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  • Harm Reduction Decade

    Harm Reduction Decade

    Read our latest report calling for a Harm Reduction Decade, sign the Harm Reduction Decade Declaration, call for #10by20, and stand up for human rights of people who use drugs, their families and communities.

  • 10 by 20

    10 by 20 Campaign

    Everything you need to know about the 10 by 20 campaign

    10 by 20 Pie Chart

  • Global State of Harm Reduction

    Global State of Harm Reduction

    Our flagship publication is the biennial Global State of Harm Reduction report. First published in 2008, it involves a coordinated effort across practitioners, academics, advocates and activists to map global data and responses to HIV and hepatitis C epidemics related to unsafe injecting and non-injecting drug use. It is the only report to provide an independent analysis of the state of harm reduction in the world. The information collated within the report is stored and regularly updated on an interactive e-tool for researchers and advocates.

    The Global State of Harm Reduction report is supplemented by regular thematic reports and advisories on key issues and emerging challenges. Please search our Resource Library for more information or join our e-list for regular updates.

    Interactive e-tool

    Global State of Harm Reduction’ e-tool is an interactive resource containing up-to-date information on harm reduction policy and programming around the world. Users can select countries or regions and create tables for an at-a-glance guide to the current state of harm reduction worldwide.

  • News

    News and Announcements

    Read the latest announcements and updates from HRI.

  • About

    About HRI

    HRI is a leading non-governmental organisation working to reduce the negative health, social and human rights impacts of drug use and drug policy by promoting evidence-based public health policies and practices, and human rights based approaches to drugs. Read more about HRI’s history.

    Vision and Mission

    Our vision is a world in which individuals and communities benefit from drug laws, policies and practices that promote health, dignity and human rights.


    Meet our staff at HRI


    HRI is governed by a nine person Board of Directors, elected for three-year terms.

    What is harm reduction?

    Harm reduction refers to policies, programmes and practices that aim to reduce the harms associated with the use of psychoactive drugs in people unable or unwilling to stop. The defining features are the focus on the prevention of harm, rather than on the prevention of drug use itself, and the focus on people who continue to use drugs.

    Harm reduction definition and principles in 12 languages

    Contact Us

    Please feel free to contact us if you have any questions or queries about our website, our work, membership or the international harm reduction conference.


    HRI benefits from the generous support of the Open Society Foundations, the European Commission, the Elton John AIDS Foundation, the MAC AIDS Fund, UNAIDS, the World Health Organization, the UN Office on Drugs and Crime, the World Bank, The Robert Carr Networks Fund and the Swiss Government.

    Harm Reduction International Awards

    HRI presents a number of awards at outr international conference to acknowledge the contributions of outstanding groups or individuals in the field.

    Strategic Plan

    An international environment supportive of harm reduction scale up

  • Our Work

    Evidence for advocacy

    HRI produces groundbreaking research and policy analysis informing advocacy across our sector.

    Spending where it matters

    Funding for harm reduction services is dangerously short while billions are wasted on drug enforcement. HRI works to assess resourcing needs and advocates for a reinvestment in health.

    Human rights-based policy

    Human rights abuses and drug enforcement go hand in hand. HRI challenges laws, policies and practices that generate harm.

    The Death Penalty for Drug Offences

    HRI monitors the death penalty for drugs in law and practice worldwide, and also considers critical developments on the issue.

    Sector strengthening

    HRI builds advocacy coalitions and supports emerging harm reduction networks to strengthen the international harm reduction sector.

    International conference

    Harm reduction is a global movement. Our biennial gathering is the International Harm Reduction Conference, convened by HRI.

  • Resource Library

    Resource Library

    Use our extensive resource library to search for HRI, NGO and academic reports, articles and presentations, including materials from past international conferences.

    Harm Reduction Journal

    Harm Reduction Journal,, is an open access, peer-reviewed, online journal whose focus is on the prevalent patterns of psychoactive drug use, the public policies meant to control them, and the search for effective methods of reducing the adverse medical, public health, and social consequences associated with both drugs and drug policies.

  • Support Us


    HRI relies on trusts, grants and donations to continue our work. To make a donation or pay membership fees, please use our secure payment page.

    Or why not fundraise for us with ‘Discover Adventure’?

    Contact Us

    Harm Reduction International
    Unit 2C09 Southbank Technopark
    90 London Road
    SE1 6LN  

    Tel: +44(0) 207 717 1592
    Fax: +44 (0) 207 922 8822
    Join us on facebook at: Harm Reduction International
    Or join us on Twitter at: HRInews


    Sign up to receive email updates, report launches, harm reduction advisories and information about the forthcoming international harm reduction conference


Meet our staff at HRI

Cinzia Brentari, Project Manager

Cinzia joined Harm Reduction International in 2014 as a project manager and provides expertise in project and organisational development and fundraising, in particular with reference to EU funds. Read more

Naomi Burke-Shyne - Deputy Director

Naomi joined Harm Reduction International as Deputy Director in October 2017 and brings more than 10 years of international experience at the intersection of harm reduction, HIV and human rights.… Read more

Catherine Cook, Head of Research

Catherine Cook joined Harm Reduction International in 2007 as Research Analyst and was appointed Harm Reduction International’s Head of Research in 2017. She now leads the research team, overseeing… Read more

Pippa Gray, Operations Manager

Pippa joined Harm Reduction International in February 2011 to assist with financial admin and audit preparation.  She was asked to join the team in Beirut for the conference that year and in 2013… Read more

Rick Lines, Executive Director

Rick Lines was appointed Executive Director in 2010. He joined Harm Reduction International in 2007, initially as Senior Policy Advisor and later as Deputy Director. Read more

Sarah Lowther, Finance Manager

Sarah joined Harm Reduction International in November 2013, and provides support and financial analysis to staff and the executive team Read more

Fionnuala Murphy, Head of Advocacy

Fionnuala joined Harm Reduction International in 2014 to oversee 10 by 20, HRI’s new global campaign to persuade governments to reallocate just 10 per cent of the resources they currently spend on… Read more

Lucy O'Hare, Conference Manager

Lucy joined Harm Reduction International in April 2016. Along with Maddie, she is responsible for organising Harm Reduction International’s conference. Lucy also works at HIT, a UK-based harm… Read more

Maddie O'Hare, Conference Manager

Maddie joined Harm Reduction International in April 2016. Maddie is responsible for the organisation and smooth running of Harm Reduction International’s flagship biennial conference. Maddie is… Read more

Emily Rowe - Project Officer

Emily Rowe is an Australian born, Bali based post-doctoral researcher who has been living in Indonesia since 1998. Emily joined Harm Reduction International in June 2017 as Project Officer for the… Read more

Genevieve Sander, Human Rights Analyst

Gen Sander joined Harm Reduction International in September 2014 as a human rights analyst. Read more

Katie Stone, Research Analyst

Katie joined Harm Reduction International in 2014 and oversees the production of the Global State of Harm Reduction 2014 Read more

Olga Szubert, Campaigns and Advocacy Manager

Olga joined Harm Reduction International in 2015 as Campaigns Manager. Prior to working at HRI, Olga worked at Stonewall as International Policy Officer and at the International HIV/AIDS Alliance… Read more