Innovating Care of Addictions in Low-Resource Settings
The entire range of addictions is increasingly being acknowledged as an area of public health concern. Substance use disorders and behavioral addictions are associated with a range of adverse health, lifestyle, social, and economic outcomes. Despite the availability of evidence-based interventions, low-resource settings are ridden with challenges of demand-side and supply-side barriers to effective health care, including care for addictions. There is a need for a well conceptualized and integrated response to the growing epidemic of a range of addictions, especially in low-resource settings. Some innovative approaches such as task-sharing and technology based care, which are highlighted as case studies in this chapter, have shown promise for use across low-resource and even high-resource settings. The future calls for strengthening of the evidence base for addictions care in low-resource settings, focus on the less-researched addictions, cross-setting implementation of existing solutions, and further evaluation and development of existing and alternative innovative approaches. These actions need to be supplemented by robust monitoring and evaluation systems, and a concerted focus from key actors in the health care sector.
Nadkarni, A., & Bhatia, U. Innovating care of addictions in low-resource settings. Innovations in Global Mental Health. 2020; 1-16. Available at: http://www.sangath.in/wpcontent/uploads/2020/01/Nadkarni-and-Bhatia-2019-addictions-innovations.pdf.