Document Type : Original Article
Authors
- Mohammad Din Khadim 1
- Mohammad Wali Wali 2
- Waris Badar 3
- Abdul Halim Duranai 4
- Abdul Manan Sultani 5
- Hidayatullah Zhwand 4
- Abdul Bari Habibi 4
1 Head of Research Center, Arakozia Institute of Higher Education, Helmand, Lashkargah, Afghanistan
2 Vice Chancellor of Arakozia Institute of Higher Education, Helmand, Lashkargah, Afghanistan
3 Memebr of Research Board, Arakozia Institute of Higher Education, Helmand, Lashkargah, Afghanistan
4 Lecturer, Medical Faculty, Arakozia Institute of Higher Education, Helmand, Lashkargah, Afghanistan
5 Head of Arakozia Institute of Higher Education, Helmand, Lashkargah, Afghanistan
Abstract
Background: Narcotic addiction poses a significant threat to individuals, families, and communities in Afghanistan, particularly in Lashkargah City, Helmand Province. This study examines the effectiveness of government-led initiatives in preventing narcotics use.
Methods: A mixed-methods approach was employed. Behavioral observation reports and structured questionnaires from 70 addicts were supplemented with data from the Helmand Directorate of Public Health and a 100-bed rehabilitation facility. Quantitative data were analyzed using IBM SPSS, while qualitative findings strengthened the interpretation of results.
Results: The findings indicate that the primary causes of drug addiction in the area include peer pressure (85.2%) and the high accessibility of drugs (85%). Participants also reported several major consequences of addiction, such as social stigma (55.6%), economic strain (61.1%), and social isolation (70.4%). Additionally, 94.4% of respondents emphasized the importance of government-led and community-based initiatives, including awareness campaigns, rehabilitation services, and public participation. Moreover, 83.3% of respondents recognized educational institutions as key actors in prevention, noting that school-based awareness programs and prevention education can significantly reduce drug use among youth.
Conclusion: The study concludes that peer pressure and easy access to drugs are primary drivers of addiction in Lashkargah. It also highlights the critical contribution of government bodies, educational institutions, and community efforts as part of multi-sectoral approaches to narcotics prevention. Effective mitigation of drug use requires coordinated action and continued collaboration across these sectors.
Keywords
- Substance-Related Disorders
- Narcotics
- Risk Factors
- Government Programs
- Social Impact
- Helmand Province
Main Subjects
- Bureau for International Narcotics and Law Enforcement. Media Factsheet: Drug Use and Treatment in Afghanistan. 2010 May; 1–11.
- Afg H. Independent Project Cluster Evaluation of the Drug Demand Reduction Projects in Afghanistan: Capacity Building for Drug Demand Reduction in Afghanistan. 2013 Jul.
- Hickman M, Caldwell DM, Busse H, Macarthur G, Faggiano F, Foxcroft DR, et al. Individual-, family-, and school-level interventions for preventing multiple risk behaviors relating to alcohol, tobacco and drug use in individuals aged 8 to 25 years. Cochrane Database Syst Rev. 2014 ;( 11):CD011374.
- Anonymous. Effective Factors Associated with Drug Addiction and the Consequences of Addiction among Afghan Women. Iraqi J Sci. 2008; 49:69–73.
- Malik S. Impact of religious education on the rates of drug addiction and suicide – A case study of Kashmir. 2024. Doi: 10.5281/zenodo.10720993.
- Patrick ME, Wightman P, Schoeni RF, Schulenberg JE. Socioeconomic status and substance use among young adults: a comparison across constructs and drugs. J Stud Alcohol Drugs. 2012;73(5):772-82.
- Manurung L. The impact of drug abuse on families and society (literature review). MSJ: Majority Science Journal. 2024; 2(2):239-44.
- Ali N, Unar A, Butzbach OK. Assessing Drug Abuse's Impact on Public Health, Economy, Society, and Environment. Journal of Xi'An Shiyu University. Journal of Xi' an Shiyou University, 2024; 20(7): 367-73.
- Sahu KK, Sahu S. Substance abuse causes and consequences. Bangabasi Acad J. 2012;9(12):52-59.
- Deb KS, Gupta SK. Prevention strategies for substance use disorders in low-resource settings. Indian J Soc Psychiatry. 2017; 33(2):112-17.
- UNODC. Drug Situation in Afghanistan 2021. 2021 Nov.
- World Health Organization (WHO). Addressing the Burden of Addiction in Developing Nations: A Comprehensive Guide. Geneva: WHO Press; 2022.
- United Nations Office on Drugs and Crime (UNODC). Afghanistan opium survey 2022: Cultivation and production. UNODC Publ. 2023.
- United Nations Office on Drugs and Crime (UNODC). Afghanistan opium survey 2022: Cultivation and production. UNODC Publ. 2022.
- Haidary AS. Socioeconomic factors associated with opioid drug use among the youth in Kabul, Afghanistan. RCAPS. 2016; 34:80-92.
- Jawad APEM. Addiction to Drugs Causes and Treatment. J Arts Lit Humanit Soc Sci. 2020 ;( 62):392-415.
- Byrd W, Ward C. Drugs and development in Afghanistan. 2004.
- Lander L, Howsare J, Byrne M. The impact of substance use disorders on families and children: from theory to practice. Soc Work Public Health. 2013; 28(3-4):194-205.
- Shamsaei F, Baanavi M, Hassanian ZM, Cheraghi F. The Impact of Substance Abuse on Family Members Mental Health Status. Current Drug Research Reviews. 2019; 11(2): 1-6.
- Abadi MH, Shamblen SR, Johnson K, Thompson K, Young L, Courser M, et al. Examining human rights and mental health among women in drug abuse treatment centers in Afghanistan. Int J Womens Health. 2012; 155–65.
- Leary ML. Promising Strategies to Reduce Substance Abuse. Office of Justice Programs Issues and Practices Report. 2015; 1–90.
- Sospeter NM, Onkware K. Evaluation of Government Programs in Mitigating Drug and Substance Abuse in Kilifi and Mombasa Counties, Kenya. Afr J Empir Res. 2023; 4(2):119-34.
- Anon. UNODC Impacts of Drug Use on Users and Their Families In. 2014 Apr.
- Fatima I. Drug abuse among youth: Causes, effects and control. J Integ Comm Health. 2017; 6(1):1-5.
- Flora K. A Review of the Prevention of Drug Addiction: Specific Interventions, Effectiveness, and Important Topics. Addiction & Health. 2022; 14(4):288.
- Shaikh OA, Shoib S, Saeed F, Nazari SK. Current Perspectives
on Substance Use Disorders in Afghanistan. In: Current Perspectives on Substance Use Disorders in South Asia: Public Mental Health Aspects. 2024. p. 19–35. - International Narcotics and Law Enforcement Bureau. Media Factsheet: Drug Use and Treatment in Afghanistan. 2010 May; 1–11.
- Charitonidi E, Studer J, Gaume J, Gmel G, Daeppen JB, Bertholet N. Socioeconomic status and substance use among Swiss young men: a population-based cross-sectional study. BMC Public Health. 2016; 16:1-11.