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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. 

Outreach work forms an essential foundation for all harm reduction interventions and is the backbone of an organisation.

Through outreach workers – or low threshold locations – several services are delivered to those who need them, people are educated on safe drug use and, if necessary, are referred to health services as per own need.

However, experience shows different challenges in order to provide sustainable harm reduction services to this often hard-to-reach population.


Mainline believes
that quality harm reduction programmes should be efficiently targeted to the needs of the client and should be sustainable, consistent and widely available. This can only take place if services are embedded in a broader continuum of care for PWUD. However, organisations struggle to collect real-time data and assess the actual impact of their work. And with constant – political and financial – setbacks in our work, it is hard to set a quality standard.



Mainline believes that innovative solutions can overcome some of these challenges. Innovation and creativity within the harm reduction field are not only much needed, but it is the only way harm reduction can survive in the long run.

The Bridging the Gaps 2 programme fully embraces innovation and sees it as a means to sustainable solutions where current practices stop. The programme allows Mainline the unique opportunity to improve the quality of services, pilot new interventions and to learn.

By putting innovation high on our BtG2 agenda, Mainline hopes to benefit all of its partners within the programme and beyond in order to flag the importance of data collection, improve the quality standards of local programmes and increase access to harm reduction services for those who use drugs worldwide.

Mainline hopes to leave a positive mark in the harm reduction community and other key populations, such as sex workers and the LGBT-community.

Want to know more?


Our partners in Pakistan

Pilots in Pakistan

News from Pakistan


Contact

Innovation- and Country Manager Pakistan: 
Nick Veldwijk


Innovations in Pakistan

The HIV-epidemic in Pakistan is centralised and concentrated. In Pakistan, HIV mainly affects people who inject drugs. In a country where drug use – although widespread – is a huge taboo and where sexuality is not always easily discussed – you can find one of the world’s most successful harm reduction programmes.

It is in Pakistan where Mainline supports and implements most of its innovative work. Read more about our current innovative pilots in Pakistan and find out how other key populations can also benefit from successful and/or failed pilots.

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.

> Read more
internationaal

Indonesia

Indonesia (pop. 254 million) is located in Southeast Asia and comprises 17,000 islands and 34 provinces.

> Read more
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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. 

> Read more

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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