Stigma and discrimination in different contexts, as well as individual factors such as socioeconomic status, gender, race, and health status, severely impede key populations’ rights for equitable access to HIV, Sexual Reproductive Health and Comprehensive Healthcare. Policies that legitimize laws that uphold discrimination and stigma are justified in large part by stereotypes.
The younger a child initiates alcohol and other drug use, the higher the risk for serious health consequences and progressed adult substance dependence. In South African schools, drug and alcohol use among students is rapidly rising, challenging the relationships between teachers and students and lowering the standard of instruction.
Gender-based violence (GBV) is a profound and widespread problem in South Africa. Dubbed the “rape capital of the world” by Human Rights Watch, South Africa has some of the highest rates of genderbased violence worldwide, including rape, female homicide, and domestic abuse.
South Africa has a serious and rapidly increasing drug and alcohol consumption issue; we rank among the top 10 globally for alcohol consumption, and drug use is double the world norm. Factors, such as social, economic, and family decay, ingrained in daily life and are becoming increasingly challenging.
Substance and Alcohol Dependence is a national crisis with alcohol consumption and illicit drug consumption in South Africa recorded statistically as being double the world norm. The dire socio-economic climate and increasing drug availability has led to an upsurge in gender based violence and a continual and alarming increase in substance and alcohol misuse.
South Africa has among the highest rates of intimate partner violence (IPV), and recently released data from Statistics SA shows that rape and sexual violence have become hyperendemic with one woman murdered every 3 hours. Only one in nine rape cases are ever reported.
The harmful effects of stigma and discrimination associated with substance and alcohol dependence results in reducing the chances of the individual seeking treatment; affects treatment retention and the individual’s ability to maintain a recovery-oriented lifestyle.
Many factors influence a child’s likelihood to use alcohol/illegal substances or develop a substance/alcohol use disorder. This more often leads to problems at school, school dropouts, causes or aggravates physical and mental health-related issues, promotes poor peer relationships, causes accidents and places stress on the family.
Poverty, homelessness, and social stigma make addiction more deadly, unjust and shines a spotlight on tears in the socioeconomic web that is holding our society together.
Simple beliefs that women who drink during pregnancy are personally responsible fail to recognize the systemic and social factors that cause women to consume alcohol while pregnant and overlooks the impact of historical and intergenerational abuses experienced by disadvantaged groups.
Human rights are universal. If the human rights of people who use drugs are not respected, then improving the wellbeing, health, and social inclusion of people who use drugs will be impossible.
Stacey holds a Higher Certificate in Counselling & Communication Skills, Level 1 Certificate in Equine Assisted Psychotherapy, and a Financial Law School Certificate. With 25 years of diverse experience in driving market leadership, progressive growth, social impact and transformation work across various industry sectors.
Professor Leon Holtzhausen holds a PhD with specialization in Criminal Justice, Masters of Social Work in Community Development, and a B.A. (Social Work). He is the Head of Department of Social Work and Social Development at the University of Cape Town, South Africa.
His research focus is broadly situated in the field of social justice, crime and violence. However, due to how violence intersects with vulnerability and people at risk across the life course, he also undertakes research with socially excluded populations like people experiencing homelessness and substance users. After graduating with his Bachelor of Social Work Degree, Holtzhausen practiced clinical social work in a Super Maximum Prison for more than six years, where he specialized in offender profiling, assessment and mental health treatment of male adult and juvenile offenders and their families.
He is a member of various national and international organizations like the South African Violence and Safety Initiative, The Social Intervention Research Unit, The Centre for Social Sciences Research and various other professional bodies.
Julie is a Trauma and Addictions Counsellor with a special focus on Women who use drugs and Harm Reduction. She holds a Committee position on the World Health Organization (WHO) Global Alcohol Action Plan’s World Assembly for Community Action.
Julie has worked in the substance use disorder field (SUD) for over 12 years, first as an addictions and trauma counsellor in Lavendar Hill in the Cape Flats, and then joined TB HIV Care in 2013 on their Harm Reduction project.
Julie is actively involved in research, with a special focus on Women who use drugs, for the United Nations Office on Drugs and Crime, Elton John Aids Foundation, The Global Fund through Nacosa and Aidsfonds through the Dutch Foreign Ministry. Julie co-ordinates the annual SA Drug Policy Week conference in partnership with Shaun Shelly and is the former Lead for Human Rights on the Western Cape Provincial Council for Aids. She provides ongoing consulting and operational support to the South African Network of People who Use Drugs (SANPUD) and TB HIV Care.
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