Barriers to implementing screening, brief intervention and referral to treatment for substance use in HIV-AIDS health services in Peru

Authors

  • Kim A. Hoffman International Center for Advanced Research and Applied Science – INCAAS, Lima-Perú School of Public Health & Preventive Medicine, Oregon Health & Science University, Portland Oregon. EE. UU. PhD en estudios urbanos
  • Jessica Beltrán Unidad de Análisis y Generación de Evidencias en Salud Pública, Centro Nacional de Salud Pública, Instituto Nacional de Salud. Lima, Perú. médico cirujano
  • Javier Ponce International Center for Advanced Research and Applied Science – INCAAS, Lima-Perú. The George Washington University Milken Institute School of Public Health and Health Services. EE. UU. médico cirujano
  • Lisset García-Fernandez Estrategia Sanitaria Nacional de Prevención y Control de ITS VIH/SIDA, Ministerio de Salud del Perú. Lima, Perú. médico cirujano
  • María Calderón Hospital Nacional Cayetano Heredia. Lima, Perú. médico cirujano
  • John Muench School of Public Health & Preventive Medicine, Oregon Health & Science University, Portland Oregon. EE. UU. médico cirujano
  • Carlos Benites Unidad de Análisis y Generación de Evidencias en Salud Pública, Centro Nacional de Salud Pública, Instituto Nacional de Salud. Lima, Perú. médico cirujano
  • Leslie Soto Hospital Nacional Cayetano Heredia. Lima, Perú. médico cirujano
  • Dennis McCarty School of Public Health & Preventive Medicine, Oregon Health & Science University, Portland Oregon. EE. UU. PhD en psicología
  • Fabián Fiestas Instituto de Evaluación de Tecnologías en Salud e Investigación, Seguro Social de Salud. Lima, Perú. médico cirujano

DOI:

https://doi.org/10.17843/rpmesp.2016.333.2293

Keywords:

Alcohol and drug abuse, brief intervention, HIV/AIDS

Abstract

Objectives. Screening and treatment for substance use among people living with HIV/AIDS (PLWHA) is highly recommended. Nevertheless, in Peru healthcare for PLWHA does not include a standardized or systematic assessment to identify substance use. The aim of this study was to assess the feasibility of implementing screening, brief intervention and referral to treatment (SBIRT) in healthcare settings attending people living with PLWHA. Materials and methods. After providing training in SBIRT for PLWHA’s healthcare personnel (including nurses and physicians) focus groups were conducted to explore knowledge, beliefs and perceived barriers to implementation and interviews were conducted to assess the barriers and facilitators of two tertiary hospitals in Lima, Peru. Results. focus groups and interviews’ thematic coding revealed three dimensions: 1) the unknown extent of substance use within PLWHA, 2) space and time limitations hinder completion of brief interventions during routine visits, and 3) insufficient access to substance use treatment appropriate for HIV patients. Conclusions. Multiple barriers, including lack of awareness of substance use problems, limited space and time of providers, and lack of specialized services to refer patients for treatment make it difficult to implement SBIRT in the Peruvian healthcare system.

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Published

2016-07-25

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Section

Original Article

How to Cite

1.
Hoffman KA, Beltrán J, Ponce J, García-Fernandez L, Calderón M, Muench J, et al. Barriers to implementing screening, brief intervention and referral to treatment for substance use in HIV-AIDS health services in Peru. Rev Peru Med Exp Salud Publica [Internet]. 2016 Jul. 25 [cited 2024 May 29];33(3):432-7. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2293

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