The Global State of Harm Reduction 2020

The Global State of Harm Reduction is the only report that provides an independent analysis of harm reduction in the world. Now in its the seventh edition, the Global State of Harm Reduction 2020 is the most comprehensive global mapping of harm reduction responses to drug use, HIV and viral hepatitis.

The report can be downloaded and read in full or by chapter below.

The Global State of Harm Reduction 2020 includes:

View or download a PDF of the full report here

Click here to download the maps and infographics from the report 

Map 1: Global availability of needle and syringe programmes (NSPs) in the community and in prisons

Map 2: Global availability of opioid agonist therapy (OAT) in the community and in prisons

Country or territory At least one needle and syringe programme operational NSP in at least one prison At least one opioid agonist therapy programme operational OAT in at least one prison
Asia
Afghanistan
Bangladesh
Bhutan
Brunei Darussalam
Cambodia
China
Hong Kong
India
Indonesia
Japan
Laos
Macau
Malaysia
Maldives
Mongolia
Myanmar
Nepal
Pakistan
Philippines
Singapore
South Korea
Sri Lanka
Taiwan
Thailand
Vietnam
Country or territory At least one needle and syringe programme operational NSP in at least one prison At least one opioid agonist therapy programme operational OAT in at least one prison
Eurasia
Albania
Armenia
Azerbaijan
Belarus
Bosnia and Herzegovina
Bulgaria
Croatia
Czechia
Estonia
Georgia
Hungary
Kazakhstan
Kosovo
Krygyzstan
Latvia
Lithuania
North Macedonia
Moldova
Montenegro
Poland
Romania
Russia
Serbia
Slovakia
Slovenia
Tajikistan
Turkmenistan
Ukraine
Uzbekistan
Country or territory At least one needle and syringe programme operational NSP in at least one prison At least one opioid agonist therapy programme operational OAT in at least one prison
Latin America and the Caribbean
Argentina
The Bahamas
Bolivia
Brazil
Chile
Colombia
Costa Rica
Dominican Republic
Ecuador
El Salvador
Guatemala
Guyana
Haiti
Honduras
Jamaica
Mexico
Nicaragua
Panama
Paraguay
Peru
Puerto Rico
Suriname
Uruguay
Venezuela
Country or territory At least one needle and syringe programme operational NSP in at least one prison At least one opioid agonist therapy programme operational OAT in at least one prison
Middle East and North Africa
Algeria
Bahrain
Egypt
Iran
Iraq
Israel
Jordan
Kuwait
Lebanon
Libya
Morocco
Oman
Palestine
Qatar
Saudi Arabia
Syria
Tunisia
UAE
Yemen
Country or territory At least one needle and syringe programme operational NSP in at least one prison At least one opioid agonist therapy programme operational OAT in at least one prison
North America
Canada
United States
Country or territory At least one needle and syringe programme operational NSP in at least one prison At least one opioid agonist therapy programme operational OAT in at least one prison
Oceania
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Vanuatu
Country or territory At least one needle and syringe programme operational NSP in at least one prison At least one opioid agonist therapy programme operational OAT in at least one prison
Sub-Saharan Africa
Angola
Benin
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Côte d’Ivoire
Democratic Republic of the Congo (DRC)
Djibouti
Ethiopia
Gabon
Gambia
Ghana
Guinea
Kenya
Lesotho
Liberia
Madagascar
Malawi
Mali
Mauritius
Mozambique
Niger
Nigeria
Rwanda
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Tanzania
Tanzania (Zanzibar)
Togo
Uganda
Zambia
Zimbabwe
Country or territory At least one needle and syringe programme operational NSP in at least one prison At least one opioid agonist therapy programme operational OAT in at least one prison
Western Europe
Andorra nk nk nk nk
Austria
Belgium
Cyprus
Denmark
Finland
France
Germany
Greece
Iceland
Ireland
Italy
Luxembourg
Malta
Monaco nk nk nk nk
Netherlands
Norway
Portugal
San Marino nk nk nk nk
Spain
Sweden
Switzerland
Turkey
United Kingdom

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