Research Article

Evaluation of a Pilot Medication-Assisted Therapy Program in Kazakhstan: Successes, Challenges, and Opportunities for Scaleup

Table 4

Reasons for patient discharge from medication-assisted therapy in Kazakhstan, by treatment site.

PavlodarTemirtauUst-Kamenogorsk
N (%)N (%)N (%)

Total number of patients ever enrolled1028578
Total number of patients discharged from MAT545043
Reasons for discharge from MAT
 Criminal charges5 (4,9)2 (2,4)5 (6,4)
 Personal life circumstances (voluntary)18 (17,6)11 (12,9)16 (20,5)
 Continued breach of MAT program rules6 (5,9)16 (18,8)6 (7,7)
 Completion of therapy (after methadone tapering)20 (19,6)5 (5,9)6 (7,7)
 Change of country of residence2 (1,9)3 (3,5)9 (11,5)
 Inpatient treatment3 (2,9)11 (12,9)0
 Death caused by concurrent illnesses02 (2,4)1 (1,3)