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Community-Oriented Substance Use Programme (COSUP)

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Community-Oriented Substance Use Programme (COSUP) CAMPUS-COMMUNITY PARTNERSHIPS | COMMUNITY ENGAGEMENT Community-oriented Substance Use Programme (COSUP) The City of Tshwane and University of • peer support; These sites provide health care as well as Pretoria are working together on a project • skills training; psychosocial support to the communities and called COSUP (Community-oriented Substance • possible job placement; and people who are struggling with substance use Use Programme). The project was started • transitional housing for the homeless. disorder. COSUP engages with both doctors in response to the growth in substance use and students to create an environment in disorder in Tshwane, is funded by the City of The City of Tshwane would like to work with Tshwane where people who use drugs (PWUD) Tshwane and led by the University of Pretoria, existing structures that are in place around feel cared for, and it promotes “harm reduction” Department of Family Medicine. It has been Tshwane while changing the substance use principles. implemented in collaboration with the Gauteng disorder narrative. Department of Health (Tshwane District) and The City of Tshwane also wants to: Gauteng Department of Social Development, Community partners • promote collaboration between NGOs and • AttMed as well as various NGOs and UP departments, the stakeholders in Tshwane; • Botaki Bo Africa and is based on evidence-based research. • build a network between the NGOs, • Daspoort Poli Clinic stakeholders, and various role players in • Dream Team Foundation A significant mindset change is required drug • Eersterust Community Health Centre in order to understand and apply this new • intervention; and method. • Elim Tabernacle Church • build a referral system between NGOs, It is a human rights intervention, and: • Out Wellbeing stakeholders, the University of Pretoria, City • applies harm reduction; • For the LGBTI community and people of Tshwane • is implemented through COPC who inject drugs (PWID) • and various clinics and hospitals in and (Community-oriented Primary Care); ◊ Harmless around Tshwane. • takes place in the community through • Homeless population group relationship building; • Hospice • applies brief interventions Impact • POPUP (People Upliftment Programme) (with the aim of retaining patients); COSUP services are now available in the ◊ Salvokop • provides opioid substitution therapy (OST); following regions since the programme was ◊ Soshanguve and started. • Skills training 1. Atteridgeville (85 Kommane Street) • implements a needle exchange programme. • Reatlegile 2. Daspoort Poli Clinic (cnr Market and Camp • SANPUD (South African Network of People Street, Pretoria West) It is no longer about a “war on drugs”, Using Drugs) 3. Mamelodi Regional Hospital (Cnr Serapeng “abstinence” and “criminalisation of users”, ◊ DUG (Drug Users of Gauteng) and Tsamaya Road, Mamelodi) but about meeting people with respect and ◊ Support Don’t Punish care at their level, regardless of choice or 4. Ikgeng (21882 Molokoloko Cicle, Mamelodi) • Sediba Hope circumstance. 5. Lusaka (cnr Millenyance and Ratshwene ◊ Bosman In order to meet people who use drugs Street) ◊ Sunnyside (PWUD) at their level, we have been building 6. Eersterust Community Health Centre (cnr • Tshwane District Hospital a team of CHWs (community health workers), PS Fourie Drive and Hans Coverdale Road) • Tshwane Leadership Foundation peers, doctors, clinical associates, nurses, 7. Laudium Community Health Centre ◊ Akanani psychologists and social workers. The team is (405 Bengal Street, Laudium) ◊ House Gillead in different regions and sites around Tshwane. 8. Tshwane District Hospital (cnr Steve Biko The goal is to register patients and retain them and Dr Savage, Pretoria) ◊ House Rivonigo in terms of services offered to them, namely: 9. Olivenhoutbosch (cnr Imbovane and ◊ Potter House • psychosocial support – brief interviewing, Imbongolo Street) • University of Pretoria Community motivational interviewing, screening; 10. Soshanguve Engagement • needle exchange, HIV, TB, Hepatitis B a. Elim Tabernacle Church, Inkanyezi ◊ Botaki Bo Africa and Hepatitis C screening and medication; Street • Yellow House • the cleaning of sores associated with b. Cnr Aubrey Matlala and Tlou Street • Arts and creative spaces incorrect injection techniques; c. Reatlegile Centre stand 05030 • Reliable House: Place of safety • prescription of OST (opioid substitution for men & clinic 11. CBD (173 Bosman Street, Pretoria) therapy) and DOT (directly observed 12. Sunnyside (116 Joubert Street) treatment); COSUP Department for Education Innovation Unit for Community Engagement [email protected].
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