Quarterly and Annual Reports

GLOBAL INITIATIVE ON SUBSTANCE ABUSE (GISA)

 

17, AYODELE FANOIKI STREET, MAGODO ESTATE PHASE I, ISHERI, LAGOS STATE

 

QUARTERLY REPORT
OCTOBER – DECEMBER, 2019

 

INTRODUCTION

The last quarter of the year (October – December, 2019) consolidated the training activities of GISA from January to September, 2019 among other activities. The first part of the quarter was devoted to supporting the Founder/Executive Director, Dr. Martin Agwogie who is also the president of the International Society of Substance Use Prevention and Treatment Professionals (ISSUP Nigeria chapter) in the preparation for the formal inauguration of ISSUP Nigeria Chapter. The inauguration of the association and the first annual general meeting was held on the 17th of October 2019 at Chelsea Hotel Abuja, Nigeria.

Four training programmes were scheduled for the fourth quarter:

1. The School Based Track of the Universal Prevention Curriculum (UPC) for Substance Use Disorders, October 21st – 26th, 2019.

2. Training on evidence based workplace substance abuse prevention and management for staff of Central Bank of Nigeria and Nigerian Port Authority, November 6th – 8th, 2019.

3. Echo training of practitioners on the Universal Prevention Curriculum (UPC) for Substance Use Disorders, November 25th – 30th, 2019.
4. Training on the concept of evidence based drug and substance abuse prevention for Lagos

state Ministry of Health and the Inter-Ministerial Drug Abuse Control Committee, December 4th – 5th, 2019.

School Based Track of the Universal Prevention Curriculum (UPC) for Substance Use Disorders, October 21st – 26th, 2019

The first comprehensive School Based specialty track training of practitioners on the Universal Prevention Curriculum (UPC) for substance use disorders in Nigeria was held between October 21st and 26th, 2019 with 11 participants drawn from various professional fields and among those who have received the UPC Core Course. The success of the first comprehensive school based specialty track oiled GISA strategies for subsequent activities for the first quarter of 2020.

Training on Evidence-based Workplace Substance Abuse Prevention and Management for CBN and NPA Staff, November 6th – 8th 2019

From 6th to 8th of November 2019, GISA in collaboration with 17 Goals Africa Initiative trained senior management staff of Central Bank of Nigeria (CBN) and the Nigeria Port Authority (NPA) on evidence-based workplace substance abuse prevention, management and policy. The training was held at Sheraton hotel ikeja, Lagos state. At the opening ceremony, Dr. Martin Agwogie gave a rundown of expectations at the training, which includes the physiology and pharmacology of psychoactive substances; problems of substance use in the workplace; the relationship between individuals, families and workplace; risk and protective factors for substance use among employees; the business case for substance use prevention in the workplace; components of and development of substance use prevention policies in the workplace; implementation, monitoring and evaluation of evidence-based substance abuse prevention in the workplace; identification and management of employees with substance use disorders among other topics. He also highlighted the significance of the training. He noted that, “the challenges of substance abuse which has attained a frightening dimension in Nigeria must be addressed from all sides including the workplace and among the workforce considering the importance of this sector in the development of the national economy. While drugs and

substance abuse affects all age groups, the age group of 25 to 39 years is the most affected in Nigeria. Incidentally, this is one of the most important age bracket in the workforce. Despite this huge burden, there is no national policy on drug free workplace in Nigeria. Most organizations don’t have idea of what drug free workplace policy means and the justifications for it”.

Dr. Agwogie called on organizations, private and public, to emulate CBN and NPA towards addressing the burden of drug use and abuse among this critical population. Above all, “the federal government should engage experts in workplace substance abuse prevention and management to develop national policy on drug free workplace in Nigeria”..

Participants at the training for CBN and NPA staff, 6th to 8th Nov., 2019 at Sheraton Hotel, Ikeja, Lagos state

Group exercise at the training

One of the group presentations


Echo training of practitioners on the Universal Prevention Curriculum (UPC) for Substance Use Disorders, November 25th – 30th, 2019.

GISA continued the month of November with UPC training of practitioners held between 25th and 30th, 2019 with 23 participants. As usual, the training started with an opening ceremony where the Executive Director highlighted the journey so far and benefits of the training. Similarly the closing ceremony was observed with certificate presented to the participants.

Group presentations

Training on the Concept of Evidence-based Drug and Substance Abuse Prevention for Lagos State Ministry of Health, December 3rd and 4th, 2019

The last training of the year, 2019 was in collaboration with the Lagos State Ministry of Health and State Inter-Ministerial Drug Abuse Control Committee. Participants in the two days training on the concept of Evidence-based Drug and Substance Abuse Prevention were health professionals and teachers drawn from different parts of Lagos state. The training was held at the Lagos Chamber of Commerce and Institute (LCCI) Building, Ikeja, Lagos with a total of 50 participants. The training started with an opening ceremony which was graced by dignitaries including the Permanent Secretary of the Lagos state Ministry of health Dr. Olusegun Ogboye, the Director Pharmaceutical Services Lagos State Ministry of Health and Chairman Lagos State Inter-Ministerial Drug Abuse Control Committee, Pharm. (Dr.) Moyosore Adejumo, the Director, Pharmaceutical Inspectorate Unit Lagos State Ministry of Health, Pharm. Mosun Beckley among others.

During the opening ceremony the Permanent Secretary of the Lagos state Ministry of health Dr. Olusegun Ogboye, encouraged participants to take advantage of the training and reflect the knowledge gained during the training in their daily activities. He also appealed to them to cascade and share experience from the training in their various units. Pharm. (Dr.) Moyosore Adejumo, pointed out that the training was sponsored by the Lagos state government through the Ministry of Health with technical support of GISA. The Founder/Executive Director GISA, Dr. Martin Agwogie, noted that the trend in substance abuse among youths in Nigeria and Lagos State in particular need the urgent attention of everyone. According to him, “report from the 2018 national drug use survey shows that Lagos state has the highest number of persons who use psychoactive substances in Nigeria, this calls for urgent steps by everyone in Lagos State, this is not the time to sit on the fence. We must all rise to address this issue frontally to safeguard the future of the younger generation”. He also highlighted the focus and benefits of the training.

Pharm. Mosun Beckley, Dr. Martin O. Agwogie and Pharm. (Dr.) Moyosore Adejumo

Group picture of some participants at the training

Conclusion

GISA in the fourth quarter of the year extended its scope on evidence based capacity building to government ministries and departments. This is a positive sign of what to expect in the year 2020. We look forward to more collaboration with government, non-government, private and relevant stakeholders in the field of drug demand reduction to deliver evidence based substance abuse prevention capacity building in Nigeria. One sure way to address the multifaceted challenges of substance abuse is to develop comprehensive evidence based substance abuse prevention across different settings such as family, school, community, workplace, primary health care centre, media among others.

GISA seize this opportunity to express appreciation to the facilitators for their commitment to the delivery of quality trainings, to our partners for believing in us and to our participants for encouraging us with words of commendation and commitment to doing good and no harm in their service delivery. To all our vendors and everyone, we say thank you.

GLOBAL INITIATIVE ON SUBSTANCE ABUSE (GISA)

 

17, AYODELE FANOIKI STREET, MAGODO ESTATE PHASE I, ISHERI, LAGOS STATE

 

QUARTERLY REPORT
JULY – SEPTEMBER, 2019

 

INTRODUCTION

The third quarter of the year (July – September, 2019) started on a grand note as the annual conference of the International Society of Substance Use Prevention and Treatment Professionals (ISSUP) was held in Vienna with the Founder/Executive Director of GISA in the person of Dr. Martin O. Agwogie in attendance as the president of ISSUP Nigeria Chapter. At GISA, the following training programmes for the 3rdquarter were lined up:

1. National Training of Trainers on the UPC (Universal Prevention Curriculum) School- Based Track, 9th to 18th of July 2019.
2. Echo training of practitioners on the Universal Prevention Curriculum (UPC) for Substance Use Disorders, August 5th – 10th, 2019
3. Echo training of practitioners on the Universal Prevention Curriculum (UPC) for Substance Use Disorders, September 23rd – 28th, 2019

 National Training of Trainers on the Universal Prevention Curriculum (UPC) School-Based Track 9thto 18th of July, 2019

The National Training of Trainers on the Universal Prevention Curriculum (UPC) School-Based Track was held at the Lagos Chamber of Commerce and Industry (LCCI), Ikeja, Lagos state. The training, which was the first of its kind in Nigeria, was put together by GISA in collaboration with the Colombo Plan Drug Advisory Programme with the support of Bureau of International Narcotics and Law Enforcement Affairs (INL), United States. The 9 days training commenced with an opening ceremony witnessed by the Permanent Secretary, Federal Ministry of Education who was represented by the Director, Basic and Secondary Education, Dr. Lami Amodu, the Public Affairs Officer, U.S. Consular General Lagos, Mr. Russell Brooks, the Director of Pharmaceutical Services Lagos State Ministry of Health and Chairman Lagos State Interministerial Drug Abuse Control Committee, Dr. Moyosore Adejumo, the Chairman Lagos State Teaching Service Board who was represented by the Director, Teachers Education and Capacity Development Mr. Kehinde S. Oladosu, representative of the Permanent Secretary, Lagos State Ministry of Education, Education District 1, among other dignitaries.

Mr. Kehinde S. Oladosu, Mr. Russell Brooks and Dr. Martin Agwogie

Dr. Martin Agwogie who is the National Coordinator Universal Prevention Curriculum (UPC) in Nigeria and the Founder/Executive Director of GISA, in his welcome address said “the 9-days training is coming after six months of the first UPC programme held in January this year. Since the first training of trainers, six batches of practitioners’ training have been conducted with a total of 153 practitioners imparted in evidence based substance abuse prevention in Nigeria. Our target is to train 2,000 practitioners in this area in the next one year”.

Some of the participants at the Training of Trainers

The Public Affairs Officer, U.S. Consular General, Lagos in the person of Russell Brooks who was the Special Guest of Honour at the event stated that “Societal, parental neglect and negative peer influence have been described as major factors that promote substance abuse among youths, hence all hands must be on deck
to curb the spread. According to Brooks, substance abuse is a global public health challenge and research shows that 14.3 million Nigerians between the ages of 15-64 years are victims of substance abuse, “If we are concerned about the growth of Africa, then we must promote policies and programs that will reduce substance abuse in Nigeria, which is the most populous black country in the continent”.

The training, according to the representative of Colombo Plan Drug Advisory Program and a trainer, Susan Mauwa, is in two series: The Coordinating series and the implementing series; Nigeria she revealed is said to be in the implementing series and this is the second round to be held.

The training was attended by 35 national trainers who travelled from different regions of Nigeria and they include individuals from different professional fields ranging from medicine, social sciences, teaching among others. The training covered the school based implementer series which is one of the seven tracks in the Universal Prevention Curriculum.

Echo Training of Practitioners on the Universal Prevention Curriculum (UPC) for Substance Use Disorders, August 5th – 10th, 2019

The 7thbatch of the echo training of practitioners on the Universal Prevention Curriculum (UPC) in Nigeria was held at GISA facility between 5th and 10th of August 2019. As usual the Founder/Executive Director at the opening ceremony took time to brief participants on the concept of UPC, the success story and the need to take the training seriously to enable them contribute more meaningfully to substance abuse prevention in Nigeria.

At the end of the six day training, participants were pleased to be part of the training and shared their experiences.

Echo Training of Practitioners on the Universal Prevention Curriculum (UPC) for Substance Use Disorders, September 23rd 27th, 2019

The 2ndand the last UPC echo training for the 3rdquarter was held between September 23rdand 27th2019 with 12 participants.

Facilitators in the two UPC echo trainings were Dr. Martin Agwogie, Mrs. Maria Ilugbuhi, Prof. Bola Ola, Dr. Oluseyi Odewale, Mr. Olatunde Isaac, Mr. Remilekun Taiwo, Mr. Olatunji Erinjogunola and Ms. Sandra Anyahaebi. Each of these facilitators was evaluated by the participants.

One of the participants at the training, Prof. Helen O. Osinowo

At the end of the trainings, participants received certificates with credit hours.

At the end of the third quarter, all the trainings laid up for the quarter was successfully executed, and participants of the training were enjoined to earnestly start the work of prevention at their various workplace using the newly acquired knowledge and skills in line with prevention principles and ethics to enhance their operational modalities for better outcomes

Evaluation and analysis of the training programs, materials and contents for the quarter was carried out accordingly
Table 1: Training programme content: Evaluation of Training Materials and Programme Contents.


Stat

Knowledge, Skills and Experience of Participants after the Training
The feedback on the knowledge, skills and experience gathered by participants at the end of the training includes: better informed about substance use and ways of prevention, learnt about increasing professional teamwork and analytical skills. Had better understanding of different target population in prevention interventions, implementation cycle in substance use prevention, abiding with professional ethics and standards as well as skills in sorting out associated issues. Also acquired knowledge on enforcement of policies for effective substance use prevention, behavioural patterns of individual and how to diffuse information on substance use to public without causing harm.

Things to Change Based on Training Experience
Trainees outlined things they would like to change based on the experience gathered during the training, and these are:

  • Changing the current perception about drug abuse.
  • Categorization of target audience.
  • Modify content delivered to early adolescents in sensitization.
  • Change strategies by targeting teachers and counsellors to implement substance prevention in schools
  • Changing how to address and discipline students using psychoactive substances.
  • Allocate more time for interaction and case study.
  • Generalisations and assumptions of the use of substance, and gut feelings.
  • Using the right terminologies in disseminating information on substance use.

Difficulties Likely to Face in Embarking on Change and Use of Experience
Participants outlined some difficulties that they might face in their workplace in applying the new knowledge and skills they have gained from the training and these include getting supervisors and colleagues to understand and use evidence based prevention approach in work modalities.

  • Sourcing funds for implementing prevention programs.
  • Work environment could pose a challenge to using EB prevention skills and knowledge gained.
  • Spiritual interpretation of substance by the public
  • Establishing collaboration with practitioners and professionals for program implementation.

Comments and Suggestion
Participants commented on the training and made suggestions, among the comments by some participants include:

– Thank you so much for this rare opportunity of learning from the experts, GISA staff, and fellow participants
– The content and delivery of the training was excellent.
– The program is intensive, immersive and amazing.

Participants appreciated the trainers for giving room for exclusive participation in the whole training process; they emphasize on the method of delivery which was immensely satisfactory and enjoyable; they wanted more and wouldn’t want the training to come to conclusion. Participants commended the organizers of the training and hoped that they would continue to educate all stakeholders in the society and in every parts of the country on substance use and prevention. Participants learnt a lot and looked forward to more trainings organized by GISA in collaboration with the Colombo Plan Drug Advisory Programme (DAP).

Other Activities
Beyond UPC trainings, GISA engaged in other activities within the third quarter. Early in the quarter, July 1st to 5th, 2019, the Founder/Executive Director, Dr. Martin Agwogie in his capacity as the president of ISSUP Nigeria Chapter, led a team of Nigerian representatives to the 5thGlobal ISSUP conference in Vienna, Austria where he also participated in the training of global trainers in Drug Demand Reduction. Also and as part of GISA advocacy mandate for the International Consortium of Universities for Drug Demand Reduction (ICUDDR), Dr. Martin Agwogie attended the 4th ICUDDR Conference in Cusco, Peru (July 22nd and 23rd, 2019). Similarly, Dr. Agwogie attended the ICUDDR Africa Catalytic Meeting held in Addis Ababa (September 3rd and 4th, 2019) where he chaired the session. At the meeting, Dr. Agwogie was made the Assistance Coordinator of ICUDDR in Africa. This was in recognition of his support for the development and professionalization of drug demand reduction in Africa.

ISSUP Conference in Vienna, Austria

At the ICUDDR Conference in Cusco, Peru

At the ICUDDR Africa Catalytic Meeting in Addis Ababa

Conclusion
The third quarter of the year ended on an affirmative note and with a lot of promises towards a more gratifying fourth quarter, one of which is the first echo training on the School-Based track of UPC scheduled for October, 2019. We hope to expand our scope of trainings in the fourth quarter of the year so as to meet the
yearnings for capacity building in evidence-based substance abuse prevention. GISA expresses appreciation to her team of facilitators, staff and participants of the UPC trainings, local and international partners for their contributions and support towards successful activities of another quarter.

GLOBAL INITIATIVE ON SUBSTANCE ABUSE (GISA)

 

17, AYODELE FANOIKI STREET, MAGODO ESTATE PHASE I, ISHERI, LAGOS STATE

 

QUARTERLY REPORT
APRIL – JUNE, 2019

 

INTRODUCTION

The second quarter of the year (April – June, 2019) started with great prospect as arrangements for the third and ensuing Universal Prevention Curriculum (UPC) for Substance Use Disorders training of practitioners were being made. Manuals, handbills, writing materials, folders, nametags of prospective participants were being prepared. Posters and fliers had been sent across platforms to inform the general public of the training and for interested persons to apply. The training programmes lined up for the quarter were:
1. Echo training of practitioners on the Universal Prevention Curriculum (UPC) for Substance Use Disorders, April 23rd – 27th
2. Echo training of Lagos State Secondary School Principals at the Lagos State Model College, Meiran, Agbado on the Universal Prevention Curriculum (UPC) for Substance Use Disorders,
3. Echo training of practitioners on the Universal Prevention Curriculum (UPC) for Substance Use Disorders, June 10th – 15th

Echo Training of Practitioners on the Universal Prevention Curriculum (UPC) for Substance Use Disorders, April 23rd – 27th

The third batch training on the Universal Prevention Curriculum (UPC) for substance use disorders started on the 23rd of April, 2019 at GISA facility, no 17 Ayodele Fanoiki street, Magodo phase 1, Lagos. The training encompasses 21 participants from various professional fields such as medicine, psychology, guidance counselling pharmacy, education among others. They were from different organisations such the law enforcement (National Drug Law Enforcement Agency, NDLEA), hospitals, community pharmacy, government ministries of health and education, faith-based organizations, NGOs and the youth population.
The training was organized by GISA as an education service provider for Colombo Plan Drug Advisory Programme (DAP) and the Bureau of International Narcotics and Law Enforcement Affairs (INL), United States. The objective of the training was to provide participants with requisite Evidence-Based (EB) knowledge, skills and competencies on substance use prevention in order to help them provide evidence based interventions.

 

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Facilitators for the training were Dr. Martin Agwogie, Mrs. Maria Ilugbuhi, Professor Bola Ola, Dr. Oluseyi Odewale and Mr. Remilekun Taiwo. The training covered all the core implementer series in the Universal Prevention Curriculum.

The thriving execution of the third batch training on the Universal Prevention Curriculum (UPC) for substance use disorders oiled our strategies and planning for subsequent activities delineated for the second quarter of the year.

Training of Secondary School Principals in Lagos State on Universal Prevention Curriculum (UPC), 6th to 10th of May, 2019

By the 1st day of May 2019, preparation was already in great expectations for the UPC Echo training for practitioners slated for Lagos State Secondary School Principals. The training began on the 5th of May and lasted for six days. The opening ceremony which took place on the first day of the training was graced by dignitaries from the Lagos State Ministry of Education led by the Tutor General/Permanent Secretary Education District 1, Dr. Yinka Ayandele. The training was held at the Lagos State Model College, Meiran, Agbado, Lagos State. It was the first and all-inclusive evidence based substance abuse prevention training organized for secondary school principals in Lagos state, Nigeria. It was conducted at relatively no cost to the participants.

Dr. Yinka Ayandele
The Tutor General/Permanent Secretary Education District 1, Lagos State Ministry of Education

Mr. Ojedokun Y. Adeolu, Dr. Yinka Ayandele and Dr. Martin Agwogie

Dr. Martin O. Agwogie and Mr. Isaac Olatunde

The Founder/Executive Director of GISA and National Coordinator UPC, Dr. Martin Agwogie, led the team of UPC national trainers for the training. Other trainers were Professor Bola Ola, Dr. Oluseyi Odewale, Dr. Maymunah Kadiri, Mrs. Chinyere Okonkwo, Mrs. Felicia Ikechukwu, Mrs. Fibisola Taiwo, Mr. Isaac Olatunde, Mr. Remilekun Taiwo, Mr. Olatunji Erinjogunola, and Ms. Sandra Anyahaebi. The trainings covered the CORE of the Universal Prevention Curriculum (UPC), course.

Participants in training sessions

The training ended with participants better equipped for evidence based substance abuse prevention within and outside the school community. The month of May continued with preparations for an upcoming UPC training of practitioners scheduled for 10th – 15th of June at the GISA facility among other activities.

The month of June began with excitement as preparations for the UPC ECHO training was being finalised. Twenty-two participants were profiled for the training which took off on the 10th and ended on the 15th of June, 2019.

At the brief opening ceremony, the Founder/Executive Director of GISA, Dr. Martin Agwogie seized the opportunity to highlight the benefits received so far by participants in the UPC training since its commencement in January, notable among which was the selection of the 4 Drug Demand Reduction Global Trainers from Nigeria among the national trainers. The selected Global Trainers, he noted, will join other global experts in drug demand reduction in Vienna, Austria in the first week of July during the 5th Global ISSUP conference.

Each of the trainings in the second quarter ended with words of encouragement to the participants to go back to their various operational domains and undertake the problems of substance abuse making good use of the newly acquired knowledge and skills in line with prevention principles and ethics. Certificates of participation with credit hours were presented to the participants. There were pre-tests and post-tests. In addition, the training materials and programme contents were evaluated (see the respective tables). Five of the trainers who facilitated in the three trainings were also autonomously assessed by the participants with respect to knowledge of the subject matter, delivery skills/supervision, time management, participant’s engagement and general demeanor.

Trainers’ Evaluation

Result from figure 1 shows that all the facilitators had mean scores of between 89.32% and 95.91%. That means the facilitators are proficient in the UPC trainings.
Other evaluation and analysis of the training programs, materials and contents for the quarter can be seen in the table below:

Table 1: Training programme content: Evaluation of Training Materials and Programme Contents



KNOWLEDGE, SKILLS AND EXPERIENCE OF PARTICIPANTS AFTER THE TRAINING

The feedback on the knowledge, skills and experience gathered by participants at the end of the training includes:
 Better informed about substance use and prevention strategies
 Learnt better ways of tackling cases of substance use and abuse
 Steps involved in implementation cycle towards providing evidence based intervention for effective solution to substance abuse
 Gained knowledge to identify drug users and avoid or delay initiation of drug use
 Prevention of substance use is key
 Knowledge about different coping skills
 Better ways to identify the indicated and the selective population of substance use
 Informed about helping persons who use drugs out of their substance use without subjecting them to punishment.
 Learnt about building a team for effective implementation of prevention programs
 Learnt various forms of intervention on substance use prevention (EBI’s)
 Understood that prevention science is key to the reduction of substance use in the community
 Fidelity to program implementation is necessary for effective and positive outcome
 Gained confidence to talk about prevention of substance abuse using evidence based approach
 Learnt that persons who use drugs need to be related with love instead of being treated harshly

THINGS TO CHANGE BASED ON TRAINING EXPERIENCE
Trainees outlined things they would like to change based on the experience gathered during the training, and these were:
• Change in the current perception about drug abuse
• Change in the orientation and strategies on how to provide intervention to persons who use drugs
• Improve family parenting skills.
• Use persuasive speech to get the buy-ins of their bosses/supervisors about evidence-based substance use prevention.
• Gain the confidence of their colleagues into using evidence-based approach in tackling substance use issues
• Change the ways prevention activities have been conducted in the past including style or language of sensitization
• Change in attitudes towards users of substance.
• Change approach to community sensitization.
• Change language mode when talking to students on substance use and laying more emphasis on skills rather than mentioning names of substance.

DIFFICULTIES FACING CHANGE AND USE OF EXPERIENCE
Participants also outlined some difficulties that they might face applying the new knowledge and skills in their workplace. These include concept and perception of intervention implementation, limited resources such as funding for continuous training, cooperation of superiors/supervisors, the culture of target audience, difficulties in getting others who do not have the knowledge of evidence-based prevention intervention to come on board, challenges with some school policies, challenges with government policies, lack of willingness of colleagues to change and embrace new ideas, existing systems, bureaucracy and protocols for intervention, cultural barrier, and getting the approval of the community members.

COMMENTS AND SUGGESTION
Participants gave comments on the training and few suggestions, among the comments given by some participants include:
– Thank you so much for this rare opportunity of learning from the experts, GISA staff, and fellow participants. It was worth every penny and time!!! Wishing us all success in our various endeavors – Dr. Ujunwa Udunanya
– Yes! It was a well packaged program that was perfectly delivered. Kudos to GISA and the amiable CEO.-
Mrs. Elizabeth Omiwole
– Good morning all. Thanks to Dr. Martin Agwogie and his wonderful team. I appreciate you all. – Rev. Fr. Christopher Ogaga
– It was indeed a great experience. Thanks & more grace. – Rev. Fr. Bethrand Ujunwa
– So glad I came for this training, thank you – Mr. John Akinola
– Thank you for the fabulous training. – Mrs. Bolanle Balogun
– God bless GISA for this wonderful capacity building. – Mr. Baba Aliyu
– God bless GISA, the sky is your beginning Dr. Martin Agwogie. Thank you for the opportunity. – Mr. Iortyer Adabo
– Thank you for giving us this opportunity sir. – Dr. Mary Ogedengbe

In addition, participants concurred that the facilitators gave room for trainee’s participation; the method of delivery was adequate; trainers were very competent; training was well organized; facilitators were able to differentiate treatment from prevention, the training venue and curriculum were excellent and relevant, strict and effective time management, their learning about child development and the ability to change the way they approach issues. Having said these, they wanted more time for the presentations so that new participants, those who are new in the field of substance abuse, can assimilate better; and more time allocated for participants- facilitators interactions for more practical learning experiences.
The combination of facilitators was very good as they complemented each other and raised the standard. They commended the organizers of the training and hoped that they would continue to educate all stakeholders in

the society and in other parts of Nigeria on substance use and prevention. Overall, they learnt a lot and looked forward to more trainings organized by GISA in collaboration with the Colombo Plan Drug Advisory Programme (DAP).

LESSONS LEARNT
Every training provides opportunity to learn from participants and improve on previous lessons. The broad expertise of participants from different professional backgrounds in addition to the method of delivery of the modules fetched new lessons. The group work brought about creativity and different perspective that may not have been envisaged. Similarly, new dimension of team work in substance use prevention was introduced. For example module 8 which is on “The Implementation Cycle: Skills, Competences for Prevention Professionals” brought to bear the level of knowledge and skills acquired by the participants within the first few days of the training. They were able to appreciate the need for collectiveness in addressing the issues of substance abuse in the community. The exercises demonstrated the importance of needs and resource assessment in substance use prevention. More often emphasis is on the needs with little or no attention to resources within the community. The exercises also conveyed the uniqueness of each community, maximum utilisation of limited resources, and ability to identify the target population for intervention. Each community for each of the trainings have sufficiently demonstrated consistencies in identifying the needs and resources within their communities as well as plan interventions. Similarly, participants in every of the trainings have come up with different strategies to communicate experiences from the training to their colleagues and supervisors based on the peculiarity of their work environment. These have become great lessons. The developers of this Universal Prevention Curriculum (UPC) for substance use disorders must be commended for the well researched and developed curriculum for substance use prevention. The curriculum has proven its uniqueness in capacity building for evidence based substance use prevention. There are observations from the participants, which we believe, will add value to the curriculum. These will be communicated through the appropriate channel for consideration in the subsequent review.

OTHER ACTIVITIES
Beyond UPC trainings, GISA engaged in other activities within the second quarter. Also, we provided consultancy services in the area of substance use prevention, treatment and policies. The Founder/Executive Director, Dr. Martin Agwogie granted press interviews within the period. Some of the interviews were aired on the National Television Authority (NTA), Lagos Television (LTV) among others. The print media were not left out as interviews were published in Guardian Newspaper, The New Telegraph, Thisday Newspaper among others. He was also invited as a Keynote speaker at the Symposium on Drug and Substance Abuse in Nigeria organized by the Nigeria Academy of Pharmacy in Collaboration with The Pharmaceutical Society of Nigeria held in Lagos June 2019. Within the period, GISA also recognised notable individuals with different categories of awards such as, GISA Drug Free Ambassadors.

Receiving Appreciation Award from the Chairman NAP, Prince Julius Adelusi-Adeluyi (OFR)


GISA Youth Drug Free Ambassador, Mr. Emmanuel T. Daike being presented certificate of induction

CONCLUSION
The second quarter of the year ended on an affirmative note and with a lot of promises towards a more gratifying third quarter, one of which is the National Training of Trainers on the School-Based track of UPC scheduled for July 2019. We hope to expand our scope of trainings in the third quarter of the year so as to meet the yearnings for capacity building in evidence-based substance abuse prevention. GISA expresses appreciation to her team of facilitators, staff and participants of the UPC trainings, local and international partners for their contributions and support towards successful activities of another quarter.

 

 

 GLOBAL INITIATIVE ON SUBSTANCE ABUSE (GISA)

17, AYODELE FANOIKI STREET, MAGODO ESTATE PHASE I, ISHERI, LAGOS STATE

 

 

QUARTERLY REPORT
JANUARY – MARCH, 2019

 

INTRODUCTION

The year 2019 started on a high note and with great expectations as preparations for the Universal Prevention Curriculum (UPC) for Substance Use Disorders trainings for the first quarter of the year (January – March, 2019) were being made. The training programmes lined up for this quarter were:

1. The National Training of Trainers on Universal Prevention Curriculum (UPC) for                  Substance Use Disorders, January 15 – 24, 2019
2.  Echo Training of Practitioners on the Universal Prevention Curriculum (UPC) for             Substance Use Disorders, March 11- 16, 2019 (Batch 1) and March 25 – 30, 2019 (Batch 2)

National Training of Trainers on the Universal Prevention Curriculum (UPC), Jan. 15 – 24, 2019

The first national training of trainers on the Universal Prevention Curriculum (UPC) for substance use disorders in Nigeria was held at the Lagos Airport Hotel Ikeja, Lagos state. This training, which lasted for nine days, started with an opening ceremony which was graced by the following dignitaries: Chairman/Chief Executive of the National Drug Law Enforcement Agency (NDLEA) who was represented by the Director Training and Manpower Development, Dr. Lawrence Opara; Director General of the National Agency for Food and Drugs Administration and Control (NAFDAC) who was represented by the Head, Drug Demand Reduction, Pharm. Clara Anyanwu; National Project Officer, Drug Demand Reduction of the United Nations Office on Drugs and Crime, Dr. Akanidomo Ibanga; Baale of Isheri Oke Town, Chief Bankole; Proprietor/CEO, Unique Group of Schools, Mrs. Esther Ayere-Alatise; Director, Social Welfare Department of Lagos State Ministry of Youths and Social Development, Mr. Olabode Taliat Ajao; Chairman, Board of Trustees of GISA, Mr. Ebenezer O. Olaseinde; and Chairman, Advisory Board of GISA, Sir. Victor C. Eka, among other personages.

Participants at the training were professors and doctors of medicine, psychology, and guidance counselling; pharmacists, clergy men, and principals of secondary schools. In attendance were also experts in Drug Demand Reduction from the Drug Law Enforcement and Regulatory Agencies that included NDLEA and NAFDAC, representatives of State Drug Control Committees and Ministries of Education and Youth Development. The faith-based organizations and the youths were not left out. Equally represented were specialists in drug demand reduction from Non-Governmental and Civil Society Organizations.

The landmark comprehensive evidence-based training of prevention of substance use in Nigeria was organized by GISA in collaboration with The Colombo Plan, Drug Advisory Programme (DAP) and the Bureau of International Narcotics and Law Enforcement Affairs (INL), United States.

The objective of the training was to provide participants with requisite Evidence-Based (EB) knowledge, skills and competencies on substance use prevention in order to help them train other practitioners across Nigeria.

Facilitators for the training were George Murimi, Susan Maua and Maria M. Ilugbuhi. They were all trainers from The Colombo Plan, Drug Advisory Programme (DAP). The training covered all the core implementer series and the first three school-based implementer series. The school-based implementer series is one of the seven tracks in the Universal Prevention Curriculum (UPC) for implementers.

The successful execution of its first National training on Prevention of Substance Use Disorders in Nigeria was a huge achievement in the month of January, 2019 for GISA.
The month of February started with preparations for the Universal Prevention Curriculum Echo Trainings for Practitioners scheduled for March, 2019. While these plans were going on, GISA was able to conduct a capacity building programme, where youths were assisted to develop effective measures towards sustainable substance abuse prevention. This programme was anchored by GISA Youth Drug Free Ambassadors (GYDFA), a platform where youths from different parts of the country have opportunities and rights to talk, relate and share ideas on how to improve their immediate community and environment and steer them away from drug abuse and its consequences. Furthermore, GISA team led by the Founder/Executive Director, Dr. Martin O. Agwogie, honoured a conference invitation by MTN Foundation, the host. Dr. Agwogie was a guest speaker in this conference where the sole focus was on Anti Substance Abuse Project (ASAP). The event was held in the month of February at the Civic Center, Victoria Island, Lagos.

 

Training of Practitioners on the Universal Prevention Curriculum (UPC) March 11 – 15 and 20 – 25, 2019
Having concluded preparations for the Echo Trainings in February, GISA conducted UPC trainings for substance use practitioners in two batches. The training workshop for the first group took place from March 11th through 16th in 2019 while the second batch held between the 25th and 30th of March, 2019. Both batches were trained at GISA facility at Plot 17, Ayodele Fanoiki Street, Magodo Estate Phase I, Isheri, Ikeja, Lagos state. There were 22 and 18 participants in the first and second groups respectively.
The trainings were organized by GISA in collaboration with the Colombo Plan Drug Advisory Programme (DAP). In these workshops, the Founder and Executive Director of GISA, Dr. Martin Agwogie, led the team of UPC Master and National trainers that comprised of Mrs. Maria Ilugbuhi, Professor Bola Ola, Dr. Oluseyi Odewale, Dr. Grace Ijarogbe, Mrs. Chinyere Okonkwo and Mr. Remilekun Taiwo. Each of the trainings covered the CORE of the Universal Prevention Curriculum (UPC), course. As much as the trainings were very educative, they were also fun-filled as the facilitators made every presentation including group works/exercises lively and interactive for participants.

Each of the two trainings ended with words of encouragement to the participants to go back to their various operational domains and tackle the problems of substance abuse making good use of the newly acquired knowledge and skills in line with prevention principles and ethics. Certificates of participation with credit hours were presented to the participants.
In each of the trainings, there were pre-tests and post-tests. In addition, the training materials and programme contents were evaluated (see Table I below). Five of the trainers who facilitated in the two trainings were also independently assessed by the participants with respect to knowledge of the subject matter, delivery skills/supervision, time management, participant’s engagement and general demeanor (see Figure 1 below).

A. Evaluation of trainers

Figure 1: Facilitators’ Proficiency level

SCALE: Developing = 0 – 25%; Adequate= 25 – 50%; Approaching Proficiency= 50 – 75%; Proficient= 75 – 100%.

Result from figure 1 shows that all the facilitators had mean scores of between 75.47 and 93.75. That means the facilitators are proficient in the UPC trainings.

Table 1: Training programme content

Other variables measured during the training will be collated with subsequent trainings and published accordingly.

