The Japan Times - Addicts swap drug dens for support centre in Abidjan

In recent years, the coastal west African nation has become a pivotal transit hub for the global heroin and cocaine trade, as well as prescription drug misuse.

While official data on illicit drug use is limited, an addiction specialist at the centre, Feriole Zahoui, told AFP there are between 30,000 and 40,000 drug users in Abidjan -- three to four times more than a decade ago.

Behind a discreet entrance, the Addiction Care and Support Centre (CASA) has caught on through word of mouth, offering free social, medical and psychological support for addiction recovery.

CASA estimates it has supported more than 3,000 people since it was launched in 2018, spearheaded by the medical charity Medecins du Monde and managed by the NGO Espace Confiance.

The Ivorian government has so far not opted for a particularly repressive approach in the fight to tackle substance abuse. A 2022 law reduced prison sentences for users from one to five years down to just a few months.

By late morning, calm reigns inside CASA's large resting room.

Some people dozed off, while others could be heard chatting as a television droned gently in the background.

About 20 people visit the centre every day, a place in which many claim to have found a home away from the harsh reality of drug addiction.

Hassan Mohana, perched beside his partner sleeping on the ground, told AFP he comes to CASA every day to get his methadone -- a substitute for heroin -- but also to rest and shower before his night shifts at work.

"It allowed me to find myself, keep a job and reintegrate into society," said the 40-year-old, who has been going to the centre since it opened.

- 'Like dogs' -

CASA's annual operation costs around 218,000 euros ($256,000), largely funded by the agency Expertise France.

In the southwestern city of San Pedro, another major port for drug trafficking, a second centre based on a similar model has also opened.

Heroin and "Kadhafi," a cheap mix of tramadol and alcohol sold at less than one euro ($1.17) per dose, are the main drug addictions seen at CASA in Abidjan, the country's economic capital.

Mamadou Toure, 47, said his life changed as a result of methadone treatments at the centre, helping him to recover from a heroin addiction he had been struggling with since he was a teenager.

"For years, I alternated between drug dens and prison," said Toure, now a peer educator at the centre, working with others to overcome addiction.

Cradling her nine-month-old daughter, 35-year-old Massita Konate reflected on the harsh years spent inside drug dens.

"People there die like dogs, no one comes to get them," said the young mother, her arms scarred from repeated heroin injections.

Konate is also on methadone. While she now lives in her own home, she still spends her days at CASA to "be with people who understand (her)".

But CASA cannot accommodate all users, so outreach efforts are made in drug dens, also known as ghettos.

Inside these makeshift shelters, people smoke crack, cannabis, and inject heroin, while trying to survive.

CASA workers often visit to raise awareness, distribute free condoms and provide single-use syringes.

"We don't have the strength, we're weak. But with help, we can change and work," said David Junior, 34.

"Many sick people in drug dens don't dare come to CASA," said Anicet Tagnon, head of community activities at CASA.

"So, the centre goes to them," he continued.

"There's a strong need for information. Some don't even know they could access methadone," said Zahoui, the addiction specialist.

S.Ogawa--JT