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Our partners in South Africa

Since 2014, Mainline supports two organisations in South Africa:
TB/HIV Care Association (THCA) and OUT LGBT Wellbeing (OUT). 

In 2014/15, the organisations mapped selected areas of Cape Town, Durban and Pretoria to prepare for harm reduction projects in these cities.They have estimated the number of PWID and identified where users could be accessed by outreach work. In 2015, TB/HIV Care and OUT launched the Step Up Project: an HIV prevention and harm reduction project for PWID. 

Both organisations work in an integrated way through the Step Up project, while also developing their own work plans and activities according to local contexts. 


OUT Wellbeing

OUT is a Non-Profit Organisation working in South Africa for over 21 years. Historically, OUT focuses on Lesbian/Gay/Bisexual/Transgender (LGBT) people, having started to work with PWUD in 2014. OUT's focus areas of work are direct health and mental health services, research, mainstreaming and advocacy. The project with PWID is being carried out in Pretoria, Gauteng province. As part of the project, OUT offers PWID:

  • Needle and syringe distribution, collection and disposal;
  • HIV counselling and testing;
  • Referral for antiretroviral therapy and HIV care and support;
  • Prevention of, screening, treatment and/or referral for treatment of STIs;
  • Condom and lubricant distribution;
  • Targeted information, education and communication for PWID and their sexual partners;
  • Prevention, screening and referral for the diagnosis and treatment of TB
  • Referral for drug treatment and OST;
  • Prevention, screening and testing for hepatitis B and C;
  • Drop in Centre with shower, meals, movie screening, group discussions and soon also including counselling and group support.


Future plans include work projects to employ service beneficiaries, specific support groups for female users and psychosocial support for OST clients.

Advocacy work at OUT includes hosting PWID community advisory meetings, promoting the sensitisation of law enforcement workers and other stakeholders to harm reduction approach, and reporting of human rights abuses. OUT also supports the establishment of DUG (Drug Users of Gauteng), a regional network of people who use drugs.

Read more about OUT


TB/HIV Care

TB/HIV Care has been working in South Africa since 1929. The Non-Profit Organisation aims at preventing, finding and treating HIV and TB in the general population as well as in key groups such as inmates, sex workers and people who inject drugs.

Their work with PWID started in 2014. Services for people injecting drugs are currently offered in Cape Town and Durban. Advocacy activities are carried out nationally and locally in Cape Town, Durban and Pretoria. Service delivery activities include:

  • Needle and syringe distribution, collection and disposal;
  • HIV counselling and testing;
  • Referral for antiretroviral therapy and HIV care and support;
  • Prevention of, screening, treatment and/or referral for the treatment of STIs;
  • Condom and lubricant distribution;
  • Targeted information, education and communication for PWID and their sexual partners;
  • Prevention, screening and referral for diagnosis and treatment of TB;
  • Prevention, screening and testing for hepatitis B and C.


In 2017, TB/HIV Care will start offering services in a Drop in Centre, open to sex workers and people who use drugs. The drop in centre will offer showers, counselling, basic medical services, support groups, assistance in securing identity documents and assistance with social grant applications.

TB/HIV Care carries out the bulk of advocacy activities financed by Mainline in South Africa. Some of these activities are:

  • Recording human rights abuses and writing up reports to be used in advocacy with law enforcement and other stakeholders;
  • Publishing on harm reduction approach and drug policy reform on social and formal media: Facebook, Twitter, emerging social media, local, news regular drug policy newsletters;
  • Organising events to debate Drug Policies and promote change, such as the SA Drug Policy Week event. Read more 
  • Lecturing, training and interacting with medical students, medical professionals, social workers and community policing forums;
  • Supporting the establishment of DUCT (Drug Users of Cape Town), a regional network of people who use drugs. Follow DUCT on Facebook.


Advocacy plans for 2017 include expanding the recording of human rights abuses, expanding drug user networks and developing paralegal work for PWUD to access legal services. 

Read more about TB/HIV Care

Want to know more?


Our work in South Africa
South Africa in context
News from South Africa

Contact

Country Manager for South Africa: Hatun Eksen




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