NL
 

Young, Wild and... Free?

Kenya, South Africa

Young people use drugs - including minors. It's an inconvenient truth: societies usually seek to prevent young people from damaging their health and there is a big taboo on drug use among young kids. But are stigma, legislation or moral judgement keeping young people away from harm reduction services? This project aims to find and improve access to services.

Geographical focus

Mainlines contribution to the broader, multi-country Young, Wild and.. Free? programme is centered in Kenya and South Africa. The work is connected to similar work in Russia and Vietnam. And it links into best practices from Indonesia and Ukraine.

Contact

Would you like to know more about this project, contact us via info@mainline.nl 

Young key populations

Young, Wild and.. Free? is a project that includes work with three key populations at high risk to contract HIV/AIDS: sex workers, lesbian, gay, bi-sexual and transgender people and people who use drugs. Within these three groups you can find young people, aged 15 to 25. The overall objective of the project is to ensure a better 'fit' between young key populations' needs for (health) services and to improve access.

Best practices and normative guidance

The programme started in September 2019 and kicked-off with a study to get an overview of available normative guidance, literature and best practices into how to best work with young key populations.  

        

This project is part of the Bridging the Gaps programme, funded by the Dutch Ministry of Foreign Affairs.



Community research

Young people are central to this programme, so an important next step was to learn more about the needs of young key populations. Young community researchers from Russia, Kenya, South Africa and Vietnam were taught basic research skills in March 2020. The new skills enabled them to dive into the local scene and see into the needs of their peers: young sex workers, LGBT people and people who use drugs.

Pilots

The overarching research, existing best practices from Kenya, Ukraine, Indonesia and Vietnam and the four country-level needs assessments provided enough information to start a pilot phase. Mainline worked with MEWA in Mombasa, Kenya and TB/HIV Care in Durban, South Africa to pilot services for young people who use drugs. 

Web-resource

The results of this project are now available on a specially designed website for organisations who work with young people who use drugs: www.communityharmreduction.com/youth. This page also links into the many other resources that are collected for organisations who work with young key populations at high risk to contract HIV and Aids.  

Our current projects


internationaal

Services for Vulnerable Migrants who use Drugs in the EU

Netherlands, Belgium, Spain, Greece, Germany, France

Several risk factors increase the vulnerability of (new) groups of migrants to engage in problematic drug use. These risk factors include traumatic experiences, disengagement with society, unemployment and poverty. Services and municipalities throughout the European Union are faced with the urgent challenge to address these migrants’ needs. 

> Read more

Mainline - Technical Advice

Did Mainline become a supplier? Yes: a supplier of technical advice for the Global Fund. Harm reduction organisations and networks of people who use drugs across the world can now request a Mainline training or capacity building. Read more about how this works.

> Read more
internationaal

Gender-based violence

Kenya

Women who use drugs in Kenya face violence every day. At home. On the streets. By the police. In their communities. A unique study - conducted in Mombasa, Kenya - sheds light on the tough realities these women encounter. Urgent action is needed now.

> Read more
internationaal

Chemsex

Global

The use of drugs during sex is a growing worldwide phenomenon among men who have sex with men (MSM). Mainline has built a unique track record while working in the frontline of the Dutch 'chemsex' scene. Now, we also apply this expertise in an international context. The best place to start? Our chemsex e-learning.  

> Read more
internationaal

Assessing the drug scene

Zimbabwe

Mainline is asked to assess the drug scene in five provinces in Zimbabwe. A team of three researchers works together with the Zimbabwe Civil Liberties Drug Network in the first quater of 2022. The goal: to understand what drugs are commonly used and to recommend health interventions.

> Read more
internationaal

Love Alliance

Burkina Faso, Burundi, Egypt, Kenya, Marocco, Mozambique, Nigeria, South Africa, Uganda, Zimbabwe

Mainline is a partner in the Love Alliance programme. The Love Alliance brings together organisations led by communities most affected by HIV and AIDS.

