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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.
Within the Bridging the Gaps programme, Mainline supported harm reduction projects in Indonesia, Kenya, Nepal, Pakistan, South Africa, Tanzania and Vietnam. The Dutch Ministry of Foreign Affairs funded Bridging the Gaps.
The first phase of Bridging the Gaps took place between 2011-2015. The continuity that this programme offered, running for almost 10 years, allowed us to work strategically and to build strong partnerships across the world.
The flexibility of the project made our work exceptionally effective, as it ensured we could focus on specific service gaps for people who use drugs or to address new drug trends.
We focused on people who use meth-amphetamines in Indonesia, on outreach work, human rights and opioid substitution programmes in South Africa, on women who use drugs in Kenya, on needles and syringe programmes in Nepal, on stimulant use in Vietnam and on safeguarding harm reduction in Tanzania.
The Bridging the Gaps 2 programme led to some interesting innovations. Mainline joined forces with long-time partner Nai Zindagi in Pakistan to explicitly work on innovative interventions.
Mainline provided financial support to partner organisations that were part of the Bridging the Gaps programme. In addition, we also assisted local partner organisation to build capacity. We trained and coached partners in four key areas:
Mainline offered specialised harm reduction training, ranging from basic harm reduction skills to outreach work and from women who use drugs to harm reduction for people who use stimulants (and much more). Our trainer-of-trainers programme was also initiated under the Bridging the Gaps 2 programme.
A study about community-led harm reduction work was commissioned and conducted in Indonesia, Kyrgyzstan and South Africa. This resulted in the report 'Community Matters'. Additional studies were done in Pakistan: one about the spouses of people who inject drugs and their risks to contract HIV and one about adherence to ART.
As a complementary programme, the Dutch Ministry of Foreign Affairs approved a programme that focuses on young key populations. This programme runs until the end of 2021 and is called 'Young, Wild and.. Free?.
The Bridging the Gaps programme has been evaluated by an external assessor. The report can be found here:
The website of the Bridging the Gaps programme is accessible until the end of 2021. Have a look at www.hivgaps.org.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
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