MEDICATION ASSISTED TREATMENT (MAT) FOR OPIOID USE DISORDERS (OUDS): OPINION AND EXPERIENCES OF SUBSTANCE USE PROFESSIONALS (SUPS) IN NIGERIA.

Abstract

Background: Rates of drug use in Nigeria is one of the highest globally, with the use of opioids associated with increased morbidity and mortality more so with injecting drug use (IDU). MAT) can reduce the harmful effects of opioid use but usage in the country is low despite a country-specific guideline in place. A notable barrier to MAT uptake is professionals' knowledge and attitudes. This study aimed to evidence the opinions of Substance use professionals (SUPs) in Nigeria regarding MAT.

Objective: To ascertain the opinions of SUPs in Nigeria regarding MAT prescriptions for opioid dependence.

Methods: An online Google form was developed by the researchers to assess knowledge and attitudes towards MAT. This form was circulated among SUPs across the six geopolitical zones and the capital territory in Nigeria.

Results: Three hundred and twenty-nine professionals completed the questionnaire. Most were medical doctors (53.8%) and worked in the public sector (89%). Average work experience was 11 years and respondents estimated that nearly 1 in 10 OUD patients they cared for were IDUs. A majority (85.7%) endorsed the need for MAT in Nigeria, though had no previous experience (65.3%), training (74.2%) or knowledge of existing guidelines (68.7%). Over half (55%) endorsed a preference for the availability of buprenorphine and methadone. Most endorsed positive attitudes towards MAT prescriptions.

Conclusion: Substance use professionals endorsed positive attitudes towards MAT for OUDs and its rollout in Nigeria. Awareness of published guidelines and training are unmet needs arising from this study. Keywords: Medical assisted treatment (MAT), opioid use disorders, opinion and experiences.