Alcohol and other drug use patterns and services in an integrated refugee settlement in Northern Zambia: a formative research study.

Autor: Haddad S; Columbia University Mailman School of Public Health, 60 Haven Avenue, New York, NY, 10032, USA., Shawa M; Women in Law and Development in Africa, PO Box 31456, Lusaka, Zambia., Kane JC; Columbia University Mailman School of Public Health, 60 Haven Avenue, New York, NY, 10032, USA., Bwalya B; CARE Zambia, PO Box 36238, Lusaka, Zambia., Sienkiewicz M; Columbia University Mailman School of Public Health, 60 Haven Avenue, New York, NY, 10032, USA., Kilbane G; Columbia University Mailman School of Public Health, 60 Haven Avenue, New York, NY, 10032, USA., Chibemba V; Women in Law and Development in Africa, PO Box 31456, Lusaka, Zambia., Chiluba P; Women in Law and Development in Africa, PO Box 31456, Lusaka, Zambia., Mtongo N; Women in Law and Development in Africa, PO Box 31456, Lusaka, Zambia., Metz K; Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD, 21205, USA., Chibwe M; Women in Law and Development in Africa, PO Box 31456, Lusaka, Zambia., Mushabati N; Women in Law and Development in Africa, PO Box 31456, Lusaka, Zambia., Zulu A; CARE Zambia, PO Box 36238, Lusaka, Zambia., Paul R; School of Medicine, University of Zambia, University Teaching Hospital, PO Box 50110, Lusaka, Zambia., Banda Z; Zambia Ministry of Health, PO Box 30205, Lusaka, Zambia., Loongo H; CARE Zambia, PO Box 36238, Lusaka, Zambia., Kamanga M; Women in Law and Development in Africa, PO Box 31456, Lusaka, Zambia., Greene MC; Columbia University Mailman School of Public Health, 60 Haven Avenue, New York, NY, 10032, USA. Mg4069@cumc.columbia.edu.
Jazyk: angličtina
Zdroj: Conflict and health [Confl Health] 2023 Aug 24; Vol. 17 (1), pp. 40. Date of Electronic Publication: 2023 Aug 24.
DOI: 10.1186/s13031-023-00538-5
Abstrakt: Background: Evidence on patterns of alcohol and other drug (AOD) use and how to effectively deliver services to address AOD use in humanitarian settings is limited. This study aimed to qualitatively explore the patterns of AOD use among Congolese refugees in Mantapala Refugee Settlement and members of the surrounding host community and identify potential appropriate intervention and implementation approaches to address AOD use disorders among conflict-affected populations.
Methods: Fifty free listing interviews, 25 key informant interviews, and four focus group discussions were conducted among refugees, host community members, humanitarian implementing agency staff, and refugee incentive workers. These participants were selected based on their knowledge of AOD use and related problems in the settlement and the surrounding host community in northern Zambia.
Results: Cannabis and home-brewed alcohol were the substances that were perceived to be most commonly used and have the greatest impact on the community. Participants reported that self-medication, boredom, and relief of daily stressors associated with lack of housing, safety, and employment were reasons that people used AODs. Participants recommended that programming include components to address the underlying causes of AOD use, such as livelihood activities. Stigma due to the criminalization of and societal ideals and religious beliefs regarding AOD use was identified as a substantial barrier to accessing and seeking treatment.
Conclusions: Our study's findings indicate the need for services to address AOD use in Mantapala Refugee Settlement. Interventions should consider the social and structural determinants of AOD use.
(© 2023. BioMed Central Ltd., part of Springer Nature.)
Databáze: MEDLINE
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