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Substance Abuse Treatment, Prevention, and Policy

, 6:25

First Online: 18 September 2011Received: 10 December 2009Accepted: 18 September 2011DOI: 10.1186-1747-597X-6-25

Cite this article as: Onifade, P.O., Somoye, E.B., Ogunwobi, O.O. et al. Subst Abuse Treat Prev Policy 2011 6: 25. doi:10.1186-1747-597X-6-25

Abstract

BackgroundNigeria, the most populous country in Africa and the 8th most populous in the world with a population of over 154 million, does not have current data on substance abuse treatment demand and treatment facilities; however, the country has the highest one-year prevalence rate of Cannabis use 14.3% in Africa and ranks third in Africa with respect to the one-year prevalence rate of cocaine 0.7% and Opioids 0.7% use. This study aimed to determine the types, spread and characteristics of the substance abuse treatment centers in Nigeria.

MethodsThe study was a cross sectional survey of substance abuse treatment centers in Nigeria. Thirty-one units were invited and participated in filling an online questionnaire, adapted from the European Treatment Unit-Program Form June 1997 version.

ResultsAll the units completed the online questionnaire. A large proportion 48% was located in the South-West geopolitical zone of the country. Most 58% were run by Non-Governmental Organizations. Half of them performed internal or external evaluation of treatment process or outcome. There were a total of 1043 for all categories of paid and volunteer staff, with an average of 33 staff per unit. Most of the funding came from charitable donations 30%. No unit provided drug substitution-maintenance therapy. The units had a total residential capacity of 566 beds. New client admissions in the past one year totalled 765 mean = 48, median = 26.5, min = 0, max = 147 and 2478 clients received services in the non-residential units in the past year. No unit provided syringe exchange services.

ConclusionsThe study revealed a dearth of substance abuse treatment units and of funds for the available ones in a country with a large population size and one of the highest prevalence rates of substance abuse in Africa. The available units were not networked and lacked a directory or an evaluation framework. To provide an environment for effective monitoring, funding and continuous quality improvement, the units need to be organized into a sustainable network.

KeywordsSubstance abuse treatment Nigeria List of abbreviationsNGOsNon-Governmental Organizations

TREATNETTreatment Network

UNODCUnited Nations Office on Drugs and Crime

WHOWorld Health Organisation.

Electronic supplementary materialThe online version of this article doi:10.1186-1747-597X-6-25 contains supplementary material, which is available to authorized users.

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Autor: Peter O Onifade - Edward B Somoye - Olorunfemi O Ogunwobi - Adegboyega Ogunwale - Akinwande O Akinhanmi - Taiwo A Adams

Fuente: https://link.springer.com/



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