March 20, 2019

Bringing Strategy and Planning to Nigeria’s Codeine Crisis Response – Nkem Akinsoto

Bringing Strategy and Planning to Nigeria’s Codeine Crisis Response – Nkem Akinsoto

Running an organization like SI4DEV which promotes research and evidence, I had been hearing from our partners who mostly operate at the grassroots about a type of substance abuse that many people in Nigeria were unaware of at the time: cough medicine abuse.

Drug abuse among young adults has long been a challenge, with alcohol and marijuana abuse, leading the issue. However, through our partners, I became more informed about cough medicine abuse and how a lot of young people were spiraling down into vagrancy, prostitution and mental health issues because of codeine abuse.

Now, the codeine crisis in Nigeria is no longer a secret, both nationally and internationally, after the BBC aired a documentary on the issue. Award winning correspondent Ruona Agbroko-Meyer led an undercover team across several states to learn how codeine in cough syrup had become the street drug of choice, and the pipelines that helped the pinkish-red liquid flow from the pharmaceutical companies into the black market.

There appears to be a flourishing trade between pharma sales persons and drug dealers! Three pharmaceutical companies Emzor, Bioraj and Peace Standard were implicated on camera, with one representative boasting that he could sell 1 million cartons of codeine cough syrup weekly. That would be a third of the shocking 3 million bottles asserted to be consumed by addicts in one week by the documentary.

What is not so shocking, to me anyway, is the government’s reaction to the issue. Some of us who had been following the news know that The Guardian and Vanguard and some other newspapers have all done stories on the issue in the last few months, though they could not be so detailed most likely because they had to hide a lot of information to keep their business from the big pharma and other commercial interests. The Pharmaceutical Society of Nigeria (PSN) had warned the government several times on this count. Yes, the danger was clear, but government chose to turn a blind eye.

It’s unfortunate that BBC had to air the news before serious action was taaken by relevant officials  but I’m of the opinion that it is better late than never. What I did not expect was the totally over-sized and ill-thought response. I’m referring to the ban of codeine imports into the country and the shut-down of production lines of all three pharma companies referenced in the BBC documentary. After a discussion with the SI4DEV Health Leaders group, the consensus was that the ban placed by the government would not do much to curtail the abuse, and in some cases will exacerbate the problem.

  1. Such a ban will give rise to production of fake Codeine syrup which will be in circulation underground and these fake syrups may be more hazardous than codeine because they could have mixed in other hard drugs.
  2. Traders who already are in possession of codeine syrup inventories will go underground and will become security conscious, making it even more difficult for them to be apprehended by police or NDLEA.
  3. Closing the 3 pharma companies was an unnecessary heavy blow that will negatively affect the economy and productivity while not having much influence on preventing drug abuse.

It is no shock to me because our political leaders have only two responses in their repertoire – pretend ignorance of a problem or come up with hastily cobbled solutions. We often take unnecessary steps on issues in Nigeria, and one of the things we cultivate in SI4DEV leaders is critical thinking and an evidence-based approach. The way a leader handles issues is a window into what the planned outcomes will be.

May is Mental Health Awareness Month and at SI4DEV, we plan to key into that to launch a campaign that will bring even more attention to the dangers of codeine and general drug abuse. Some of our strategies include:

  1. INTERNAL TRAINING – Some of our partners are still not sure of the ramifications of drug abuse, and we start internally to educate ourselves before we can properly educate others. We will get a subject matter expert each week to host “Ask Me Anything Tuesdays” and try to learn the adverse effects of drug abuse including mental health issues. Subsequently, we will create a more diverse campaign onwards to encompass social media hashtags, uploading training and resources on our website and reaching out to health focused NGOs or rehabilitation centers for partnership.
  2. POLITICIAN PLEDGE CARDS – We will to pay advocacy visit to our political leaders to inform them in more detail about this menace and get their commitment. They will sign Pledge cards saying their party offices will not be used as a center for drug abuse, because even if we hold campaigns these drugs are peddled in party houses and other primary schools in town.
  3. SCHOOL-BASED DRUG FREE CLUBS – There is a need to revive drug free clubs in secondary schools and plant new ones where they are missing. We will partner with NGOs that work in these areas, and also seek permission from colleges, polytechnics and universities to set up peer sessions and trainings on drug abuse.
  4. MEDIA APPEARANCES – We will work with the media in various ways including press briefings, talk shows and question and answer sessions on drug abuse among the youth in Nigeria. During these media parleys, we will highlight the bills currently going through the National Assembly as a best practice model.
  5. NDLEA COLLABORATION – We will pay an advocacy visit to the NDLEA offices across the country to commend them for their good work and see how we can support and also get their participation during press briefings and other lectures we plan to hold.
  6. NATIONAL CONFERENCE – In conclusion, we will organize a conference on SAY NO TO DRUGS, inviting role models, key persons as well as security operatives such as NDLEA, Police, Military and even customs, State social welfare etc.

The Strategy and Innovation for Development (SI4DEV) Initiative is an NGO registered in Nigeria to empower community leaders working towards a country where every citizen has fair access to the resources needed to achieve their full potential. SI4DEV currently supports over 100 community leaders to improve the education, economic and health attainment of their communities. SI4DEV is an affiliate organization of The Spring Development Initiative – a US-based charitable organization.



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