12 October 2024
In recent years, illicit drug use among young people in Myanmar, particularly in urban areas, has become a growing concern. This troubling trend not only contributes to an increase in mental health challenges but also accelerates the spread of blood-borne diseases such as HIV. Yet, despite the growing urgency, many young people engaging in high-risk behaviors, including sexualized drug use, have been overlooked by traditional healthcare services.
To address this gap, the HIV/TB Agency, Information, and Services (AIS) Activity has taken a leading role by actively collaborating with the Myanmar Youth Stars Network (MYS) , providing critical support to strengthen their efforts in advocating for and delivering services to marginalized young people. MYS is a national network representing Young Key Population (YKP) with the emphasis on men sex with men (MSM), sex workers, drug users, youths living with HIV, and those at high risk of contracting the HIV virus. With the support of the AIS, MYS initiated the fight against these pressing issues,ensuring that marginalized groups receive the support and advocacy they need.
The HIV/TB Agency, Information, and Services (AIS) Activity is driving the implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) services through its partnership with MYS. With AIS’s support, MYS delivers youth-friendly and accessible services, enabling young people to seek help without fear of judgment or stigma. This initiative focuses on early intervention to prevent risky behaviors, such as sexualized drug use, from escalating into more severe dependencies, promoting healthier outcomes for Myanmar’s youth.
By addressing these risky behaviors early, SBIRT prevents long-term health complications and reduces the burden on healthcare systems.
The primary goals of SBIRT are simple and powerful:
In May 2024, MYS, with AIS’s support, conducted its first SBIRT training, equipping 16 participants, six of whom are now providing SBIRT services at Key Population Service Centers (KPSCs) across Myanmar. These centers provide safe spaces for young people, especially those involved in sexualized drug use, a group often neglected by traditional healthcare systems. Since its launch, the SBIRT project has shown promising results: 639 young people screened for substance use risks, 138 individuals received brief advice to help guide their behaviors, 460 youth participated in brief interventions, and 41 high-risk individuals were referred for further treatment. Additionally, youth-friendly interventions have been introduced at MYS’s youth corner and across Yangon. The real impact is evident in personal transformations, such as reduced substance use risks and, in some cases, individuals quitting drugs altogether.
The SBIRT approach does more than just screen for substance use. It educates youth about the risks associated with substance use and provides tools to manage their behaviors. This early intervention strategy prevents more serious health issues, reduces healthcare costs and creates a sustainable continuum of care.
Looking forward, MYS, with AIS’s ongoing support, envisions a healthier and more resilient generation. By expanding SBIRT services and partnering with other organizations, MYS is changing the narrative around substance use in Myanmar. The project not only transforms individual lives but also strengthens communities, paving the way for a brighter, healthier future for Myanmar’s youth.
The HIV/TB Agency, Information, and Services (AIS) Activity remains committed to supporting community-driven initiatives that address critical public health challenges in Myanmar. AIS supported MYS by empowering young leaders to respond to the needs of vulnerable populations. AIS believes that early intervention, education, and support are essential to building sustainable healthcare solutions. Together with MYS and other partners, AIS is fostering a future where all young people, regardless of their circumstances, have the opportunity to thrive and live healthier, safer lives.
ASSIST Description: Developed by the World Health Organization (WHO) and an international team of substance use researchers, the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) screens for all levels of the problem or risky substance use in adults. The ASSIST consists of eight questions covering tobacco, alcohol, cannabis, cocaine, amphetamine-type stimulants (including ecstasy) inhalants, sedatives, hallucinogens, opioids, and ‘other drugs’.
