Andrew Scheibe
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View article: Addressing policy barriers to scaling up needle and syringe programmes: a global call to action
Addressing policy barriers to scaling up needle and syringe programmes: a global call to action Open
Needle and syringe programmes (NSPs) are effective, affordable solutions for preventing the transmission of blood-borne viruses among people who inject drugs. Yet, global NSP coverage remains extremely low; only 2% of people who inject dru…
View article: South African harm reduction guideline for chemsex
South African harm reduction guideline for chemsex Open
No abstract available.
View article: Cascading Training Model to Promote Screening, Brief Intervention, and Referral to Treatment Across South Africa: Rollout in an HIV Service Organization
Cascading Training Model to Promote Screening, Brief Intervention, and Referral to Treatment Across South Africa: Rollout in an HIV Service Organization Open
Background In South Africa, rates of HIV and alcohol use are among the highest globally, with a detrimental synergistic relationship. Screening, Brief Intervention, and Referral to Treatment (SBIRT) is an evidence-based, cost-effective app…
View article: Evaluating client functioning in a harm reduction program in South Africa: insights from a tool derived from the International Classification of Functioning, Disability and Health
Evaluating client functioning in a harm reduction program in South Africa: insights from a tool derived from the International Classification of Functioning, Disability and Health Open
South Africa faces the detrimental effects of problematic substance use. The Community Oriented Substance Use Program (COSUP) is a research-based, community-situated harm-reduction program. The International Classification of Functioning, …
View article: Drug use patterns and health problems among people who use drugs in Guinea-Bissau (2022): A cross-sectional survey using respondent-driven sampling
Drug use patterns and health problems among people who use drugs in Guinea-Bissau (2022): A cross-sectional survey using respondent-driven sampling Open
Methamphetamine and crack cocaine are the most commonly used injectable drugs in Guinea-Bissau. Symptoms of depression are common among people who use drugs in the country. Access to evidence-based drug use treatment and harm reduction int…
View article: Characteristics of women on opioid substitution therapy in primary healthcare in Tshwane (South Africa): a retrospective observational study
Characteristics of women on opioid substitution therapy in primary healthcare in Tshwane (South Africa): a retrospective observational study Open
Background Women who use drugs face specific challenges compared with men such as higher rates of HIV infection, unsafe injecting practices, and intimate partner violence (IPV). However, this population’s access to drug dependence treatmen…
View article: E-cigarettes and harm reduction: a view from sub-Saharan Africa
E-cigarettes and harm reduction: a view from sub-Saharan Africa Open
No abstract available.
View article: Trends and factors associated with illicit drug use in South Africa: Findings from multiple national population-based household surveys, 2002–2017
Trends and factors associated with illicit drug use in South Africa: Findings from multiple national population-based household surveys, 2002–2017 Open
Illicit drug use has increased substantially in South Africa and is associated with numerous socio-demographic characteristics, higher sexual risk behaviours and other well-being variables.
View article: Insights into the Value of the Market for Cocaine, Heroin and Methamphetamine in South Africa
Insights into the Value of the Market for Cocaine, Heroin and Methamphetamine in South Africa Open
The illicit drug trade generates billions of dollars and sustains transnational criminal organisations. Drug markets can destabilise governance and undermine development. Data indicate increasing drug use in South Africa. However, informat…
View article: Community Oriented Substance Use Programme in the City of Tshwane: A Cross-sectional Survey of Stakeholder Perceptions
Community Oriented Substance Use Programme in the City of Tshwane: A Cross-sectional Survey of Stakeholder Perceptions Open
The City of Tshwane and University of Pretoria’s Community Oriented Substance Use Programme (COSUP) is an applied research intervention to address drug use-related harms in the city by using a harm reduction community-oriented primary care…
View article: <b>‘</b>I went for rehab many times and it never worked, but the harm reduction process has given me renewed hope’. Perceptions on the effectiveness of harm reduction and community‐based opioid substitution therapy
<b>‘</b>I went for rehab many times and it never worked, but the harm reduction process has given me renewed hope’. Perceptions on the effectiveness of harm reduction and community‐based opioid substitution therapy Open
Issue Addressed The accessibility of opioid substitution therapy (OST), one of the recommended treatments for opioid dependence, remains low. This study sought to explore the perceived effectiveness of OST from the perspectives of peer out…
View article: Managing acute opioid withdrawal with tramadol during COVID-19 lockdown in a peri-urban setting
Managing acute opioid withdrawal with tramadol during COVID-19 lockdown in a peri-urban setting Open
Background: The coronavirus disease 2019 (COVID-19) has highlighted the scope of heroin dependence and need for evidence-based treatment amongst marginalised people in South Africa. Acute opioid withdrawal management without maintenance th…
View article: The role of low-income and middle-income country prisons in eliminating hepatitis C
The role of low-income and middle-income country prisons in eliminating hepatitis C Open
