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A qualitative study to understand drivers of psychoactive substance use among Nepalese youth

Lalitpur buying Heroin

The former drug user, whose name is withheld to protect her from the social stigma attached to drug use, is from Lalitpur, a neighboring district of Kathmandu. Influenced by friends, she says she switched from smoking cigarettes to smoking marijuana at the age of She eventually became addicted. A puff of smoke soon became more important to her than her studies, she says. She then moved on to harder drugs. But after trying it, it felt like the earth was moving, she says. During those days, she felt nauseated and dizzy, with frequent headaches. But later, she started regularly using hashish, brown sugar and heroin. So she used to hide her marijuana and heroin under her pillow, inside a cupboard or in old shoes. So she began selling syringes for injecting drugs. But as her addiction grew, she resorted to sex work as a way to make fast cash. And when she was high on drugs, she admits having sexual intercourse without condoms. Men who found out about her addiction would lure her into bed by promising money or brown sugar, she says. But they would often leave her with nothing. Two years ago, multiple families approached her father with marriage proposals. This encouraged her to take more drugs, she says. Abandoned and ostracized, she decided to give up drugs with the hope that she could return to a respectable life. She now works as a counselor at the center, a nongovernmental agency that has been working for the rehabilitation of female drug users for more than five years. She counsels women on the risks of using drugs and the possibilities of transmitting HIV through syringes. She assists in the rehabilitation of former drug users and with awareness campaigns. Peer pressure and failed relationships are just a few of the reasons that young women begin using drugs in Nepal. Rehabilitation for girls and women is especially challengning because of a stronger stigma attached to female drug users and the means they use to support their habits,such as sex work. Nongovernmental organizations and drop-in centers are employing former addicts to rehabilitate current users and inspire them to remain drug-free. Still, the cost of rehabilitation and medical problems from drug use remain daily barriers for them. In , there were 46, drug users in Nepal, 3, of which were female, according to a survey by the Central Bureau of Statistics of the government of Nepal. Kathmandu alone has 17, drug users, according to the same survey. The majority of female drug users are girls ages 18 to 35 from upper and upper-middle socio-economic classes, says Navaraj Silwal, senior superintendent of the Narcotic Drug Control Law Enforcement Unit of the Nepal Police. A year-old from the Rautahat district, southeast of Kathmandu, whose name has been withheld to protect her identity, is also a former drug user. She stands in a dark room at the Aavash Samuha Drop-in Center, surrounded by a dozen current female drug users. Open menu. It has been four months since she gave up drugs. Now she says she wants to make up for lost time with her parents. Regiones Asia meridional.

Lalitpur buying Heroin