PDF (Lessons learned in drug abuse prevention: a global review)
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NATIONAL<br />
HIV/AIDS/STI/Drug Abuse Prevention Amongst Youth<br />
<strong>in</strong> Turkmenistan<br />
REGION:<br />
Central Asian and<br />
Transcaucasian Countries<br />
COUNTRY: Turkmenistan<br />
Organisation: UNDP<br />
(UNAIDS)<br />
TARGET GROUPS:<br />
● Youth (14-25 years)<br />
● Sex workers<br />
● Prisoners<br />
● Media/Government<br />
SETTINGS:<br />
● Multiple sett<strong>in</strong>gs<br />
IMPLEMENTING AGENTS:<br />
● UN Theme Group on<br />
HIV/AIDS<br />
● Civic organisations<br />
● National experts<br />
● Researchers<br />
PROJECT PURPOSE:<br />
Protect<strong>in</strong>g the health of youth<br />
through a multi-secoral<br />
programme<br />
COST: US $133,500 for 30<br />
months<br />
DURATION: 30 months<br />
A tra<strong>in</strong><strong>in</strong>g workshop <strong>in</strong> the use of a gender sensitive approach <strong>in</strong> <strong>drug</strong> <strong>abuse</strong> <strong>prevention</strong>.<br />
Background:<br />
The National Programme on Health, issued by the President of Turkmenistan <strong>in</strong> 1995,<br />
has a strong focus on render<strong>in</strong>g efficient preventive activities as far as the overall health<br />
of the population is concerned. HIV/AIDS and <strong>drug</strong> <strong>abuse</strong> are priority areas of the programme.<br />
In 1999, the State Programme on Drug Enforcement was adopted, and <strong>in</strong><br />
2001 the 'National Action Plan on Combat<strong>in</strong>g Illicit Drug Traffick<strong>in</strong>g and Assistance to<br />
Drug Addicts' was signed; this is to be implemented over the next four years.<br />
Over the last few years, the <strong>drug</strong> situation <strong>in</strong> Turkmenistan has worsened. Drug <strong>abuse</strong><br />
rates cont<strong>in</strong>ue to be high: whilst <strong>drug</strong> <strong>abuse</strong> rates were at 13.2 out of 100,000 <strong>in</strong><br />
1995, <strong>in</strong> 1998 the figure was 52.7 out of 100,000. 1 In 1999, approximately 5,800 <strong>drug</strong><br />
addicts were officially registered <strong>in</strong> <strong>drug</strong> <strong>abuse</strong> hospitals; but it is expected that a large<br />
number of <strong>drug</strong> users avoid visit<strong>in</strong>g medical specialists, and therefore addiction rates<br />
are much higher. Males make up 95% of all <strong>drug</strong> users.<br />
One specific feature of the use of narcotic substances <strong>in</strong> Turkmenistan is the predom<strong>in</strong>ance<br />
of opiates and hemp preparations. There is recent evidence that the range of<br />
narcotics used has expanded to <strong>in</strong>clude synthetic stimulants and coca<strong>in</strong>e, and that<br />
<strong>in</strong>jection use of morph<strong>in</strong>e, <strong>in</strong>clud<strong>in</strong>g its use by women, is becom<strong>in</strong>g more common <strong>in</strong><br />
urban areas. 2 Turkmenistan has services relat<strong>in</strong>g to HIV/AIDS and <strong>drug</strong> <strong>abuse</strong> <strong>in</strong> the<br />
capital and <strong>in</strong> regional centres, but there is a need to establish such services <strong>in</strong> rural<br />
areas to reach more people.<br />
40% of the population <strong>in</strong> Turkmenistan is under the age of 14. Surveys have shown<br />
that, on average, 20% of adolescents aged 14-16 smoke cigarettes 2 As well as smok<strong>in</strong>g<br />
tobacco, people use nas (specially prepared tobacco that is placed under the tongue or<br />
beh<strong>in</strong>d the cheek), the consumption of which is most widespread <strong>in</strong> rural areas. This<br />
has caused an <strong>in</strong>creased <strong>in</strong>cidence of cancer of the mouth 2<br />
58 Sources: 1 As communicated by the organisation<br />
2 WHO. 2000. Highlights on Health <strong>in</strong> Turkmenistan.(www.euro.who.<strong>in</strong>t)