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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


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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
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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
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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?

> Read more

Train-the-trainer programme

In 2017, Mainline launched its first international train-the-trainer (ToT) programme. The objective of the programme is to develop the in-house training capacity of local partner organisations, making Mainlines capacity building efforts more sustainable in the long term.

> 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
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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
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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
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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
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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 years: more people are using stimulants and there are more and more homeless people who use drugs due to economic circumstances. Mainline sets out to see whether the current programmes in Tehran still fit the needs of the local people who use drugs.

> Read more
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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 treatment. The findings feed important advocacy messages to improve the prison system in 2021.

> Read more
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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

Our finished projects

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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

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 conducted a study into effective harm reduction interventions for stimulant users. The study includes a review of the evidence for different harm reduction strategies for stimulants and a detailed description of seven good practices in different world regions.  

> Read more
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Bridging the Gaps 2: 2016 - 2020

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

The Bridging the Gaps programme started its second phase in January 2016 and continued until the end of 2020. The shared goal of the Bridging the Gaps alliance: 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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Tanzania

Heroin use has increased enormously in Tanzania and other East African countries in recent years. East Africa is situated along the heroin trafficking routes from Afghanistan to Western Europe, and this has also affected local consumption. It is estimated that there are 30,000 people who inject heroin in Tanzania wherein at least 10,000 of them live in the capital Dar es Salaam. People who use drugs in Tanzania are marginalised and cope with infectious diseases, overdose and police brutality. In 2019, Mainline partnered with Mukikute to build better health services for this vulnerable group of people.

> Read more

Multi-country study on harm reduction and community involvement

Funded by Bridging the Gaps, this study aimed to understand how involvement of people who use drugs can influence the quality and availability of harm reduction services. The study took place in three countries - Indonesia, Kyrgyzstan and South Africa.

> Read more

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
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