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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.

  • Contact 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
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    Follow 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

Civil Society Response

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Civil Society Response

Civil society organisations play a vital role in harm reduction implementation and advocacy, at international, regional and local levels.

There are numerous civil society organisations providing services, promoting and advocating for harm reduction at the global, regional and national level. These include international and national non-governmental organisations, harm reduction networks and drug user organisations.

The following lists are not exhaustive, but they provide some idea of who is carrying out this work and where. If you would like your organisations details to be added (or removed) from this list, please write to

International Organisations

Harm Reduction International

International Harm Reduction Development Programme

CARE International

International Network of People who Use Drugs


International Nursing Harm Reduction Network

International Federation of the Red Cross and Red Crescent Societies

International HIV/AID Alliance

Medicins du monde

Family Health International (FHI)


Regional level:

Asian Harm Reduction Network (AHRN)

HIV/AIDS Asia Regional Program

Asian Network of People who Use Drugs

Asia Pacific Network of Sex Workers (APNSW)


Medicins du Monde – Afghan branch


Padakhep Manabik Unnayan Kendra

Centre for Health and Population Research (ICDDRB)


Khmer HIV/AIDS NGO Alliance (KHANA)

Mith Samlanh



Yunnan Daytop Center for Drug Abuse Treatment and Rehabilitation 

Yunnan Institute for Drug Abuse

Hong Kong:

Stanley Ho Centre for Emerging Infectious Diseases

Hong Kong AIDS Foundation

Red Ribbon Centre


Indian Harm Reduction Network

Sharan – Society for Service to Urban Poverty

Social Awareness & Service Organization (SASO)

Manipur Intravenous League

Indian Network for People living with HIV (INP+)


Indonesian Harm Reduction Network (JANGKAR)


Rumah Cemara

PANZABA (Bandung Drug User Community)


Kyoto Drug Addiction Rehabilitation Centre (DARC)

Japan HIV Center


PT Foundation (especially the IKHLAS Drop-in Centre)

Malaysian AIDS Council



Black Sheep Self Help Group of Drug Users

AHRN Myanmar


Richmond Fellowship

Dristi Nepal women for recovery

Recovering Nepal



Nai Zindagi

PakistaN AIDS Control Federation (PNAC) 


Remedios AIDS Foundation Inc. 


AIDS Society of the Philippines

Sri Lanka:

Alcohol and Drug Information Center (ADIC)


Centers for Disease Control R.O.C


Thai Harm Reduction Network (THRN)

Thai Drug Users Network

Thai AIDS Treatment Action Group (TTAG)


Institute for Social Development Studies


Regional level:

Caribbean Harm Reduction Coalition

Caribbean Drug Abuse Research Institute


Regional level:

Eurasian Harm Reduction Network (EHRN)

AIDS Foundation East-West (AFEW)

Correlation Network


Hungarian Association of Organizations for Drug Prevention and Harm Reduction (MADASZSZ)

Hungarian Civil Liberties Union (HCLU)


NGO Credo


Association of Harm Reduction Programs of Kyrgyz Republic


Vilnius Centre for Addictive Disorders

Association TAVO DRUGYS


Macedonian Harm Reduction Network

Healthy Options Project Skopje (HOPS)

Passage: The Association for the Protection of Drug Users Rights 



Moldova, Republic of:

Innovative Projects in the Prisons


CTN Monar

Krakow Association for Drug Users Support

Polish Methadone Patient Group (NAMA affiliate)


Romanian Harm Reduction Network

Adolescent Association

INTEGRATION Romanian Users Union

Russian Federation:

Russian Harm Reduction Network

Andrey Rylkov Foundation for Health and Social Justice

Open Health Institute

Drug Users RU

Drugscene Russia


NGO Veza



Centre for Treatment of Drug Dependencies - Institute for Drug Dependencies

Projektu Sociálna Asistencia


Sound of Reflection Foundation


Tajik National Harm Reduction Association 


Alliance Ukraine 

Ukrainian Harm Reduction Association (UHRA)

SALUS Charitable Foundation

All Ukrainian Network of people living with HIV

Latin America

Regional level:

Intercambios Civil Association

RELARD - Latin American Harm Reduction Network

REFORMA - Latin American Drug Policy Reform Network


Argentinean Harm Reduction Association (ARDA)

ACCRAD (Asociacion Civil Cristiana de red de la atencion y desarrollo)

Intercambios Civil Association


El Retoño

REDUC - Brazilian Harm Reduction Network



Aborda Associação Brasileira de Redutores de Danos


Chilean Harm Reduction Network

Caleta Sur


Fundación Procrear


Programa Compañeros A.C.


