title: An approach to heroin use disorder intervention within the South African context: a content analysis study.
abstract: BACKGROUND
  The field of heroin use disorder intervention has been in transition in South Africa since the outbreak of the heroin epidemic. Yet despite growing evidence of an association between heroin users' use of supplementary intervention services and intervention outcomes, heroin use disorder intervention programmes in South Africa generally fail to meet international research-based intervention standards.
  
  
  METHODS
  Semi-structured interviews with ten heroin use disorder specialists were conducted and the interviews were subjected to content analysis.
  
  
  CONCLUSIONS
  In terms of theory and practice, findings of the study suggest that the field of heroin use disorder intervention in South Africa remains fragmented and transitional. Specifically, limited strategic public health care polices that address the syndromes' complexities have been implemented within the South Africa context.
  
  
  CONCLUSIONS
  Although many interventions and procedures have begun to be integrated routinely into heroin use disorder clinical practice within the South African context, comorbidity factors, such as psychiatric illness and HIV/AIDS, need to be more cogently addressed. Pragmatic and evidence-based public health care policies designed to reduce the harmful consequences associated with heroin use still needs to be implemented in the South African context.
authors.affiliation: Foundation for Professional Development, Pretoria, South Africa. monikad@foundation.co.za.
authors.forename: Monika M L
authors.initials: MM
authors.lastname: dos Santos
authors.forename: Solomon T
authors.initials: ST
authors.lastname: Rataemane
authors.forename: David
authors.initials: D
authors.lastname: Fourie
authors.forename: Bruce
authors.initials: B
authors.lastname: Trathen
mesh_terms: D001291:Attitude of Health Personnel; D040261:Harm Reduction; D006287:Health Planning Guidelines; D006297:Health Services Accessibility; D006556:Heroin Dependence / Q000628:therapy*; D006801:Humans; D007407:Interviews as Topic; D011787:Quality of Health Care; D013019:South Africa; D013038:Specialization