The Omari Project has been working with heroin users in the Kenyan towns of Watamu, Malindi and Mombasa for the past five years. The paper reports on the piloting, adaptation and evaluation of motivational interviewing carried out with 20 heroin users living in coastal Kenya, a cultural context in which participatory approaches and counselling in general, and motivational interviewing in particular, are not familiar. The findings indicate that motivational interviewing was nevertheless acceptable and useful to the study participants.
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