This document discusses the formation of S.I.B.A, a Lebanese youth-led NGO advocating for harm reduction and humane drug policies. It provides context on drug use trends in Lebanon, including prevalence of cannabis, opioids, and club drugs among male youth. Current services and treatment focus heavily on abstinence while harm reduction services are scarce. S.I.B.A aims to add a youth perspective to existing NGOs and develop youth-friendly resources to reach key populations affected by drug use.
The general population HIV prevalence stands at 5.1%(THMIS 2011/12) down from 18% in 1990.
HIV and STIs prevalence are also high among KP's, HIV is 31.4% while other STI has an average of 26% prevalence.
The number of KP's is not known, although there are fledgling groups of KP's which have started advocating for the Right to Health of KP's including protection against HIV infection, care and treatment to PLHIV KP's.
Harm Reduction february 2013 Nursing Education Saskatchewangriehl
Here is a basic presentation on Harm Reduction, for Nursing Students, that can easily be adapted for health care providers in various fields of practice.
The general population HIV prevalence stands at 5.1%(THMIS 2011/12) down from 18% in 1990.
HIV and STIs prevalence are also high among KP's, HIV is 31.4% while other STI has an average of 26% prevalence.
The number of KP's is not known, although there are fledgling groups of KP's which have started advocating for the Right to Health of KP's including protection against HIV infection, care and treatment to PLHIV KP's.
Harm Reduction february 2013 Nursing Education Saskatchewangriehl
Here is a basic presentation on Harm Reduction, for Nursing Students, that can easily be adapted for health care providers in various fields of practice.
MRC/info4africa KZN Community Forum | July 2012info4africa
Zukiswa Fipaza of the International Centre for AIDS Care and Treatment Programmes (ICAP) highlighted the activities of the Centre's MOSAIC Men’s Health Initiative and its role in supporting the Implementation of the National Strategic Plan for HIV and AIDS, STIs and TB (NSP). MOSAIC utilises an integrated and co-ordinated approach that aims to provide a tailored package of prevention, treatment, care and support services for men who have sex with men (MSM). By scaling up HIV-related services and support mechanisms for the MSM community, MOSAIC contributes towers South Africa’s national goal of reducing new HIV infections and strengthens health, whilst providing a model for expansion to other districts and service areas.
1/3 of all new HIV infections are attributable to MARPs
Bridge population for HIV to general public
HIV prevalence higher than general population. (Ranges 20-50% prevalence)
Estimating the size of MARPs population
FSWs :140,000 countrywide
IDUs: 18,000
MSMs: 30,000
33,000 new HIV Infections out of 100,000
Lessons Learned in Providing Reproductive Health and HIV Prevention program f...John Bako
About 3.4million people are living with HIV in Nigeria
Estimated AIDS related deaths in Nigeria moved from 141,225 in 2000 to 233,604 in 2013.
This is associated with ignorance, poor access to health and social services, poverty, gender issues, stigma and discrimination.
According to NARHS, 2012, the current HIV prevalence in the general population is 3.4%.
There was a slight decline from the previous estimates of 2007 which was 3.6%
WHRF - How can the law be used to scale up effective HIV responses among MSM ...FMDH
Présentation de Nadia RAFIF sur "How can the law be used to scale up effective HIV responses among MSM ?" lors du Forum Mondial des Droits de l'Homme, Novembre 2014.
Pour plus d'informations :
- Site web : http://fmdh-2014.org/fr/
- Facebook : https://www.facebook.com/FMDH2014
- Twitter : https://twitter.com/FMDH2014
- Youtube : https://www.youtube.com/user/FMDH2014
Susan Shepherd - Panel - Alternatives to the War on DrugsCSSDPUofT
Presentation made by Susan Shepherd for a Panel discussion on Alternatives to the War on Drugs in Canada, hosted by the Canadian Students for Sensible Drug Policy (CSSDP) - @CSSDPRyerson and @UofTCSSDP chapters in Toronto, October 2019.
