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Risk behaviour of people who inject drugs following treatment of hepatits C
Sedláková, Tereza ; Mravčík, Viktor (advisor) ; Janíková, Barbara (referee)
Background: In Czech Republic, 75-100 % of people newly diagnosed with hepatitis C type (VHC) are people who inject drugs (PWID). Currently, available treatment with direct-acting antiviral medicines without significant adverse side effects is fully covered by insurance. However, there is a risk of reinfection and insurance companies usually don't reimburse further treatment anymore. Aim: The aim of this study is to map and describe the development of risk behaviours in clients of low-threshold treatment programmes of the SEMIRAMIS and Laxus organisations (LSA partners) who have received treatment for hepatitis C. The research focuses on the circumstances of treatment, particularly barriers and supports to entry and the actual course of treatment. The sub-objectives are: to map the socio-economic situation of clients, to approximate patterns of use and to describe contacts with other services. In addition, to reveal the links between these factors and any changes in risk behaviour. Methods: Research was completed by metod of cross-sectional questionnaire surveys. The research sample consisted of 32 clients of LSA partners' low-threshold programs who had received at least one VHC treatment. The risk behaviours were monitored among following domains: a) injection use in general, b) unprotected...
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Public opinion towards drug compsumption rooms among Prague's inhabitans
Součková, Gabriela ; Janíková, Barbara (advisor) ; Vacek, Jaroslav (referee)
The thesis deals with the issue of establishment of the supervised injecting center for the drug users in the Czech Republic. Target of thesis is monitor public opinion on drug consumption rooms among inhabitants of the capital city Prague. The theoretical part deals with the explanation of terms related to tertiary prevention of addictive behavior, especially the priciples of the Public Health and the Harm Reduction. The theoretical part also includes information about practice of existing grug consumption rooms in the Word and Czech Republic possibilities to the establishment of the supervised injecting center. The research probe detects with questionnaire method the opinion on the drug consumption rooms in the sample of Prague residents. The investigation was partially complemented by an analysis of online discussions of Internet information articles from the year 2013 of the subjekt the establishment of drug consumption room in Prague. The results show that more than half of survey respondents agree with the introduction of drug consumption room in the capital city Prague. The results are significant diferences in the qualitative responses reasons of agreement or disagreement with the establishment of services between respondent of questionaire and debaters of online discussions. Most of...
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Outcomes of take-home naloxone programme in Czechia after two years of operation
Lihtar, Štěpán ; Mravčík, Viktor (advisor) ; Janíková, Barbara (referee)
BACKGROUND: Opioid overdose represents significant public health burden in both the Czechia and the world in general. Although the prevalence in opioid use in our country is relatively low, it carries a disproportionate risk of health damage, including death from overdose. An effective intervention in the event of an opioid overdose is the administration of naloxone - an opioid antagonist that displaces the opioid from its receptors and interrupts the depression of the respiratory center. So-called take-home naloxone programs are based on the distribution of naloxone to lay people to administer naloxone when they witness an overdose. Take-home naloxone program was approved by the Czech Council of Government for the Coordination of Drug Policy in 2020, and its implementation began in April 2021. AIMS: The aim of this theses is to analyze the results of the take-home naloxone program in Czechia after two years of its operation. METHODS: The research part of this theses is based on a combination of two components - quantitative and qualitative. The data come from the Naloxone project reports and the Naloxone distribution project reports, which are filled by representatives of the programs involved in the project and then sent to the National Monitoring Center for Drugs and Addiction. The quantitative...
