Drug use, Treatment, Rehabilitation and HIV Issues and Challenges      Gray Sattler Country Adviser HIV 4 August 2010  Jak...
The UNODC mandate <ul><li>Three bodies which all report to the UN Economic and Social Council (ECOSOC) </li></ul><ul><li>T...
6. Sustainable livelihoods Human Security: Integrated  programmes  of work will lead  to measurable outcomes and  results ...
<ul><li>Why are we concerned with drug dependence treatment and rehabilitation? </li></ul><ul><li>30 million people incarc...
HIV prevalence in prison higher than in the community
<ul><li>HIV prevalence in women’s prisons almost always higher than in men’s prisons.  </li></ul>
UNODC Position
Drug Use – Drug Dependence
Drug Dependence – Treatment  <ul><li>Drug dependence is a chronic, relapsing medical condition  </li></ul><ul><li>Like any...
UNODC Support for expanded treatment and rehabilitation <ul><li>Integrated drug treatment and HIV prevention, treatment an...
Antonio Maria Costa, Executive Director, UNODC 15 th  May 2008   <ul><li>“ Drug control has focused mostly on law enforcem...
THANK YOU  Acknowledgements: Dr Fabienne Hariga, UNODC Vienna
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Drug use, Treatment, Rehabilitation and HIV

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Gray Sattler
Country Adviser HIV
Jakarta

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  • 11/08/10
  • 11/08/10
  • 11/08/10
  • 11/08/10
  • 11/08/10
  • Drug use, Treatment, Rehabilitation and HIV

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

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