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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?

The drug addictions devastating Thai villages

Phuket buying Heroin

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.

Phuket buying Heroin