Susan Shepherd is the Director of the Toronto Drug Strategy Secretariat, the policy unit in Toronto Public Health that supports the implementation of the Toronto Drug Strategy and the Toronto Overdose Action Plan.
Audio: soundcloud.com/cssdptoronto/awod-cssdp-01
MRC/info4africa KZN Community Forum | July 2012info4africa
Zukiswa Fipaza of the International Centre for AIDS Care and Treatment Programmes (ICAP) highlighted the activities of the Centre's MOSAIC Men’s Health Initiative and its role in supporting the Implementation of the National Strategic Plan for HIV and AIDS, STIs and TB (NSP). MOSAIC utilises an integrated and co-ordinated approach that aims to provide a tailored package of prevention, treatment, care and support services for men who have sex with men (MSM). By scaling up HIV-related services and support mechanisms for the MSM community, MOSAIC contributes towers South Africa’s national goal of reducing new HIV infections and strengthens health, whilst providing a model for expansion to other districts and service areas.
1/3 of all new HIV infections are attributable to MARPs
Bridge population for HIV to general public
HIV prevalence higher than general population. (Ranges 20-50% prevalence)
Estimating the size of MARPs population
FSWs :140,000 countrywide
IDUs: 18,000
MSMs: 30,000
33,000 new HIV Infections out of 100,000
Lessons Learned in Providing Reproductive Health and HIV Prevention program f...John Bako
About 3.4million people are living with HIV in Nigeria
Estimated AIDS related deaths in Nigeria moved from 141,225 in 2000 to 233,604 in 2013.
This is associated with ignorance, poor access to health and social services, poverty, gender issues, stigma and discrimination.
According to NARHS, 2012, the current HIV prevalence in the general population is 3.4%.
There was a slight decline from the previous estimates of 2007 which was 3.6%
WHRF - How can the law be used to scale up effective HIV responses among MSM ...FMDH
Présentation de Nadia RAFIF sur "How can the law be used to scale up effective HIV responses among MSM ?" lors du Forum Mondial des Droits de l'Homme, Novembre 2014.
Pour plus d'informations :
- Site web : http://fmdh-2014.org/fr/
- Facebook : https://www.facebook.com/FMDH2014
- Twitter : https://twitter.com/FMDH2014
- Youtube : https://www.youtube.com/user/FMDH2014
Susan Shepherd - Panel - Alternatives to the War on DrugsCSSDPUofT
Presentation made by Susan Shepherd for a Panel discussion on Alternatives to the War on Drugs in Canada, hosted by the Canadian Students for Sensible Drug Policy (CSSDP) - @CSSDPRyerson and @UofTCSSDP chapters in Toronto, October 2019.
Susan Shepherd is the Director of the Toronto Drug Strategy Secretariat, the policy unit in Toronto Public Health that supports the implementation of the Toronto Drug Strategy and the Toronto Overdose Action Plan.
Audio: soundcloud.com/cssdptoronto/awod-cssdp-01
psychotherapy in Egypt; a strategic management point of view
Siba safe interventions and broader acceptance - lebanon
1. S.I.B.A
Safer Interventions & Broader Acceptance
“It’s about the people, not the drugs”
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. 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. 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 user's needs
Situational Needs Assessment,
2009, SKOUN
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. Lebanon – Law Enforcement
- In 2009: 2,228 people arrested for drug use
charges alone (Drug Enforcement Bureau)
- Majority arrested for Cannabis & Opoids &
Cocaine
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. 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 2011
Access to information widespread - Prevention/Scare
Tactics ineffective, calls for HR approach to reduce
harms
9.
10. 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
12. 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: youth.siba@gmail.com
Twitter: @SIBA_lb
Facebook: https://www.facebook.com/SIBA.lb
13. 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)
14. S.I.B.A
Safer Interventions & Broader Acceptance
“It’s about the people, not the drugs”