{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T06:24:58Z","timestamp":1787207098667,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T00:00:00Z","timestamp":1692662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Issue Addressed<\/jats:title><jats:p>The accessibility of opioid substitution therapy (OST), one of the recommended treatments for opioid dependence, remains low.<\/jats:p><jats:p>This study sought to explore the perceived effectiveness of OST from the perspectives of peer outreach workers and OST clients in a community\u2010based harm reduction programme.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The research was done within the Community\u2010Oriented Substance Use Programme (COSUP) in Tshwane, South Africa. Fifteen peer educators (13 males and 2 females) took part in two focus group discussions. Thereafter, there were semi\u2010structured interviews in which 15 OST clients (11 males and 4 females) participated. A convenience cross\u2010sectional study was used. Interviews were audio\u2010recorded. Using thematic analysis, themes were examined to evaluate how OST and the harm reduction approach were perceived to contribute to the improved health status of people with opioid dependence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Peer outreach workers and COSUP clients significantly endorsed OST as an effective treatment for opioid dependence. Participants perceived greater effectiveness of OST compared to abstinence\u2010centred inpatient rehabilitation programmes. However, there were sentiments that more community education on OST was needed to motivate people with opioid dependence to access services and to address misconceptions about OST.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is a lack of multi\u2010level and multi\u2010sectoral engagement of various stakeholders in opioid dependence services, needed to accelerate utilisation of OST services.<\/jats:p><\/jats:sec><jats:sec><jats:title>So What?<\/jats:title><jats:p>The research unpacks the need for an integrated approach to service use optimisation, and the need to evaluate the role that increased awareness and community education on harm reduction strategies can play in enhancing the utilisation of OST services.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpja.789","type":"journal-article","created":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T09:01:38Z","timestamp":1692694898000},"page":"653-661","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["<b>\u2018<\/b>I went for rehab many times and it never worked, but the harm reduction process has given me renewed hope\u2019. 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