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Illicit Drug use in the Asia Pacific Region - Burnet Institute

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Situational analysis of illicit drug issues and responses <strong>in</strong> <strong>the</strong> <strong>Asia</strong>–<strong>Pacific</strong> region<br />

2<br />

While <strong>the</strong> Committee acknowledged <strong>the</strong> importance<br />

of engag<strong>in</strong>g with all countries <strong>in</strong> <strong>the</strong><br />

region, for <strong>the</strong> purposes of this project <strong>the</strong><br />

<strong>Asia</strong>–<strong>Pacific</strong> region was deemed to <strong>in</strong>clude<br />

<strong>the</strong> countries <strong>in</strong>volved <strong>in</strong> <strong>the</strong> ASEAN and<br />

Ch<strong>in</strong>a Cooperative Operations <strong>in</strong> Response<br />

to Dangerous <strong>Drug</strong>s (ACCORD), and those<br />

<strong>Pacific</strong> nations of <strong>in</strong>terest to AusAID .<br />

• Myanmar<br />

• Laos<br />

• Thailand<br />

• Cambodia<br />

• Vietnam<br />

• Ch<strong>in</strong>a<br />

• Hong Kong<br />

• Macau<br />

• Brunei Darussalam<br />

• Indonesia<br />

• Malaysia<br />

• Philipp<strong>in</strong>es<br />

• Timor-Leste (East Timor)<br />

• Fiji<br />

• Papua New Gu<strong>in</strong>ea<br />

• Samoa<br />

• Solomon Islands<br />

• Tonga<br />

• Vanuatu<br />

APDIC viewed <strong>the</strong> analysis as a three-part<br />

project:<br />

1 . a situation analysis and country profile<br />

for countries <strong>in</strong> <strong>the</strong> <strong>Asia</strong>–<strong>Pacific</strong> region,<br />

<strong>in</strong>clud<strong>in</strong>g an overview of drug policy,<br />

policy processes and partnerships as well<br />

as a review of <strong>the</strong> prevalence, epidemiology<br />

and harms of drug <strong>use</strong> <strong>in</strong> each<br />

country;<br />

2 . an audit of Australian <strong>in</strong>volvement <strong>in</strong><br />

responses to illicit drug issues <strong>in</strong> <strong>the</strong><br />

<strong>Asia</strong>–<strong>Pacific</strong> region <strong>in</strong>clud<strong>in</strong>g government,<br />

non-government organisations<br />

and <strong>in</strong>dividual contributions; and<br />

3 . an audit of current illicit drug-related<br />

activities be<strong>in</strong>g undertaken by o<strong>the</strong>r<br />

national and <strong>in</strong>ternational agencies and<br />

funders <strong>in</strong> <strong>the</strong> region .<br />

Core areas of <strong>in</strong>quiry<br />

The project foc<strong>use</strong>d on unsanctioned <strong>use</strong> of<br />

all illicit drugs and directly related harms,<br />

with consideration of pharmaceutical drugs<br />

limited to <strong>the</strong>ir <strong>in</strong>tentional mis<strong>use</strong> .<br />

The core areas of <strong>in</strong>quiry for each country<br />

<strong>in</strong> this project were:<br />

• contextual <strong>in</strong>formation for each of <strong>the</strong><br />

countries of <strong>in</strong>terest<br />

• historical (cultural or traditional) <strong>in</strong>teractions<br />

with illicit drugs<br />

• <strong>the</strong> current illicit drug <strong>use</strong> situation<br />

• illicit drug production and trade<br />

• illicit drug-tak<strong>in</strong>g practices, prevalence,<br />

risk factors, trends<br />

• policy around illicit drugs <strong>in</strong> each of <strong>the</strong><br />

countries<br />

• country responses to illicit drug issues<br />

(<strong>in</strong>clud<strong>in</strong>g health, law enforcement, education)<br />

• <strong>in</strong>ternational <strong>in</strong>volvement <strong>in</strong> <strong>the</strong> countries<br />

of <strong>in</strong>terest <strong>in</strong> relation to illicit drugs<br />

• Australia’s <strong>in</strong>volvement <strong>in</strong> <strong>the</strong> countries<br />

of <strong>in</strong>terest <strong>in</strong> relation to illicit drugs .<br />

1 .2 Method<br />

The project was desk-based; data sources for<br />

<strong>the</strong> three components of <strong>the</strong> study — country<br />

profiles, Australian <strong>in</strong>volvement, and <strong>in</strong>ternational<br />

<strong>in</strong>volvement — <strong>in</strong>cluded published<br />

and unpublished literature and <strong>in</strong>formation<br />

from key <strong>in</strong>formants and regional <strong>in</strong>stitutions<br />

. The approach taken for this project<br />

reflects <strong>the</strong> importance of local <strong>in</strong>volvement<br />

and ownership of <strong>the</strong> method, process and<br />

outcome . Given that <strong>the</strong> methodology relied<br />

on participation from key <strong>in</strong>formants and<br />

regional <strong>in</strong>stitutions, <strong>the</strong> quality, accuracy<br />

and verification of <strong>the</strong> <strong>in</strong>formation collected<br />

were dependent upon <strong>the</strong> cooperation of<br />

those <strong>in</strong> <strong>the</strong> field .<br />

The two major methods for access<strong>in</strong>g<br />

<strong>in</strong>formation were literature review and key<br />

<strong>in</strong>formants .<br />

Literature review<br />

The literature was searched for <strong>in</strong>formation<br />

relevant to <strong>the</strong> core areas of <strong>the</strong> project . The<br />

review <strong>in</strong>cluded:<br />

• peer-reviewed articles us<strong>in</strong>g PubMed,<br />

Medl<strong>in</strong>e and PsychInfo<br />

• exist<strong>in</strong>g literature such as:<br />

• The Hidden Epidemic Series — 1997,<br />

2002<br />

• UNODC’s 2004 regional study of<br />

amphetam<strong>in</strong>e-type substances (ATS)<br />

• UNODC’s 2004 report on <strong>Drug</strong>s and<br />

HIV/AIDS <strong>in</strong> Sou<strong>the</strong>ast <strong>Asia</strong><br />

• UNODC’s World <strong>Drug</strong> Report, 2004<br />

• US State Department’s 2003 Narcotics<br />

Control Report<br />

• ‘grey’ literature — unpublished and <strong>in</strong>ho<strong>use</strong><br />

reports<br />

• website searches — for example, CIA, US<br />

State Department, UNODC, INCB<br />

• <strong>in</strong>ternet lists — SEA–AIDS and <strong>the</strong> Association<br />

for Social Anthropology <strong>in</strong> Oceania<br />

email discussion group<br />

• key <strong>in</strong>formant suggestions for sources of<br />

relevant <strong>in</strong>formation .<br />

3<br />

Situational analysis of illicit drug issues and responses <strong>in</strong> <strong>the</strong> <strong>Asia</strong>–<strong>Pacific</strong> region

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