'They accept me, because I was one of them':formative qualitative research supporting the feasibility of peer-led outreach for people who use drugs in Dakar, Senegal
| Autor: | Andy Guise, Magath Pouye, Monika Sigrist, Famara Mane, Tim Rhodes, Camille Stengel |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
education 030508 substance abuse Medicine (miscellaneous) HIV Infections K1 Substance use Peer Group Formative assessment Drug Users Interviews as Topic 03 medical and health sciences 0302 clinical medicine Harm Reduction West Africa Humans 030212 general & internal medicine 10. No inequality Substance Abuse Intravenous Peer outreach Health Education Qualitative Research Harm reduction Medical education Social work lcsh:Public aspects of medicine Research Public Health Environmental and Occupational Health lcsh:RA1-1270 Peer educator Middle Aged Peer-driven intervention Hepatitis C Senegal 3. Good health Outreach Psychiatry and Mental health Health psychology Feasibility Studies Female Thematic analysis 0305 other medical science Psychology People who inject drugs Risk Reduction Behavior Peer education Qualitative research |
| Zdroj: | Stengel, C, Mane, F, Guise, A, Pouye, M, Sigrist, M & Rhodes, T 2018, ' "They accept me, because I was one of them" : formative qualitative research supporting the feasibility of peer-led outreach for people who use drugs in Dakar, Senegal ', Harm Reduction Journal, vol. 15, no. 1, 9 . https://doi.org/10.1186/s12954-018-0214-1 Harm Reduction Journal BASE-Bielefeld Academic Search Engine Harm Reduction Journal, Vol 15, Iss 1, Pp 1-12 (2018) |
| ISSN: | 1477-7517 |
| Popis: | Background: Peer outreach harm reduction initiatives are being developed with and for people who use drugs inDakar, Senegal. This is in response to growing injecting drug use across the West Africa region and linked emergingepidemics of HIV and hepatitis C. We undertook formative qualitative research to explore the feasibility andpotential of peer outreach in this context and in particular how outreach could be linked to fostering communitylevelprocesses of change.Methods: We undertook a total of 44 semi-structured qualitative interviews. Thirty-four interviews were with peoplewho used drugs (comprised of 25 participants who had injected at least once in their life) and included 11 peereducators who delivered “awareness-raising” harm reduction activities. We also interviewed 10 service providersinvolved in the planning and monitoring of peer outreach initiatives. We used thematic analysis to identify keycharacteristics of how peer-led outreach is being delivered, beneficiary need, and the nature of the social networksin which the awareness-raising activities operate.Results: Through interviews with peer educators, people who use drugs, and service providers, four mainoverlapping themes are identified as follows: peer educators as a bridge to responsibilization through awarenessraisingactivities, awareness-raising activities as an enactment of recovery, awareness raising through social networkdiffusion, and the contexts and constraints of peer outreach engagement through awareness-raising activities.Conclusions: The study results suggest that peer education is on a trajectory to develop into a central role forharm reduction interventions in Dakar, Senegal. This research shows how peer education is bound in processes ofresponsibilization and self-change, which link to varying possibilities for risk reduction or recovery. For peereducation to achieve a range of significant goals, broader structural and system changes should be implemented inthe region. We caution that without such changes, awareness-raising activities and the role of peer educators mayinstead become part of state- and agency-sponsored processes of seeking to responsibilize individuals for healthand harm reduction. |
| Databáze: | OpenAIRE |
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