THE GLOBAL STATE OF HARM REDUCTION 2024 REGIONAL OVERVIEW EASTERN AND SOUTHERN AFRICA 3 TABLE EPIDEMIOLOGY OF HIV AND VIRAL HEPATITIS, AND HARM REDUCTION RESPONSES IN EASTERN AND SOUTHERN AFRICA Country/territory People who HIV Hepatitis C Hepatitis Harm reduction responses inject drugs prevalence (anti-HCV) B (anti- among prevalence HBsAg) NSPa OATb Peer DCRd Safer people who among prevalence dis. [...] Although The NGOs TB/HIV Care and the South African Zimbabwe’s National Drug Master Plan (2020-2025) Network of People Who Use Drugs reported that, outlines harm reduction interventions, including NSP, due to resistance towards harm reduction, there was OAT and naloxone, these are yet to be implemented a three-month shutdown of the NSP in Wynberg, THE GLOBAL STATE OF HARM REDUCTION 2024 REGIONAL O. [...] The Eastern and Southern African Commission on Drugs has underscored the need to review the current strategic and policy responses to drug trafficking and drug use in the region to ensure people who use drugs can access healthcare and other vital services.25 THE GLOBAL STATE OF HARM REDUCTION 2024 REGIONAL OVERVIEW EASTERN AND SOUTHERN AFRICA 9 KEY ISSUE DIMINISHING HARM REDUCTION FUNDING Eastern. [...] The Global Drug Policy Index 2021 and less than half (47%) are on treatment.30 reported average harm reduction coverage to be 37% in Kenya, 16% in Mozambique, 27% in South The South African government funds 70% of its Africa and 4% in Uganda.41 Yet, drug use is projected HIV response domestically, but no national funds to increase by 40% by 2030 in Africa, and East and are allocated to harm reduct. [...] donor-funded, with only 36.5% of the funding coming THE GLOBAL STATE OF HARM REDUCTION 2024 “ The biggest funding boost for harm reduction in Eastern and Southern Africa would be for governments to stop funding punitive approaches to drugs and invest in harm reduction.” THE GLOBAL STATE OF HARM REDUCTION 2024 REFERENCES 11 1 UNAIDS, (2023), UNAIDS regional fact sheet: Eastern and southern extreme.
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Table of Contents
- REGIONAL OVERVIEW EASTERN AND SOUTHERN AFRICA 1
- TABLE EPIDEMIOLOGY OF HIV AND VIRAL HEPATITIS AND HARM REDUCTION RESPONSES IN 3
- EASTERN AND SOUTHERN AFRICA 3
- AVAILABILITY OF HARM REDUCTION SERVICES 4
- NSP OAT DCRs AND SAFER SMOKING KITS 5
- AVERAGE HARM REDUCTION COVERAGE 6
- HIV PREVALENCE AMONG PEOPLE WHO INJECT DRUGS 6
- KEY ISSUE 7
- SUPPORTIVE POLICIES PUNITIVE PRACTICES 7
- KEY ISSUE 9
- DIMINISHING HARM REDUCTION FUNDING 9
- The biggest funding boost for harm reduction in Eastern and Southern Africa would be for governments to stop funding punitive approaches to drugs and invest in harm reduction. 10
