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.
It is hard to find reliable data about (injecting) drug use in Nepal. A recent nationwide mapping study estimated the number of people who inject drugs (PWID) to be in the range of 30,155–33,742. Among the PWIDs surveyed, a high proportion noted sharing needles/syringes and few reported using condoms (HSCB and NCASC, 2011).
The need for quality harm reduction services remains high in Nepal - despite comparatively low prevalence rates of HIV. Mainline works with its long-time partner Youth Vision in order to deliver clean needles and syringes and additional essential services through outreach workers in Kathmandu.
Because reliable data to base your programme on is hard to find, Mianline conducted its own mapping exercise in May 2016. This was done by a team of experts from Nai Zindagi (Pakistan), Mainline (the Netherlands) and Youth Vision (Nepal).
We estimated the number of people who inject drugs in Kathmandu Valley and conducted a behavioural and bio-medical survey.
Read the results here
Country Manager for Nepal: Nick Veldwijk
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.
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.
Tina and Slamming in a sexual settingMainline, 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.
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.
Back to SocietyOver 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.
Prevention of GHB overdoseIn 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.
Hepatitis C care for PUDFrom 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.
Strong connections between use of drugs and unsafe sex workOn 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).
Tikking the BoxesUntil 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.
GeorgiaBetween 2010 and 2012, Mainline worked with Alternative Georgia and Tanadgoma on the project ‘Humanity First’. The goal of the project was the promotion of respect for the human rights of drug users and more specifically the prevention of unnecessary repression of drug users by the authorities.
UkraineWorldwide, Ukraine is among the countries with the highest percentage of prisoners. Fifteen percent of the Ukrainians with HIV are imprisoned. Most of these were infected due to unsafe use of drugs. Among prisoners and prison personnel there is a lack of knowledge of HIV or related topics such as tuberculosis, sexually transmitted diseases (STDs), and hepatitis A, B, and C.
BosniaIn 2012, Mainline cooperated with Association PROI in Bosnia and Herzegovina. In Bosnia there is still only little cooperation between the police and advocacy groups working on behalf of drug users and sex workers.
RussiaMainline's international activities began in Russia. Between 2004 and 2010, we established cooperation with Parents against Drugs, a non-governmental agency in the industrial city of Togliatti.
MoldovaMoldova is a small country between Romania and Ukraine with approximately four million inhabitants. It is estimated that between half a million and one million Moldovans live abroad. Many young people and children grow up with only one parent or no parents around. These young people are vulnerable to becoming drug users and to all of the risks that this involves.
SerbiaApproximately one hundred thousand drug users live in the Serbian capital city of Belgrade. They are frequently denied medical care. This is the case partly because drug users do not have the required papers and partly due to social workers' prejudices about and fear of drug users.
Cambodia, India, Indonesia, Nepal & PakistanThe project ‘Extending the Continuum’ debunks the preconception that active drug users cannot be therapy-compliant if they are using ARVs.