Avtor/Urednik     Haldane, Victoria; Jung, Anne-Sophie; Foo, Chuan De; Shrestha, Pami; Urdaneta, Elena; Turk, Eva; Gaviria, Juan I; Boadas, Jesus; Buse, Kent; Miranda, J Jaime
Naslov     Integrating HIV and substance misuse services: a person-centred approach grounded in human rights
Tip     članek
Vol. in št.     Letnik 9, št. 8
Leto izdaje     2022
Obseg     str. 676-688
ISSN     2215-0374 - The Lancet
Jezik     eng
Abstrakt     Integrating HIV-related care with treatment for substance use disorder provides an opportunity to better meet the needs of people living with these conditions. People with substance use disorder are rendered especially vulnerable by prevailing policies, structural inequalities, and stigmatisation. In this Series paper we analyse existing literature and empirical evidence from scoping reviews on integration designs for the treatment of HIV and substance use disorder, to understand barriers to and facilitators of care integration and to map ways forward. We discuss how approaches to integration address two core gaps in current models: a failure to consider human rights when incorporating the perspectives of people living with HIV and people who use drugs, and a failure to reflect critically on structural factors that determine risk, vulnerability, health-care seeking, and health equity. We argue that successful integration requires a person-centred approach, which is grounded in human rights, treats both concerns holistically, and reconnects with underlying social, economic, and political inequalities.
Proste vsebinske oznake     integration
human rights
HIV
treatment
drugs