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Continuum of care in hepatitis C screening and treatment: a survey among clients of low-threshold programs for people who use drugs
Věžníková, Martina ; Mravčík, Viktor (advisor) ; Janíková, Barbara (referee)
Background: Half of the people with hepatitis C virus infection in the Czech Republic are injecting drug users. Low-threshold harm reduction-based treatment programs are an important pillar in the prevention and elimination of hepatitis C virus (HCV);and for the continuity of care, it is essential to actively search for people with the infection (high rate of testing) and to follow up with further diagnosis and treatment.Identifying and responding to client barriers is necessary to maintain the continuum of care. Objectives: Theaim of the bachelor thesis was to describe the continuum of care in case of hepatitis C virus in clients of an outpatient and outreach programme for substance abusers in a low-threshold centre in Jihlava, from anti-HCV antibody screening to treatment entry and completion, and to describe the factors that influence the continuum of care. Methods: In June and July 2022, aquantitative analysis of existing data was conductedamong clients of a low-threshold facility for drug users in Jihlava. For the monitored period from 2017 to 2021, 243 clients of the outpatient program and 171 clients of the outreach program were included in the research. The obtained data were analysed in Microsoft Excel using descriptive statistics. Results: The research shows that 81 (33 %) clients of the...
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Experiences of ecstasy users in nightlife setting in Prague with ecstasy drug checking
Matušák, Martin ; Mravčík, Viktor (advisor) ; Janíková, Barbara (referee)
Background: Ecstasy is one of the most commonly used substances in the nightlife environment. It is available exclusively on the illegal market, which entails risks such as unknown composition and variable amounts of the active substance. Drug checking programs help reduce these risks. However, standard testing services are not available in the Czech Republic, and drug users are therefore dependent on testing using colorimetric tests. Aims: The main objective of the thesis was to find out the attitudes and experiences of participants at dance events who have experience with the use of ecstasy, with the composition of ecstasy and testing of its composition. Methods: The research was carried out using a questionnaire survey carried out directly in dance clubs with electronic dance music in Prague in March 2023. A total of 149 participants of dance events obtained by random non-probability sampling were surveyed. Results: The risk of high amounts of MDMA in ecstasy was not often a cause for concern, while the presence of more dangerous substances for most was. Colorimetric reagent tests were used by 21% of respondents, and the most common method of obtaining them was through friends. A free ecstasy checking service, if available, would be used by 82% of respondents and 76% said that if testing...
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Alcohol users in low-threshold center
Čalovka, Ondřej ; Richterová-Těmínová, Martina (advisor) ; Janíková, Barbara (referee)
The diploma thesis deals with alcohol users in a low-treshold contact center. It focuses on their characteristics and analysis of their needs. The theoretical part provides a comprehensive picture of the investigated issue, supported by domestic and foreign sources. The empirical part is based on descriptive statistics and qualitative data collection. The main goal of the thesis is to characterize alcohol users in a contact center and to explore their needs. The research group consisted of 16 respondents, of which 12 were clients of the contact center and 4 were employees. For the purposes of the research, the methods of descriptive statistics and semi-structured interview using grounded theory were chosen. The results interpret the answers to the research questions. The research investigation yielded characteristics of 4 categories of contact center clients - alcohol users. The service helps to fulfill needs in terms of personal hygiene, food, but also safety and trust. For some clients, quick availability of services and work while maintaining motivation for treatment is important. Help in the social field is also useful for clients - help with processing social benefits, documents, escorts to offices, help with finding housing, work, etc. The services are very attractive, especially for homeless...
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Ways of dealing with drug related public nuisance in the City Prague
Hubínková, Markéta ; Janíková, Barbara (advisor) ; Nečas, Vlastimil (referee)
The main theme of this thesis is the problems of drug related public nuisance in the Prague City Center. This problems affect almost all EU member states including the Czech Republic. Specifically, the capital of Prague was trying to solve this problem in the recent years. This phenomenon is certainly not new, but it ran out of patience. Possible solutions are many but they always depends on the particular company and their attitude to the solution you choose. The result to be effective both for society and for themselves drug users. The goal of this thesis is a comprehensive view of drug related public nuisance in the Prague City Center. The thesis also includes research among those interested in this issue. The results of that thesis are those of the current status of this issue in the City Center. Prague and its options that would be effective to eliminate this problem. The work also includes a possible solution to problems of drug related public nuisance. The research results were obtained by using semistructured interview with 9 respondents. The respondents are the members of the local government, and the repressive part series, drug dependence workers and other experts on the drug problem.
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