“Trust and suspicion” client and provider perspectives on the acceptability of medication for opioid use disorder among people who inject drugs in Kampala, Uganda
MOUD was acceptable to people who inject drugs and providers, offering health and social benefits, but barriers, including transport cost, dialysis attendance, stigma, fears of arrests, clinic rules, side effects, and misconceptions, limited access. Scaling up requires flexible clinic rules and service models, community sensitisation, counselling, and collaboration with private, religious, traditional, and law enforcement actors to promote early initiation and broader acceptability.
Authors
- Simon Kim (ORCID: https://orcid.org/0000-0002-7455-7421)
- Adelline Twimukye (ORCID: https://orcid.org/0000-0002-5053-0574)
- Peter Mudiope (ORCID: https://orcid.org/0000-0002-0727-3322)
- Joan Nangendo
- Fredrick Makumbi (ORCID: https://orcid.org/0000-0002-6460-7325)
- Joseph K. B. Matovu (ORCID: https://orcid.org/0000-0001-6480-2940)
- Stella Alamo (ORCID: https://orcid.org/0000-0003-4404-1181)
- Rhoda K. Wanyenze (ORCID: https://orcid.org/0000-0001-5864-3314)
- Nicholas Nanyeenya
- Simon Okurut
- Brian Mutamba Byamah
Institutions
- Butabika Hospital (UG)
- Busitema University (UG)
- Centers for Disease Control and Prevention (UG)
- Infectious Diseases Institute (UG)
- Makerere University (UG)
Publication Details
- Journal
- Harm Reduction Journal
- Published
- 2025-10-24
- DOI
- https://doi.org/10.1186/s12954-025-01324-7
- Primary Topic
- Opioid Use Disorder Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Ministry of Urban Development