30th October, 2003
DRUGS


TACKLING DRUG ABUSE


Drug addiction in India has of late emerged as a matter of great concern. It has an established linkage with HIV/AIDS. There are about 3 million estimated victims of different kinds of drug usages, excluding alcohol dependents, in the country. They constitute about 0.3 per cent of the total population that comes from diverse socio-economic, cultural, religious and linguistic backgrounds

Proliferation

Drug addiction is directly linked with the emerging pattern of the society. The traditional moorings about self- restraint, social taboos and discipline of the joint family and community are fast eroding, leading to the loosening of the traditional methods of social control. Secondly, the continuous stress for betterment of life in a fiercely competitive world is forcing sections of the youth to take refuge in the world of drugs. The introduction of synthetic drugs and intravenous drug use leading to HIV/AIDS has added a new dimension to the problem, especially in the North-Eastern parts of the country.

A national survey recently undertaken by the Ministry of Social Justice and Empowerment in collaboration with the United Nations Office on Drugs and Crime, (UNODC) indicates a high level of drug addiction in certain social segments. A disturbing trend of drug abuse has been noticed among the street children. More and more women continue to bear the burden of substance abuse as their bread-earner indulges in alcoholism. Besides, the high incidence of drug addiction in the North-Eastern States, these are opium growing areas. India is located close to the major poppy-growing centres of the world the "Golden Crescent" on the North-West and the "Golden Triangle" on the North-East. The presence of poppy growing areas and the trafficking routes have made India vulnerable to drug abuse.

Socio-Medical Problem

Reports link the relationship of drug abuse with the socio-economic conditions. Therefore, the approach is to recognise drug abuse as a psycho-socio-medical problem which can be best handled through community-based interventions.

The Centre has a well -laid down strategy to deal with the problem of drug abuse in the country. It focuses on controlling the availability of illicit drugs through supply control strategies supplemented by programmes for generating awareness and weaning away the people from drugs through strategies like demand reduction.

Whereas the supply reduction is under the purview of the Department of Revenue, the Ministry of Social Justice and Empowerment enforces the demand reduction programme through motivation and rehabilitation of drug addicts. The rehabilitation and social reintegration of an addict is the mainstay of any such initiative. For this purpose the Ministry of Social Justice and Empowerment has evolved a three-pronged strategy which seeks to create awareness and educate the people about the ill- effects of drug abuse; dealing with the addicts through a motivational counselling, treatment, follow-up and social-reintegration of the rehabilitated addicts and imparting of drug abuse prevention and rehabilitation training to volunteers with a view to building up an educated cadre of service providers.

Besides, the Ministry of Social Justice and Empowerment, as the nodal agency for demand reduction programmes, has a community-based approach for prevention of alcoholism and substance abuse.

Under the Scheme for Prohibition and Drug Abuse Prevention, the Ministry provides financial assistance in the form of grant-in-aid upto 90 per cent to the eligible NGOs for extending services through counselling and awareness centres, de-addiction-cum-rehabilitation centres and for running awareness programmes. Around 400 voluntary organisations are financially assisted for maintaining 450 centres all over the country. They comprise of about 300 de-addiction–cum rehabilitation centres and 90 counselling and awareness centres. On an average about Rs.25 crore is annually released for this scheme. Over 4 lakh people are benefitting through this programme every year. An allocation of more than Rs. 140 crore has been provided under this programme during the Tenth Plan.

All centres have doctors, counsellors, community workers and social workers. A multi-disciplinary approach is applied as per the needs of individual cases. They work in coordination with the community resources as well as the infrastructure and services available under other related agencies.

To facilitate the medical treatment of hard-core addicts, who require intensive long-term medical attention, 100 de-addiction centres are being run in government hospitals and primary health centres.

The counselling and awareness centres are engaged in a wide range of awareness generation programmes in varied community settings including village panchayats and schools. Besides these centres, the Ministry has been actively utilising various media channels, print as well as audio-visual, for educating the people on the ill effects of drug abuse and also disseminating information .

A National Centre for Drug Abuse Prevention (NC-DAP) has been set up by the Ministry. Functioning under the agies of the National Institute of Social Defence it meets the demand of service providers who endeavour to reduce the demand for drugs and bring about a qualitative improvement in the service delivery. The NC-DAP is serving as an apex body in the country in the field of training, research and documentation for drug abuse prevention. It is mandated to serve as a centre of excellence in the region where it functions. The Ministry is also implementing a project on "Developing Community Drug Rehabilitation and Workplace Prevention Programme"in collaboration with UNDOC and the International Labour Organisation (ILO). The project’s objective is to sensitise and train voluntary organisations on prevention of alcoholism and substance abuse at the workplace. A number of corporate institutions have also volunteered their involvement in the project.

The Ministry of Social Justice & Empowerment is also collaborating with the Ministry of Health and Family Welfare for convergence and integration of services for TB, HIV/AIDs/STDs and other medical complications related to alcohol or drug abuse. One hundred Drug Treatment-cum-Rehabilitation Centres funded by the Ministry have been provided with an additional field worker for HIV/AIDS prevention activities. This is being done under a collaborative agreement between the Ministry and the National AIDS Control Organisation ( NACO).

Meanwhile, the Ministry has taken up the issue of setting up model centres in rural and urban areas for providing integrated rehabilitation services with the concerned State governments. These would include outreaching the addicts, providing counselling, treatment and rehabilitation.

The studies reveal that the efforts being made to prevent drug addiction are far too little as compared to the magnitude and dimensions of the problem. Most vulnerable target groups are yet to be reached. One of the impeding factors has been ignorance and the social stigma attached to the issue of drug abuse with very few people willing to talk about it. The Minister of Social Justice and Empowerment, Dr. Satyanarayan Jatiya, has called for initiating a broad-based dialogue on this issue to remove the silence and stigma attached to the malaise while creating widespread awareness about it.

Drug abuse is not merely the problem of the addicts but of the entire society. The people, particularly the children and youth, are prone to fall easy prey to it. This has to be stopped by all means (PIB Features)

*Inputs by Shri M.L. Dhar, Information Officer, PIB, New Delhi.

 
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