SENEGAL / OPIOID THERAPY CLINIC

Preview Language:   Original
29-Jul-2022 00:04:17
To reduce the spread of HIV, a drop-in clinic in Dakar offers free opioid substitution to people who inject drugs. UNAIDS

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STORY: SENEGAL / OPIOID THERAPY CLINIC
TRT: 04:17
SOURCE: UNAIDS
RESTRICTIONS: NONE
LANGUAGE: FRENCH / ENGLISH / NATS

DATELINE: NOVEMBER 2021, DAKAR, SENEGAL / JULY 2022, MONREAL, CANADA / MAY 2021, THE PHILIPPINES / OCTOBER 2021, MAURITANIA

SHOTLIST:

NOVEMBER 2021, DAKAR, SENEGAL

1. Aerial shots, Dakar
2. Various shots, streets, market, taxis, motorbikes, people walking
3. Daouda Diouf, walking to the opioid substitution centre, Centre de Prise en Charge Intégrée des Addictions (CEPIAD)
6. Wide shot, Fann Hospital compound
7. Close up, CEPIAD sign
8. SOUNDBITE (French) Daouda Diouf, tailor, and former addict:
“I am here to take my treatment, and I am a tailor.”
[“Je suis içi pour prendre mon traitement et je suis maître tailleur.”]
9. Med shot, Daouda Diouf, behind sewing machine, CEPIAD
10. Various shots, Daouda Diouf sewing, cutting material, ironing
11. Wide shot, Daouda Diouf and another patient at CEPIAD
12. SOUNDBITE (French) Sot El Hadj Diallo, gardener and former addict:
“Gardening is like a type of therapy. When we are here, we forget our problems.”
[“Le jardinage c’est une sorte de thérapie, quand on est là on oublie tous les problèmes.”]
13. Various shots, El Hadj Diallo gardening
14. SOUNDBITE (French) Sot Mangane Bouthia, pharmacist:
“Methadone is a medicine that acts as a heroin substitute. In our case, it’s a syrup dosed in 10mg/ml portions. Doses vary from patient to patient.”
[“La méthadone est un médicament de substitution à l’heroïne qui est sous forme de sirop dosé a 10 milligramme par mililitre et les doses varient d’un patient à un autre.”]
15. Various shots, door partially opened to pharmacy, ledger with dosage, attendance of patients
16. Wide shot, Mangane Bouthia talking to patients
17. Close up, measuring cup with methadone and syringe
18. Med shot, Mangane Bouthia distributing methadone dose in separate bottles
19. Med shot, patient putting doses in an envelope
20. SOUNDBITE (French) Idrissa Ba, Coordinator, Centre de Prise en Charge Intégrée des Addictions (CEPIAD):
“CEPIAD has become a screening and diagnostic center for HIV, tuberculosis, and hepatitis as well.”
[“CEPIAD est devenu un centre de dépistage et diagnostique pour le VIH, la tuberculose, les hépatites aussi.”]
21. Various shots, patients, Idrissa Ba, staff members
22. Wide shot, women advocating for harm reduction (opioid substitution) at a stand
23. Wide shot, sign of Conseil National de la lutte contre le sida du Sénégal (CNLS)
24. Wide shot, CNLS office building
25. SOUNDBITE (French) Mariama Ba Thiam, peer educator and former addict:
“I go out into the community and visit my peers to raise awareness about getting off drugs and reducing health risks, so I refer them to CEPIAD, and they can, like me, stop drugs.”
[“Je vais dans la communauté, je vais voir mes pairs, j’essaye de les sensibiliser a non seulement arrêter la drogue mais à réduire les risques de la consommation, les référer au CEPIAD et faire comme moi arrêter.”]
26. Various shots, streets, cars, buses

27 JULY 2022, MONREAL, CANADA

27. SOUNDBITE (English) Winnie Byanyima, Executive Director, Joint United Nations Programme on HIV/AIDS (UNAIDS):
"Ultimately, ending AIDS would cost much less money than not ending AIDS. Importantly, the actions needed to end AIDS are also key for overcoming other pandemics.”

MAY 2021, THE PHILIPPINES

28. Various shots, young man living with HIV going for a check-up and getting a blood test
29. Various shots, cotton on arm to disinfect, nurse drawing blood
30. Various shots, HIV treatment pills, young man taking HIV treatment
31. Various shots, vials of blood for HIV testing, HIV treatment being counted out on a metal tray, nurse showing how to use a condom

OCTOBER 2021, MAURITANIA

32. Various shots, women waiting, nurse pricking a patient’s finger for HIV test and setting up a litmus test

NOVEMBER 2021, DAKAR, SENEGAL

33. Various shots, young people playing basketball, girls running in a park

27 JULY 2022, MONTREAL, CANADA

34. Various shots, streets, exterior of AIDS Conference centre

STORYLINE:
To reduce the spread of HIV, a drop-in clinic in Dakar offers free opioid substitution to people who inject drugs.

On the Fann Hospital compound in Dakar, the Centre de Prise en Charge Intégrée des Addictions (CEPIAD) is one of the first harm reduction centres in Senegal.

It has 250 people enrolled in its opioid substitution therapy programme.

Founded in 2014, the centre has cared for more than one-thousand people.

Aside from syringe exchange, opioid substitution (a daily dose of methadone), and psychosocial support, CEPIAD offers health care.

The aim is to reduce the spread of HIV among people who inject drugs.

In Senegal, HIV prevalence among people who inject drugs is 9 percent, well above 0.5 percent among the general population.

More than three-quarters of patients are men, but CEPIAD has been working hard to enroll more women – who are more likely to live with HIV.

Mariama Ba Thiam, a former drug user, living on the streets for years, is now a peer educator at CEPIAD.

She is worried about rising drug consumption among young people and dwindling funds.

El Hadj Diallo, a patient at CEPIAD, oversees the vegetable garden at the centre with other patients, while former tailor Daouda Diouf, another patient, teaches sewing to peers.

The centre encourages patients to learn a trade and organizes training from making soap to painting.

Drug use is a criminal offense in Senegal, but CEPIAD has the government’s support and various international organizations like UNAIDS and The Global Fund.

A new UNAIDS report, In Danger, was launched ahead of the International AIDS Conference in Montreal, Canada (29 July-2 August).

In it, UNAIDS shows that globally, the number of new infections dropped only 3.6% between 2020 and 2021, the smallest annual decline in new HIV infections since 2016.

The human cost of a stalled HIV response is chilling.

Globally, more than 1.5 million people became infected with HIV last year.

That’s 4.000 people every day, more than a quarter of them young people aged 15-24.

Worldwide, an adolescent girl or young woman acquires HIV every two minutes.

The number of people on HIV treatment grew more slowly in 2021 than in over a decade.

While three-quarters of all people living with HIV have access to antiretroviral treatment (28.7m), approximately 10 million people do not, and only half (52%) of children living with HIV have access to lifesaving medicine.

The gap in HIV treatment coverage between children and adults is increasing rather than narrowing.

Although affordable treatments are available to prevent most AIDS-related deaths, 650.000 people died of AIDS-related illnesses in 2021.
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UNAIDS
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unifeed220729a
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2911387