Understanding Substance Use in Kenya
Substance use is a growing concern in Kenya. Whether it’s alcohol, miraa, bhang, or harder drugs, addiction doesn’t discriminate. It affects people from all backgrounds.
Important to know:
- Addiction is a medical condition, not a moral failing
- Recovery is possible with the right support
- You don’t have to hit “rock bottom” to seek help
- Early intervention saves lives
Common Substances in Kenya
1. Alcohol
Most common substance used in Kenya.
Signs of alcohol problem:
- Drinking more than you intended
- Can’t stop once you start
- Neglecting responsibilities because of drinking
- Needing alcohol to feel normal
- Family or friends expressing concern
- Drinking alone or hiding it
Effects:
- Liver damage
- Relationship problems
- Financial difficulties
- Mental health issues (depression, anxiety)
- Risk of accidents and violence
2. Bhang (Marijuana)
Increasingly common, especially among youth.
Why people use it:
- “Everyone does it”
- To relax or have fun
- Peer pressure
- To cope with problems
Risks:
- Legal consequences (it’s illegal in Kenya)
- Mental health problems (especially anxiety and psychosis)
- Memory and concentration issues
- Loss of motivation
- Gateway to other drugs
3. Miraa/Khat
Widely used in certain communities.
Effects:
- Insomnia
- Loss of appetite
- Anxiety and irritability
- Financial strain
- Social isolation
- Dental problems
4. Prescription Drug Misuse
Growing problem in Kenya.
Commonly misused:
- Painkillers
- Sleeping pills
- Anxiety medication
- Cough syrup (especially with codeine)
Dangers:
- Addiction
- Overdose
- Mixing with other drugs or alcohol
- Getting them illegally
5. Harder Drugs
Including heroin, cocaine, methamphetamine.
Extremely dangerous:
- Highly addictive
- Life-threatening health risks
- Criminal consequences
- Destroys families and lives
- Requires immediate professional help
Signs Someone Has a Substance Problem
Behavioral Changes
- Secretive about activities
- New friend group (especially if they use)
- Neglecting work, school, or family
- Lying or stealing
- Loss of interest in hobbies
Physical Signs
- Changes in appearance or hygiene
- Bloodshot eyes
- Weight loss or gain
- Unusual smells
- Slurred speech or coordination problems
Emotional Changes
- Mood swings
- Increased irritability or aggression
- Depression or anxiety
- Paranoia
- Lack of motivation
Social Signs
- Relationship conflicts
- Isolation from family
- Financial problems
- Legal issues
- Missing work or school
Why People Use Substances
Understanding why helps with recovery:
To Cope with Pain
- Emotional pain (trauma, loss, abuse)
- Mental health conditions (depression, anxiety, PTSD)
- Physical pain
To Fit In
- Peer pressure
- Social situations
- Cultural acceptance of alcohol
To Escape
- Stress from work or school
- Financial worries
- Relationship problems
- Hopelessness about the future
Self-Medication
- Undiagnosed mental health conditions
- Sleep problems
- Chronic pain
Important: Substances might seem to help at first, but they always make problems worse in the long run.
When to Seek Help
You Should Get Help If:
- You can’t stop using even though you want to
- Your use is causing problems (relationships, work, health)
- You need more to get the same effect (tolerance)
- You feel sick when you try to stop (withdrawal)
- You’re spending money you don’t have on substances
- You’ve tried to quit on your own and can’t
Don’t wait for things to get worse. Early help is easier than late help.
Emergency Situations
Get immediate help if:
- Someone has overdosed (unconscious, not breathing normally, can’t wake up)
- Someone is talking about suicide while under influence
- Severe withdrawal symptoms (shaking, seizures, hallucinations)
- Dangerous behavior (violence, driving while intoxicated)
Call: 999/112 (Emergency) or go to nearest hospital
Recovery Resources in Kenya
Alcoholics Anonymous (AA) Kenya
What it is: Free support group for people with alcohol problems. Based on 12-step program.
How it works:
- Regular meetings (usually weekly)
- Peer support from others in recovery
- Anonymous—you share only what you’re comfortable with
- No cost
Finding meetings:
- Search “AA meetings Kenya” online
- Check with churches (many host AA meetings)
- Call AA Kenya helpline: 0736 106 747
- Available in Nairobi, Mombasa, Kisumu, Nakuru, and other towns
What to expect:
- Welcoming environment
- People sharing their experiences
- Support without judgment
- Coffee and conversation
- Tools for staying sober
Narcotics Anonymous (NA) Kenya
Similar to AA, but for all drug use.
Find meetings:
- NA Kenya helpline: 0722 767 123
- Meetings in major cities
- Online meetings available
Rehabilitation Centers in Kenya
When you need intensive help.
Nairobi Rehabs
1. NACADA Rehabilitation Centres
- Government-run
- Most affordable option
- Located across Kenya
- Contact NACADA: 0800 720 721
2. Serenity Rehabilitation Centre
- Location: Nairobi
- Services: Inpatient and outpatient programs
- Holistic approach (counseling, group therapy, life skills)
3. The Retreat Rehabilitation Centre
- Location: Karen, Nairobi
- Services: Residential treatment
- Higher cost but comprehensive care
4. Oasis Africa
- Location: Westlands, Nairobi
- Services: Counseling, support groups, family therapy
- Affordable options available
5. Rebirth Rehabilitation Centre
- Location: Ruiru
- Services: Christian-based recovery program
- Affordable rates
Mombasa Rehabs
1. NACADA Coast Region Centre
- Government facility
- Affordable
2. Omari Project
- Focus: Drug addiction, especially among youth
- Services: Counseling, outreach, support groups
Kisumu and Western Kenya
1. NACADA Western Region Centre
- Government support
2. Local NGOs
- Kenya Red Cross
- Community-based organizations
Types of Treatment Programs
Inpatient (Residential) Rehab
You stay at the facility for 28-90 days.
Good for:
- Severe addiction
- Multiple relapses
- Unsafe home environment
- Need for medical detox
What happens:
- 24/7 supervision and support
- Daily therapy sessions
- Group therapy
- Life skills training
- Medical care
- Structured routine
Cost: KES 50,000 - 500,000+ depending on facility
Outpatient Programs
You attend therapy sessions but live at home.
Good for:
- Less severe addiction
- Strong support system at home
- Can’t leave work/family
- After completing inpatient treatment
What happens:
- Weekly or daily sessions
- Group therapy
- Individual counseling
- Can continue work/school
Cost: KES 5,000 - 30,000 per month
Detox Programs
Medical help to safely stop using.
Important for:
- Alcohol (withdrawal can be dangerous)
- Opioids (heroin, painkillers)
- Benzodiazepines (sleeping pills, anxiety meds)
What happens:
- Medical supervision
- Medications to ease withdrawal
- Usually 3-7 days
- Followed by ongoing treatment
Where: Hospitals and specialized detox centers
Free or Low-Cost Options
1. NACADA Services
- Government-funded
- Counseling, rehab, outreach
- Call: 0800 720 721 or visit nacada.go.ke
2. County Hospitals
- Most have addiction services
- Very affordable
- Ask for “substance abuse department”
3. Faith-Based Programs
- Many churches offer recovery support
- Teen Challenge Kenya (Christian program)
- Free or donation-based
4. Support Groups
- AA and NA are always free
- Recovery groups at community centers
- Online support groups
Family Support
Al-Anon Kenya
- For family members affected by someone’s drinking
- Learn how to cope and support recovery
- Find meetings through AA Kenya
Nar-Anon
- For families affected by drug use
- Support and education
The Recovery Journey
Stage 1: Acknowledging the Problem
- Admitting you need help
- Understanding addiction is a disease
- Deciding to make a change
This is the hardest and bravest step.
