Treatment training manual

7. 4 Comprehensive and accessible care

Including as many health and social services as possible at a single site improves both adherence and treatment outcomes for people who inject drugs (PWID).

Drug users are often reluctant to come forward for treatment and care. Services need to be located somewhere accessible to PWID and within the HIV clinic setting.

Comprehensive, multi-disciplinary services should include:

  • Access to ART.
  • Access to substitution therapy: methadone or buprenorphine.
  • Opportunistic infection prophylaxis and treatment.
  • Accessible, non-judgemental healthcare team.
  • Needle exchange.
  • Adherence support and counselling.
  • Strong links with community based programmes.
  • Food programmes and public transport.
  • Outreach.

Last updated: 1 December 2015.