Kabul is believed to have the largest population of drug users in the country with 20,000 to 25,000 opium users and 15,000 to 20,000 heroin users [UNODC/UNAMA, 2009]. In the largest drug using site in Kabul, it is estimated that at least 30% of the population injects drugs [Ministry of Counter Narcotics, UNODC, January 2009]. One of the largest and most visible meeting points for drug users in Kabul was the ‘Old Russian Cultural Centre’ in Elmo Fahrang, where around 1,000-1,300 either slept or gathered during the day. This location hosted a very large open drug scene.. Past efforts had been made to clear the site, but the lack of alternatives attracted many socio-economically marginalized people using drugs, including deportees, mostly from Iran, for drug-related offenses. In a short period in December 2008, numerous deaths were reported due to overdose, cold, malnutrition or other health conditions at the site. Medicine du Monde (MDM) reports that, from results of voluntary counseling and testing carried out at the site, HIV prevalence was of 9.9% and HCV prevalence of 56%. The dramatic situation of the centre raised the attention of the Afghan government and international donors. The government, UN agencies and NGOs started providing humanitarian assistance for a period of four months, including reinforcing outreach coverage and on-site services. The Ministry of Counter Narcotics coordinated a ‘Joint Response Team’ of 24 health and social workers from NGOs and the government. In May 2009, the Russian Cultural Centre was closed and drug treatment services were opened in a new building in Jangalak provided by the government. Through funding initially from IOM and subsequently from UNODC, NEJAT delivers structured treatment to male drug users at the Jangalak centre, which was then transformed into a night shelter and treatment setting. NEJAT first had to engage in building repairs as Jangalak was then only a bombed out shell of a building (see pictures above). After the repairs where done Nejat started a program offering to the local drug users a residential drug-treatment of, complemented by pretreatment, motivation, detoxification, aftercare and follow-up, rehabilitation, re-integration, referral services to vocational training. The residential program lasts 45-60 days and can host up to 60 patients at any given time. The residential program is complemented by a small outpatient centre, which is open 12 hours a day, 6 days a week, providing basic medical care and wound management. After working hours the services of the outpatient clinic are still available through the night shelter facility also set up within the Jangalak building where staff is available 24hrs per day 7day per week. Here, food is provided to clients, primary health care services and also counseling, the night shelter acts as a motivational tool for client to access treatment, if they so wish. Since opening the Jangalak treatment center Nejat has assisted over 800 people with treatment on a residential basis and countless more through the night shelter and outpatient clinic.
According the MoPH requirement NEJAT Center GLOJ71 project shifted on 15 Aug 2012 from Jangalak building, on 15 July 2012 NEAJT Center GLOJ71 project start the project same activities at Kot-e Sangi Kabul.
After completing preparation of project at Kot-e Sangi building NEJAT organize a grand opening ceremony on 11 Nov 2012 In which the government ranking authorities , UNODC and INL members and Journalist from different TV channels invited for celebration and inauguration of NEJAT Center GLOJ71 project at Kot-e Sangi in this regard the following members participated, from government authority Dr. Soraya Dalil Minister of Public health, Dr Usmani DDR Director of MoPH, Mr Ibrahim Azhar deputy Director of MCN, Nasir Sharifi DDR Director Of MCN, Mr. Wahidi, President Advisor And from UNODC/ INL delegation.
This is necessary to mention the point out ceremony inaugurated by Dr Sorya Daleli the Minster of Public health of Afghanistan. After inauguration of project they participants visit all department and sections of GLOJ71 project and also have interviews with different press members, as well as this celebration program is broad cost in Kabul TV channels.