Siba safe interventions and broader acceptance - lebanon


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Siba safe interventions and broader acceptance - lebanon

  1. 1. S.I.B.A Safer Interventions & Broader Acceptance“It’s about the people, not the drugs”
  2. 2. Lebanon• Capital: Beirut• Area: 10452 sq km • On the East coast of the Mediterranean Sea • Meeting point of 3 continents: Europe , Asia & Africa
  3. 3. Lebanon – An Overview• Over past 15 years: - Increase in Substance Misuse - Younger Ages of Initiation - Higher Availability/Diversity of Drugs• Trends: Recreational (Club) Drugs vs. Opoids• Very little Epidemiological studies• Lack of Comprehensive Sexuality Education Programs - STDs & HIV/AIDS topic TABOO
  4. 4. Lebanon – An Overview• Most substance users (Rehab): Male, 18-24• Age of initiation: 15• Most Prevalent Substances (Rehab): Cannabis, Opoids, Sedatives & Tranquilizers• 1 of main reasons why youth discontinue treatment: Unsuitability of services to users needs Situational Needs Assessment, 2009, SKOUN
  5. 5. Lebanon• Low prevalence of HIV/AIDS cases (0.1%)• Rank 137th compared to international peers• Vast majority males (93% in 2011)• 5.7% of the total numbers of PLHIV are IDU• Major Barrier to Health Services: Drug users stigmatized and discriminated against Ministry of Public Health & Country Progress Report UNAIDS 2012
  6. 6. Lebanon – Law Enforcement- In 2009: 2,228 people arrested for drug use charges alone (Drug Enforcement Bureau)- Majority arrested for Cannabis & Opoids & Cocaine
  7. 7. Lebanon - Legal• 1998: Narcotics law revised: decriminalizing drug “addiction”/dependency (Excluding drug use)• Still, very vague• Treatment vs. Punishment/Incarceration – FAIL• Drug Addiction Committee: not operational• 2010: Narcotics Law Reform (SKOUN),new proposal drafted 2012, Lobbying• Aim: design targeted interventions, programs, services that protect rights of users
  8. 8. Services & Treatment Options• Most Complete Abstinence Approach• Prevention & Control• Harm Reduction Services: Scarce (2)• Needle Exchange: illegal• Substitution & agonist therapies controversial OST agreed upon in 2011Access to information widespread - Prevention/Scare Tactics ineffective, calls for HR approach to reduce harms
  9. 9. Structure of Available NGOs• Youth employed in service provision BUT not in Decision-making & Managerial Position "What they think appropriate for youth"• Huge lack of "youth voice"• MAJOR GAP: Creation of S.I.B.A, local youth-led NGO
  10. 10. YouthRISE at IHRA2011
  11. 11. S.I.B.A• S.I.B.A advocates for just & humane drug policies and Harm Reduction services• We envision a society where young people affected by drugs and drug policies can make informed decisions to become proactive key players E-mail: Twitter: @SIBA_lb Facebook:
  12. 12. Current Focus of S.I.B.A• Making the NGO professional (EFFORT)• Work in alliance with current NGOs vs. competition/doing what they do - Add Youth Perspective• Reach Key Populations• Develop Youth-Friendly Toolkit (Adapted)
  13. 13. S.I.B.A Safer Interventions & Broader Acceptance“It’s about the people, not the drugs”