| Titre : | Implementation of harm reduction toward crack users in Brazil: barriers and achievements (2012) |
| Auteurs : | A. DOMANICO ; M. MALTA |
| Type de document : | Article : Périodique |
| Dans : | Substance Use and Misuse (Vol.47, n°5, 2012) |
| Article en page(s) : | 535-546 |
| 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. |
| Langues: | Anglais |
| Discipline : | PRE (Prévention - RdRD / Prevention - Harm reduction) |
| Mots-clés : |
Thésaurus géographique BRESILThésaurus mots-clés REDUCTION DES RISQUES ET DES DOMMAGES ; COCAINE ; CRACK ; PROGRAMME ; EVALUATION ; VIH |
| 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. |
| Domaine : | Drogues illicites / Illicit drugs |
| Affiliation : | Porto Alegre Health Secretariat , Porto Alegre-RS , Brazil |
| Lien : | http://dx.doi.org/10.3109/10826084.2012.644170 |
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