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1. Issue: |
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It is
difficult for us "the clients from Lalitpur district" to
travel to teaching hospital Kathmandu because of the
various unpredictable situations arising due to the
present political situation, we find it exhausting to
travel so far every day for our daily doses and it is
also stressful and has made many of our friends to miss
dosages and many forced to quit. |
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Time management
for basic chores has become very difficult since we have
to travel for at least one and half hour taking two to
three routes spending at least 60- 70 rupees per day
which still makes our family life unmanageable since
most of us are unemployed and have to request our
families for money. |
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Lack of
petroleum in the valley and increasing bus and mini van
fare, has made the cost to acquire methadone much higher
for us than it can be otherwise. |
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Inappropriate
schedule for jobholding clients, this has made some of
us, who are from Lalitpur leave their jobs to maintain
their schedule in MMT program which is not suppose to be
that way. |
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Recommendations:
Opening up a new Methadone OST site in Lalitpur District
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2.
Issues: |
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If 24 hours
methadone services were made available, it would have
helped many of us who have missed their usual schedule
or emergency Methadone dose be available via social unit
in case of emergency in unlikely timetable. |
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Recommendation: |
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Social Unit to
act as emergency dispensing unit regardless of time,
increase incentives for social unit staffs for over
time.
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3.
Issues: |
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Take away doses
is very helpful in client’s mobility, and the decision
makers should understand that if we sell our takeaway
doses we will be too sick to do anything, there fore it
is unlikely that we will sell our takeaway doses.
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Recommendation: |
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It has proven
that client's will not sell their takeaway doses of
Methadone due to the fears of withdrawal especially
while traveling, thus the Methadone outlet should
consider providing takeaway doses under certain
circumstances which needs to me identified and
standardized.
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4.
Issues: |
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Many of us who
are unemployed are left with nothing to do the whole
day, if concerned bodies provide us with drop in
facility, skill building trainings or with income
generating activities it would have been very helpful as
well as productive for us as well as for the society. |
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Recommendation: |
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Provide drop in
center facility for clients to hang out after use and
provide knowledge, information and trainings for the
willing clients.
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5.
Issues: |
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Integration of
Anti Retro Viral Therapy services with Methadone
program, also including HCV treatment facility would be
ideal. |
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Recommendation: |
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Almost more
than 35 of the altogether 120 OST clients appears to be
HIV positive (more than 40 clients have not yet screened
for HIV) and these clients may need ART services in near
future (5 of them already enrolled in ART). Thus the
integration of OST and ARV should be considered and
proper steps towards one stop service facility should be
taken immediately for easy access to ART service for
drug users.
Positive Voice for Methadone Clients in Teaching
Hospital. |
Positive
Voice successfully conducted the Treatment Literacy Training for MMT
Clients on March 28th 2008, the training was supported by the HIV
collaborative Fund- South Asia of Tides Foundation.
