Understanding Substance Use in Refugee Settlements: Insights from Northern Zambia
In a world where over 108 million people are forcibly displaced due to humanitarian crises, understanding the patterns of alcohol and other drug (AOD) use in refugee settings is crucial. A recent study conducted in the Mantapala Refugee Settlement in Northern Zambia sheds light on these patterns and offers insights for practitioners seeking to improve outcomes for affected communities.
The Study at a Glance
The research aimed to explore AOD use among Congolese refugees and the surrounding host community. It identified common substances, reasons for use, and potential interventions. The study involved 50 free listing interviews, 25 key informant interviews, and four focus group discussions with refugees, host community members, and humanitarian workers.
Key Findings
- Substances Used: The most commonly used substances were cannabis and home-brewed alcohol, particularly a potent brew known as Lutuku.
- Reasons for Use: AODs were used for self-medication, to alleviate boredom, and to cope with stress and trauma.
- Barriers to Treatment: Stigma, criminalization, and societal norms were significant barriers to accessing treatment.
Implications for Practitioners
Practitioners working in refugee settings can draw several lessons from this study:
- Address Underlying Causes: Interventions should consider the social and structural determinants of AOD use, such as unemployment and lack of housing.
- Reduce Stigma: Efforts to decriminalize AOD use and change societal perceptions are crucial for improving treatment access.
- Integrate Services: AOD interventions should be integrated with existing healthcare and social services to improve accessibility and effectiveness.
Moving Forward
This study highlights the need for tailored AOD services in refugee settings. Practitioners are encouraged to incorporate these findings into their work and consider further research to develop comprehensive intervention strategies.
To read the original research paper, please follow this link: Alcohol and other drug use patterns and services in an integrated refugee settlement in Northern Zambia: a formative research study.
