Saying our goodbyes in Nepal 

After 12 special years, Mainline is saying their goodbyes to their loyal partner Youth Vision in Nepal. Youth Vision and Mainline have worked together for many years to promote the health and rights of people who use drugs. 

We have worked together in several programmes such as ‘From Margin to Mainstream’ and ‘Expanding the Continuum’, before working under the Bridging the Gaps programme. 

During our November visit, we took time to reflect on past years. During these years, Youth Vision pioneered opioid substitution treatment (OST), using Buprenorphine. They designed the first clinical guidelines and helped other organisations to start providing OST. 

In addition, Youth Vision delivered quality harm reduction services such as needles and syringe exchange programmes, outreach work and provided support in anti-retroviral testing and treatment. 

Jagdish Lohani – director at Youth Vision: ‘As a donor and partner, Mainline gave us the freedom to strategise according to our own vision and local needs as well as to focus on quality and not only on reaching targets. Dutch funding offered our organisation continuity and room to innovate. It allowed us to exchange valuable lessons with organisations in other countries and establish comprehensive HIV services for people who use drugs’. 

Mainline hopes to leave at the right moment: there is good coverage of HIV services, needles and syringe programmes and OST. HIV prevalence among people who inject drugs has decreased significantly over the years.

Current programmes are expected to be taken over by other donors. As a mutual goodbye present, Mainline and Youth Vision will work to produce a video documentary to showcase some of the shared successes and change they have achieved in the lives of those who use drugs in Nepal. 

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