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Seminar on women’s involvement in
substance abuse and drugs smuggling
(Nepal)

Presented by:
Manisha Hamal
BPH, 1st batch
Pokhara University
1
Introduction
What is drug?
The World Health Organisation (WHO)
defines “a drug” as “any substance,
solid, liquid or gas that changes the
function or structure of the body in

some way.”

What is substance abuse?
The use of illicit drugs or the abuse of
prescription or over-the-counter drugs
for purposes other than those for which
they are indicated or in a manner or in
quantities other than directed.

2
Drug smuggling

Any production or

movement of illicit
drugs whether it be at
the international or
intra-national level, the
city level, or direct

selling to users.
3
How people traffic drugs
• Baby corpses used for drug runners
• Body packing (swallowing)
•

Eclectic places from soles of flip-flop, golf bags and furniture

• Puppies incision stomach
• Using children ( strapping in legs)
• Beetles
• Tombstone
• Laptop
• Inner wears
4
• The Nepal and Bhutan borders are porous. Smugglers
use these borders to traffic heroin, ganja and charas
into the country.

5
Substances used as drugs
•
•
•
•
•
•
•
•

Marijuana
Heroin
Meth
Cocaine
Opium
Charas
Ganja
Glue

•
•
•
•
•
•
•
•

Alcohol
Tobacco
Hallucinogen
Injection
Upper (methadrine)
Downer (valium)
Methamphetamine
Hashish
6
Substances used as drugs by women in
Nepal

• Tobacco
• Alcohol

• Ganja
• Inhalants (locker room/ rush
and spray paint)
• Marijuana
• Cocaine

• Heroin
• Brown sugar

7
Some facts related to South Asia
•

According to the World Drug Report 2009, there are

36,20,000 to 36,60,000 opiate users in South Asia.
• According to the injecting drug use (IDU) task force,
in 2007 the estimated number of people who inject
drugs were 5,69,500 (IDUs) and the estimated
number of people who inject drugs and who are HIV

positive were 74,500.
8
Facts related to Nepal
• Drug abusers in Nepal spend up to

Injecting drug users

$1 Million (90 Million Nepalese

Rupees) on illegal drugs within
the country each year, according
to Narcoon Nepal
• Many

women

are

smuggling smack, cocaine

found
and

hasish from India to Nepal and
vice versa.

9
• Nepalese women seem to influence from western
culture.
• Foreigners smuggle drugs in Nepal.

• Women returning from abroad seem to traffic drugs.

10
Hard drug users (in thousands)

17,870
28,439

IDUs
Non- IDUs

Hard Drug Users in Nepal
Some Statistical Facts: 2063
11
Area

Kathmandu valley

Female hard drug users
1878

Kaski

318

Jhapa

145

Sunsari

332

Rupandehi

133

Chitwan

191

Morang

50

Parsa

89

Makwanpur

19

Other areas

200

Total

3356

Hard Drug Users in Nepal
Some Statistical Facts: 2063

12
Reasons for entering drug trade
• Poverty
• To earn easy money
• Peer pressure

• Enthusiasm
• Victims themselves enter in it

13
Condition of female substance users in
Nepal
• About 24,000 female substance users exist in Nepal

• 80% of female drug users have multiple sexual partners
• Because of smoking and drug using habit they are more

vulnerable to lung infections
• No proper intervention from any part of the NGOs,
INGOs, government or society, even the drug users’
community, in favors of females’ drug users
14
Condition of female substance users in
Nepal contd....
• Government , INGOs and NGOs hasn’t focus in their

mental problems
• They have gone through
frustration, depression, anxiety, illusion, hallucination, del
usion and suicidal tendencies.
• Female drug users are in desperate need for drug

treatment
15
"I made mistakes and now [I’m] paying the price for
it. I am now infected with HIV and I cannot do
anything to get rid of it."
Maya Thapa, former intravenous drug user.

