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This seminar lesson uses case-based vignettes to explore substance use challenges in Zambia, focusing on alcohol misuse in rural communities, methamphetamine use among urban youth, and inhalant use among street-connected children. Each vignette highlights clinical, social, and cultural dimensions, guiding learners to apply theory to practice through interactive discussion.
🔍 Key Vignettes:
Alcohol Misuse in Rural Zambia (Mwansa):
• Heavy consumption of locally brewed spirits (“kachasu”).
• Health concerns including suspected liver disease and jaundice.
• Social conflict, financial strain, and community stigma.
• Learning focus: epidemiology of alcohol misuse, AUDIT screening, culturally sensitive interventions, and community mobilisation.
Methamphetamine Use Among Lusaka Youth (Chipo):
• Involvement with gangs and petty theft.
• Acute psychotic symptoms, paranoia, and violent outbursts.
• Family breakdown and risk of incarceration.
• Learning focus: stimulant-related cardiovascular and psychological effects, psychosocial treatment approaches, social determinants, and multidisciplinary collaboration.
Inhalant Use Among Street-Connected Children (Joseph):
• Glue sniffing to cope with hunger and distress.
• Neurological impairment, vulnerability to exploitation, and lack of services.
• Learning focus: clinical effects of inhalants, ethical challenges, harm reduction, rehabilitation, and advocacy for structural change.
🎯 Learning Outcomes:
Apply knowledge of alcohol-related health consequences and screening tools.
Identify stimulant-related health and psychological effects in youth.
Recognise the health and social consequences of inhalant use among vulnerable children.
Practise culturally sensitive, ethical, and community-based interventions.
Analyse intersections of substance use, poverty, stigma, and social exclusion.
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