Project with giz in Asia: - one point of treatment - Comprehensive high quality and safe Methadone Substitution Therapy as a means of large-scale HIV/AIDS prevention and care
Target
CompWare Medical® is realizing PPP-projects in India, Nepal, Malaysia and Central Asian Countries in cooperation with the giz. Other partners are involved.The project aims at establishing model treatment sites for OST which are supposed to offer an integrated substitution therapy. Included are also prisons as well as clinics.
The therapy includes the regular supply of methdone /buprenorphine to the patients and above all the treatment of HIV and Tb patients.
The project comprises MeDoSys installation and training. MeDoSys is an automatic IT-based comprehensive methadone dosing and dispensing system that can also document the administration of buprenorphine tablets. It is used for managing the opioid substitution treatment of drug users. It has been designed specifically for treatment centers, hospitals, clinics and patients in prison settings.
Projects in Asia
India:- Project is scheduled to start in the first quarter of 2010
- Methadone has been approved by the DCGI for a post marketing surveillance until 2 years
- Initially the project will start in 5 sites under AIIMS/MoH supervision
- Targeted number of patients are between 250 – 300
Nepal
- Presently there are two MMT clinics that are operational in Kathmandu and Pokhara In the next few month two other clinics will be added
- Suitable for resource poor settings e.g. irregular power supply
- Treatment is accessed by more than 200 patients on a regular basis
- Training & capacity building for paramedics, social care unit and OST staff
Malaysia
- Initially scheduled to start within 3 months in 4 clinics & 1 prison settings
- A study on methadone patients will be conducted within the prison clinic in close cooperation with the Yale university, USA
- Plans are to interlink all the 5 clinics including prisons through a central registration system
- Future plans are to scale up to 70,000 patients in Malaysia
Challenge
Apart from implementing the prototype of an outpatients' Clinique, there are still more challenges to face: The medical personnel has to be trained and made familiar with the substitution therapy, methadone has to be approved as a drug in India, safe transport has to be defined and legal conditions have to be created.The giz's job is to keep in touch with the authorities and ministries and to create the basic conditions required for running an outpatients' Clinique on an official basis. The giz will send a consultant who is to support the project on site from the beginning to the end.
CompWare Medical® will be responsible for establishing and organizing the outpatients' Clinique as well as for the training of the personnel who, for this purpose, are supposed to stay with CompWare Medical® in Germany for several weeks, and will provide the documentation and dosing system. The necessary long-term support on site will be ensured by local partner companies.
Second level service will be ensured by CompWare Medical® for 365 days per year
Success
If CompWare Medical® and its partners succeed, in establishing a comprehensive system for an integrated substitution therapy including the treatment of accompanying illnesses in Nepal and Malaysia, this will be a great success for all parties involved, above all for the patients. India is scheduled to start in 2010.Substitution therapy for injecting drug users in Kathmandu
Partner in this project:
giz Partner for the Future Worldwide Deutsche Gesellschaft für Internationale Zusammenarbeit GmbH