Stage 2: Seeking Help
- Calling a helpline
- Going to a meeting
- Checking into rehab
- Talking to a counselor
Stage 3: Detox and Withdrawal
- Body adjusts to no substances
- Can be physically and emotionally difficult
- Medical support helps
- Usually lasts days to weeks
Stage 4: Early Recovery (First 3-6 months)
- Learning new coping skills
- Attending therapy and support groups
- Rebuilding relationships
- Making lifestyle changes
- High risk of relapse—need strong support
Stage 5: Maintaining Recovery (Ongoing)
- Continued support (meetings, therapy)
- Healthy habits and routines
- Meaningful activities and relationships
- Managing triggers
- Helping others in recovery
Recovery is a lifelong journey, not a destination.
Relapse: It Happens
Understanding Relapse
- Relapse doesn’t mean failure
- Most people relapse before achieving long-term recovery
- It’s a learning opportunity
- Get back to treatment immediately
Warning Signs of Relapse
- Stopping meetings or therapy
- Hanging around old using friends
- Telling yourself “one time won’t hurt”
- Increased stress without coping
- Isolation
- Romanticizing past use
If You Relapse
- Don’t give up
- Reach out for help immediately
- Go back to meetings or rehab
- Learn what triggered it
- Adjust your recovery plan
Supporting Someone in Recovery
What to Do
- Encourage them to get help
- Go with them to appointments if they want
- Learn about addiction
- Be patient—recovery takes time
- Celebrate milestones (30 days sober, etc.)
- Take care of your own mental health
What NOT to Do
- Enable their use (give money, make excuses)
- Blame or shame them
- Try to control their recovery
- Ignore the problem hoping it goes away
- Neglect other family members
Setting Boundaries
- No substances in the house
- No lending money
- They must attend treatment
- Consequences for breaking rules
You can support without enabling.
Prevention: Before It Starts
For Young People
- Say no to peer pressure
- Find healthy ways to cope with stress
- Talk to trusted adults
- Stay busy with positive activities
- Choose friends who don’t use
For Parents
- Talk openly about drugs and alcohol
- Know your children’s friends
- Be a good role model
- Watch for warning signs
- Build strong family connections
For Communities
- Youth programs and activities
- Awareness campaigns
- Support for at-risk individuals
- Reducing stigma around addiction
Legal Aspects in Kenya
What’s Illegal
- Bhang/marijuana (possession and use)
- Cocaine, heroin, and other hard drugs
- Miraa (in some counties)
- Driving under influence of alcohol or drugs
- Selling drugs
Legal Consequences
- Arrest and prosecution
- Fines
- Imprisonment
- Criminal record (affects future employment)
Treatment is better than jail. Courts often support treatment for first-time offenders.
Hope and Recovery
Recovery IS Possible
Thousands of Kenyans are in recovery. They have jobs, families, and fulfilling lives. You can too.
What Recovery Brings
- Better health
- Repaired relationships
- Financial stability
- Self-respect
- Peace of mind
- Hope for the future
You Are Not Your Addiction
- You are more than your substance use
- You have value
- You deserve a better life
- Help is available
- People care about you
Take Action Today
If You Need Help
- Call NACADA: 0800 720 721
- Find an AA/NA meeting: AA Kenya 0736 106 747
- Go to your county hospital
- Talk to someone you trust
- Call Befrienders Kenya (crisis support): 0722 178 177
If You’re in Recovery
- Keep going to meetings
- Stay connected to support
- Practice self-care
- Help others when ready
- Be proud of your progress
If Someone You Love Needs Help
- Express concern without judgment
- Offer to help them find resources
- Take care of yourself too
- Join Al-Anon or Nar-Anon
- Don’t lose hope
Final Message
Addiction is powerful, but recovery is possible. You don’t have to do this alone. Help is available, and you deserve it.
Whether you’re struggling yourself or worried about someone you love, take the first step today. Call a helpline. Go to a meeting. Talk to a counselor.
Your life matters. Recovery is worth it. You are worth it.