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Many villagers living in Thailand's south have been affected by the drug addiction problem. Across Thailand's southern provinces, communities have been struggling with rising drug use in recent years despite crackdowns and education efforts. In a small wooden hut in the middle of a rubber plantation in Narathiwat province, year-old Fadel and his friends often take a drug known as kratom. Also known as '4X' in Thai, kratom contains four main ingredients - the leaves of a local plant known as kratom, cough syrup, Coca-Cola and ice. Fadel and his friends frequently take kratom in this wooden hut. Fadel has been taking drugs regularly for the past 11 years. He also uses crystal methamphetamine, and ya ba, a stimulant containing a mixture of methamphetamine and caffeine that sells for around baht per pill. He now takes one ya ba pill every two days, and drinks kratom three times a week when he is tired from work as a rubber planter. He sometimes resorts to stealing dried betel nuts to sell and fund his addiction. Fadel used to make kratom by himself, but these days he can buy it ready-to-drink. Most of these users are aged between 14 and 30 years old. The three provinces of Pattani, Yala and Narathiwat have the highest rates of drug addiction, according to the Thai military. An estimated one in five teenagers are addicts. Kratom is by far the most popular drug. Villagers have told BBC Thai that stealing is prevalent, as drug users are desperate to find a way to obtain money. The addictions have had a deep impact on communities and relationships. Infidelity used to be the leading cause of divorce among Muslims in Thailand's southern province of Pattani. That has recently changed as a growing number of women face neglect as a result of their husbands using drugs. The council says it tries to mediate, but most of the complaints end in divorce, since most men do not attend the sessions. The council building has a room where local Muslims can file complaints. Four months later Zabar's wife divorced him, after her mother found out Zabar was a drug addict. Mr Ismail said Zabar started sniffing paint thinner at the age of nine, before getting addicted to marijuana and then ya ba. He quit school after second grade and was sent to a juvenile detention centre for two years at the age of They didn't have an answer. The Thai military government has claimed that security issues in the insurgency-torn south have prevented them from solving drug-related issues in the region. That led to a 'secret' report submitted by the national security council to the cabinet in , which included claims that insurgency groups used drugs to influence youth to join their groups, and also used money from the drug trade to sponsor their violent activities. Col Suwan said the drug trade was connected to insurgent groups. But that information contrasts with that from the non-governmental organisation Aids Access Foundation. A field survey of staff found that none had been in contact with any drug users associated with insurgency groups. There have been questions on the prevalence of drugs given tight security. Col Suwan said although there are many checkpoints in the southern provinces, vehicles are randomly checked or inspected only when there is a tip-off. The Thai military is trying other ways to tackle the problem, such as education. At an ISOC drug prevention training centre in Pattani's Yarang district, about villagers, village headmen, former drug users and traders are singing and reciting oaths. The group is participating in the Yalannanbaru project, which means 'the new path' in Malay. Yalannanbaru volunteers recite oaths at training sessions. Yalannanbaru initially started in as a project to educate youth with risks of developing a drug addiction. In its volunteers started to reach out to those in need in each village, without the use of law enforcement. There are currently 2, volunteers in villages, with the number next year expected to reach 20, volunteers in 2, villages. Apart from that, the government is not able to gain access to drug users,' said Col Suwan. Participants in Yalannanbaru learn about the harmful effects of drugs and other vices like smoking. Ladda Ningoh from non-governmental organisation Ozone Foundation said the government is also trying to solve drug issues by creating jobs, but this has run into problems too. She added that follow-up attempts by village chiefs also cause conflict within communities. Some villages have taken matters into their own hands. Using drugs is considered a great sin in Islam, and some places have issued rules for the village known as 'hukum pakat', such as religious leaders not participating in activities with drug users. In the village of Ban Uyib, scrap metal, electricity wires, boilers and even betel nuts, coconuts, bananas and scrap rubber are stolen on a daily basis. This has led to the village setting up rules where both drug buyers and sellers will be fined and reported to the police. The rules, which came into effect in March, were printed on a vinyl board and placed at the mosque. The rules state that both drug buyers and sellers will be fined and reported to the police. Rosalee Hajiteh, the village chief, claims that thefts have since stopped. The names of villagers in this story have been changed to protect their identities. Thailand's drugs smuggling battle. Video, Thailand's drugs smuggling battle. On the rise. But other places are still struggling. More on this story.

