Settings |
Heroin market disruption: precipitating factors |
• High level policy speeches related to drug trafficking and profiting |
• Community demonstrations against GoK inaction on arresting “drug barons” and impact in Mombasa |
• Interdiction of heroin |
• Arrests of low level drug dealers |
Initiating events |
Heroin market disruption: consequences |
• Abrupt and sustained shortage of heroin |
• Heroin cost increases |
• Heroin quality decreases |
Internal reactions |
Public health emergency |
• Heroin users experience acute opioid withdrawal |
• No methadone available, no NSP and some chemists sell syringes |
• Logistics of procuring and using drugs adversely impacted: |
• Traveling long distances in search of heroin |
• Using in different hotspots |
• Pooling of resources |
Actions by heroin users to deal with the situation |
Disruption in drug users patterns: desperate and actions taken |
• Heroin users seek medical and drug treatment services |
• Logistics of procuring and using drugs adversely impacted |
• Shift from smoking to injection |
Consequences of heroin users’ actions |
HIV risk behaviors |
• Syringe sharing |
• Sick, pooled resources must be divided, cannot access syringes |
• Flashblood |
• Sex for drugs |
Coda/return to the present |
Morbidity |
• Resurgence of supply leads to relapse and overdosing |