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Harm reduction programs on health of people who inject drugs in the Republic of Moldova

Author: Gaberi Cristina
Degree:doctor of medicine
Speciality: 14.00.33 - Social Medicine and Management
Scientific adviser: Larisa Spinei
doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Institution: Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova


The thesis was presented on the 15 February, 2017
Approved by NCAA on the 23 March, 2017


Adobe PDF document1.47 Mb / in romanian


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200 pages


People who inject drugs (PWID), benefi ciaries of harm reduction programs (HRP), problematic drug use


The thesis is exposed on 200 pages of typed text in electronic format, 61 fi gures, 19 tables, 15 annexes; based on the following structure:introduction, four chapters, summary of results, conclusions and recommendations, bibliography with 142 titles, 128 pages of main text. The obtained results were published in 10 scientifi c papers.

Field of study: Social medicine and Management.

The purpose of the work: Assessment of the harm reduction programs effectiveness among people who inject drugs to decrease negative events associated to drug use in the Republic of Moldova.

Objectives of the work:

Scientifi c novelty and originality: For the fi rst time in the Republic of Moldova, a scientifi c study has been conducted to identify the general characteristics, evaluation of behavior changes in dynamics and health of PWID through general morbidity associated to drug use along with health status self-assessment.

Scientifi c problem solved in the research is to elucidate medical and social aspects, general morbidity associated to drug use, which revealed the existing barriers in access to HRP and mitigate risks associated to public health. The cost-benefi t assessment of HRP and behavioral changes among benefi ciaries argued the need to ensure fi nancial sustainability of the HRP to ensure access, improve quality of life for PWID and reduce risks related to public health.

Theoretical relevance: The current research has revealed health problems, associated with the use of narcotic substances, developing in PWID, detected by the profi le of specialists, to whom they have addressed, by self-assessment of their health status, as well as analyses of general and associated morbidity related to drug use. Practical recommendations may be used by specialists, operating in this programs to extend the services delivered and refer this group to a wider range of measures, aimed to improve the quality of their lives.

Practical value: The survey conducted gave us the opportunity to develop methods of intersectoral approach for the surveillance of PWID. The materials, developed in this paper, are used in the training process of social workers, staff from institutional profi le for improvement of quality of different services, offered under the harm reduction program.

Implementation of the results: The research results are useful to cover the needs of this population subgroup more effectively, while the HRP may actually offer the possibility to monitor health condition and improve quality of life of PWID through their timely appeal to the required medical and social professionals.