Historique
Article de Périodique
Implementation of harm reduction toward crack users in Brazil: barriers and achievements (2012)
Auteur(s) :
DOMANICO, A. ;
MALTA, M.
Année
2012
Page(s) :
535-546
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Thésaurus géographique
BRESIL
Thésaurus mots-clés
REDUCTION DES RISQUES ET DES DOMMAGES
;
COCAINE
;
CRACK
;
PROGRAMME
;
EVALUATION
;
VIH
Note générale :
Street-level research on street-level interventions among drug users: Commentary on papers by Frank et al., Hayashi et al., Small et al., and Domanico and Malta. Lune H., p. 555-557.
Résumé :
From 2002 to 2005, we evaluated five Brazilian harm reduction programs ran by active drug users who distributed pipes, condoms, educational material, and provided referral to crack users. System-wide barriers identified: funds discontinuation and legislation barriers toward fieldwork. Major achievements: increased access to health, social, and psychological support. Crack-cocaine users experience a plethora of health/social problems, attenuated by low-threshold and user-friendly interventions, particularly those developed by other drug users. However, a stronger political commitment is needed to face a fast growing crack-cocaine epidemic in Brazil, aiming to ensure availability/continuity of funds, implementation of large-scale interventions, outreach workers training, and proper evaluation.
Affiliation :
Porto Alegre Health Secretariat , Porto Alegre-RS , Brazil