Salum, "People say it takes a man to stop using hard drugs; it is no joke"

STONE TOWN, Salum, 40, from the western district of Zanzibar spoke to IRIN about his struggles with addiction. He is undergoing rehabilitation at an informal centre.

"I started using drugs in 1987 while in Karachi, Pakistan, where I had gone in the hope of travelling on to Europe. I made a living in the ghetto by repackaging 'crack' for trafficking in small sweet-like packages.

"I was introduced to drugs by a lady we were living with. I started by smoking joints [marijuana], then graduated to ‘riding three horses’ [a cocktail of marijuana, tobacco and heroin], then injecting [heroin].

"When I got a chance to go to Europe in 1992, I was arrested in Italy and deported to Zanzibar where I continued my drug habit.

"I did not want to become a thief but I ended up becoming one to buy drugs. I embarrassed my family; people here [in Zanzibar] are very sensitive, they know each other, they talk.

"My dad struggled to assist me until his death. My brothers and sisters did not help me, they said it was a choice I had made to use drugs and that it was up to me to stop.

"My mother did not abandon me; she would bail me out whenever I was arrested for stealing. When she died, a month before I was sentenced for robbery with violence, I felt responsible for her death; she had died of high blood pressure. I regret making her suffer; she sold her jewellery trying to get me treated.

"In jail, I continued using drugs; other prisoners would ask me to test their 'product' due to my Pakistan experience. Years later, I was released having wasted most of my life.

"I eventually found the courage to approach my brother to ask him to pay the fee at the drug recovery centre; he did not take me seriously. But I persisted and he paid 300,000 Tanzanian shillings [about US$222] for three months.

"I have struggled with addiction for more than 20 years; I was wondering why I was not able to stop. I would sit up at night and cry because I felt unwanted. I tried to quit but relapsed, I wanted a quick fix.

"Before, I felt no remorse at my violent actions; I used to live to be high... At the recovery centre, the trainers say we should seek forgiveness from those we wronged in the past; but how do I do this when I caused some people such harm? People used to be afraid to meet me in Stone Town's alleys.

"At the recovery centre, I have learned to be patient, to accept that I am sick and that if I give into temptation it will be a big mistake.

"During my detoxification, I went for eight days vomiting and passing loose stool at the sight of food. People say it takes a man to stop using hard drugs; it is no joke.

"I am putting on weight and getting positive encouragement but when my rehabilitation is over, I am not sure where I will go. My uncle, who is helping me now, does not want me to stay at his house incase I cause trouble. My siblings do not trust me. I hope to be reunited with my family someday. For now, getting rid of the addiction is my priority; God will take care of the future."

Tackling Drug Abuse in the Islands.....

From the outside, there is little that sets the three-bedroom house apart from its neighbours in this suburb of Stone Town. But inside, the building offers a rare lifeline to two dozen young men from across Zanzibar trying to kick their drug habits.

While reliable figures are hard to come by, specialists say there has been a significant increase in the use of hard drugs over the past few decades, and a corresponding increase in HIV prevalence among intravenous drug users (IDUs).

"When you stop using drugs you get so scared, you think you are going to die, but here you draw support from others. You ask why is the other person able to stop but not me?" Abdulrashid Salum, a recovering addict at the house, told IRIN.

The sober house provides classes on anger management, self esteem and drug relapse signs.

"We learn to accept that we are powerless against drugs, that we should avoid former leisure groups and the use of drugs such as alcohol to avoid sliding back into using drugs..." Salum added. "It is a dangerous thing to relapse; many end up in jail or dead. Relapse is a choice not bad luck."

The programmes are based on spiritual principles emphasizing abstinence and behaviour change, founder Suleiman Mauly said. "We have no counsellors, doctors or police here... it is based on people's free will to change," he said. The six-month programme costs about 100,000 Tanzanian shillings a month (US$74).

Meditation is a key component. "This helps recovering addicts to get rid of resentment. They identify situations which can cause them to relapse," said Mauly. Journal writing is encouraged and shared during peer sessions.

"It is from such sessions that we have learned the need to avoid engaging in promiscuous sexual relationships unlike in the past when this would happen when one was high," he added. Most affected are people aged 14-35, with marijuana and heroine most abused.

The sober houses are run by former addicts; rent is covered by the Detroit Recovery Project, while contributions from well-wishers meet other costs. Staff salaries are paid in kind too.

"We [former addicts] are experts to some extent, we know how it feels, the withdrawal effects, it helps make sense to the recovering addicts," Mauly said. "When you use drugs, you can influence others to use them, similarly when you are clean, you can influence them to recover."

Mauly, 29, who quit using heroin two years ago, recalled his experience: "I did not have any idea how powerful addiction was. I would try to limit my use to weekends but it did not work. I even tried substituting it with 'softer' drugs such as alcohol and marijuana, but failed.

"Addiction is a powerful disease, some of us were thieves and beggars; we have not come here from offices or mosques, so telling people to observe rules in the house after such a background is difficult."

HIV risk

The Zanzibar Association of Information Against Drug Abuse (ZAIADA) is among organizations linking affected youth to the sober houses through outreach workers and peer educators.

"When you ask them [the youth] why they use drugs, they say, because we are jobless," Mbarouk Said Ali, a programme officer with ZAIADA, told IRIN. Stone Town and the northern region, where most tourist resorts are located, are the most affected.

Easy access to drugs and the presence of many visitors to the island have fuelled drug availability, Mbarouk noted.

Long-term rehabilitation is, however, a problem. "We are seeking to build a skills training centre," he said. "For now, the most we can do is provide information and referrals for treatment."

With the community, ZAIADA is looking into supplying fresh syringes with a view to reducing HIV infection from syringe sharing by IDUs. "The community is okay with this as long as the reason is to prevent HIV," he said.

