Presented research study at HRI and ASHM in 2011.

1. Study of Injecting Drug Users In
Bahawalpur Pakistan.
Zeeshan Ayyaz and Dr. Kate Dolan
Amitiel Welfare Society, Bahawalpur, Pakistan.
And
National Drug & Alcohol Research Centre University of
New South Wales Sydney, Australia.

2. Outline of presentation
•Drugs
•Daily income
•Family
•School or job suffered
•Sharing syringes/needles information
•Crime info
•Sexual Behavior
•Health behavior
•Donation of blood
•Awareness of HIV
•HIV tested and interested in HIV test.

3. Tablet: Morphine
Morphine
•Powerful pain killers
•Cheap
• Normal cost 10 to 15. PKR
•Available in Market
•Gives a soothing effect
•With in a week people get
addicted
•IDUs dissolve it in Avil and
Diazepam ampoule and
inject in to the body via
intervenesis
•Negative out come:
stroke, overdose ,death .

4. Diazepam in liquid form
Diazepam
•Cheap
•Normal cost 8 to 12. PKR.
•Easily available
•Boost the mood
•Used as a relaxant
•Improves sleep
•People dissolve it in tablet
Morphine and inject in to
the body by intervenesis

5. Avil in ampoule form in the hand of IDU

6. Ampoule Diazepam & Avil IDUs just
purchase from the shop

7. Dose Making

8. Billah a painter by profession preparing his
morning dose

9. Drug-related harm
 Overdose
 HIV/AIDS
 Hepatitis C
 Abscesses/ Wounds
 Crime
 Community and family problems
 Economic loss
 Death
9

10. Treatment for IDUs
 Detoxification
 Psychological counselling
 Self help
10

11. Mean and First time using drugs
age
 Their ages ranged from 20-55+ years
old with a mean of 34 years.
 First time drug users ages ranged
from 10 to 49 years with a mean age
of 18.7 years.

12. Daily income and daily expenses on drugs use
 Daily income ranged from 30.to 200.PKR
with a mean of 124.PKR.
 Daily expenses on drug use ranged from
30 to 200.PKR with mean expenses of
97.PKR.

13. Family and Community attitude
 Almost near to half said the past family attitude
were hatred (48%), (33%) were having a
sympathetic attitude and (19%) were having an
avoiding attitude.
 The present family attitude was hatred
(75%), avoiding attitude (16%) and sympathetic
attitude (9%).
 Approximately (89%) said the community attitude
to them was hatred and (11%) with an avoiding
attitude.

14. Family members involvement
 When asked about substance users in
the IDUs family (45%) said yes and
(55%) said no.

15. School or job suffered
 Almost all said their job or school
performance suffered from drug
use, (88%) said yes with (12%) saying
no.

16. Mode of drug use
 The mode of drug use was (100%) by
injection.

17. Reason of shifting & Drugs overdose
 The reason for injecting drugs was
(63%) said easily available, (20%) said
standardize, (15%) said better high
and (2%) said purer.
 Asked have you ever overdosed on
any drug (93%) said yes and (7%) said
no.

18. Want to quit drug use
 Almost all wanted to quit the drugs
with (83%) were saying yes and(17%)
said no.

19. Drug related crime info
&
Have you ever arrested
 Asked have you ever stolen to buy
drugs (89%) said yes and (11%) said
no.
 Asked have you ever been arrested
(69%) said yes and (31%) said no.

20. Sexual Behavior
&
Use of condom
 Asked have you ever had sexual
intercourse (95%) said yes and (5%)
said no.
 Asked do you use condoms (7%) said
yes and (93%) said no.

21. Health behavior
 Asked have you
ever had health
problems due too
injecting/ drug use
(63%) said yes with
wounds, (22%) said
with swelling, (6%)
said with jaundice,
(3% ) said with
abscess, (2%) said
TBC, (2%) said
asthma and (2%)
other.

22. (63%) said wounds due to Injecting drug use

24. (22%) said with swelling

25. Wounds due to unhygienic
conditions

26. Wounds due to unhygienic conditions

27. Treated by Amitiel Volunteers

28. Treated by Amitiel Volunteers

29. Treated by Amitiel Volunteers

30. Donation of blood
 Asked have
you ever been
donated blood
during drug
use (49%) said
yes and (51%)
said no.

31. Awareness of HIV/AIDS
&
HIV tested and interested in HIV test.
 Asked do you know about the HIV/AIDS
(15%) said yes and (85%) said no.
 Asked have you ever been tested for HIV
(100%) no said, if no are you interested in
being test (78%) yes said and (22%) no said.

32. Thank you
amitielwelfare@gmail.com
And
K.dolan@unsw.edu.au
http://ndarc.med.unsw.edu.au/people/pr
ofessor-kate-dolan