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Client satisfaction to methadone maintenance treatment program in Myanmar.

Sun Tun1,2, Balasingam Vicknasingam3, Darshan Singh3

  • 1Myanmar Medical Association, Yangon, Myanmar. suntun1@gmail.com.

Substance Abuse Treatment, Prevention, and Policy
|January 4, 2022
PubMed
Summary

Client satisfaction with Myanmar's methadone maintenance treatment (MMT) program is high overall. Improvements in specific interventions are needed to further enhance MMT program effectiveness for opioid misuse.

Keywords:
MethadoneMyanmarOpiateTreatment satisfactionVerona service satisfaction scale for methadone treatment – VSSS-MT

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Area of Science:

  • Public Health
  • Addiction Medicine
  • Health Services Research

Background:

  • Myanmar initiated its methadone maintenance treatment (MMT) program in 2006 to address widespread opioid misuse.
  • The MMT program has since expanded nationwide, serving a growing number of clients.

Purpose of the Study:

  • To evaluate client satisfaction with the methadone maintenance treatment (MMT) program in Myanmar.
  • To identify factors influencing treatment satisfaction among MMT clients.

Main Methods:

  • A stratified random sampling method was used to recruit 210 clients with at least six months of treatment history from five MMT sites.
  • The Verona Service Satisfaction Scale for Methadone-Treatment (VSSS-MT) was administered to assess satisfaction with clinic staff, basic drug intervention, and specific interventions (rehabilitation, psychotherapy).

Main Results:

  • A high overall satisfaction rate (89%) was reported by clients in the MMT program.
  • Satisfaction was highest for clinic staff professional skills (89.5%) and basic program intervention (91.9%), but lower for specific interventions (74.6%).
  • Higher treatment satisfaction was associated with better quality of life, satisfaction with marital and leisure status, and alcohol consumption. Alcohol consumption and physical health status significantly predicted MMT satisfaction.

Conclusions:

  • Client satisfaction with Myanmar's MMT program is generally high, particularly regarding staff and basic interventions.
  • There is a need to improve specific interventions, including individual rehabilitation and psychotherapy, to enhance overall program effectiveness.
  • Factors such as quality of life, marital and leisure satisfaction, alcohol consumption, and physical health are linked to MMT treatment satisfaction.