rapid assessment and qualitative analysis of heroin users’ experiences - 38166 | CDC Public Access
Stacks Logo
Advanced Search
Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.
 
 
Help
Clear All Simple Search
Advanced Search
Heroin shortage in Coastal Kenya: A rapid assessment and qualitative analysis of heroin users’ experiences
Filetype[PDF - 84.90 KB]


Details:
  • Pubmed ID:
    26470646
  • Pubmed Central ID:
    PMC4762754
  • Description:
    Introduction

    While relatively rare events, abrupt disruptions in heroin availability have a significant impact on morbidity and mortality risk among those who are heroin dependent. A heroin shortage occurred in Coast Province, Kenya from December 2010 to March 2011. This qualitative analysis describes the shortage events and consequences from the perspective of heroin users, along with implications for health and other public sectors.

    Methods

    As part of a rapid assessment, 66 key informant interviews and 15 focus groups among heroin users in Coast Province, Kenya were conducted. A qualitative thematic analysis was undertaken in Atlas.ti. to identify salient themes related to the shortage.

    Results

    Overall, participant accounts were rooted in a theme of desperation and uncertainty, with emphasis on six sub-themes: (1) withdrawal and strategies for alleviating withdrawal, including use of medical intervention and other detoxification attempts; (2) challenges of dealing with unpredictable drug availability, cost, and purity; (3) changes in drug use patterns, and actions taken to procure heroin and other drugs; (4) modifications in drug user relationship dynamics and networks, including introduction of risky group-level injection practices; (5) family and community response; and (6) new challenges with the heroin market resurgence.

    Conclusions

    The heroin shortage led to a series of consequences for drug users, including increased risk of morbidity, mortality and disenfranchisement at social and structural levels. Availability of evidence-based services for drug users and emergency preparedness plans could have mitigated this impact.

  • Document Type:
  • Collection(s):
  • Funding:
    U2G PS002846/PS/NCHHSTP CDC HHS/United States
No Related Documents.
You May Also Like: