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Multi-country study on harm reduction and community involvement

Funded by Bridging the Gaps and set to take place in four countries - Indonesia, Kyrgyzstan, South Africa and the UK – this study aims to understand how involvement of people who use drugs can influence the quality and availability of harm reduction services.

On 25 and 26 March 2018, researchers from King’s College London, Mainline, INPUD, and AFEW organised a two-day workshop for a ground-breaking study into community involvement.

The kick-off meeting took place in Bishkek, the capital of the Kyrgyz Republic, and brought together people from the local communities of people who use drugs (PWUD) and researchers from Indonesia, South Africa, and Kyrgyzstan.

Each case study is led by a team consisting of experts from the local community of PWUD and academic experts. People who use drugs will be involved in all aspects of the research, including design, data gathering, analysis, and writing of articles and reports.

Each country has a unique local flavour. In Indonesia, the network of people who use drugs – PKNI - monitors the quality of harm reduction services. In South Africa, PWUD in Pretoria established all harm reduction services from the very start, and continue running all services. In Kyrgyzstan, female leaders of the PWUD community offer feedback and advice to service delivery organisations. The aim of this study is to describe the experiences in each country, to draw on the lessons learned and will hopefully lead to a better understanding of how important it is to intimately involve PWUD in all aspects of harm reduction service delivery.

Researcher Andrew Guise from King's College London: ‘this is a unique opportunity to understand the various models of drug user involvement in service delivery. We hope this research will promote the inclusion of people who use drugs in programming and decision making. Because we believe in the principle of meaningful involvement, we set the example and work with researchers from the community in all three countries’.

Our current projects


Vietnam

In the last decade, the use of methamphetamine – also referred to as ‘meth’ or ‘ice’ – has increased significantly throughout Southeast Asia. And Vietnam is not an exception.

> Read more

Mainline: doping in recreational sports

Although evidence is somewhat scattered, the use of performance and image enhancing drugs (PIEDs) is long said to be on the rise in the recreational sport scene. It concerns substances that help people lose weight and/or build stronger muscles. Mainline is part of a new European project that aims to test two online interventions around PIED use. 

> Read more
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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
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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
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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. 

> Read more

Multi-country study on harm reduction and community involvement

Funded by Bridging the Gaps and set to take place in four countries - Indonesia, Kyrgyzstan, South Africa and the UK – this study aims to understand how involvement of people who use drugs can influence the quality and availability of harm reduction services.

> Read more

Advocacy for women who use drugs in the MENA region

Mainline works with the Middle East and North Africa Harm Reduction Association (MENAHRA) to improve the position of women who use drugs (WWUD). We designed a manual for local organisations in the MENA region. The aim of this manual is to provide practical guidelines to advocate for harm reduction services for women. 

> Read more
internationaal

Indonesia

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

> 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
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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

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
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Bridging the Gaps2: 2016 - 2020

Indonesia, Kenya, Nepal, Pakistan, South Africa, Tanzania and Vietnam (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
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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

Our finished projects

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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
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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.

> Read more
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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
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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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