Muthelo Livhuwani, Mbombi Masenyani Oupa, Mphekgwana Peter, Mabila Linneth Nkateko, Dhau Inos, Tlouyamma Joseph, Nemuramba Rathani, Mashaba Reneilwe Given, Mothapo Katlego, Ntimana Cairo Bruce, Maimela Eric
Department of Nursing Science, University of Limpopo, Polokwane, South Africa.
Research Administration and Development, University of Limpopo, Polokwane, South Africa.
Subst Abuse. 2023 Feb 27;17:11782218221147498. doi: 10.1177/11782218221147498. eCollection 2023.
The increasing prevalence of substance abuse in rural areas of Limpopo Province is a concern for most stakeholders including the families, South Africa Police Service, and social workers. Combating Substance Abuse requires the active roles of various stakeholders in the rural community, due to limited resources for prevention, treatment, and recovery.
To report on the roles of stakeholders in tackling Substance Abuse during the awareness campaign conducted in the deep rural community of Limpopo Province, DIMAMO surveillance area.
Qualitative narrative design was adopted to explore the roles of stakeholders in combating Substance Abuse during the awareness campaign conducted in the deep rural community. The population consisted of different stakeholders who play an active role in reducing Substance Abuse. The triangulation method was used for data collection (interviews, observations, and taking field notes during presentations). Purposive sampling was used to select all the available stakeholders who actively combat substance abuse in the communities. Thematic narrative analysis was used to analyze the interviews conducted with and content presented by the stakeholders to generate the themes.
The prevalence of Substance Abuse among the youth in the Dikgale community is high with a growing trend of Crystal Meth, "nyaope," and Cannabis(marijuana). The prevalence is worsened by the diverse challenges experienced by the families and stakeholders which impact the strategies targeted to combat Substance Abuse.
The findings indicated the need for strong collaborations among the stakeholders (including school leadership) to successfully combat Substance Abuse in rural areas. The findings demonstrated a need for a well-capacitated healthcare services with adequate rehabilitation centers and well-trained healthcare providers for combating Substance Abuse to minimize victim stigmatization.
林波波省农村地区药物滥用现象日益普遍，这引起了包括家庭、南非警察局和社会工作者在内的大多数利益相关者的关注。由于预防、治疗和康复资源有限，打击药物滥用需要农村社区各利益相关者发挥积极作用。
报告在林波波省迪马莫监测区的偏远农村社区开展的提高认识运动期间，利益相关者在应对药物滥用方面所发挥的作用。
采用定性叙述设计，以探讨在偏远农村社区开展的提高认识运动期间，利益相关者在打击药物滥用方面所发挥的作用。研究对象包括在减少药物滥用方面发挥积极作用的不同利益相关者。采用三角测量法收集数据（访谈、观察以及在演讲过程中做实地笔记）。采用目的抽样法选取社区内所有积极打击药物滥用的现有利益相关者。采用主题叙述分析法对与利益相关者进行的访谈内容及他们所展示的内容进行分析，以生成主题。
迪加尔社区青少年中的药物滥用现象普遍，冰毒、“nyaope”和大麻（大麻制品）的使用呈上升趋势。家庭和利益相关者面临的各种挑战使这一现象更加严重，这些挑战影响了旨在打击药物滥用的策略。
研究结果表明，利益相关者（包括学校领导）之间需要大力合作，才能在农村地区成功打击药物滥用。研究结果表明，需要具备完善的医疗服务，包括足够的康复中心和训练有素的医疗服务提供者，以打击药物滥用，尽量减少受害者的污名化。
