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Ministry of Public Health, Drug Demand Reduction Directorate, Afghanistan, Afghanistan
Title: Drug Use and Treatment response in Afghanistan
Biography

Dr.Abdul Mubin Sultankhil is a General Medical practitioner (MD) and graduated from Afghanistan in 2004 and he Achieved Master degree in Public Health (MPH) from India. He Achieved International Certified Addiction Professional Diploma from International Center for credential and education of addiction professional ICCE(ICAP I) he also completed both basics and advance international Universal treatment curriculums for substance use disorders, UNODC treatnet treatment packages, community outreach, rural curriculums, rural prevention and he also received a number of management leadership , accounting , communication, hospital management, gender right and administration workshops. has more than 11 years’ work experience in the field of drug treatment and worked in the field of drug demand reduction since November 2007 in different positions. He has involved in many universal treatment curriculums for substance use disorders translation and adaptation of addiction treatment manuals into the local language and he also act as a national trainer for substance use disorder treatment curriculums and has responsibly for the training of addiction practitioners at the national level as well.

Abstract

Afghanistan is faced with significant challenges related to drug use amongst its population, a phenomenon that has been on the rise over the last decade. Recent studies show an increase in the number of drug users in country. The most recent estimate is that there are between adult drug users in the country.21 Afghanistan has one of the highest rates of opiates use worldwide, the average of adult drug use rate is 12%, which is more than double of global drug use rate of 5.2%22 Drug use is estimated to effect almost one of each three households in the country. The rate of drug use in rural area is 2.5 half times higher than urban areas. Among children this number is much higher, the positive rate for rural children is estimated at about 11.3% while for urban children estimated about 2.3%. Almost 91% drug positive children were affected by the secondary contact to drug smoke used by adults in the home or environment. The recent Afghanistan National Drug Use Survey (ANDUS) 2015 reported that almost 32% of households in Afghanistan were affected by use of drugs.ANDUS-2015 is combination of two surveys that were conducted in urban and rural areas of Afghanistan over the period 2012-2014. This survey was the third nationwide drug-use survey following two surveys conducted by MoPH, MCN and UNODC in 2005 and 2009, the latest of which covered 24 out of 34 provinces of Afghanistan. Although informative, the use of different methodologies and sample sizes in the three surveys mentioned previously does not easily allow for trend analysis. In addition, ANDUS 21INL (2015) ANDUS, It worth to be noted that, word “drug use” for ANDUS included alcohol abuse and the medical use of scheduled substances, which differs from the definition used by UNODC in the Drug Use Survey 2009. 22UNODC (2015) World Drug Report. Opiates comprise various products derived from the opium poppy plant, including opium, morphine and heroin. 23ANDUS 2015, Page 12, box # 2 24INL, ANDUS, 2015 25According ANDUS-2015 methodology, household drug positive rates are based on a positive test from one or more individuals living in the same household.

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