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Facebook Twitter Print Email. People who use drugs in Thailand are receiving more help to reduce the harm caused by their habit thanks to a change in formerly punitive drug laws and support from the UN Office on Drugs and Crime UNODC. I felt like I was floating, and it meant that I could forget about all the problems that I faced as a teenager. It was a beautiful feeling. Prapat Sukkeaw is one of an estimated 57, people who currently injects drugs in Thailand. Employed by a non-governmental organization NGO , he has on occasion wanted to give up heroin due to pressure from family and friends. He has now started taking the synthetic drug methamphetamine, as heroin has become progressively more expensive. His focus has moved from abstaining from drugs to living with the side effects and managing the potential harm of their prolonged use, for example by not sharing needles. Like all Thai citizens, Mr. Sukkeaw has access to universal health care, but he found that as a person who uses drugs, he was stigmatized and discriminated against by health care workers. We are client-centred and offer peer support treating everyone equally, no matter their background. Ozone offers a variety of services including needle exchanges and HIV testing as well as PrEP pre-exposure prophylaxis which reduces the risk of getting HIV from sex or injecting drugs. It also partners with Dreamlopments, a hepatitis C service provider which offers integrated healthcare free of charge. Hepatitis C is a viral liver infection spread by sharing needles. Its activities are supported by UNODC , although a funding shortfall has meant that the centre has had to close many of its outreach services in other parts of Thailand. Historically, Thailand has severely punished people who have broken strict drug laws. However, since a change in the law in , the legal system has shifted towards rehabilitation for people who use drugs. It is not an ideal choice, but they are given the choice to attend a treatment facility or go to prison. The stigmatization of people who take drugs nevertheless continues, but according to Dr. One major concern remains the high prevalence of HIV and hepatitis C amongst people who inject drugs in a country where HIV rates are otherwise decreasing. In Thailand, an estimated eight per cent of drug users have HIV, approximately 3, people. Despite ongoing concerns about the health outcomes for people who use drugs, Dr. The peer support remains a key element in attracting people to use its services, and it is now hoped that the new legislation will lead to less discrimination and will enable others to access similar services through more government health facilities. UN News. Audio and Subscription Audio Hub Subscribe. Play video. Thailand: Moving from punishment to treatment of people who use drugs. The Ozone Foundation is based in a suburb of the Thai capital, Bangkok. A hepatitis C test is prepared for a client at Ozone. Thailand drug treatment.

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At the Ozone Foundation clients talk about their drug use with as much openness as they discuss their jobs or families. In the yard of their Bangkok drop-in centre we sit under the cannon ball tree. Prapat Sukkeang shares his story first. Mr Prapat still uses. He might have yaba—a mixture of methamphetamine and caffeine—once a month. They give you information for your safety. I feel respected. When we go to other places we always feel like criminals. If we go to a hospital they serve us last or reject us to get treatment. The service that we get is not equal to others. Jamon Aupama, a motorcycle taxi driver, lives with his wife in Bangkok. He goes to a state-run methadone clinic to avoid heroin withdrawal. The experience at Ozone is different. Here the service delivery more closely matches his needs. He also goes for information. This people-centred service—and even these honestly told stories—were unimaginable just two decades ago. Use of HIV services by people who use drugs declined sharply. Terrified, people shrank into the shadows. Back then they set up their first drop-in centres as safe spaces where clients could take a shower, have a meal and share their experiences. Today the political and social climate is far different. A new Narcotics Law introduced in December provides for differentiated sentencing on drug crimes and alternatives to imprisonment for some offences. For the first time, the health and wellbeing of people who use drugs are being considered. Still, this more humane drug law is a first in Southeast Asia. Many of them have been suffering for a long time. We need to have peer organisations that are community-led and driven or you would not get clients coming to services. We respect the human dignity of all people. And we believe that safety is available to people before, during or after drug-use. Ozone employs a holistic approach that puts the client at the centre. One person might only require harm reduction counselling and tools while another is ready for support to quit. They also offer the Hepatitis B vaccine. Research nurse Kewalin Kulprayong says her team has a welcoming approach. They can speak about everything here, drugs also. A doctor is available once a week. Some conditions can be treated at Ozone. In other cases, clients are referred to government facilities but with the benefit of peer support. These services are critical. However, despite their inclusion in benefit packages, individuals who inject drugs face significant barriers due to pervasive stigma and discrimination, including self-stigma,' says Patchara Benjarattanaporn, UNAIDS Country Director. Each Ozone client has their own dreams. One wants to run for political office. Another hopes to get his gender affirming surgery soon. He came to Ozone because he was depressed, anxious and dealing with a sexually transmitted infection. But I knew if I did nothing it would get worse. At Ozone they understand. They give me guidance. Learn more about this novel training. Skip to main content. Recommended reads:. You might also be interested in one of the following sections:. The Ozone Foundation team. Harm reduction package at Ozone Foundation, Thailand. June Feature story Compassionate care for people who use drugs in Thailand 26 June 26 June 26 June At the Ozone Foundation clients talk about their drug. 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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