Barriers encountered by people with substance use disorder in accessing medication assisted treatment in Dodoma Municipality : A case of Itega Mat Clinic-Dodoma

Dissertation submitted to the institute Of Social Work in Partial fulfillment of the requirements for the award of a Master’s Degree in Social Work

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Autor principal: Mligo, Venant
Formato: Dissertation
Lenguaje:en_US
Publicado: Institute of Social Work (ISW) 2026
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Acceso en línea:https://scholar.mzumbe.ac.tz/handle/123456789/2175
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author Mligo, Venant
author_facet Mligo, Venant
author_sort Mligo, Venant
collection DSpace
description Dissertation submitted to the institute Of Social Work in Partial fulfillment of the requirements for the award of a Master’s Degree in Social Work
format Dissertation
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institution Mzumbe University
language en_US
publishDate 2026
publisher Institute of Social Work (ISW)
record_format dspace
spelling ir-:123456789-21752026-07-14T05:00:54Z Barriers encountered by people with substance use disorder in accessing medication assisted treatment in Dodoma Municipality : A case of Itega Mat Clinic-Dodoma Mligo, Venant Substance abuse Drug addicts—Treatment Methadone maintenance Drug abuse—Treatment Health services accessibility Medical care Mental health services Public health Health behaviour Dodoma (Tanzania) Substance abuse—Treatment—Tanzania Health services accessibility—Tanzania Drug addicts—Treatment—Tanzania Dodoma (Tanzania)—Health services Substance Use Disorders (SUD) Medication-Assisted Treatment (MAT) Dissertation submitted to the institute Of Social Work in Partial fulfillment of the requirements for the award of a Master’s Degree in Social Work The aim of this study was to explore the barriers encountered by people with substance use disorders (SUD) in accessing Medication-Assisted Treatment (MAT) services in Dodoma Municipality by assessing their awareness, examining perceptions influencing treatment-seeking behaviour, and identifying systemic obstacles associated with treatment delivery procedures. Methodologically, the study adopted an interpretivist philosophy and employed a qualitative research approach with an exploratory design. The study was conducted in Dodoma Municipality and targeted individuals with SUD and healthcare providers involved in MAT service delivery. Purposive sampling was used to select eighteen participants (18). This included fifteen (15) people with SUD and three (03) healthcare providers. Data were collected through in-depth interviews and focus group discussions, while secondary data were drawn from clinic reports, MAT guidelines, and clinical procedure documents. Thematic analysis guided the interpretation of data. The key findings revealed that MAT awareness was generally low and mostly acquired through peers rather than formal education. Misconceptions were widespread, including the belief that methadone substitutes one addiction for another. Procedural barriers such as lengthy registration processes, strict eligibility criteria, and limited-service points discouraged treatment initiation and contributed to high dropout rates, while stigma and mistrust of formal healthcare services further reduced MAT uptake. In conclusion, access to MAT is hindered by informational, attitudinal, and systemic challenges. The study recommends expanding MAT clinics to underserved areas, strengthening community sensitization, simplifying enrolment procedures, and enhancing government-NGO partnerships to improve MAT uptake, retention, and long-term recovery outcomes. Mzumbe University 2026-07-02T07:42:29Z 2025 Dissertation APA https://scholar.mzumbe.ac.tz/handle/123456789/2175 en_US application/pdf Institute of Social Work (ISW)
spellingShingle Substance abuse
Drug addicts—Treatment
Methadone maintenance
Drug abuse—Treatment
Health services accessibility
Medical care
Mental health services
Public health
Health behaviour
Dodoma (Tanzania)
Substance abuse—Treatment—Tanzania
Health services accessibility—Tanzania
Drug addicts—Treatment—Tanzania
Dodoma (Tanzania)—Health services
Substance Use Disorders (SUD)
Medication-Assisted Treatment (MAT)
Mligo, Venant
Barriers encountered by people with substance use disorder in accessing medication assisted treatment in Dodoma Municipality : A case of Itega Mat Clinic-Dodoma
title Barriers encountered by people with substance use disorder in accessing medication assisted treatment in Dodoma Municipality : A case of Itega Mat Clinic-Dodoma
title_full Barriers encountered by people with substance use disorder in accessing medication assisted treatment in Dodoma Municipality : A case of Itega Mat Clinic-Dodoma
title_fullStr Barriers encountered by people with substance use disorder in accessing medication assisted treatment in Dodoma Municipality : A case of Itega Mat Clinic-Dodoma
title_full_unstemmed Barriers encountered by people with substance use disorder in accessing medication assisted treatment in Dodoma Municipality : A case of Itega Mat Clinic-Dodoma
title_short Barriers encountered by people with substance use disorder in accessing medication assisted treatment in Dodoma Municipality : A case of Itega Mat Clinic-Dodoma
title_sort barriers encountered by people with substance use disorder in accessing medication assisted treatment in dodoma municipality a case of itega mat clinic dodoma
topic Substance abuse
Drug addicts—Treatment
Methadone maintenance
Drug abuse—Treatment
Health services accessibility
Medical care
Mental health services
Public health
Health behaviour
Dodoma (Tanzania)
Substance abuse—Treatment—Tanzania
Health services accessibility—Tanzania
Drug addicts—Treatment—Tanzania
Dodoma (Tanzania)—Health services
Substance Use Disorders (SUD)
Medication-Assisted Treatment (MAT)
url https://scholar.mzumbe.ac.tz/handle/123456789/2175
work_keys_str_mv AT mligovenant barriersencounteredbypeoplewithsubstanceusedisorderinaccessingmedicationassistedtreatmentindodomamunicipalityacaseofitegamatclinicdodoma