In partnership with United Nations Office on Drugs and Crime the FHO is engaging in HIV treatment, prevention and care to female drug users in Herat provice. The program seeks to develop an environment for rehabilitation and re-integration into the community.
Drug use: The Islamic Republic of Afghanistan is the largest producer of narcotics worldwide with an estimated 93% of the global opiates market. In 2007, 193,000 hectares of opium poppies were cultivated with an increase of 17% over 2006 . In 2005, the United Nations Office on Drugs and Crime (UNODC), Afghanistan Country office carried out the first national drug use survey with a total estimation of 920,000 drug users of which 120,000 were female drug users and 19,000 were injecting drug users . However, these are conservative estimates numbers and the numbers are expected to be rise in the new survey (results expected by August 2009)
*Establishment of mobile drug treatment units
*Provision of comprehensive harm reduction package to female drug users which includes:
| Needle and Syringe programmes(NSPs)
Referral for opioids Substitution therapy (OST) and other drug dependence treatment.
HIV testing and counselling
Referral for antiretroviral therapy(ART)
Prevention and treatment of sexually transmitted infections(STIs)
|Targeted information, education and communication for female drug users
Diagnosis of viral hepatitis and referral for vaccination
Awareness on TB and Referral for diagnosis and treatment of TB.
*Strengthening the network among existing governmental health care and drug dependence service sites for a stronger and more reliable referral system as well as to sensitize healthcare providers on all available public services|
*Support groups of female drug users established and SG should hold 2 meetings per month. Support groups can have between 5-8 members and can be established in the community itsel
*Distribution of gender and culture sensitive and female appropriate HIV, tuberculosis, hepatitis C, hepatitis B, and tuberculosis prevention information, education and communication materials, including information on drug safety, HIV, sexually transmitted infections, child drug use and violence prevention. Such materials should be produced in collaboration with former female drug users.
*Provision of peer-led outreach services with HIV and drug education, behaviour change communication material distribution, needle and syringe distribution; condom promotion and distribution; referral to OST, STI, tuberculosis, hepatitis C, hepatitis B prevention, testing and treatment, voluntary counselling and HIV testing, psychosocial support and referral to violence prevention.
*Collaborate with provincial health department and other HIV care provider in Herat