PREVER  Promoción de la Salud


El Abrojo

Instituto de Investigación y Desarrollo Social (IDES)

Middle East and North Africa

Regional level:




Iranian National Center for Addiction Studies (INCAS)


SIDC Association (Soins Infirmiers et. Développement Communautaire)


North America


Canadian Harm Reduction Network

Insite: Vancouver's Supervised Injection Site

Canadian HIV/AIDS Legal Network

All Nations Hope AIDS Network

Méta d'âme 

UNDUN : Unified Networkers of Drug Users Nationally

United States of America:

Harm Reduction Coalition (HRC)

North American Syringe Exchange Network

American Association for the Treatment of Opioid Dependence (AATOD)


National Alliance for Medication Assisted Recovery (NAMA Recovery) 


Regional level:

Centre for Harm Reduction at the Burnet Institute (CHR)

Pacific Drug and Alcohol Research Network (PDARN)


ANEX: The Australian Needle Exchange Network

Australian Drug Foundation (ADF)

Sydney Medically Supervised Injecting Centre

Australian Injecting & Illicit Drug Users League (AIVL)

New Zealand:

New Zealand Drug Foundation

Needle Exchange New Zealand

Sub-Saharan Africa

Regional level:

Sub-Saharan Africa Harm Reduction Network


Student Aid Liberia Inc

Restore Hope International Inc

Inter-Dicipleship Council Of Liberia


Prévention Information et Lutte contre le Sida (PILS)


Nigerian Friends for Harm Reduction (NFHR)

Giliead Care Resources

South Africa:

South African Alliance for the Prevention of Substance Abuse (SAAPSA)

South African Community Epidemiology Network on Drug Use (SACENDU)

Rave Safe

Western Europe

Regional level:

European Opiate Addiction Treatment Association (EUROPAD)

CONNECTIONS: Integrated Responses to Drugs and Related Infections Across the

European Alliance of Acceptance Oriented Families of Drug Users (EFDU)

European Harm Reduction Network


Verein Wiener Sozialprojekte



Modus Vivendi (French)

Free Clinic Belgium (Flemish)           


Trekt Uw Plant vzw


BrugerForeningen: Danish Drug Users Union

Gadjuristen – Danish Street Lawyers


Humaania Päihdepolitiikkaa Ry

A-Clinic Foundation (Tampere)

Suomen Lumme


Association Française Pour La Réduction Des Risques Liés à L'usage De Drogues (AFR)


Auto Support des Usages de Drogues (ASUD) 




Akzept eV

Deutsche Gesellschaft fuer Suchtmedizin (DGS)

Fixpunkt eV

JES Bielefeld eV

Junkie Bund eV Cologne



National Network of the Greek Reitox Focal Point



Ana Liffey Drug Project

Irish Penal Reform Trust

Merchants Quay Ireland

Union for Improved Services Communication and Education (UISCE)

Irish Needle Exchange Forum


Gruppo SIMS

Italian Leage for Fight Against AIDS (LILA)



Rainbow Foundation

Stichting De Regenboog AMOC

Stichting Mainline (Mainline Foundation)

Belangenvereniging Druggebruikers (MDHG)

Landelijk Steunpunt Druggebruikers 


BrukerForeningen (OBF)

24SJU (Oslo City Church Mission)

Oslo City Agency for Alcohol and Drug Addiction

Diakonhjemmet Høgskole


Agência Piaget para o Desenvolvimento (APDES)

Associação Abraço


Unión de Asociaciones y Entidades de Atención al Drogodependiente (UNAD)

Médicos del Mundo





RFHL (Riksförbundet för hjälp åt narkotika- och läkemedelsberoende)

Svenska BrukarFöreningen


Association for Risk Reduction in Use of Drugs (ARUD)

Eve & Rave


United Kingdom:

UK Harm Reduction Alliance (UKHRA)


National Needle Exchange Forum

Methadone Alliance (The Alliance)

National Users Network (NUN)