A descriptive survey of types, spread and characteristics of substance abuse treatment centers in Nigeria

Substance Abuse Treatment, Prevention, and Policy

Taiwo A Adamson¹  Akinwande O Akinhanmi¹  Adegboyega Ogunwale¹  Olorunfemi O Ogunwobi¹  Edward B Somoye¹  Peter O Onifade¹ 

[1] Drug Addiction Treatment, Education and Research Unit, Neuropsychiatric Hospital, Aro, PMB 2002, Abeokuta, Ogun state, Nigeria

关键词: Nigeria;    treatment;    abuse;    Substance;   

Others  :  834565
DOI  :  10.1186/1747-597X-6-25

 received in 2009-12-10, accepted in 2011-09-18,  发布年份 2011

【 摘 要 】

Background

Nigeria, the most populous country in Africa and the 8th most populous in the world with a population of over 154 million, does not have current data on substance abuse treatment demand and treatment facilities; however, the country has the highest one-year prevalence rate of Cannabis use (14.3%) in Africa and ranks third in Africa with respect to the one-year prevalence rate of cocaine (0.7%) and Opioids (0.7%) use. This study aimed to determine the types, spread and characteristics of the substance abuse treatment centers in Nigeria.

Methods

The study was a cross sectional survey of substance abuse treatment centers in Nigeria. Thirty-one units were invited and participated in filling an online questionnaire, adapted from the European Treatment Unit/Program Form (June 1997 version).

Results

All the units completed the online questionnaire. A large proportion (48%) was located in the South-West geopolitical zone of the country. Most (58%) were run by Non-Governmental Organizations. Half of them performed internal or external evaluation of treatment process or outcome. There were a total of 1043 for all categories of paid and volunteer staff, with an average of 33 staff per unit. Most of the funding came from charitable donations (30%). No unit provided drug substitution/maintenance therapy. The units had a total residential capacity of 566 beds. New client admissions in the past one year totalled 765 (mean = 48, median = 26.5, min = 0, max = 147) and 2478 clients received services in the non-residential units in the past year. No unit provided syringe exchange services.

Conclusions

The study revealed a dearth of substance abuse treatment units (and of funds for the available ones) in a country with a large population size and one of the highest prevalence rates of substance abuse in Africa. The available units were not networked and lacked a directory or an evaluation framework. To provide an environment for effective monitoring, funding and continuous quality improvement, the units need to be organized into a sustainable network.

【 授权许可】

   
2011 Onifade et al; licensee BioMed Central Ltd.

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