Drug use treatment during COVID-19 pandemic: community-based services in Nigeria

Abstract

ABSTRACT Introduction This study examined the utilization of community-based treatment services by people who use drugs (PWUD) in Nigeria during the lockdown following the COVID-19 outbreak. Methods Data were collected from six drop-in centers (DICs) for PWUD operated by NGOs in four geo-political regions in Nigeria, using a short questionnaire administered to the project managers by e-mail. It sought information on service utilization, sex distribution of service users, types of drugs used, types of services provided, and modes of service delivery for the period of October 2019 to May 2020. Data were analyzed using descriptive statistical techniques. Results Service utilization declined from 375 users in October 2019 to 198 in April, before reaching 321 in May. Female users were more affected by the disruption than men. Cannabis was the drug most commonly used by service users. There were significant gaps in service provision, including limited face-to-face counseling and discontinuation of other services. Conclusion The lockdown limited the range and quality of services provided, and constrained uptake by PWUD. Addressing gender-related barriers, improving funding, and adopting risk reduction measures are recommended for improving service delivery and uptake.