> Read more
internationaal

Mindful Muscles

United Kingdom, Finland, Greece, Estonia, Serbia, Portugal, the Netherlands

Harm reduction approaches are rarely applied in a recreational sports setting. And why would we - sport equals health, right? Not always. Research shows that the use of performance and image-enhancing drugs (PIEDs) is quite common in various recreational sport scenes. And for those people who use frequently and in high doses, harm reduction can make a big difference.

> Read more
internationaal

Stimulant Harm Reduction - Field Lab

Vietnam

In 2021 and 2022, SCDI in Vietnam and Mainline can continue to strengthen and expand the available harm reduction offer for people who use meth-amphetamines. After establishing the regional field lab in 2019 and 2020 we now have the opportunity to push this innovative initiative to the next level. One important element: to improve and expand the community mental health response. Moreover, the skills that were built in Hanoi's field lab are ready to be further disseminated across the South East Asian Region.

> Read more
internationaal

Quality Harm Reduction

Iran

Iran is renowned for its harm reduction programme. It was one of the first countries in this geographical region to adopt a harm reduction approach. Government supports and funds the programme. But the drug scene in Iran has changed over the past 20 years. More people are using stimulant drugs and, due to economic circumstances, more people who use drugs have become homeless. Mainline sets out to see whether the current programme in Tehran still fits the needs of the local people who use drugs.

> Read more
internationaal

Prison Health

Indonesia

Prisons in Indonesia are often overcrowded and health services are limited. Is quality prison health too expensive? Not according to findings from Atma Jaya University, who applied the method of 'economic modelling' to prison health services, including drug dependency programmes. The findings feed important advocacy messages to improve the prison system in 2021.

> Read more

Our finished projects

Understanding the needs of women who use drugs and their HIV+ children

Tanzania

Children Education Society (CHESO) in Tanzania has requested Mainline to assess the needs of women who use drugs and their (HIV positive) children. Between September and November two Mainline staff members will speak with women to ensure their needs for services will be taken up in the new national HIV and AIDS strategic plan. 

> Read more
internationaal

Young, Wild and... Free?

Kenya, South Africa

Young people use drugs - including minors. It's an inconvenient truth: societies usually seek to prevent young people from damaging their health and there is a big taboo on drug use among young kids. But are stigma, legislation or moral judgement keeping young people away from harm reduction services? This project aims to find and improve access to services.

> Read more
internationaal

Size estimation and service mapping: introducing harm reduction

Zambia

Harm reduction is new in Zambia. Mainline was asked to estimate how many people inject drugs in the country and to map the already existing harm reduction and HIV services for people who use drugs. Based on this information, we drafted practical service guidelines. In doing so, Mainline hopes to have contributed to the introduction of harm reduction in Zambia.  

> Read more
internationaal

Reducing harms in the work environment

South Africa

Together with activists and peer- and outreach workers in South Africa, Mainline worked on a practical guide about involving peers in harm reduction work.

> Read more
internationaal

Women Who Use Drugs & Peer Workers

South Africa

Women Who Use Drugs face additional problems compared to their male counterparts. The harm reduction field far too often neglects the needs of women. To some extent, the same is true for peer workers: incredibly valuable staff in any impactful service. How can local services make sure that peer workers are valued, supported and living up to their full potential? And how can access for women who use drugs be improved?

> Read more
internationaal

Hanoi field lab for stimulant harm reduction

Vietnam

October 2019 marked the start of a cutting edge new initiative. With the support of Open Society Foundation, Mainline and SCDI in Vietnam are building expertise to support people who use stimulant drugs. The core motivation to do so is the sharp rise in the use of crystal meth in the South Asian region and the lack of a coordinated harm reduction response.

> Read more
Copyright Mainline 2022. Webdesign by Studio Odilo Girod, hosting & CMS by Blogbird.