Barriers and enablers to help seeking, treatment adherence and recovery among community-based drug rehabilitation clients in the Philippines

Abstract

Background This study aimed to determine factors influencing help-seeking, accessing treatment and sustaining recovery among Filipino PWUDs during the country’s war against drugs. Methods Purposive sampling was used with respondents recommended by program managers or community facilitators of community-based drug rehabilitation programs. In-depth interviews with clients and their families were conducted in 17 local government units across 8 regions in the Philippines. Transcripts were analyzed using Nvivo 12. Results The results highlight barriers to help-seeking, including the PWUDs’ belief that they don’t need help, fear of police and incarceration, stigma and discrimination. Enablers to help seeking and treatment adherence were motivation to change, accessible treatment options and family support. Community acceptance, quality of care of service providers, and support of community leaders enabled both help-seeking and recovery. Conclusion The findings suggest the impact of a punitive approach and the need to reframe drug use as a health issue. Results also suggest the need to reduce stigma and discrimination and promote positive messaging to enable help-seeking, adherence, and recovery.