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ADUG
Afghan Drug User Group


 Supported By Médecins du Monde, MENHARA, and ITPC
Summary
• Afghan context
   –   Production of Opium
   –   Domestic drug use
   –   Impacts (HIV/HCV)
   –   Abuses, harassement and stigmatization
   –   Limited access to treatment

• Comunity development as an effective Harm Reduction
  strategy
   – ADUG statement
   – ADUG activities
In 2009, 90% of the world’s opium production

In 2011 the opium production increased 61% compared
to 2010 (UNODC, 2011 afghan opium survey)
Domestic drug use




– Estimated 1 million drug users

– Exponential heroin use

– Exponential Injectors
Afghanistan has a concentrated HIV/AIDS and HCV
  epidemic among people who inject heroin
Abuses and Harassement




                                                             1st of April 2012. Some neighbors
                                                             attack a group of PuD in Kabul.
                                                             Outreach workers are witnessing the
                                                             scene.
 9th of November 2011.
 A police officer shot one PuD in
 the leg.



Here is the link of reportage made by CBS during 2011, giving a good overview
of the situation of PuD in Kabul:
http://www.cbsnews.com/8301-18563_162-57379807/misery-among-heroin-addicts-in-afghanistan/
Police and afghan society harass
 and beat everyday people who
 use drugs
Stigmatization and Discrimination of
          people who use drugs
• People who use drugs have no access to
  health care.
  They are rejected from hospitals because:
  – Hospital staff-members are afraid of HIV, HVC or HVB

  – PuD have no family or no relatives to accompany them

  – Hospitals do not know how to deal with craving of active drug users
The authorities and communities stigmatize
           people who use drugs




« where drug users live, there is misery»
• OST




The Methadone program of Médecins du
  Monde, due to political blockage is
        limited to 70 patients
        Current OST coverage rate in Afghanistan: 0.058%
ADUG Activities

• Advocacy at International Level through IAC and
  Harm reduction Conferences to raise the issue of
  inhuman situation for Afghan drug users and
  promote effective treatment

   – Vienna, July 2010- International AIDS conference

   – Beirut, April 2011- Harm Reduction conference

   – The Maldives, September 2011- regional workshop on Opioid
     Substitution Therapy

   – Geneva, December 2011- UNAIDS PCB (virtual participation)

   – Washington, July 2012-International AIDS conference
Vienna International
HIV/AIDS Conference in
        2010
UNAIDS PCB Geneva,
  December 2011



Virtual participation through Video and
           Skype conference

http://www.youtube.com/watch?v=NOBW0PZZOyI
ADUG
Community Development as an effective
     Harm Reduction strategy
ADUG objectives

• The Afghan Drug User Group (ADUG) started its journey in
   August 2010
“ We are a movement of Afghan people who use drugs (current and former)
   that joined forces to represent user’s interests, improve our condition and
   promote participation of people who use drugs in decision making, policy
   and planning.”

• The ADUG demand that the human rights of people who use
   drugs are respected and promoted
“ We urge the Afghan Government to scale up of the harm reduction response
   in order to protect our individual and the general public health. ADUG is a
   recognized member of the International Network of People who Use Drugs
   (INPUD).”
ADUG Activities

• Advocacy at national level

- ADUG has organized for the World Aids Day in december 2010 a public
   demonstration to raise the human right abuses among people who use
   drugs

-   ADUG has participated to the official celebration of the World Aids Day
    in December 2011 to promote effective treatment to all the ones who
    are in needs

-   ADUG publishes human rights violation reports
ADUG organizing the first
Afghan demonstration
 on World AIDS Day 2010
Participation to the World Aids Day
                in December 2011




HE the Minister of Health received from the
hands of the Afghan Drug User Group a list of
several hundreds of names and thumbprints of
people who use drugs requesting methadone
inclusion

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Presentation adug afghan drug user group washington first part

  • 1. ADUG Afghan Drug User Group Supported By Médecins du Monde, MENHARA, and ITPC
  • 2. Summary • Afghan context – Production of Opium – Domestic drug use – Impacts (HIV/HCV) – Abuses, harassement and stigmatization – Limited access to treatment • Comunity development as an effective Harm Reduction strategy – ADUG statement – ADUG activities
  • 3. In 2009, 90% of the world’s opium production In 2011 the opium production increased 61% compared to 2010 (UNODC, 2011 afghan opium survey)
  • 4. Domestic drug use – Estimated 1 million drug users – Exponential heroin use – Exponential Injectors
  • 5. Afghanistan has a concentrated HIV/AIDS and HCV epidemic among people who inject heroin
  • 6. Abuses and Harassement 1st of April 2012. Some neighbors attack a group of PuD in Kabul. Outreach workers are witnessing the scene. 9th of November 2011. A police officer shot one PuD in the leg. Here is the link of reportage made by CBS during 2011, giving a good overview of the situation of PuD in Kabul: http://www.cbsnews.com/8301-18563_162-57379807/misery-among-heroin-addicts-in-afghanistan/
  • 7. Police and afghan society harass and beat everyday people who use drugs
  • 8. Stigmatization and Discrimination of people who use drugs • People who use drugs have no access to health care. They are rejected from hospitals because: – Hospital staff-members are afraid of HIV, HVC or HVB – PuD have no family or no relatives to accompany them – Hospitals do not know how to deal with craving of active drug users
  • 9. The authorities and communities stigmatize people who use drugs « where drug users live, there is misery»
  • 10. • OST The Methadone program of Médecins du Monde, due to political blockage is limited to 70 patients Current OST coverage rate in Afghanistan: 0.058%
  • 11. ADUG Activities • Advocacy at International Level through IAC and Harm reduction Conferences to raise the issue of inhuman situation for Afghan drug users and promote effective treatment – Vienna, July 2010- International AIDS conference – Beirut, April 2011- Harm Reduction conference – The Maldives, September 2011- regional workshop on Opioid Substitution Therapy – Geneva, December 2011- UNAIDS PCB (virtual participation) – Washington, July 2012-International AIDS conference
  • 13. UNAIDS PCB Geneva, December 2011 Virtual participation through Video and Skype conference http://www.youtube.com/watch?v=NOBW0PZZOyI
  • 14. ADUG Community Development as an effective Harm Reduction strategy
  • 15. ADUG objectives • The Afghan Drug User Group (ADUG) started its journey in August 2010 “ We are a movement of Afghan people who use drugs (current and former) that joined forces to represent user’s interests, improve our condition and promote participation of people who use drugs in decision making, policy and planning.” • The ADUG demand that the human rights of people who use drugs are respected and promoted “ We urge the Afghan Government to scale up of the harm reduction response in order to protect our individual and the general public health. ADUG is a recognized member of the International Network of People who Use Drugs (INPUD).”
  • 16. ADUG Activities • Advocacy at national level - ADUG has organized for the World Aids Day in december 2010 a public demonstration to raise the human right abuses among people who use drugs - ADUG has participated to the official celebration of the World Aids Day in December 2011 to promote effective treatment to all the ones who are in needs - ADUG publishes human rights violation reports
  • 17. ADUG organizing the first Afghan demonstration on World AIDS Day 2010
  • 18. Participation to the World Aids Day in December 2011 HE the Minister of Health received from the hands of the Afghan Drug User Group a list of several hundreds of names and thumbprints of people who use drugs requesting methadone inclusion