16
Reasons for using drugs
• Hunger

• Boredom
• Fear
• Feelings of shame, depression, and hopelessness
• Lack of medicine and medical care
• Difficulty falling asleep because of noise or overcrowding
• Need to stay awake for job or protection
Source: ESCAP HRD Course on Drug Use and its Relationships with Sexual
Abuse and Sexual Exploitation of Children and Youth, (ESCAP, 2000).
17
Reasons for using drugs contd.....
• No recreational facilities
• Social isolation
• Lack of sexual desire to engage in sex

• Loneliness
• Physical pain

18
Effects of drug use
• Lessens hunger pangs

• Creates sense of excitement
• Generates a feeling of bravery
• Helps to forget

• Self medication
• Produces drowsiness
• Help users to stay awake

• Offers entertainment
19
Effects of drug use contd.....
•

Provides a sense of connection with other drug users

•

Can enhance sexual desire

•

Promotes socializing

•

Relieves physical pain

20
Health problems seen in substance
abused women
• Neoplasm of breast/genital and genitourinary disorders

• Disorders of pregnancy
• Skin and musculoskeletal diseases
• Ear diseases
• Headache
• Chronic urinary diseases

• Constipations
• Anaemia
21
Health problems seen in substance
abused women contd.....
• Psychological distress

• Respiratory diseases
• Low body weight
• Hypertension
• Blood pressure
• Cardiovascular complications

• HIV/AIDS and STDs
22
Symptoms that identify a person who
may be using drugs
• Marked personality change

• Change in physical appearance or well-being
• Mood swings
• Change in school or work performance
• An increase in secretive communication with others
• Intuition

• An excessive need for or increased supply of money
23
Prevention of HIV through injecting
drug use
• Needle and syringe programs
• Opiod substitution therapy
• Voluntary HIV counselling and testing

• Anti retroviral therapy
• Prevention and treatment of sexually transmitted

infections
24
Prevention of HIV through injecting
drug use contd....
• Condom programming
• Targeted information, education and communication
• Hepatitis diagnosis, treatment and vaccination

• Tuberculosis prevention, diagnosis and treatment

25
NGOs/INGOs working for women
• New days fund Shakti Samuha Pokhara, Nepal

• Naulo Ghumti, Nepal
• UNODC, Nepal
• Dristi, Nepal
• CBS, Nepal
• Naya Goreto Kathmandu Lalitpur Nepal

• Friendship- Nepal
26
Conclusion
• Nepal does not have a good administrative data

management system for any data collected for hard drug
users in the country
• HIV/AIDS and Drug abuse is a rapidly growing problem

in Nepal
• Women are in desperate need of help and treatment
• Many organizations working for substance abused women
isn’t focusing in their mental problems
27
Conclusion contd....
• Drugs smuggling is also seen as an increasing
problem
• Women are taking it as a fast earning source

• Smugglers found easy to smuggle drugs in Nepal
because of weak security checkpoints
• Because of poverty people are corrupt
28
Recommendations
• Promoting and protecting women's human rights
• Focusing on women’s mental health
• Establishing rehabilitation centres for abused women

• Maintain strict security at checkpoints
• Punishment for smugglers

• Awareness programs related to substance abuse
29
At community level
• Awareness about smuggling
• Mass and medias should be made alert
• Fostering awareness among women and adult that

injection drug abuse plays a significant role in the
widespread transmission of the disease
• Isolating substance users should be stopped
30
References
1. http://alcoholism.about.com/cs/drugs/a/aa030425a.htm
2. Birecree, E. A., Bloom, J. D., Leverette, M. D., &
Williams, M. (1994). Diagnostic efforts regarding
women in Oregon prison system-A preliminary report.
International Journal of Offender Therapy and
Comparative Criminology, 38, 217-230.
3. http://www.havocscope.com/drugs/
4. http://highwaydruginterdiction.com/
5. http://investigation.discovery.com/investigation/drugmules/smuggling-slideshow.html
31
32

