Page 92 - HIVMED_v21_i1.indb

Southern African Journal of HIV Medicine
ISSN: (Online) 2078-6751, (Print) 1608-9693
Page 1 of 34 Guideline

Southern African HIV Clinicians

Society guidelines for harm reduction

Authors: Table of contents
1,2
Andrew Scheibe
Goodman Sibeko 3
Shaun Shelly Executive summary ...................................................................................................................... 3
1,2
Theresa Rossouw 4
Vincent Zishiri 5 1. Introduction ...........................................................................................................................3
Willem D.F. Venter 5
1.1 Harm reduction ............................................................................................................3
Affiliations:
1 TB HIV Care, Cape Town, 1.2 Drugs and drug use .......................................................................................................4
South Africa
1.2.1 Patterns of use .................................................................................................4
2 Department of Family 1.2.2 Methods of drug use ........................................................................................4
Medicine, University of
Pretoria, Pretoria, 1.2.3 Drug classifications and common drugs ...........................................................5
South Africa
1.2.4 Epidemiology of drug use in southern Africa ...................................................6
3 Department of Psychiatry
and Mental Health, 1.2.5 Drug-related harms ..........................................................................................6
University of Cape Town,
Cape Town, South Africa 1.2.6 Reasons for drug use ........................................................................................6
1.2.7 The relevance of harm reduction .....................................................................7
4 Department of Immunology,
University of Pretoria, 1.3 Stigma, discrimination and human rights .....................................................................7
Pretoria, South Africa
2. Evidence-based interventions ...............................................................................................7
5 Ezintsha, Faculty of
Health Sciences, University 2.1 A guiding framework ....................................................................................................7
of the Witwatersrand,
Johannesburg, South Africa 2.2 Assessing a person’s needs ...........................................................................................7

Corresponding author: 2.2.1 Screening and brief intervention for common mental disorders and
Andrew Scheibe, harmful substance use .....................................................................................8
[email protected]
2.2.1.1 Screening ...........................................................................................8
Dates:
Received: 28 Aug. 2020 2.2.1.2 Brief interventions .............................................................................9
Accepted: 28 Aug. 2020
Published: 17 Dec. 2020 2.2.1.3 Referral for treatment .......................................................................9
2.3 HIV prevention ............................................................................................................10
How to cite this article:
Scheibe A, Sibeko G, Shelly S, 2.3.1 Condoms and lubricant ..................................................................................10
Rossouw T, Zishiri V,
Venter WDF. Southern 2.3.2 Pre- and post-exposure prophylaxis ...............................................................10
African HIV Clinicians Society
guidelines for harm 2.3.3 Voluntary medical male circumcision .............................................................11
reduction. S Afr J HIV Med.
2020;21(1), a1161. https:// 2.4 Harm reduction interventions ....................................................................................11
doi.org/10.4102/sajhivmed.
v21i1.1161 2.4.1 Needle-and-syringe services ..........................................................................11
Copyright: 2.4.2 Opioid substitution therapy ...........................................................................12
© 2020. The Authors.
Licensee: AOSIS. This work 2.4.3 Overdose services ..........................................................................................13
is licensed under the
Creative Commons 2.4.4 Emerging and ancillary interventions .............................................................15
Attribution License.
2.4.4.1 Harm reduction for people who use stimulants ..............................15
Read online:
Read online:
Scan this QR 2.4.4.2 Drug consumption rooms ................................................................15
Scan this QR
code with your
code with your
smart phone or 2.4.4.3 Drug-checking services ....................................................................15
smart phone or
mobile device
mobile device
to read online. 2.5 HIV testing, treatment and care .................................................................................16
to read online.
http://www.sajhivmed.org.za 84 Open Access