war on drugs: public health perspective - ateneo.edu campaigns-vilma diez.pdf · war on drugs:...
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War On Drugs: Public Health
Perspective.
(CDR,Res) MA.VILMA V. DIEZ, MD, MHA, PHSAE, MNSA, CESO IV Director III, Office for Special Concerns
Dangerous Drug Abuse Prevention and Treatment Program
Introduction
• As of 9/22/2016:
712,730 surrenderers
• 1.8M - 3M dug users:
0.6 - 1% (18-30k) will be inpatient
99% (2.9M) will be out-patient (CBRP)
• 92% NCR Barangays affected
• 44 DATRCs: 15 DOH,>5.5k beds;
29 NGOs, >1.7k beds
Total = 7-10K beds
VISAYAS Western Visayas: . POTOTAN, ILOILO**
Cebu: ARGAO, CEBU / . MANDAUE CITY
Eastern Visayas: DULAG, LEYTE
NIR_______
MINDANAO Northern Mindanao:CAG. DE ORO
Davao: DAVAO
CARAGA:SURIGAO CITY
Zamboanga: __SOCCSKSARGEN:___ ARMM:____
LUZON NCR: BICUTAN, TAGUIG CITY **
Ilocos Region: . DAGUPAN, PANGASINAN
Cagayan Valley: ILAGAN, ISABELA Central Luzon: PILAR, BATAAN Calabarzon: TAGAYTAY**
Mimaropa___________ CAR: __________
Bicol: SAN FERNANDO, CAM. SUR** MALINAO, ALBAY**
DOH Residential DATRCs in the PHIL.
GAPS
• for 99% (2.9M) outpatient: CBRP tru BADAC
• for 1% (30K) inpatient: lack 20K beds
• Priority policy recommendations:
–court order for surrenderers ?
- Monitoring CBRP & After Care
- Land ownership of DOH DATRCs
- Halfway house in LGUs, DATRCs/region
- For Mega TRCs: 100 beds/team, better manage
- SDN (continuum of care) /LGU or ILHZ
1.) DOH thru ROs & DATRCs:
- NCR trained MDs/district,
- Reg.1 devised good algorithm,
- Reg.5 very good inter-agency collaboration
- DATRCs doubled, tripled their capacity
We meet RDs & DATRC Chiefs once/month to report
responses, plans, needs
Immediate Responses
3.) Standard guidelines on voluntary surrenderers of drug users & dependents
http://www.ddb.gov.ph, email: [email protected]
4. Temporary DATRCs in Military Camps
• Luzon: Fort Magsaysay, Nueva Ecija
• Visayas: Camp Gen.Macario Peralta Jr., Jamindan, Capiz Camp Rajah Sikatuna, Carmen, Bohol
• Mindanao: Saranggani
6. Harmonization/Standardization of: Trainings, Algorithms, Forms, Halfway
houses, Standard Treatment Program for Mega TRC; Policy Recommendations
Activities • Every Tues.: TWG meet for establishment of Mega
DATRC
• Every Wed.: inter agency convergence meet
• 1st wk of the month: 2 days meet with ROs & TRCs;
• 1st wk Oct: IEC Materials Development; Museum contents
• 4th wk Oct: Develop Info System;
• 1st wk Nov: Train 1 MO/DATRC in Meth & alcohol detox
• 2nd wk Nov.: Strategic Planning
• 3rd wk Nov.: Review Standard lay out of DATRCs
• 1st wk Dec.: Plan to institutionalize DDAPTP
Plans
• Goal: Prevalence of drug abuse & its health-related effects are further reduced.
• Mission: Lead in the implementation of a unified & rational health response in the fight against drug abuse, through a more effective drug abuse prevention, treatment & rehabilitation.
What we want to achieve: 1. More effective leadership & governance for
drug abuse prevention, treatment & rehabilitation;
2. Provision of comprehensive, integrated
health care services in TRCs & community-based
settings;
3. Implementation of strategies for health promotion &
drug abuse prevention;
4. Strengthened information systems & evidence based
research.
We need to take an eye to the real target !
Abstain
Tx,
Rehab,
After-care,
& other
ancillary
support
services
Functional in
family, School
or work
& community
At Risk Population
3 Strategies Strategy 1 Establishment of additional facilities to improve
accessibility in areas without DATRCs & provide wider
coverage of service for clients with “severe substance
use disorders”
DOH 4 DATRCs in regions without rehab facilities
With Private
With LGUs
4 temporary Mega DATRCs in military camps
Halfway House to decongest regional DATRCs with
outpatient & after care services
Strategy 2 PhilHealth coverage to lessen burden of facilities & reduce out of pocket expense. Patients can avail of variety of evidenced-based tx programs not offered by government.
PhilHealth structured 2-mos. or 45 days program (required by IRR of RA 9165) for P40,000 tru PhilHealth… (for 20,000 patients, it will cost the government P800M/year
Strategy 3 Incorporate Drug Abuse Intervention in PHC Program - encourage participation of all sectors at the community to provide early interventions & advocacies that will prevent progression of drug user to drug dependent. Institutionalize DDAPTP in the community.
Activate ADACs & Mobilize LGU Health Units
-Capacity building of ADACs & LGU Health Center staff on: a) Community mobilization & networking b) Knowledge on addiction & tx c) Mapping & referral system for service providers d) Screening & assessment of clients e) Data management & monitoring of clients -81 Provinces, initial 50 LGU paramedics to be trained x 3 days (81 provincesx50 x3dxP1,800/day = P21,870,000.00) -Provision of Com-based manuals & IECs (81 provinces x 50 staffxP1,000 cost of manuals & IECs = P4,050,000) -Travel & other incidental expenses of resource persons (P1,000,000)
-Total Cost to prepare communities = about P26,920,000 Mobilize Stakeholders
Faith-Based & Private Organizations at the community knowledgeable in providing behavioural modification & value formation initiatives. Advocacy can be charged from LGU IRA (Sec.51, RA 9165)
How can we assist LGUs?
Through our Regional Offices:
• Technical assistance on:
- training of personnel
- establishment of DATRCs ( 1 / region)
- establishment of halfway house in areas near DATRCs
- admission to DOH DATRCs
- Community Based Rehab Program (CBRP)
• Policies/guidelines/standards
- Permit to Construct, License to Operate
- Algorithms (guidelines), Training Manuals, MOP
- Lay out, Staffing standards, Costing
- New Issuances e.g EO, MOA, DDB
100 Beds: P 248,194,800
• 1.5 hectares
• Master Site
Development Plan =
P158,263,200
• Land Development =
P10,800,000
• Medical Equipment &
Furnitures =
P79,131,600
Dormitory
Admin Bldng
Multipurpose Covered Court
Visitor Staff Building
Motorpool
Laundry Building
Kiosk/Canteen
Solar lighting
Entrance Powerhouse
Hydrotherapy
Landscape
Sewage Treatment plant
Halfway House: 50 beds satellite of DATRC
• Dormitory = P 8,424,000.00 • Multi-purpose Covered Court/Hall = P 9.9 M
Total: P18,324,000.00 Operationa annual cost: P 10 M