Alcohol and Substance Use in Humanitarian and Post Conflict Situations Assessment

Abstract

Alcohol and other drug abuse is more prevalent and poses a greater risk for those living in conflict-affected areas, but usage patterns differ greatly among cultures and situations. The use of drugs or alcohol during or after a fight can make the health and social effects of the conflict worse and hinder the healing process. The use of substances, particularly alcohol, as a coping mechanism for increased psychosocial distress and adversity in the wake of a humanitarian emergency is one of the mechanisms by which conflict is thought to increase risk for substance misuse. Other mechanisms include changes in access to and availability of alcohol and other drugs, displacement, and changing social norms. Due to the great heterogeneity of research and the wide range in measurement, study design, sampling techniques, and features, epidemiologic estimates of the burden of substance abuse in conflict-affected populations are not always accurate and challenging to compare. Recommendations for managing substance use are included in important intervention guidelines for humanitarian assistance, such as the Sphere Handbook and the IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings. However, in reality, the humanitarian response does not adequately address drug and alcohol abuse. The number of consultations for alcohol or drug use disorders was minimal, according to an analysis of consultations in health facilities in 90 refugee settings. In populations affected by conflict, alcohol and other substance abuse are serious but underappreciated public health concerns. In this, we examine the research on the problems and solutions for providing drug abuse treatment and preventive services in low- and middle-income countries during and after conflicts.. Low political priority, a lack of coordination and integration, and insufficient advocacy for access to substance abuse services were challenges that existed in the external setting.