News / Africa

Kenyan Needle Exchange Program Faces Opposition

Promotion for upcoming Needle and Syringe Exchange Program, Teens Watch treatment center, Ukunda, Kenya, July 24, 2012. (VOA/J. Craig)
Promotion for upcoming Needle and Syringe Exchange Program, Teens Watch treatment center, Ukunda, Kenya, July 24, 2012. (VOA/J. Craig)
Jill Craig
In the shadows of tourist resorts and villas along the Kenyan coast, an increasing number of heroin addicts - sharing needles and engaging in unsafe sex - are driving up rates of HIV.

By implementing a needle exchange program along the coast and in Nairobi, the Kenyan government hopes to decrease its national HIV prevalence rates. But the effort is facing resistance from community leaders at the coast.

According to Kenya’s National AIDS and STI Control Programme, or NASCOP, the numbers of injecting drug users, known as IDUs, in Kenya have hit astronomical levels. Although exact figures are difficult to determine, NASCOP released a report in March of 2012 suggesting there are now more than 26,000 IDUs on the Kenyan coast alone.

Earlier NASCOP studies have found the overall HIV prevalence rate to be about 18 percent among IDUs in Nairobi and Mombasa - a rate significantly higher than the six percent found in the general population.

Shared needles

The 2012 report also says that a third of all IDUs have shared needles.

Dr. George Githuka leads the Most-at-Risk Population of HIV programs at NASCOP. He said that through the needle exchange program, IDUs will be able to visit select treatment centers to trade in their used needles and syringes for clean ones. He said they also will be provided education and introduced to additional treatment services. “Sharing needles is a driver of the epidemic among this population. It is a most effective way to prevent and control HIV among people who inject drugs. So being evidence-based, we are able to implement knowing that it would be effective,” Githuka said.

Githuka said the exchange program has been the target of much criticism from community leaders on the coast, but said that after a series of meetings with them, they now are willing to implement a small pilot program.

Critics

Not all of them, however, are pleased with this decision.

Amina Abdalla is the provincial coordinator for FADWO, the Fight Against Drugs Women’s Organization. Firmly against the exchange program, she agreed that HIV rates may decrease, but said that drug demand will skyrocket once needles and syringes are given out freely. “On my side, with my organization, we don’t agree. Because we know our government; it’s started something and then [will] leave it. So we know that our government is not ready to help us. So, this needle will never help this country. If they want to help our country [they should] come down and help our children who are infected. But not by giving them needles. So we’re talking about, we are not going to accept this,” Abdalla said.

According to Abdalla, proper needle and syringe disposal will be another challenge of implementing such a program at the coast. “Yeah, there are a lot of our children playing around everywhere. These drug addicts, after using this injection, they just dump it anywhere," she said. "So normally our children are playing outside in the garbage area, so they take those things and they play with [them]. So it is dangerous to our country because our country is not ready for cleaning. So we have a very bad environment in fact.”

Recovering heroin addict reads his Narcotics Anonymous book at Defence Drugs Women Organisation, Mombasa, Kenya, July 20, 2012. (Jill Craig/VOA)Recovering heroin addict reads his Narcotics Anonymous book at Defence Drugs Women Organisation, Mombasa, Kenya, July 20, 2012. (Jill Craig/VOA)
x
Recovering heroin addict reads his Narcotics Anonymous book at Defence Drugs Women Organisation, Mombasa, Kenya, July 20, 2012. (Jill Craig/VOA)
Recovering heroin addict reads his Narcotics Anonymous book at Defence Drugs Women Organisation, Mombasa, Kenya, July 20, 2012. (Jill Craig/VOA)
Myriad issues

Githuka admitted that proper disposal is a concern, but said the government will ensure appropriate measures are followed.  

“Community members have concerns, maybe about the disposal of the needles and syringes," he said. "They’re saying there might be disposal at the community level and various other concerns. Once we are able to dispel those concerns, or if challenges arise and we are able to tackle them, we’ll learn lessons. Then we’ll be able to move on to the other facilities quickly.”

Although the program may help reduce HIV prevalence rates, many heroin addicts admit that access to free needles will likely encourage them to use more of the drug.

Joseph is a 28-year-old boat operator in Diani, a beach located south of Mombasa. He has been doing heroin for six years. According to him, addicts would prefer rehabilitation as opposed to a needle-exchange program.  “A needle program, that is not a good issue even," he said. "There is no need of you to bring more needles. It’s better for us to help us. To take us to the place where we can be helped.”

The Kenyan government plans to implement the exchange program along the coast and in the capital,  Nairobi, by February.

