Kalema, D., Vanderplasschen, W., Vindevogel, S., Baguma, P., & Derluyn, I. (2017). Treatment challenges for alcohol service users in Kampala, Uganda. The International Journal Of Alcohol And Drug Research, 6(1), 27-35. doi:http://dx.doi.org/10.7895/ijadr.v6i1.240Background and Aims: Enhancing treatment participation of persons with substance use disorders is a challenge worldwide. Obstacles keeping people from entering or continuing treatment are well documented in Western countries, but such knowledge is scarce in majority countries that face particular challenges when implementing alcohol policies. This study aimed at identifying factors challenging treatment participation in Uganda, a Sub-Saharan country with a considerable alcohol problem.Methods: Data were collected during 30 in-depth, qualitative interviews on treatment challenges with 20 service providers and 10 male service users, who were recruited at one public and one private alcohol treatment center in the Ugandan capital city, Kampala. Men comprise about 90% of the total number of service users in these centers. Interview data were analyzed thematically, using Nvivo software, and were categorized around three levels of treatment challenges: societal, institutional, and personal challenges.Findings: Interview findings showed several treatment challenges relating to institutional aspects like inadequate human resources, overall insufficiency of services, and the treatment philosophy of available services. Respondents identified stigma and cultural interference as important challenges at the societal level, while limited awareness about addiction and denial of problems can be situated at the individual level.Conclusions: Institutional, societal, and personal challenges keep persons with AUD from participating in alcohol treatment in public and private services in Uganda. Alcohol regulation, sensitization, and prevention are needed to raise awareness at the societal and individual level, while appropriate training and additional financial resources may help to overcome institutional challenges.

中文翻译：

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乌干达坎帕拉酒精服务使用者的治疗挑战

Kalema, D., Vanderplasschen, W., Vindevogel, S., Baguma, P., & Derluyn, I. (2017)。乌干达坎帕拉酒精服务用户面临的治疗挑战。国际酒精和药物研究杂志，6（1），27-35。doi：http://dx.doi.org/10.7895/ijadr.v6i1.240 背景和目标：提高物质使用障碍患者的治疗参与度是世界范围内的一项挑战。阻止人们进入或继续治疗的障碍在西方国家有充分的记录，但在大多数国家，在实施酒精政策时面临特殊挑战的此类知识很少。本研究旨在确定影响乌干达治疗参与的因素，乌干达是一个存在严重酒精问题的撒哈拉以南国家。方法：在 30 次深入收集数据，在乌干达首都坎帕拉的一个公共和一个私人酒精治疗中心招募了 20 名服务提供者和 10 名男性服务使用者，就治疗挑战进行了定性访谈。男性约占这些中心服务用户总数的 90%。使用 Nvivo 软件对访谈数据进行专题分析，并围绕三个级别的治疗挑战进行分类：社会挑战、制度挑战和个人挑战。调查结果：采访结果显示了与制度方面有关的几个治疗挑战，如人力资源不足、服务总体不足、以及可用服务的治疗理念。受访者认为污名和文化干扰是社会层面的重要挑战，而对成瘾和否认问题的有限认识可能位于个人层面。结论：制度、社会和个人挑战使 AUD 患者无法在乌干达的公共和私人服务机构中参与酒精治疗。需要对酒精进行监管、宣传和预防，以提高社会和个人层面的意识，而适当的培训和额外的财政资源可能有助于克服体制挑战。