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Seminar on women’s involvement in substance abuse and drugs smuggling

  • 1. Seminar on women’s involvement in substance abuse and drugs smuggling (Nepal) Presented by: Manisha Hamal BPH, 1st batch Pokhara University 1
  • 2. Introduction What is drug? The World Health Organisation (WHO) defines “a drug” as “any substance, solid, liquid or gas that changes the function or structure of the body in some way.” What is substance abuse? The use of illicit drugs or the abuse of prescription or over-the-counter drugs for purposes other than those for which they are indicated or in a manner or in quantities other than directed. 2
  • 3. Drug smuggling Any production or movement of illicit drugs whether it be at the international or intra-national level, the city level, or direct selling to users. 3
  • 4. How people traffic drugs • Baby corpses used for drug runners • Body packing (swallowing) • Eclectic places from soles of flip-flop, golf bags and furniture • Puppies incision stomach • Using children ( strapping in legs) • Beetles • Tombstone • Laptop • Inner wears 4
  • 5. • The Nepal and Bhutan borders are porous. Smugglers use these borders to traffic heroin, ganja and charas into the country. 5
  • 6. Substances used as drugs • • • • • • • • Marijuana Heroin Meth Cocaine Opium Charas Ganja Glue • • • • • • • • Alcohol Tobacco Hallucinogen Injection Upper (methadrine) Downer (valium) Methamphetamine Hashish 6
  • 7. Substances used as drugs by women in Nepal • Tobacco • Alcohol • Ganja • Inhalants (locker room/ rush and spray paint) • Marijuana • Cocaine • Heroin • Brown sugar 7
  • 8. Some facts related to South Asia • According to the World Drug Report 2009, there are 36,20,000 to 36,60,000 opiate users in South Asia. • According to the injecting drug use (IDU) task force, in 2007 the estimated number of people who inject drugs were 5,69,500 (IDUs) and the estimated number of people who inject drugs and who are HIV positive were 74,500. 8
  • 9. Facts related to Nepal • Drug abusers in Nepal spend up to Injecting drug users $1 Million (90 Million Nepalese Rupees) on illegal drugs within the country each year, according to Narcoon Nepal • Many women are smuggling smack, cocaine found and hasish from India to Nepal and vice versa. 9
  • 10. • Nepalese women seem to influence from western culture. • Foreigners smuggle drugs in Nepal. • Women returning from abroad seem to traffic drugs. 10
  • 11. Hard drug users (in thousands) 17,870 28,439 IDUs Non- IDUs Hard Drug Users in Nepal Some Statistical Facts: 2063 11
  • 12. Area Kathmandu valley Female hard drug users 1878 Kaski 318 Jhapa 145 Sunsari 332 Rupandehi 133 Chitwan 191 Morang 50 Parsa 89 Makwanpur 19 Other areas 200 Total 3356 Hard Drug Users in Nepal Some Statistical Facts: 2063 12
  • 13. Reasons for entering drug trade • Poverty • To earn easy money • Peer pressure • Enthusiasm • Victims themselves enter in it 13
  • 14. Condition of female substance users in Nepal • About 24,000 female substance users exist in Nepal • 80% of female drug users have multiple sexual partners • Because of smoking and drug using habit they are more vulnerable to lung infections • No proper intervention from any part of the NGOs, INGOs, government or society, even the drug users’ community, in favors of females’ drug users 14
  • 15. Condition of female substance users in Nepal contd.... • Government , INGOs and NGOs hasn’t focus in their mental problems • They have gone through frustration, depression, anxiety, illusion, hallucination, del usion and suicidal tendencies. • Female drug users are in desperate need for drug treatment 15
  • 16. "I made mistakes and now [I’m] paying the price for it. I am now infected with HIV and I cannot do anything to get rid of it." Maya Thapa, former intravenous drug user. 16
