Harm reduction policies in Argentina: A critical view

Epele, María E.; Pecheny, Mario

doi:10.1080/17441690701259359

Cited by 7 publications

(8 citation statements)

References 34 publications

(28 reference statements)

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“…12 As a result of the high rates of HIV prevalence among IDUs, needle and syringes programs (NSPs) and free condom access were implemented in the 1990s. 12 Syringes can be purchased from pharmacies or accessed through NSPs (25 as of 2008), but there is no data regarding utilization. 9 …”

Section: Country Case Studiesmentioning

confidence: 99%

HIV Testing, Care, and Treatment Among Women Who Use Drugs From a Global Perspective

Metsch

Philbin

Parish

et al. 2015

JAIDS Journal of Acquired Immune Deficiency Syndromes

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The paper reviews data on HIV testing, treatment, and care outcomes for women who use drugs in five countries across five continents. We chose countries in which the HIV epidemic has, either currently or historically, been fueled by injection and non-injection drug use, and that have considerable variation in social structural and drug policies: Argentina, Vietnam, Australia, Ukraine, and the United States. There is a dearth of available HIV care continuum outcome data (i.e., testing, linkage, retention, ART provision, viral suppression) among women drug users, particularly among non-injectors. While some progress has been made in increasing HIV testing in this population, HIV-positive women drug users in four of the five countries have not fully benefitted from ART nor are they regularly engaged in HIV care. Issues such as the criminalization of drug users, HIV-specific criminal laws, and the lack of integration between substance use treatment and HIV primary care play a major role. Strategies that effectively address the pervasive factors that prevent women drug users from engaging in HIV care and benefitting from ART and other prevention services are critical. Future success in enhancing the HIV continuum for women drug users should consider structural and contextual level barriers and promote social, economic and legal policies that overhaul the many years of discrimination and stigmatization faced by women drug users worldwide. Such efforts must emphasis the translation of policies into practice and approaches to implementation that can help HIV-infected women who use drugs engage at all points of the HIV Care Continuum.

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Section: Country Case Studiesmentioning

confidence: 99%

HIV Testing, Care, and Treatment Among Women Who Use Drugs From a Global Perspective

Metsch

Philbin

Parish

et al. 2015

JAIDS Journal of Acquired Immune Deficiency Syndromes

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show abstract

“…Cecilia’s description of two distinct approaches aligns with what María Epele and Mario Pecheny (2007) describe as a tension between “North-framed” neoliberal models of public health and Latin American social health models. The prevailing approach in the Anglo-Saxon world, they claim, promotes individual self-care and self-cultivation.…”

Section: A “Latin” Kind Of Interventionmentioning

confidence: 87%

“…It is not only the place, the “where” of drug use and harm reduction, but also the various structures and factors that produce and reproduce them. Epele and Pecheny (2007) argue that such factors must play a central role in shaping how harm reduction is designed and practiced in Argentina. While the concept of “harm” underlining the majority of interventions in Anglo-Saxon contexts are usually confined to the individual health consequences of drug use, they suggest that the concept be expanded to include harms associated with the social and political economic factors influencing use and users’ everyday lives.…”

Section: The Primacy Of Contextmentioning

confidence: 99%

The Social Practice of Harm Reduction in Argentina: A "Latin" Kind of Intervention

Harris¹

2016

Human Organization

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“Harm reduction” is a public health model that places emphasis on reducing the negative effects of drug use rather than on eliminating drug use or ensuring abstinence. Based on sixteen months of ethnographic research, this article examines how harm reduction in Argentina is both envisioned and observed as a social practice by analyzing how local harm reductionists position their work in relation to “social context.” My informants consider this social emphasis to be characteristic of a “Latin” kind of intervention, which they differentiate from an “Anglo-Saxon” approach focused on individual behavior change. Differentiating between these “cultural” models of intervention helps Argentine harm reductionists guide their social orientation to drug use, risk, and harm by situating interventions in the contexts in which users live and operate. It also allows them to distinguish their social form of harm reduction from a neoliberal one that they associate with the global north. The construction of these distinct cultural models of intervention is a means of critiquing neoliberal approaches to health that advocate technical solutions to changing individual behavior. Ultimately, this construct acts as a political commentary on the limits of an individual-oriented harm reduction project when applied to the “Argentine context.”

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“…On the one hand, ordinary processes and extraordinary events, such as the interventions of international organizations regarding health and drugs policies in certain countries and regions, wars, economic and/or political transitions, and the crises in developing countries, have increasingly been incorporated into theoretical and methodological models of documentation and analysis (Epele & Pecheny, 2007;Wodak, 1998). This is the case of the so-called "big events."…”

Section: Crisis Drug Use and Commodification Of Everyday Lifementioning

confidence: 99%

New Toxics, New Poverty: A Social Understanding of the Freebase Cocaine/Paco in Buenos Aires, Argentina

Epele

2011

Substance Use & Misuse

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Included within the field of research on changes in drug use patterns and vulnerability are conditions of emergency related to economic crisis, wars, and political conflict. This study addresses the complex connections between the rapid propagation of freebase cocaine (FBC)-locally known as "pasta base" or "Paco" in Argentina and the normalization of the consequences of Argentina's 2001-2002 political-economic crisis. On the basis of the results of an ethnographic study carried out in three neighborhoods of the Greater Buenos Aires area between 2001 and 2005, this article aims to analyze how changes in the material and social living conditions are interrelated with the high toxicity of FBC/Paco and engender the emerging compulsion of its consumption and deterioration to the bodies, subjectivities, and social activities of active drug users from these shantytowns. By analyzing the changes in transactions directly or indirectly involving drugs-specifically those ranging from cocaine to FBC/Paco-we can argue how structural poverty, "new poverty," is not only associated with the expansion of FBC/Paco but is also shaped by its use, modes of consumption, associated health problems, and sufferings.

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Harm reduction policies in Argentina: A critical view

Cited by 7 publications

References 34 publications

HIV Testing, Care, and Treatment Among Women Who Use Drugs From a Global Perspective

HIV Testing, Care, and Treatment Among Women Who Use Drugs From a Global Perspective

The Social Practice of Harm Reduction in Argentina: A "Latin" Kind of Intervention

New Toxics, New Poverty: A Social Understanding of the Freebase Cocaine/Paco in Buenos Aires, Argentina

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