Drug use, Treatment, Rehabilitation and HIV
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Transcript of Drug use, Treatment, Rehabilitation and HIV
Drug use, Treatment, Rehabilitation and HIVIssues and Challenges
Gray SattlerCountry Adviser HIV
4 August 2010 Jakarta
The UNODC mandate
Three bodies which all report to the UN Economic and Social Council (ECOSOC)
• The Commission on Narcotic Drugs (CND) is the central policymaking body within the United Nations system dealing with drug-related matters.
• The Commission on Crime Prevention and Criminal Justice is the central body within the United Nations system providing policy guidance on crime prevention and criminal justice.
• The Programme Coordinating Board (PCB) of UNAIDS, (of which UNODC is a Co-sponsor) on HIV.
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6. Sustainable livelihoods
Human Security:Integrated
programmes of work will lead
to measurableoutcomes and
results
Health and Development
Rule ofLaw
1. Illicit trafficking
2. Anti-corruption
3. Criminal justice
5. HIV/AIDS
4. Drug demand
reduction
Programme structure based on UNODC mandates
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Why are we concerned with drug dependence treatment and rehabilitation?
• 30 million people incarcerated each year in prisons only;
• 50-80% of deaths in prisons reported to be due to TB (WHO)
• Proportion of IDUs, can be very high (80%)
• HIV prevalence in prisons can be very up- to 65%;
• No evidence that incarceration reduces long term drug use
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HIV prevalence in prison higher than in the community
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
HIV Prevalence rates in general population and in prisons in selected countries
General adult population
Up-to in prison population
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HIV prevalence in women’s prisons almost always higher than in men’s prisons.
0%
5%
10%
15%
20%
25%
30%
HIV prevalence rates in women / men prisons in selected countries
HIV Prev Women in prison
HIV prev Men in Prison
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UNODC Position
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Drug Use – Drug Dependence
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Drug Dependence – Treatment
• Drug dependence is a chronic, relapsing medical condition
• Like any chronic condition – a range of treatment options, based on their effectiveness, should be offered
• May require long term treatment, not necessarily in one treatment modality
• A continuum of care: detoxification, treatment, rehabilitation
• In-patient (residential), out-patient, evidence based , psychological and pharmacological alternatives
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UNODC Support for expanded treatment and rehabilitation
• Integrated drug treatment and HIV prevention, treatment and care services project • Steering Committee which includes BNN, other
government authorities, community representatives and technical expertise
• Translation and adaptation of treatment guidelines • Training in 5 Provinces • Model projects in 3 Provinces
• Technical support for BNN activities, including study tours and regional initiatives
Antonio Maria Costa, Executive Director, UNODC15th May 2008
“Drug control has focused mostly on law enforcement …
Public health – which is the first principle of drug control – has been pushed to the background …
It is time to go back to the roots of drug control and put health at the centre stage …”
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THANK YOU THANK YOU
Acknowledgements:Dr Fabienne Hariga, UNODC Vienna