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Challenges and best practices for hepatitis C care among people who inject drugs in resource limited settings

Focus group discussions with healthcare providers in Kenya

Bibliographic Data

ID15540558
AuthorsRie Seu (0000-0001-5116-6113, Montefiore Medical Center), Lindsey R Riback (0000-0001-8805-270X, Albert Einstein College of Medicine), Mercy Nyakowa (Ministry of Health), John Lizcano (0000-0003-4470-2189, Yale University), Helgar Musyoki (0000-0002-0972-6065, Ministry of Health), Jonathan Ross (0000-0002-4193-6919, Albert Einstein College of Medicine), Peter Cherutich (0000-0002-0019-0372, Ministry of Health), Ann Kurth (0000-0003-2300-6723, Yale University), Matthew J Akiyama (0000-0003-4290-3083, Montefiore Medical Center, corresponding author)
Year2022
Volume17
Issue12
Pages3627-3637
Publication date2022-08-08
Open AccessYes
TypeARTICLE
VenueGlobal Public Health (JOURNAL)
Journal identifiersISSN: 1744-1692 • E-ISSN: 1744-1706
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2022.2110919
PMID35941717
OpenAlexW4292451979
LanguageEN
Citations received1
References cited35

People who inject drugs (PWID) living with Hepatitis C (HCV) in low- and middle-income countries face substantial barriers to HCV care. We sought to gain healthcare providers' perspectives on challenges and best practices for HCV care provision among PWID in Kenya. We conducted three focus group discussions (FGD) with 23 healthcare providers working with PWID living with HCV in Nairobi and Mombasa. Transcribed interviews were analysed thematically. Overarching themes regarding HCV prevention and treatment were: (1) lack of HCV-related knowledge at the provider and patient levels; (2) stigmatisation of people living with HCV and PWID; and (3) difficulties among PWID with navigating the healthcare system. Some providers suggested systematically integrating HCV care into existing PWID-specific harm reduction programs to improve HCV care provision as well as creating national HCV guidelines to guide clinicians. This study highlights the need for national HCV treatment guidelines and increased public HCV education, as well as culturally sensitive models integrating HCV care into programs PWID are already accessing. These strategies will be useful in improving access to HCV care among PWID and has the potential to decrease HCV transmission and prevalence among this vulnerable population

Economic growth · Environmental health · Family medicine · Focus group · Harm reduction · Health care · Hepatitis C · Population · Public health · Sociology · Hepatitis B Virus Studies · Hepatitis C virus research · HIV, Drug Use, Sexual Risk · Medicine · Nursing · Virology

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    Open Access•Matthew J Akiyama, Lindsey R Riback et al.•International Journal of Drug…•2023

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  • Barriers and facilitators of access to HIV, harm reduction and sexual and reproductive health services by women who inject drugs

    Sylvia Ayon, James Ndimbii et al.•AIDS Care•2018

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    Open Access•Matthew J Akiyama, Abbe Muller et al.•Global Public Health•2021

  • Doing battle with “the monster”

    Open Access•Marya Gwadz, Noelle R Leonard et al.•International Journal for Equity…•2018

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Citations per year0.33
Citation span2023 - 2023 (1)
Highly citedNo

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