1. The Context and Background for Programming in Resource Constrained Settings CMBH83

2. CMB – H83 Project OUTPUTS

3. Direct benefits To Problem Drug Users: (strengthening the Continuum of Care) Assessment of mental and physical condition Peer based and other appropriate Counselling Community based Detoxification services, home-based care and formation of support groups Assessment of treatment needs of and making appropriate referrals

4. To Affected Family Members: Understanding drug use, its consequences and their role as care providers Formation of self-help groups/emotional support groups, after care To those at-risk of Drug Use: Prevention initiatives Peer Networks advocating healthy life practices

7. Human Resources- by number

8. Human Resources- by gender

9. Human Resources- by sector

11. Survey Details…

13. CLASSIFICATION OF COMMUNES: Anti Drug Police Badly AffectedMod. AffectedNot Affected

14. BLACK COMMUNES (Badly Affected)-2 GREY COMMUNES (Modtly Affected)-2 WHITE COMMUNES (Not Affected)-1

16. Research Methods

17. Geographical Coverage

18. Population Surveyed, N = 3255

19. Socio-demographic variables – Gender, N = 3255

20. Marital Patterns - Drug Users, N = 1465

21. Socio-demographic variables – Gender, N = 3255

22. Drug Use – Past Month use across Target Group, N = 754 / 1465

23. Drug and Alcohol Use: Special Populations

24. Drug Use by Frequent Drug Users, N = 300 / 1465

25. Drug Type – (Past month use) by Frequent Drug Users, N = 300 / 1465

26. Median Age Vs. Median Age of First Drug Use across Target Groups, N = 1465

27. Median Age vs. Median Age of First Use by Drug Type, N = 1465

28. Substance Type by Population Groups, N = 3255 Survey PopulationNumberSubstance Most Used Total DUs1465Yama/Ice/ATS, Cannabis Female DUs127Yama/Ice/ATS, Heroin IDUs51Heroin, Yama/Ice/ATS MSMs54Yama/Ice/ATS, Cannabis Entertainment134Alcohol, Yama/Ice/ATS Sex Worker/Karaoke82Alcohol

29. Alcohol Abuse among Frequent Drug Users, N = 300

31. Distribution of Frequent Drug Users (N= 300) and Injecting Drug Users ( N= 51) across Survey Provinces

33. From Baseline Survey (Q1, 08) to Initiating Treatment Services (Q1, 09) Sr No.Prov.Commune Total No. of DU- Q 1 2008 Rapid Survey (quota sampling) in all villages of the commune Behaviour Baseline No. of FrDU- Q1 2008 (4-6 times /wk to 4-6 times /day) No. of FrDU - Q1 2009 (4-6 times /wk to 4-6 times /day) in 50 most badly affected villages of the commune Treatment Baseline Trend can be studied over time 1 BMC POI PET ***>401440  2PREAH PONLEA*>29623  3 BTB ROTANAK356  4TA MOEUN*34773  5 PNP TUL SANGKE**381548  6TONLE BASAK***>432736  7 SRP POUK*36113  8SALA KAMREURK**37249  9 SHV SANGKAT NO.4**>562447  10SANGKAT NO.3**>341720  Total382119384  Note: * represents 1-5 Female Drug Users (FDU), ** represents 6-10 FDU, *** represents 11-15 FDU, and > represents Injecting Drug Users (IDU), Frequent Drug Users are those who take drugs in the last month 4-6 times a week to 4-6 times per day (FrDU). The trend indicates a need to have evidenced based services within a short time frame as drug use patterns change rapidly on the ground and needs repeated rapid assessments to monitor countrywide change in pattern. It needs an integrated surveillance system planned at monitoring drug use and its consequences such as HIV.

37. Fostering Ownership