KNOWLEDGE, SKILLS AND EXPERIENCE OF PARTICIPANTS AFTER THE TRAINING

The feedback on the knowledge, skills and experience gathered by participants at the end of the training includes:

  •  The importance of Evidence Based Intervention (EBI) for substance use disorders and not gut-feelings;
  • ‘Prevention skills’ is the missing link in drug demand reduction;
  •  The significance of monitoring and evaluation of interventions;
  • Importance of planning, implementation and evaluation;
  • School-based interventions;
  • How to identify needs and resources;
    The need for resource assessment to kick start a prevention process;
  • Professional code of ethics and the need for professionalism in the field;
  • Better understanding and coming to terms with happenings around community;
  • Better decision-making process, theory-informed implementation cycle, developmental stages of children and how to introduce substance use prevention in school settings;
  • How to fit an evidence-based intervention into an existing programme;
  •  The credibility in fidelity with respect to the implementation of evidence-based programmes;
  • The need for data gathering/research before interventions are provided;
  • Parenting and teaching of pro-social skills in place of just “say no approach;
  • Theories to use for different cases;
  • Knowledge about different coping skills;
    How to identify areas of strength and sustainability;
  • Methods of prevention intervention;
    Skills to be developed when engaging in evidence-based prevention;
  • The need for early intervention;
  • Not focusing on the negative aspect of substance use but on improving decision making and life-skills;
  • How to identify target population, community assessment and those who constitute “my dream team”.
    THINGS TO CHANGE BASED ON TRAINING EXPERIENCE
    Trainees listed out 12 things they would like to change based on the experience gathered during the training, and these were: (1) changing the current perception about drug abuse, (2) changing the orientation on how to provide intervention, (3) changing the perception about persons who use drugs, (4) improving the level of knowledge about family skills, (5) using persuasive speech to get the buy-ins of their bosses/supervisors about evidence-based prevention, (6) changing the ways prevention activities have been conducted in the past including style or language of sensitization, (7) using age appropriate language and methods to teach necessary skills and not just saying “no to drugs” or using scare tactics, (8) following the implementation through the cycle, not doing harm but good, (9) making sure there are components of monitoring and evaluation, (10) adhering strongly to fidelity and ethical standards, (11) improving interpersonal skills among youths, (11) changing the mind-set on getting substance users arrested and providing help/referral for treatment and counselling services instead, and (12) avoiding the use of persons in recovery from substance use during prevention intervention programmes.

DIFFICULTIES FACING CHANGE AND USE OF EXPERIENCE

The participants enumerated some difficulties that they might likely face in trying to implement the change based on the experience gathered during the training. These included availability of resources, cooperation from superior/supervisors, culture of target audience, getting others who do not have the knowledge of evidence-based prevention intervention to come on board, challenges with some school policies, concept and perception of intervention implementation, limited resources for continuous training, lack of willingness of colleagues to change and embraces new ideas, existing systems, bureaucracy and protocols for intervention, financial resources for the interventions, and getting the approval of the community members.

OVERALL TRAINING EXPERIENCE
Overall review of participants’ experiences shows that most of the participants indicated that:
 The training was interactive, enlightening, exciting, impactful, great, wonderful, fun, impressive and worth the while;
 Participants were able to have better understanding of new useful concepts;
 Participants had new knowledge on Evidence Based Interventions (EBI) and how to implement them after training was acquired;
 The knowledge on substance prevention was worth the time;
 Exposure to prevention and implementation of substance use prevention programmes was educating and refreshing.

COMMENTS AND SUGGESTION

Participants were of the opinion that facilitators gave room for trainee’s participation; the method of delivery was adequate; trainers were very competent; training was well organized; facilitators were able to differentiate treatment from prevention, the training venue and curriculum were excellent and relevant, strict and effective time management, their learning about child development and the ability to change the way they approach issues. Having said these, they wanted more time for the presentations so that new participants, those who are new in the field of substance abuse, can assimilate better; and more time allocated for participants-facilitators interactions for more practical learning experiences.
In addition, the combination of facilitators was very good as they complemented each other and raised the standard. They commended the organizers of the training and hoped that they would continue to educate all stakeholders in the society and in other parts of Nigeria on substance use and prevention. Overall, they learnt a lot and looked forward to more trainings organized by GISA collaboration with the Colombo Plan Drug Advisory Programme (DAP).

OTHER ACTIVITIES
Beyond trainings, GISA engaged in other activities within the first quarter. Three (3) clients were admitted for treatment interventions for substance use disorders. Also, we provided consultancy services in the area of substance use prevention, treatment and policies. The Founder/Executive Director granted press interviews within the period. Some of the interviews were aired on the National Television Authority (NTA), Lagos Television (LTV) among others. The print media were not left out as interviews were published in Guardian Newspaper, The New Telegraph, Thisday, and Daily Times among others.
Within the period, GISA also recognised notable individuals with different categories of awards such as, GISA Drug Free Ambassadors, award of Excellence for a Drug Free Society and Mother of Excellence for a Drug Free Society through Education.

CONCLUSION
The first quarter of the year ended on a positive note and with a lot of promises. There were inquiries from many participants and interest in further UPC trainings. It is reassuring to know that professionals in the field of drug demand reduction in Nigeria have waited long for the opportunity to receive comprehensive training on evidence-based interventions for substance use disorders. We hope to expand our scope of training in the second quarter of the year so as to meet the demand for capacity building in evidence-based substance abuse prevention.

 

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GISA Initiative

We provide solutions to substance abuse through life skills training to prevent the initiation of substance use, help users to abstain and or live a quality life.

© 2018 Gisa Initiative.

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