MedElevator Войти в исследования
← Поиск публикаций

DOI 10.1002/hsr2.71008

Медицинская библиотека · Health science reports · 2025

Revisiting Afghanistan's Drug Policy: A Policy Analysis of Eradication, Harm Reduction, and Economic Dependencies.

Azizi Mohammad Qais, Wardak Mohammad Faisal, Afzali Edris, Rahimi Ali, Ogaya Jerico Bautista, Ejaz Enayatollah, Hasin Basir Ahmad, Masudi Mohammad, Lucero-Prisno Don Eliseo

СтатьяПеревод в очереди

Аннотация

BACKGROUND

Afghanistan's responses to illicit drugs have oscillated between punitive eradication and limited harm-reduction initiatives. Two decades of heavy external spending, entrenched conflict, and an economy intertwined with opium have blunted policy effectiveness.

METHODS

Guided by Walt and Gilson's policy-triangle, we undertook a document-based review (2001-2024). Twenty-seven national laws, strategies, and analytical reports were retrieved from government and multilateral repositories. Data were coded thematically using Braun-and-Clarke's six-phase approach to map policy content, actors, context, and implementation barriers.

RESULTS

Four themes emerged. First, Afghan drug policy has passed through distinct phases-post-2001 tolerance, eradication campaigns, a harm-reduction window, and the current Afghan government's prohibition-each shaped by shifting political economies. Second, a complex actor constellation spans ministries, insurgent groups, multilateral donors, and opium-dependent farming communities, often with conflicting incentives. Third, implementation is hampered by corruption, chronic insecurity, rural poverty, and a shrinking treatment infrastructure (113 centres for an estimated 1.5 million users in 2024). Fourth, persisting failures fuel cycles of addiction, rural impoverishment, and insurgent financing, while recent poppy bans have accelerated a pivot to methamphetamine production.

CONCLUSION

Sustainable progress demands moving beyond short-term enforcement toward an integrated rural-development and public-health agenda. Priorities include: (i) secure livelihood alternatives for farmers; (ii) restoration and scale-up of evidence-based treatment and harm-reduction services; (iii) transparent governance mechanisms that engage local communities. A balanced, context-sensitive policy mix offers the best prospect of reducing drug-related harm while addressing the structural drivers that have long frustrated Afghan counter-narcotics efforts.

Для цитирования: Azizi Mohammad Qais, Wardak Mohammad Faisal, Afzali Edris, Rahimi Ali, Ogaya Jerico Bautista, Ejaz Enayatollah, Hasin Basir Ahmad, Masudi Mohammad, Lucero-Prisno Don Eliseo. Revisiting Afghanistan's Drug Policy: A Policy Analysis of Eradication, Harm Reduction, and Economic Dependencies.. Health science reports. 2025. DOI: 10.1002/hsr2.71008.
Подготовка и перевод публикации
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…

История · было → стало

Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.

Тип публикации указан по данным источника. Уровень доказательности автоматически не присваивается.