Punjab substance abuse prevention model: Outcomes of key multistakeholder consultation in Punjab, India

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
J. Thakur, N. Jaswal
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Abstract

Background: Extensive work has been done in the state of Punjab regarding the treatment of substance abuse, but focus on prevention was lacking. De-addiction services are being provided in almost each and every district of Punjab. A strong prevention and control component, i.e., prevention strategy along with de-addiction services, is crucial for desired impact. An attempt was made to develop a statewide prevention strategy against substance abuse in the state of Punjab, India, on the request of the state government. Materials and Methods: The plan of the prevention model was prepared based on the situation analysis, stakeholders' workshops, and consultative meetings with various key stakeholders from the state of Punjab. Results: One in seven (~15%) people in Punjab were currently dependent on any substance, including licit and illicit. This figure, when compared in a global context was much higher than expected. Overall substance use was predominant in men and significantly more common in rural areas. The prevention strategy in Punjab named 'Punjab Substance abuse Prevention Plan (P-SAP)' will have a holistic approach focusing on health promotion and continuum of care approach (Prevention-Treatment-Rehabilitation) targeting Supply-Demand-Harm reduction Measures. It is the first of its kind of inclusive multi-sectoral model that aims to prevent substance abuse at village, block, district and state level. Implementation requires political and administrative will with participation of all political parties and key stakeholders. Life skill education should be introduced in school education and should become part of curriculum. The state should ensure the institutional framework and mechanism for their participation and adequate resources for effective implementation. Conclusion: This model should be implemented in the state and can be tried and adapted in other states of India and low- and middle-income countries.
旁遮普药物滥用预防模式:印度旁遮普主要多方利益攸关方磋商的结果
背景:旁遮普邦在药物滥用治疗方面做了大量工作,但缺乏对预防的关注。旁遮普省几乎每个地区都在提供戒毒服务。一个强有力的预防和控制组成部分,即预防策略和戒毒服务,对于预期的影响至关重要。应印度旁遮普邦政府的要求,试图制定一项全州范围的药物滥用预防战略。材料和方法:根据形势分析、利益相关者研讨会以及与旁遮普省各主要利益相关者的协商会议,制定了预防模式计划。结果:旁遮普省七分之一(约15%)的人目前依赖任何药物,包括合法和非法药物。在全球范围内进行比较时,这一数字远高于预期。总体药物使用在男性中占主导地位,在农村地区更为常见。旁遮普省名为“旁遮普省药物滥用预防计划(P-SAP)”的预防战略将采用一种整体方法,侧重于健康促进和针对供需伤害减少措施的连续护理方法(预防-治疗-康复)。这是第一个旨在防止村庄、街区、地区和州一级药物滥用的包容性多部门模式。执行工作需要所有政党和主要利益攸关方参与的政治和行政意愿。生活技能教育应纳入学校教育,并应成为课程的一部分。国家应确保其参与的体制框架和机制以及有效实施的充足资源。结论:该模式应在该邦实施,并可在印度其他邦和中低收入国家进行尝试和调整。
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