BEYOND METHADONE: THE ROLE OF FAMILY INVOLVEMENT IN SUSTAINING RECOVERY FROM DRUG ADDICTION IN TANZANIA

Authors

  • Godlove Lulandala
  • Prof. Johnson Mavole
  • Dr. Wilhelmina Lyimo

DOI:

https://doi.org/10.61421/IJSSMER.2025.3508

Keywords:

Family support, MAT, methadone, addiction recovery, Tanzania

Abstract

This study examined the influence of family social support on the recovery process of patients attending the MAT Clinic at Sekou-Toure Regional Referral Hospital in Mwanza. A qualitative cross-sectional design was employed, engaging 14 participants comprising 8 MAT clients, 6 family members, and 10 healthcare providers. Purposive sampling was used to select clients and health workers directly involved in treatment, while convenience sampling identified family members willing to participate. Data were collected through in-depth interviews and analyzed thematically to explore perceptions, experiences, and practices related to family involvement in recovery. Findings revealed three key dimensions of family support: entrepreneurial motivation, family counselling, and trust. Families that involved patients in income-generating activities reduced idleness, built confidence, and fostered self-reliance. Counselling improved communication, empathy, and conflict resolution, while trust encouraged openness, adherence to treatment, and reduced stigma. Together, these forms of support created a stable and accountable environment that minimized relapse risks. The study concludes that family social support is central to sustaining recovery in MAT programs, complementing pharmacological treatment. Integrating structured family-led interventions, including entrepreneurial activities and counselling, is recommended to enhance long-term treatment outcomes.

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Author Biographies

Godlove Lulandala

MA student in Sociology at St Augustine University of Tanzania

Prof. Johnson Mavole

(Main Supervisor), Senior lecturer at St. Augustine University of Tanzania

Dr. Wilhelmina Lyimo

(Main Supervisor), Senior lecturer at St. Augustine University of Tanzania

References

Beattie, M. C., & Longabaugh, R. (2023). Interpersonal factors and post-treatment outcomes among individuals recovering from alcohol addiction. Journal of Substance Abuse Treatment, 152, 209–218. https://doi.org/10.1016/j.jsat.2023.209218

Bowen, M. (1966). The use of family theory in clinical practice. Comprehensive Psychiatry, 7(5), 345–374. https://doi.org/10.1016/S0010-440X(66)80065-2

Campbell, J., Smith, L., & Johnson, R. (2020). Purposive sampling in qualitative research: Defining the parameters of participant selection. Qualitative Research Journal, 20(3), 205–217. https://doi.org/10.1108/QRJ-03-2020-0012

Capili, B. (2021). Cross-sectional research design in health studies: Strengths and limitations. International Journal of Health Sciences, 15(5), 45–52.

Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Thousand Oaks, CA: Sage.

Creswell, J. W., & Creswell, J. D. (2022). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Thousand Oaks, CA: Sage.

Golzar, F., Rahimi, M., & Latif, A. (2022). The practicality of convenience sampling in qualitative health research. Journal of Qualitative Studies on Health and Well-being, 17(1), 112–120. https://doi.org/10.1080/17482631.2022.2045789

Grujicic, M., & Nikolic, D. (2021). The use of cross-sectional studies in qualitative research: Applications in healthcare and social sciences. Journal of Applied Research, 19(2), 88–97.

Harwerth, M., Smith, J., & O’Brien, L. (2023). Practical support and treatment adherence in medication-assisted treatment programs. Addiction Research & Theory, 31(4), 285–296. https://doi.org/10.1080/16066359.2023.1234567

Kiger, M. E., & Varpio, L. (2020). Thematic analysis of qualitative data: AMEE Guide No. 131. Medical Teacher, 42(8), 846–854. https://doi.org/10.1080/0142159X.2020.1755030

Knott, C., Wild, J., & Brown, G. (2022). In-depth interviews as a qualitative research method in health studies: Best practices and applications. Qualitative Health Research, 32(5), 765–778. https://doi.org/10.1177/10497323221082643

Larsen, T. (2023). Qualitative approaches in health research: Capturing lived experiences. Journal of Qualitative Health Research, 33(4), 567–579. https://doi.org/10.1177/10497323231123456

Mbatia, J., Jenkins, R., Singleton, N., White, B., & Prevalence Study Group. (2021). Patterns of drug use and treatment responses in Tanzania: The case of methadone-assisted treatment. African Journal of Drug & Alcohol Studies, 20(2), 45–59.

McLellan, A. T., Lewis, D. C., O'Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness: Implications for treatment, insurance, and outcomes evaluation. Journal of the American Medical Association (JAMA), 284(13), 1689–1695. https://doi.org/10.1001/jama.284.13.1689

National Institute on Drug Abuse (NIDA). (2018). Drugs, brains, and behavior: The science of addiction. Bethesda, MD: National Institutes of Health. https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction

Orford, J., Velleman, R., Copello, A., Templeton, L., & Ibanga, A. (2013). The experiences of affected family members: A summary of two decades of qualitative research. Drugs: Education, Prevention and Policy, 20(1), 36–43. https://doi.org/10.3109/09687637.2012.749978

Sekou-Toure Regional Referral Hospital. (2025). MAT Clinic Records, 2018–2025. Mwanza, Tanzania. [Unpublished institutional data].

Trochim, W. M. (2020). Research methods knowledge base. Cincinnati, OH: Atomic Dog Publishing.

United Nations Office on Drugs and Crime (UNODC). (2021). World Drug Report 2021. Vienna: United Nations. https://www.unodc.org/unodc/en/data-and-analysis/wdr2021.html

Williams, R., & Carter, L. (2019). Family financial support and recovery outcomes in substance use disorder treatment. Journal of Family Psychology, 33(6), 789–798. https://doi.org/10.1037/fam0000557

World Health Organization (WHO). (2014). Guidelines for the psychosocially assisted pharmacological treatment of opioid dependence. Geneva: WHO. https://apps.who.int/iris/handle/10665/43948

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Published

2025-10-24

How to Cite

Godlove Lulandala, Prof. Johnson Mavole, & Dr. Wilhelmina Lyimo. (2025). BEYOND METHADONE: THE ROLE OF FAMILY INVOLVEMENT IN SUSTAINING RECOVERY FROM DRUG ADDICTION IN TANZANIA. International Journal of Social Science, Management and Economics Research, 3(5), 76–81. https://doi.org/10.61421/IJSSMER.2025.3508