Can primary care clinic run MMT service well?
AbstractMethadone Maintenance Therapy (MMT) for opiate dependence was first started in Malaysia in 2005. The service wasinitially provided by psychiatric clinics in hospitals and primary care clinics. Handling patients with opiate dependency especiallyin a primary care clinic is very challenging due to various constraints hence the success is doubtful. 143 patients from TampinHealth Clinic were recruited from November 2006 until March 2009. Retention rate in the program was high. Significantimprovement was seen in the World Health Organization Quality Of Life score (WHOQOL-BREF) in all 4 domains done atbaseline, 1st year and 2nd year in the program. After joining the program, there were no new blood borne virus infection forHIV and Hepatitis B and only 1 had Hepatitis C. Minimal number of patients were involved in new drug related offences whilein the MMT program. Existing primary care clinics can be empowered to scale up this service in Malaysia.
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