Zanzibar has a low HIV/AIDS prevalence in the general population at about 0.6 percent. However, HIV is more concentrated in high-risk groups such as drug users, men who have sex with men, and sex workers.

A 2006 government study found a link between substance abuse and HIV/AIDS. It showed that 30 percent of IDUs were HIV positive, compared with 12 percent of non-IDUs. Of the IDUs who shared needles, 28 percent were infected, against 5 percent who did not share needles.

Mohamed Dahoma, director of HIV/AIDS at the Ministry of Health and Social Welfare, told IRIN the number of drug abusers had been growing in Zanzibar. He said easier infiltration, as in most coastal areas, and a demand-driven supply were among the causes.

Surveys in 2005 and 2007 found a high correlation between drug use and high-risk behaviour, he said. "The surveys found that substance abusers were more likely to engage in flash-blood and needle sharing, low condom use and transactional sex," he said. Hepatitis B and C and HIV/AIDS were also documented.

The lack of trained personnel and insufficient funding are other challenges, Reychad Abdool, the regional HIV/AIDS adviser, Africa and Middle East, at the UN Office on Drugs and Crime (UNODC), told IRIN. UNODC is helping to build the capacity of government and civil society organizations to address drug abuse, including injecting drug use and related HIV prevention, and drug dependence treatment, Abdool added.

Meanwhile, the sober houses are helping to make a difference. "We are helping some drug users quit. We get a chance to save some lives," Mauly said. However, he added: "There are other issues such as the lack of jobs for former addicts. We do not want dry junkies [people who quit drugs but lack vision]."

One Square Mile: Zanzibar

Zanzibar is about the size of London, for BBC World News Zeinab Badawi explores just one square mile.

There’s evidence of 2000 years of contact with the African mainland, the Gulf and India. It was the centre of the East African slave trade, ended by the British when they colonized the place at the end of the 19th century.

Zanzibar has seen its fair share of troubles – most recently, a bloody revolution in 1964 that saw Zanzibar make a union with mainland Tanzania.

But despite a turbulent past, this autonomous Tanzanian island now appears to be an oasis of peace and stability in a part of the world no stranger to strife.

More at BBC EXPLORES

Zanzibar: Too much work, too little school

STONETOWN, 7 April 2010 (IRIN) - Malindi fish market in Zanzibar's Stonetown is a bustle of economic activity, but the prospect of a quick buck attracts too many children who should be in school, say activists.

"The children want to go to school but they have to [work to] support their parents," Mubarak Maman, Zanzibar Programme Manager for Save the Children, told IRIN.

In the market, they are mostly seen serving tea or selling snacks in the morning and early afternoon when the fishermen arrive with the day's catch.

The situation is replicated across East Africa's spice islands. Despite a global reputation as a major tourist destination, the semi-autonomous Zanzibar islands are poor - fuelling child labour and exploitation.

"When you go to Pemba [one of Zanzibar's constituent islands], there is a large number of children involved in fishing and rock-breaking for gravel," Maman said. "The parents say they cannot afford to send the children to school."

However, according to a 2001 assessment by the International Labour Organization (ILO), children in Zanzibar face a tougher time working in clove plantations and seaweed farms, as well as in the hotel and tourism sector. Many are also engaged in child prostitution.

More than 100,000 children between the ages of five and 17 are employed in Zanzibar, according to a 2006 government survey.

Hamza, 15, a juice seller for a year, said he works six hours daily, earning about 7,000 Tanzanian shillings (US$5), most of which goes to his older brother. The remainder is sent off to his parents on the mainland.

"My parents are poor, they could not afford to keep me in school," he said, adding that he would like to return to school. "I am afraid that if I ask my brother to take me back to school he may send me back home to my parents."

Education

Basic education in Zanzibar is compulsory for 12 years – eight years of primary and four of secondary school - but there are no legal provisions for enforcement. There are also other costs, such as uniforms, which lock out the poor.

The perception of low returns on education means parents and children value short-term gains from child labour at the expense of education, according to Zanzibar’s 2009-2015 National Action Plan (NAP) for the elimination of child labour.

"For the majority of children who do not go beyond Basic Education, the prospects for gainful employment are minimal," it stated. This contributes to low demand for schooling and high drop-out rates.

Maman of Save the Children said it was not easy to draw a line between working children and domestic labour. "This is because some of the children work and then go to school; others are not working but are in exploitative situations," he explained.

Some residents also consider it a form of training for the children to take on future roles, such as fishing.

Raising awareness

Fatma Rashid, a liaison officer with ILO in Zanzibar, told IRIN that while child labour was a big problem, community awareness about its effects was low.

"We use mass media for awareness, conduct seminars... we invite parents and shehas [community leaders] to go back and educate others," said Rashid.

ILO is developing a school curriculum so that children in schools are aware of the issues, she said.

According to the NAP, weak implementation capacity and lack of coordination among agencies, together with poor awareness of child rights and weak enforcement of laws and regulations, need to be addressed.

The application of labour laws mainly in the formal sectors has left informal and traditional sectors - the main employers of children - unregulated.

The NAP expects to address these issues and undertake a review of the school curriculum to enhance relevance in addressing local community needs with a view to improving enrolment and retention.

A child labour steering committee, comprising officials from relevant agencies, will provide implementation guidance.

"The child protection issue is overlapping; it is the responsibility of many departments. There is a need for national coordination among the various actors as well as awareness-raising to encourage people to report cases of child abuse," said Maman.

"There should be a legal framework to make it mandatory to report for whoever comes across such a case."

Asha Aboud Mzee of the NGO, Catalyst Organization for Women Progress in Zanzibar, said women should be involved. "If something happens, they [the women] do not know where to report," she said.


Source: IRIN Africa