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Community Based Drug Treatment

Community Based Drug Treatment. ALTERNATIVE. VOLUNTARY. HEALTH. HUMAN RIGHTS. CLIENT-CENTERED. MULTI-SECTORAL. EVIDENCE BASED. LONGTERM : Work force. Security stability. Process. HR expressed concerns – UN/Donors under attack Common View Point Project Design + Inputs to the drug Law

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Community Based Drug Treatment

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  1. Community Based Drug Treatment

  2. ALTERNATIVE VOLUNTARY HEALTH HUMAN RIGHTS CLIENT-CENTERED MULTI-SECTORAL EVIDENCE BASED LONGTERM : Work force Security stability

  3. Process • HR expressed concerns – UN/Donors under attack • Common View Point • Project Design + Inputs to the drug Law • Piloting Implementation in BMC province

  4. How does it work? • Partners: • - NACD • - Provincial Government • Ministry of Health, • Provincial Health Department • - Civil Society Organisations • - Community groups

  5. Pilot phase In 2011 CBTx was implemented in Banteay Meanchey Province in 2 Health Operational Districts (2 RH, 8HC) Access to medical and psycho social services • Guidance documentation defining a service delivery model and standards of care were developed • 800 drug users attended public health services and accessed treatment • 270 health staff received drug treatment training • Partnerships & relationships were strengthened between the main programme stakeholders

  6. Immediate Benefits • Health seeking behaviou/access/improv. • Capacity to Work • Re Connection (Family/Friends) • Enabling environment from LE • Community members attitude

  7. Priority for Cambodia • CBTx continues to receive high-level support from the Government – particularly H.E. Ke Kim Yan, Deputy Prime Minister and Chairman of NACD • Drug use has socio-economic impact: • Increased consumption & drug related crime • Community concern • Decreased productivity of young people • Government has decided to adopt CBTx as a national model and has encouraged CBTx to expand to 400 Communes

  8. CBTx expansion In 2012 CBTx expands to 1 more OD in Banteay Meanchey, 1 OD in Battambang, 1 OD in Stung Treng Banteay Meanchey: 3 Health Operational Districts (3 RH, 12 HC, 15 Communes) Battambang: 1 Health Operational District (1 RH, 3 HC, 4 Communes) Stung Treng: 1 Health Operational District (1 RH, 1 HC, 4 Communes)

  9. 2012 • Expand the programme to 3 new sites in Cambodia, and conduct planning for future expansion • Adapt the BMC the model for service delivery and individual programme components based on evaluation of the Pilot phase • Continue to engage community through awareness raising about drug use and how it should be best addressed • Mobilize resources to ensure sufficient technical assistance as well as training and mentoring of service providers

  10. What has changed ? • Region (ASEAN Drug Free) + Thai “ war on Drugs” Country : • Drug Centers now part of a wider problematic • MoSAVY • Commune Safety Policy JOINT STATEMENT Compulsory drug detention and rehabilitation centres

  11. Reduce the price tag (connect further with HSSP/ Sector Wide approach) • Describe the consequences of a non sustained momentum. Where should/should the UN stop. • Malaysian example vs Vietnamese • One level up + Follow up

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