Quality Of Health Among Methadone Maintenance Treatment (MMT) Program Clients In Myanmar

HIV prevalence rate among PWIDs (People who inject drugs) in Myanmar is high at 28.5% based on 2014 IBBS results. More than 13,441 (16% of the estimated 83,000 PWIDs) have been on methadone treatment in 2017. Evaluation of the methadone program is vital for efficient service delivery. This study...

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Main Author: Sun, Tun
Format: Thesis
Language:English
Published: 2020
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Online Access:http://eprints.usm.my/51217/1/Sun%20Tun.pdf
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spelling my-usm-ep.512172022-01-26T08:08:06Z Quality Of Health Among Methadone Maintenance Treatment (MMT) Program Clients In Myanmar 2020-06 Sun, Tun RM300-666 Drugs and their actions HIV prevalence rate among PWIDs (People who inject drugs) in Myanmar is high at 28.5% based on 2014 IBBS results. More than 13,441 (16% of the estimated 83,000 PWIDs) have been on methadone treatment in 2017. Evaluation of the methadone program is vital for efficient service delivery. This study aimed to understand the context and important treatment factors of methadone maintenance treatment (MMT) program among clients in Myanmar. A total of 210 respondents were recruited through stratified random sampling from five cities in Myanmar where MMT program existed. Several study instruments such as WHO-QOL-BREF questionnaire, Verona Service Satisfaction Scale questionnaire for Methadone Treatment (VSSS-MT) and Addiction Severity Index (ASI) were used. The urine drug test was also conducted to confirm respondents’ drug use status. Study results showed that 45% (n=93) never injected heroin in the last 30 days, while 55.5% (n=116) injected heroin. The average daily methadone dose in this study was 83mg. Thirty-seven percent (n=74/200) had HIV, 16.27% (n=34/209) reported co-infection (HIV/HCV). More than one-third (36.5%, n=76) received high methadone dose (above 80mg), while 63.46% (n=132) received low dose. Higher methadone dose was associated with decreased in heroin use (p=0.034). In reviewing the quality of life (QOL) of the respondents, the total average score of respondents (QOL) was 60.8%; specifically, 60.1% in the physical domain, 63.1% in the psychological domain, 59.9% in the social relation domain, and 60.4% in the environmental domain. Low QOL scores were associated with low methadone service satisfaction. 2020-06 Thesis http://eprints.usm.my/51217/ http://eprints.usm.my/51217/1/Sun%20Tun.pdf application/pdf en public phd doctoral Perpustakaan Hamzah Sendut Pusat Penyelidikan Dadah dan Ubat-ubatan
institution Universiti Sains Malaysia
collection USM Institutional Repository
language English
topic RM300-666 Drugs and their actions
spellingShingle RM300-666 Drugs and their actions
Sun, Tun
Quality Of Health Among Methadone Maintenance Treatment (MMT) Program Clients In Myanmar
description HIV prevalence rate among PWIDs (People who inject drugs) in Myanmar is high at 28.5% based on 2014 IBBS results. More than 13,441 (16% of the estimated 83,000 PWIDs) have been on methadone treatment in 2017. Evaluation of the methadone program is vital for efficient service delivery. This study aimed to understand the context and important treatment factors of methadone maintenance treatment (MMT) program among clients in Myanmar. A total of 210 respondents were recruited through stratified random sampling from five cities in Myanmar where MMT program existed. Several study instruments such as WHO-QOL-BREF questionnaire, Verona Service Satisfaction Scale questionnaire for Methadone Treatment (VSSS-MT) and Addiction Severity Index (ASI) were used. The urine drug test was also conducted to confirm respondents’ drug use status. Study results showed that 45% (n=93) never injected heroin in the last 30 days, while 55.5% (n=116) injected heroin. The average daily methadone dose in this study was 83mg. Thirty-seven percent (n=74/200) had HIV, 16.27% (n=34/209) reported co-infection (HIV/HCV). More than one-third (36.5%, n=76) received high methadone dose (above 80mg), while 63.46% (n=132) received low dose. Higher methadone dose was associated with decreased in heroin use (p=0.034). In reviewing the quality of life (QOL) of the respondents, the total average score of respondents (QOL) was 60.8%; specifically, 60.1% in the physical domain, 63.1% in the psychological domain, 59.9% in the social relation domain, and 60.4% in the environmental domain. Low QOL scores were associated with low methadone service satisfaction.
format Thesis
qualification_name Doctor of Philosophy (PhD.)
qualification_level Doctorate
author Sun, Tun
author_facet Sun, Tun
author_sort Sun, Tun
title Quality Of Health Among Methadone Maintenance Treatment (MMT) Program Clients In Myanmar
title_short Quality Of Health Among Methadone Maintenance Treatment (MMT) Program Clients In Myanmar
title_full Quality Of Health Among Methadone Maintenance Treatment (MMT) Program Clients In Myanmar
title_fullStr Quality Of Health Among Methadone Maintenance Treatment (MMT) Program Clients In Myanmar
title_full_unstemmed Quality Of Health Among Methadone Maintenance Treatment (MMT) Program Clients In Myanmar
title_sort quality of health among methadone maintenance treatment (mmt) program clients in myanmar
granting_institution Perpustakaan Hamzah Sendut
granting_department Pusat Penyelidikan Dadah dan Ubat-ubatan
publishDate 2020
url http://eprints.usm.my/51217/1/Sun%20Tun.pdf
_version_ 1747822064562077696