You May Like

Video Snowstorm Sweeps Northeastern US

'This is nothing like we feared it would be,' New York City Mayor Bill de Blasio says; he had warned storm could be one of worst in city history More

Millions of Displaced Nigerians Struggle With Daily Existence

Government acknowledges over a million people displaced in 2014 due to fight against Boko Haram insurgency More

Facebook: Internal Error to Blame for Outages

Temporary outage appeared to spill over and temporarily slow or block traffic to other major Internet sites More

This forum has been closed.
Comments
     
There are no comments in this forum. Be first and add one

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Obama Urges Closer Economic Ties During Historic India Visiti
X
Aru Pande
January 26, 2015 9:33 PM
U.S. President Barack Obama says the United States and India must do better to capitalize on untapped potential in their economic relationship - by removing some of the roadblocks to greater trade and investment. As VOA correspondent Aru Pande reports from New Delhi, Obama spoke after participating in India’s Republic Day celebration.
Video

Video Obama Urges Closer Economic Ties During Historic India Visit

U.S. President Barack Obama says the United States and India must do better to capitalize on untapped potential in their economic relationship - by removing some of the roadblocks to greater trade and investment. As VOA correspondent Aru Pande reports from New Delhi, Obama spoke after participating in India’s Republic Day celebration.
Video

Video US, EU Threaten New Russia Sanctions Over Ukraine

U.S. President Barack Obama has blamed Russia for an attack by Ukrainian separatists that left dozens dead in the port of Mariupol and cast further doubt on the viability of last year’s cease-fire with the Kyiv government. VOA’s Michael Bowman reports from Washington.
Video

Video White House Grapples With Yemen Counterterrorism Strategy

Reports say the U.S. has carried out a drone strike on suspected militants in Yemen, the first after President Barack Obama offered reassurances the U.S. is continuing its counterterrorism operations in the country. The future of those operations has been in question following the collapse last week of Yemen’s government. VOA White House correspondent Luis Ramirez reports.
Video

Video Kerry Warns Against Violence in Nigeria Election

US Secretary of State John Kerry visited Nigeria Sunday in a show of the level of concern within the U.S. and the international community over next month’s presidential election. Chris Stein reports.
Video

Video Zoo Animals Show Their Artistic Sides

The pursuit of happiness is so important, America's founding fathers put it in the Declaration of Independence. Any zookeeper will tell you animals need enrichment, just like humans do. So painting, and even music, are part of the Smithsonian National Zoo's program to keep the animals happy. VOA’s June Soh met some animal artists at the zoo in Washington. Faith Lapidus narrates.
Video

Video Worldwide Photo Workshops Empower Youth

Last September, 20 young adults from South Sudan took part in a National Geographic Photo Camp. They are among hundreds of students from around the world who have learned how to use a camera to tell the stories of the people in their communities through the powerful medium of photography. Three camp participants talked about their experiences recently on a visit to Washington. VOA’s Julie Taboh reports.
Video

Video Saudi, Yemen Developments Are Sudden Complications for Obama

The death of Saudi Arabia's King Abdullah and the collapse of Yemen’s government have cast further uncertainty on U.S. efforts to fight militants in the Middle East and also contain Iran’s influence in the region. VOA White House correspondent Luis Ramirez reports on the new complications facing the Obama administration and its Middle East policy.
Video

Video Progress, Some Areas of Disagreement in Cuba Talks

U.S. and Cuban officials are reporting progress from initial talks in Havana on re-establishing diplomatic ties. U.S. Assistant Secretary of State (for Western Hemisphere Affairs) Roberta Jacobson said while there was agreement on a broad range of issues, there also are some “profound disagreements” between Washington and Havana. VOA State Department correspondent Pam Dockins has the story.
Video

Video US, Japan Offer Lessons as Eurozone Launches Huge Stimulus

The Euro currency has fallen sharply after the European Central Bank announced a bigger-than-expected $67 billion-a-month quantitative easing program Thursday - commonly seen as a form of printing new money. Henry Ridgwell reports for VOA from London on whether the move might rescue the eurozone economy -- and what lessons have been learned from similar programs around the world.
Video

Video Nigerian Elections Pose Concern of Potential Conflict in 'Middle Belt'

Nigeria’s north-central state of Kaduna has long been the site of fighting between Muslims and Christians as well as between people of different ethnic groups. As the February elections approach, community and religious leaders are making plans they hope will keep the streets calm after results are announced. Chris Stein reports from the state capital, Kaduna.
Video

Video As Viewership Drops, Obama Puts His Message on YouTube

Ratings reports show President Obama’s State of the Union address this week drew the lowest number of viewers for this annual speech in 15 years. White House officials anticipated this, and the president has decided to take a non-traditional approach to getting his message out. VOA White House correspondent Luis Ramirez reports.
Video

Video S. Korean Businesses Want to End Trade Restrictions With North

Business leaders in South Korea are calling for President Park Geun-hye to ease trade restrictions with North Korea that were put in place in 2010 after the sinking of a South Korean warship.Pro-business groups argue that expanding trade and investment is not only good for business, it is also good for long-term regional peace and security. VOA’s Brian Padden reports.

Circumventing Censorship

An Internet Primer for Healthy Web Habits

As surveillance and censoring technologies advance, so, too, do new tools for your computer or mobile device that help protect your privacy and break through Internet censorship.
More

All About America

AppleAndroid