Eurasia - Regional Overview 2014

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The Eurasian region, comprising Central and Eastern Europe, as well as Central Asia, is home to over 3.7 million people who inject drugs, representing almost one-quarter of people who inject drugs worldwide. Injecting drug use is driving HIV epidemics in many countries in the region, where an estimated one million people who inject drugs are living with HIV.

While harm reduction service provision has increased in recent years, coverage remains limited. Needle and syringe exchange (NSP) is now provided in all countries and territories of the region. The vast majority also provide opioid substitution therapy (OST), but most of the programmes are pilots and have not been systematically scaled up. In many countries, there remains an emphasis on drug law enforcement over drug treatment and harm reduction. Rapid increases in HIV prevalence within prison populations have led a number of countries to begin prescribing opioid substitution therapy to prisoners, but access to sterile injecting equipment among prison populations remains a rarity.

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* Please refer to the full report below for ranges, where these are available. The maps and tables on this page display midpoint averages only.

Download full Global State of Harm Reduction Report (PDF 8.5 MB).

CountryPeople who inject drugsAdult HIV prevalence amongst people who inject drugsOperational needles-syringe exchanges programmesNumber of operational NSP sites (low)Operational OST programmesNumber of operational OST programmes (low)
ALB50000.5Yes2Yes6
ARM127006.3Yes12Yes4
AZE712839.5Yes17Yes2
BLR7500017.1Yes33Yes14
BIH125000.3Yes28Yes8
BGR1900010.6Yes102Yes31
HRV62510.48Yes102Yesnk
CZE387000.35Yes106Yes372
EST1380155Yes36Yes7
GEO450003Yes14Yes18
HUN56990Yes29Yes12
KAZ1168404.4Yes162Yes10
KGZ2500013.5Yes53Yes18.5
LVA1800020.3Yes18Yes4
LTU60564.6Yes11Yes19
MNEnk0.3Yes13Yes3
POL151195Yes12Yes25
MDA315627.9Yes31Yes11
ROU1926524.9Yes7Yes13
RUS181500024.5Yes4No
SRB303835Yes13Yes29
SVK188410.3Yes28Yes7
SVN61001.9Yes17Yes20
TJK2500013.5Yes9Yes34
MKD175000Yes16Yes12
TKMnknkYes2No
UKR31000019.7Yes1667Yes169
UZB800007.3Yes235No

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