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The life of a transgender sex worker in Pattaya is not easy. On the one hand, 'Pattaya is a paradise for transgender people, a place where many transgender sex workers feel they can openly express their identities,' says Thissadee of the Health Opportunity Network HON. On the other hand, transgender sex workers face widespread discrimination, violence, and oppression, especially from law enforcement. HON was established in to provide peer-based health and support services for men who have sex with men MSM , transgender people and sex workers living with HIV in Pattaya, Thailand. The Ozone Foundation is an NGO that provides community-based harm reduction services for people who use and inject drugs in Thailand. Responding to a gap in existing services, HON has begun to focus on better understanding the experiences and needs of transgender sex workers who use drugs. The project seeks to empower cisgender and transgender women who use drugs to establish and strengthen community-led networks and advocate for gender equality, legal rights, and drug policy reform. The 20 transgender sex workers in the room are initially hesitant to share, but they are quick to empathise with one another as their stories take a similar turn. The women describe precarious working conditions. Getting through a regular work day often requires drinking alcohol or taking other substances to increase stamina. The daily wages earned by the sex workers are frequently the only source of income supporting their families. For a higher wage, sex workers may be asked to sell drugs, usually crystal methamphetamine commonly known as 'crystal meth', or 'ice' in Thailand , as well as to use drugs together with clients as a part of their services. Using crystal meth before or during sex can intensify and prolong sexual experiences, but in the absence of prevention measures such as use of condoms or pre-exposure prophylaxis PrEP , there is a high risk of exposure to sexually transmitted infections, such as HIV and hepatitis C. Some sex workers also use crystal meth for weight loss. Although sex workers may prefer not to use crystal meth in sexual settings, it is challenging to refuse an offer of 10 times the amount of a regular fee, especially in times of economic hardship. One participant calls the nature of the work a 'hard job' and a 'burden in life', especially in relation to the constant risk of being targeted by law enforcement. The perilous work environment in which transgender sex workers operate has become more insecure with the onset of the COVID pandemic. In response to COVID, the Thai government declared a nationwide state of emergency, while the Pattaya area had already been affected by an abrupt decline in tourists since early Many entertainment venues suspended their business operations or closed entirely, which in turn affected employees, many of whom were forced out of employment without compensation. Because entertainment businesses were closed and tourism — including sex tourism — has come to a standstill, many sex workers are struggling to get by. Transgender sex workers have faced compounded challenges: In addition to now being unable to work, many were denied access to basic support from the government since they do not have identity documents. Throughout the lockdown, HON conducted house visits to provide food and hygiene supplies to over transgender people in the Pattaya area, as well as conduct interviews to better understand their situation and how to best respond to it. It is difficult for transgender people to talk about their drug use freely. Pervasive stigmatising narratives on drug use mean that disclosure could expose them to judgement, discrimination and shunning. For people already targeted by multiple forms of oppression, the risk of jeopardising existing relationships with their support network can be unbearable. In the two-day workshop, HON fostered a safe space that allowed transgender people who use drugs to discuss their unique challenges. The participants were encouraged to be more conscious of the type of drug they are using and their effects, as well as their surrounding environment. Monitoring these factors will help them to assess the associated risks and reduce potential harms, which can range from forgetting to eat and sleep, to negative mental health impacts. One of the participants' testimonies illustrates some of the ways how patriarchal violence impacts transgender sex workers who use drugs. I won pageants and worked at an entertainment show on the border of China and Myanmar for around 10 years. Because it was so easily accessible there, everyone used it. But then one night, I hallucinated and found myself lying in the middle of the road. Not long after that, I decided to come back to Thailand. I stopped taking drugs and I gained so much weight. I acknowledge it. Across Asia, especially in the entertainment business, significant societal pressure is placed on women to maintain a certain type of appearance. Dominant values that associate beauty with thinness also promote stigma and shame around weight gain. For Gift, her experience has a darker, harrowing beginning. My brother, I was very close to him… and he was, let's just say, he was one of the biggest dealers in the East area. Drugs were as normal to me as eating rice, so when I was 12 I tried it. I didn't feel anything. It was just something the people around me did and I just wanted to fit in. She sits at a lunch table across from Boong, who appears more reserved. Asked about her experience with drugs, Jim says, 'I went to prison for five years for using and selling drugs. You have to do what you have to do. Both of them seem to acknowledge that, faced with the potential violence of prisons, prioritising friendships rather than survival becomes nearly impossible. Sitting across the table from one another, there is no apparent trace of animosity between the two. However, not every incident resolves itself this way. There are others who describe similar experiences which leave relationships among friends, families, and community members harmed beyond clear possibilities of repair. Hostile interactions with the police, encouraged by the ongoing criminalisation of drug use and the over-reliance on harsh policing, have bred distrust and resentment towards law enforcement within the community. Death was also a common topic. Gift admits that awareness of harm reduction and accessible services could have saved her friend's life. And our friend next to us who was sleeping took a gasp in her sleep. We continued to play cards until morning. We didn't know but that was the last breath that she took. We even moved her body upstairs, not knowing that she was already dead. For HON, empowerment means 'strengthening power from the inside' and 'building value, pride, and self-respect' through activities that help reduce internalised stigma for transgender people who use drugs. Transgender people who use drugs have limited 'bargaining power' and often experience rights violations, including violence from law enforcement. HON continues to work closely with the transgender community to empower transgender sex workers through trainings on reducing stigma, building a network of transgender people who use drugs, creating a safe space to exchange experiences, developing understanding of relevant laws and mechanisms for protection, and building alliances with international organisations to advocate for more humane and less punitive policies at the national level. Although the topics shared as part of this gathering were heavy and difficult, by the end of the second day, the atmosphere grew more relaxed. HON is like a key that opened my door and gave me perspective to open the windows. I can breathe,' Gift tells the group. Open menu. Drugs, stigma, and discrimination It is difficult for transgender people to talk about their drug use freely. Empowering transgender sex workers For HON, empowerment means 'strengthening power from the inside' and 'building value, pride, and self-respect' through activities that help reduce internalised stigma for transgender people who use drugs. Regions East and South East Asia.

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