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Georgia

Hepatitis C care for PUD

From 2014 till 2015 Mainline, together with its local partner Tanadgoma, implemented a series of interventions around Hepatitis C (HCV). The aim of the project was to understand the gaps and barriers to enrolment in the care cascade of hepatitis C prevention and treatment from the community perspective.

Baseline study
To set the stage, our project started with a baseline study and focus group discussions in two cities in Georgia, namely Kutaisi and Batumi. People who use drugs are the most affected population in Georgia. Almost all the respondents of the study are infected with the virus as they report (86%).

The survey showed that treatment possibilities for HCV are not well known. There are also many misbeliefs among drug users about Hepatitis C and its transmission, such as the transmission risk by biting fingernails or being cured of hepatitis C by drinking bird’s blood. The baseline has many other interesting conclusions. Based on the baseline and the focus group discussions, IEC material was developed.

“Having all of this information makes you stronger to fight all of this”.

The project is financed by Gilead's GoShape programme.

Building trust
The outcomes of the study feed the outreach work that takes place in these two cities as well. Social workers have engaged with drug users to build trust. Being there and providing continuous information about hepatitis C, testing and treatment possibilities, answering questions and discussing the concerns of the community have all helped to build trustful relationships.

Drug users call the social workers and ask for help as they sometimes do not understand their clinicians or when they get ‘lost’ in the sometimes complex healthcare services in Georgia. Based on a systematic learning cycle, outreach work is improved and adjusted to community needs.

“The human touch is very important.”

The drug user community has a lot of trust in civil society organisations. Drug users are facing huge stigma in the hospitals and the clinics. With organisation like Tanadgoma, the situation is getting better as the beneficiaries emphasised during the evaluation of the project.

Lessons learned
The project has successfully addressed different groups of drug users on each stage of the hepatitis C care cascade. The lessons learned are documented after one year of targeted outreach work. Based on that, we have formulated a set of best practices on hepatitis C outreach work to link each identified group successfully in the healthcare in Georgia.

Contact person: Hatun Eksen


Download the folders in English & Georgian (via our webshop, scroll down)

With an extension of the project, a follow-up survey to the baseline study will take place in the coming months (spring 2016). The follow-up survey will measure the results of the project among beneficiaries.

Poster presentations of the project took place at the International Harm Reduction Conference in Kuala Lumpur and at the National Hepatitis Day in Amsterdam (2015).

Our current projects


HARM REDUCTION FOR STIMULANT USERS

A MAINLINE-GIZ STUDY

With the support of the Global Partnership on Drug Policies and Development (GPDPD), a project implemented by Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH, a team of three Mainline researchers conduct a study into effective harm reduction interventions for stimulant users. The study includes a detailed description of eight best practices in different world regions. 

> Read more
internationaal

Kenya

Kenya (population 45 million) is an East-African country on the Indian Ocean that borders Somalia, Tanzania, Uganda, South-Sudan and Ethiopia.

> Read more
internationaal

Tanzania

Harm reduction in Tanzania: a delicate balance Under the Bridging the Gaps 2 programme, Mainline aspires to support harm reduction services in Tanzania. To fully understand the opportunities, needs and socio-political circumstances, Mainline organised two scoping visits in 2016. The situation for people who use drugs in the United Republic of Tanzania is delicate.

> Read more
nationaal

The Netherlands

Tina and Slamming in a sexual setting

Mainline, together with SOA Aids Nederland, presented: 'Tina and Slamming'. This report addresses the use of methamphetamine (crystal meth or tina) and slamming (intravenous use) as a route of administration, by men who have sex with men (MSM), in a sexual setting - also known as chemsex.

> Read more
internationaal

Bridging the Gaps2: 2016 - 2020

Indonesia, Kenya, Nepal, Pakistan, South Africa and Tanzania (new!)

The Bridging the Gaps programme is awarded a second phase of funding by the Dutch Ministry of Foreign Affairs. Bridging the Gaps 2 started in January 2016 and continues to 2020. The shared goals remain the same as the first programme: to improve the health and rights of people who use drugs, sex workers and lesbian, gay, bisexual and transgender (LGBT) people.

> Read more
internationaal

Nepal

Nepal has a long history of drug use. Cannabis is sanctioned for use on certain religious occasions. The use of smoked opium has been quite common in the country. But drug use only began to be seen as a problem in the country in the mid-1960s and early 1970s with the influx of travelling hippies from Europe and the US.

> Read more
internationaal

Georgia

Transition management in Georgia: everyone deserves a second chance!

Everyone deserves a second chance in life. But how can you best support people who were just released from prison? What does quality support look like where it comes to the rehabilitation and resocialisation of inmates, former inmates and probationers? And what level of additional support does a person who uses drugs need in this process? A new project in Georgia intends to set the standard.

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internationaal

Indonesia

Mainline has a long, positive track record in Indonesia. We’ve invested in direct service delivery for drug users in East Kalimantan for many years. In 2015, we started to collaborate and support three very promising new partners in West Java.

> Read more
internationaal

South Africa

The main drugs of choice in South Africa are alcohol, cannabis, heroin and methamphetamine. Methamphetamine is locally known as tik. Most heroin is smoked mixed with cannabis, a popular mix called whoonga, cocktail or nyope. Heroin injection, however, has been increasing in recent years. 

> Read more
internationaal

Innovations in Pakistan

Harm reduction programmes to improve the health and rights of People Who Use Drugs (PWUD) show similarities all over the world. In countries where PWUD lack access of quality harm reduction services; are being criminalised; and human rights are being violated, Mainline works hard to promote health and rights to the often ostracised and hidden populations. 

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Our finished projects

internationaal

Bridging the Gaps1: 2011 - 2015

Indonesia, Kenya, Nepal, Pakistan, South Africa and Tanzania (BtG2)

In the context of the Bridging the Gaps program, Mainline works with local partners in five countries to improve the health and human rights of drug users.

> Read more
internationaal

Georgia

Back to Society

Over two years ago, a new government came to power in Georgia. Many prisoners were then released at a rapid pace. They were not well prepared for their release and encountered problems with reintegration. Among these persons were many who use drugs.

> Read more
nationaal

The Netherlands & Belgium

Prevention of GHB overdose

In the Netherlands and Belgium, the number of young people frequently using gamma-hydroxybutyric acid (GHB) has been rising. GHB is used in nightlife. It is estimated that in the Netherlands alone there is a group of 22,000 people who use GHB daily and who have developed a strong physical dependence on GHB.

> Read more
internationaal

Georgia

Hepatitis C care for PUD

From 2014 till 2015 Mainline, together with its local partner Tanadgoma, implemented a series of interventions around Hepatitis C (HCV). The aim of the project was to understand the gaps and barriers to enrolment in the care cascade of hepatitis C prevention and treatment from the community perspective.

> Read more
nationaal

The Netherlands

Strong connections between use of drugs and unsafe sex work

On the initiative of Mainline, Prostitutie & Gezondheidscentrum 292 / Prostitution & Health Centre 292, P&G292 carried out a survey of male and transgender sex workers between November 2013 and February 2014 in close cooperation with the Public Health Service of Amsterdam (GGD).

> Read more
internationaal

South Africa

Tikking the Boxes

Until 2014, Mainline worked on the project Tikking the Boxes in South Africa. Since January 2015, South Africa has been participating in the Bridging the Gaps programme.

> Read more
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