  • 17. Reasons for using drugs • Hunger • Boredom • Fear • Feelings of shame, depression, and hopelessness • Lack of medicine and medical care • Difficulty falling asleep because of noise or overcrowding • Need to stay awake for job or protection Source: ESCAP HRD Course on Drug Use and its Relationships with Sexual Abuse and Sexual Exploitation of Children and Youth, (ESCAP, 2000). 17
  • 18. Reasons for using drugs contd..... • No recreational facilities • Social isolation • Lack of sexual desire to engage in sex • Loneliness • Physical pain 18
  • 19. Effects of drug use • Lessens hunger pangs • Creates sense of excitement • Generates a feeling of bravery • Helps to forget • Self medication • Produces drowsiness • Help users to stay awake • Offers entertainment 19
  • 20. Effects of drug use contd..... • Provides a sense of connection with other drug users • Can enhance sexual desire • Promotes socializing • Relieves physical pain 20
  • 21. Health problems seen in substance abused women • Neoplasm of breast/genital and genitourinary disorders • Disorders of pregnancy • Skin and musculoskeletal diseases • Ear diseases • Headache • Chronic urinary diseases • Constipations • Anaemia 21
  • 22. Health problems seen in substance abused women contd..... • Psychological distress • Respiratory diseases • Low body weight • Hypertension • Blood pressure • Cardiovascular complications • HIV/AIDS and STDs 22
  • 23. Symptoms that identify a person who may be using drugs • Marked personality change • Change in physical appearance or well-being • Mood swings • Change in school or work performance • An increase in secretive communication with others • Intuition • An excessive need for or increased supply of money 23
  • 24. Prevention of HIV through injecting drug use • Needle and syringe programs • Opiod substitution therapy • Voluntary HIV counselling and testing • Anti retroviral therapy • Prevention and treatment of sexually transmitted infections 24
  • 25. Prevention of HIV through injecting drug use contd.... • Condom programming • Targeted information, education and communication • Hepatitis diagnosis, treatment and vaccination • Tuberculosis prevention, diagnosis and treatment 25
  • 26. NGOs/INGOs working for women • New days fund Shakti Samuha Pokhara, Nepal • Naulo Ghumti, Nepal • UNODC, Nepal • Dristi, Nepal • CBS, Nepal • Naya Goreto Kathmandu Lalitpur Nepal • Friendship- Nepal 26
  • 27. Conclusion • Nepal does not have a good administrative data management system for any data collected for hard drug users in the country • HIV/AIDS and Drug abuse is a rapidly growing problem in Nepal • Women are in desperate need of help and treatment • Many organizations working for substance abused women isn’t focusing in their mental problems 27
  • 28. Conclusion contd.... • Drugs smuggling is also seen as an increasing problem • Women are taking it as a fast earning source • Smugglers found easy to smuggle drugs in Nepal because of weak security checkpoints • Because of poverty people are corrupt 28
  • 29. Recommendations • Promoting and protecting women's human rights • Focusing on women’s mental health • Establishing rehabilitation centres for abused women • Maintain strict security at checkpoints • Punishment for smugglers • Awareness programs related to substance abuse 29
  • 30. At community level • Awareness about smuggling • Mass and medias should be made alert • Fostering awareness among women and adult that injection drug abuse plays a significant role in the widespread transmission of the disease • Isolating substance users should be stopped 30
  • 31. References 1. http://alcoholism.about.com/cs/drugs/a/aa030425a.htm 2. Birecree, E. A., Bloom, J. D., Leverette, M. D., & Williams, M. (1994). Diagnostic efforts regarding women in Oregon prison system-A preliminary report. International Journal of Offender Therapy and Comparative Criminology, 38, 217-230. 3. http://www.havocscope.com/drugs/ 4. http://highwaydruginterdiction.com/ 5. http://investigation.discovery.com/investigation/drugmules/smuggling-slideshow.html 31
  • 32. 32