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No friends I could contact. I have my family but they do not trust me. I am trying to improve. My family also got sick and tired of me. Eventually I had no one to tell about my problems and my mental health status. It notes that the Narcotic Drugs Act criminalises not only drug possession, but addiction itself. According to a survey of people who use drugs, almost half had been arrested for drug use or a related offence. Treatment for drug dependence is privatised and inaccessible to most, including residents of border towns where services are most scarce. Among those who have had access to drug treatment, one in ten reports having experienced ill-treatment, violence and even torture. The Government of Nepal has made progress around the provision of harm reduction services including needle and syringe programmes and opiate agonist therapy OAT. However there are allegations that police frequently harass and detain people visiting these facilities. The situation is even more dire for youths. A Ministry of Home Affairs survey determined that over three-quarters of people who use drugs in Nepal are under age Another study found that one-third of young people who use drugs started before age 15, with almost half commencing drug use between 15 and The organisation shares safety information with clients along with clean needles and syringes. During the Covid lockdowns, for example, they home delivered both food and harm reduction packages. Their outreach includes homeless young people. But the advocates say that even when clients are aware of the risks, there are barriers to staying safe. Others have a concern that the people running the needle exchange programmes are from rehabs. Action is also needed to outlaw torture and ill treatment, holding violators accountable and providing increased oversight for rehabilitation centres. YKP Lead Nepal goes a step further, calling for designated days for young women to access harm reduction services and for young people to be among the service providers. The approach is meant to address the multiple barriers to young key populations accessing services including concerns about privacy and confidentiality, stigma and discrimination among healthcare providers, inconvenient opening hours and service packages that do not speak to their specific needs. Noviyanti said. But with targeted investments for youth-led responses and action we can turn the tide. Skip to main content. Recommended reads:. You might also be interested in one of the following sections:. Related Club Eney: a safe place for those left behind 21 October Can this innovation change the way people think about HIV?

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