Zeeshan Ayyaz and Dr. Kate Dolan

Amitiel Welfare Society, Bahawalpur, Pakistan.

And

National Drug & Alcohol Research Centre University of New South Wales Sydney, Australia.

Study of Injecting Drug Users In Bahawalpur Pakistan.

Outline of presentation

•Drugs •Daily income •Family •School or job suffered•Sharing syringes/needles information•Crime info•Sexual Behavior•Health behavior•Donation of blood•Awareness of HIV•HIV tested and interested in HIV test.

Tablet: MorphineMorphine

• Powerful pain killers

• Cheap

• Normal cost 10 to 15.

PKR

• Available in Market

• Gives a soothing

effect

• With in a week people

get addicted

• IDUs dissolve it in Avil

and Diazepam ampoule

and inject in to the

body via intervenesis

• Negative out come:

stroke,

overdose ,death .

Diazepam • Cheap

• Normal cost 8 to 12.

PKR.

• Easily available

• Boost the mood

• Used as a relaxant

• Improves sleep

• People dissolve it in

tablet Morphine and

inject in to the body

by intervenesis

Diazepam in liquid form

Avil in ampoule form in the hand of IDU

Ampoule Diazepam & Avil IDUs just purchase from the shop

Dose Making

Billah a painter by profession preparing his morning dose

Drug-related harmOverdose HIV/AIDS Hepatitis CAbscesses/ WoundsCrimeCommunity and family problemsEconomic lossDeath

9

Treatment for IDUs

Detoxification

Psychological counselling

Self help

10

Mean and First time using drugs age

Their ages ranged from 20-55+

years old with a mean of 34

years.

First time drug users ages ranged

from 10 to 49 years with a mean

age of 18.7 years.

Daily income and daily expenses on drugs use

Daily income ranged from 30.to

200.PKR with a mean of 124.PKR. 

Daily expenses on drug use ranged

from 30 to 200.PKR with mean

expenses of 97.PKR.

Family and Community attitude

Almost near to half said the past family

attitude were hatred (48%), (33%) were

having a sympathetic attitude and (19%)

were having an avoiding attitude.

The present family attitude was hatred

(75%), avoiding attitude (16%) and

sympathetic attitude (9%). Approximately (89%) said the community

attitude to them was hatred and (11%) with an avoiding attitude. 

Family members involvement

When asked about substance users in the IDUs family (45%) said yes and (55%) said no.

School or job suffered

Almost all said their job or school performance suffered from drug use, (88%) said yes with (12%) saying no.

Mode of drug use

The mode of drug use was (100%) by injection.

Reason of shifting & Drugs overdose

The reason for injecting drugs was (63%) said easily available, (20%) said standardize, (15%) said better high and (2%) said purer.

Asked have you ever overdosed on any drug (93%) said yes and (7%) said no.

Want to quit drug use

Almost all wanted to quit the drugs with (83%) were saying yes and(17%) said no.

Drug related crime info&

Have you ever arrested

Asked have you ever stolen to buy drugs (89%) said yes and (11%) said no.

Asked have you ever been

arrested (69%) said yes and (31%) said no.

Sexual Behavior&

Use of condom

Asked have you ever had sexual intercourse (95%) said yes and (5%) said no.

Asked do you use condoms (7%) said yes and (93%) said no.

Health behavior

Asked have you ever had health problems due too injecting/ drug use (63%) said yes with wounds, (22%) said with swelling, (6%) said with jaundice, (3% ) said with abscess, (2%) said TBC, (2%) said asthma and (2%) other.

(63%) said wounds due to Injecting drug use

(22%) said with swelling

Wounds due to unhygienic conditions

Wounds due to unhygienic conditions

Treated by Amitiel Volunteers

Treated by Amitiel Volunteers

Treated by Amitiel Volunteers

Donation of blood

Asked have you ever been donated blood during drug use (49%) said yes and (51%) said no.

Awareness of HIV/AIDS&

HIV tested and interested in HIV test.

Asked do you know about the HIV/AIDS (15%) said yes and (85%) said no.

Asked have you ever been tested for HIV (100%) no said, if no are you interested in being test (78%) yes said and (22%) no said.

Thank you

amitielwelfare@gmail.com

And

K.dolan@unsw.edu.au

http://ndarc.med.unsw.edu.au/peo

ple/professor-kate-dolan