The primary objective of this research project is to identify barriers to scale-up of Opioid Agonist Therapy (OAT) in the justice systems (prisons and probation) in Tajikistan, Kyrgyzstan, Moldova, and Georgia, and establish a NIATx learning collaborative to scale-up OAT, and analyze scale-up utilizing latent class growth analyses in people who inject drugs (PWID).
Aim 1 consists of the development of NIATx learning collaboratives with prison OAT providers (addiction care specialists or primary care doctors). This aim is an implementation science aim involving the collection of OAT scale-up data from each country's national OAT database, as well as administration of survey to prison narcologists every 6 months. Aim 2 consists of the development of NIATx learning collaboratives with probation and prison officers in Kyrgyzstan, Tajikistan, Moldova, and Georgia. Investigators will collect OAT scale-up data from each member country's national OAT database, and administer a survey to probation officers every 6 months. Investigators will also observe and interview probation clients and staff using ethnographic methods.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
300
Opioid Agonist Therapy (OAT) as HIV prevention
Yale University
New Haven, Connecticut, United States
NOT_YET_RECRUITINGAlternative Georgia
Tbilisi, Georgia
RECRUITINGAIDS Foundation East-West (AFEW)
Bishkek, Kyrgyzstan
RECRUITINGNumber of participants receiving opioid agonist therapy (OAT)
Number of patients receiving opioid agonist therapy (OAT) per OAT site.
Time frame: baseline up to 4 years
Adherence to NIATx protocol
Adherence to NIATx protocol: using the NIATx fidelity scale, a 19-item assesment to measure adherence to the NIATx model on a 5-point scale from 1 (No evidence) to 5 (Extensive evidence).
Time frame: baseline up to 4 years
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NGO AFI
Chisinau, Moldova
RECRUITINGInstitute for International Health and Education (IIHE)
Dushanbe, Tajikistan
RECRUITING