Guest guest Posted January 13, 2006 Report Share Posted January 13, 2006 Dear all Readers Its been very sad to mention about the situation of Manipur, it's ART prog and adherence etc. I am currently living in the second town which is the worst effected distt of the state. Churachandpur (CCPur) The medical facilities here in the state is very poor that the whole district (ccpur is the second town of the state) have only one distt. hospital that could not provide a strip of bandage at any given time. Unlike before, the govrnment started using Lobain (a Spasmo proxivon liked)the concern doctor is on leave for the last two weeks and there are tens of people waiting for the reoperation and redistribution of the medicines. I have approached the dept for three times but fail to get the medicines. Now the situation becomes really sad as the main drug - heroin become more and more expensive and and difficult to purchase. Let me mention that the pressure groups including several militia most of them are sub tribe based used to control the market and the victims becomes the poor drug users at the end. Churachandpur is the worst effected place, it will never be possible to compare the place with Ukraine like and any other countriies. Just imagine there are some young widow who just drop their ongoing art treatment due to lack of various aminities and transport sysytem. Bandh in the state is one of the common words always heard about and on the other hand the problem of money and CD4 counts. This widow i have mentioned is not a drug user. Else if the situation for a non drug users were like this we can never recommend any drug user to statrt art and expect them the stick with the so called adherence. The worst effected ccpur distt is a home for several mullti ethnic tribes where different militants are operating and these people were the current main pressure groups. if the heroin is not available in one area CONTROL BY SOME GROUP IT IS AVAILABLE IN THE other areas control by the others. lets also hightlight about the scenerio of drug substitution - drug users were always outcaste and treated like animals in the town. But on the other hand rehabilitation or detoxification becomes a fast growing business, there has been more than 15 rehab centrees where the charges for fooding and lodging were high, where most of the drug users and street dwelling users could not manage. the govt. also fail to provide substitution and they have their own story that people usually misused the medicines. But for those who are really in needs of the drugs and those who even approach with their guardians were turned down are there was no medicine for the last couple of weeks or more than a month. For those person who is craving for a fix of heroin it will be more recommendable if the person could get treatment for his addiction before starting the art. otherwise the medicien will be just wasted and the consequences of the MDR will kill more people. I personally feel and suggested that the govt or any involoving institutions should combine the two threatment therapy of solving the addiction problem firstly and then starting only when the user is ready and stay away from drugs-heroin for at two or three months. AS long as there is no assurance that the heroin market will become stable - interms of supply, inflation of price etc it seems to be impossible using and on ART at a time in our place. Changes of the atmosphere of the market always effect the users, for an example - sudden unavailability of the price effect our dose, means of getting money and switching from one drugs to the others. If the govt invest equal amount of money on art for the treatment of drug users by introducing more reliable substitution therapy, it seems to be more meaningful rather than always talking and mentionining about the number of PLWHA on art. we the drug users and our life are more important than those numerical numbers. Thanks Ricky Tombing e-MAIL: <rickytombing@...> Quote Link to comment Share on other sites More sharing options...
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