Navigating the poverty of heroin addiction treatment and recovery opportunity in Kenya: Access work, self-care and rationed expectations

摘要: Drawing on the analyses of qualitative interview accounts people who inject heroin in Kenya, we describe narration addiction treatment access and recovery desire conditions characterised by a 'poverty drug opportunity'. We observe performance narrative face heavy social constraints limiting to care. Fee-based residential rehabilitation ('rehab') is only locally available inaccessible most. Its potential doubted, given normative expectations relapse. Treating use product tightly bounded agency. Individuals enact strategies maximise their slim chances ('access work'), develop self-care alternatives when these fail materialise ration care expectations. The rehab as primary means respite harm reduction rather than individuation absence an enabling environment are key characteristics experience. recent incorporation 'harm reduction' into policy discourses may trouble primacy how desires voiced. diversification treatments combination with interventions fundamental.