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PROJECT DESCRIPTION

Title of the Project:

"Rehabilitation and Treatment Scheme for the prevention of drug abuse."

Introduction:

The prevalence of drug problem has been proliferating at geometrical ratio in Nepal and its neighboring countries (India, Bangladesh). Addicts have been compelled the life of the slaves of their habit, which in with dire consequences has affected them physically and mentally, their family, community and educational institutions. Number of NGOS in Nepal to eradicate this drug abuse problem have already begun their implementation of control measures with different modalities.

Morang district is situated in the eastern region of Nepal the southern part of which adjoins the Indian province Bihar. The district profile is given below:

Total Population:   (1991)-674,423

Male- 343,045

Female-33 1,778

Headquarter: Biratnagar

Number of House holds: 126,557

Number of VDC : 65

Number of municipality: 1

Number of Health Hospitals: 3

Number of Health posts: - 14

The problem of drug abuse has engulfed almost every district of Nepal, like wise Morang district is no exception to this horrifying effect. It is estimated that there are more than 4000 drug addicts in Mooring and majority of them reside at Biratnagar which adjoins Jogabani, (Bihar), the main center of drug supply for the youths of Biratnagar and other parts of the 7 district. Most of the drug addicts visit Jogabani for drug use (Tedijesic injection). Sharing of needles without sterilization is the common practice of using drug. Thus, there is a high risk for transmission of AIDS viruses from one person to another. These youths, therefore must be rehabilitated counseled and treated to prevent HIV/Aids spread, make them healthy and productive citizen. No single modality of treatment has been found universal applicability. Treatment has to go with preventive education, medical therapy, physical therapy, physiotherapy-therapy and religious activities etc.

Overall Objectives:

To provide treatment and rehabilitation facility to drug addicts with a view to make them healthy, normal productive and useful citizens of the country.

Specific objectives:

· To provide psycho-social support to clients drug addicts

· To provide psycho-social support to those clients likely to be affected by HIV and STD.

· To encourage clients drug-adicts-IDUS) for HIV-Test.

· To encourage clients not to engage in further high risk behavior.

· To provide treatment services to drug-addicts.

· To provide drug prevention education and social awareness.

· To proved vocational training to make the clients self relients.

· To counsel clients families.

Project Location:

City: Biratnagar submetropolis, Biratnagar

District: Mooring, Zone: Koshi; Region: Eastern

Country: Nepal

Identified Problems of the project area

Drug problem at Biratnagar:

A recent survey conduced by HELP group August 5, 1999to August 20, 1999 shows that the total number of drug addicts (except alcohol and its beverages) at Biratnagar is 2500. The choice of the drug use is tedigesic injection(bupemorphine and most addicts are from 15 to 35 years old. The socio-economic status of drug addicts are of middle and low class (even taxi drivers, Riksha drivers). The main center for drug use is adjoining Indian boarder, Jogabani (Bihar), India.

HIV/Aids problem at Biratnagar.

Most of the drug addicts are found using common syringes for injecting tedigesic injection. Sterilinasion of syringe is not practiced at A.H. Instead, needles are cleaned by spit by drug users. Thus, there is a high risk for transmission of HIV through common needles.

Research survey conducted by National Center for AIDS and STD control, Sanepa, Kathmandu in the month of February 1999 shows that out of 100 drug addicts (IDUS) Sharing common syringes 28 addicts have HTV positive in their blood and 39 have hepatitis C. This number is alarming for the inhabitants of Biratnagar and other parts of Mooring district because of easily transmitted nature of AIDS viruses through blood transfusion and unsafe sexuality.

Problem Strategy:

The program has the following strategic methodologies.

· Development of infrastrures (physical) to provide rehabilitation and treatment services to drug addicts.

· Supporting policy initiatives formulated by Drug-abuse department, Ministry of Home, HMG/Nepal to minimize and eliminate the use of drugs Phensydel, nitrogen tablets, tedijesic injection, brown sugar (heroinand marijuana etc.

· Creating an understanding of drug abuse related problems and prevention methods.

Justification of the project:

This project is justified due to the following seasons.

· There is no rehabilitation and treatment services center at Biratnagar (Morang).

 

 

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