Hepatitis C virus (HCV) is a global health problem affecting 58 million people, 80% of whom live in low-income and middle-income countries (LMICs). In 2019, 1·5 million new HCV infections and 290 000 HCV-related deaths were estimated world…
View article: Diagnosis and treatment of opioid-related disorders in a South African private sector medical insurance scheme: a cohort study
Diagnosis and treatment of opioid-related disorders in a South African private sector medical insurance scheme: a cohort study Open
Background The use of opioids is increasing globally, but data from low- and middle-income countries on opioid-related mental and behavioural disorders (hereafter referred to as opioid-related disorders) are scarce. This study examines the…
View article: Towards Housing First and harm reduction: addressing opioid dependence and homelessness in Tshwane during the COVID-19 pandemic
Towards Housing First and harm reduction: addressing opioid dependence and homelessness in Tshwane during the COVID-19 pandemic Open
Pandemics can increase mortality and drug-related harms among people experiencing homelessness. The Housing First approach prioritises housing and service access. Harm reduction, a principle of Housing First, minimises the consequences of …
View article: 996Factors predicting retention among people accessing outpatient methadone maintenance therapy in Tshwane, South Africa
996Factors predicting retention among people accessing outpatient methadone maintenance therapy in Tshwane, South Africa Open
Background In South Africa, increasing illicit opioid use and associated health challenges can be managed with opioid substitution therapy (OST), like methadone, provided it is prescribed at the recommended dose and duration. The Community…
View article: The performance of hepatitis C virus (<scp>HCV</scp>) antibody point‐of‐care tests on oral fluid or whole blood and dried blood spot testing for <scp>HCV</scp> serology and viral load among individuals at higher risk for <scp>HCV</scp> in South Africa
The performance of hepatitis C virus (<span>HCV</span>) antibody point‐of‐care tests on oral fluid or whole blood and dried blood spot testing for <span>HCV</span> serology and viral load among individuals at higher risk for <span>HCV</span> in South Africa Open
Background and Aims To enhance screening and diagnosis in those at‐risk of hepatitis C virus (HCV), efficient and improved sampling and testing is required. We investigated the performance of point‐of‐care (POC) tests and dried blood spots…
View article: Southern African HIV Clinicians Society guidelines for harm reduction
Southern African HIV Clinicians Society guidelines for harm reduction Open
Additional inputs received from Lize Weich, Tanya Venter,
\nJohannes Hugo, Urvisha Bhoora, Magriet Spies, Rafaela
\nRigoni, Cara O’Conner, Julia Samuelson, Viriginia
\nMacdonald, Michelle Rodolph, Shona Dalal, Nurain Tisaker
\nand Shaheema…
View article: Factors predicting 6-month retention among people with opioid use disorders accessing outpatient methadone maintenance therapy in Tshwane, South Africa
Factors predicting 6-month retention among people with opioid use disorders accessing outpatient methadone maintenance therapy in Tshwane, South Africa Open
To maximise retention on OST, methadone should be free, with maintenance doses >50 mg. Reasons for lower retention among participants from periurban settings, those who inject and those from previously disadvantaged racial groups need to b…
View article: Prohibitionist Drug Policy in South Africa—Reasons and Effects
Prohibitionist Drug Policy in South Africa—Reasons and Effects Open
The moral approach that has been used to interpret and implement the Single Convention on Narcotic Drugs exacerbates the health burden faced by people who use drugs. Drawing on our experience in research, programming and policy relating to…
View article: Hepatitis B, hepatitis C and HIV prevalence and related sexual and substance use risk practices among key populations who access HIV prevention, treatment and related services in South Africa: findings from a seven-city cross-sectional survey (2017)
Hepatitis B, hepatitis C and HIV prevalence and related sexual and substance use risk practices among key populations who access HIV prevention, treatment and related services in South Africa: findings from a seven-city cross-sectional survey (2017) Open
Background: People who use drugs including people who inject drugs (PWUD/ID), sex workers (SWs) and men who have sex with men (MSM) are at increased risk of HIV and viral hepatitis infection. Limited epidemiological data on the infections …
View article: Hepatitis B, Hepatitis C and HIV Prevalence and Related Sexual and Substance Use Risk Practices Among Key Populations Who Access HIV Prevention, Treatment and Related Services in South Africa: Findings from A Seven-City Cross-Sectional Survey (2017)
Hepatitis B, Hepatitis C and HIV Prevalence and Related Sexual and Substance Use Risk Practices Among Key Populations Who Access HIV Prevention, Treatment and Related Services in South Africa: Findings from A Seven-City Cross-Sectional Survey (2017) Open
Background: People who use drugs including people who inject drugs (PWUD/ID), sex workers (SWs) and men who have sex with men (MSM) are at increased risk for HIV and viral hepatitis infection. Limited data exists on the epidemiology of the…
View article: Harm reduction in practice – The Community Oriented Substance Use Programme in Tshwane
Harm reduction in practice – The Community Oriented Substance Use Programme in Tshwane Open
The Community Oriented Substance Use Programme offers an evidence-based, public-health informed, feasible alternative to an abstinence-based approach to substance use. However, to translate the programme's achievements into sustainable out…