Middle East and North Africa - Regional Overview 2014

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The marginalised and criminalised populations of men who have sex with men and people who inject drugs are most affected by HIV in this region. Latest estimates indicate that there are over 300,000 people who inject drugs in the region. Injecting drug use is fuelling HIV epidemics in Iran, Bahrain and Libya and contributes to those in several other countries in the region.

Pilot harm reduction programmes are operating in several MENA countries. However, Iran remains the only country in the region where access to NSPs and OST has been significantly scaled up. Iran is also one of the few countries worldwide where NSPs are available in prisons, albeit only in a small number of institutions. While several other countries in the region have NSP and a small number prescribe OST, none have responses sufficient to meet the needs.

Despite strong civil society in parts of the region, restrictions on the functions of non-governmental organisations in several countries continue to limit the harm reduction response.

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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)
DZAnknkNoNo
BHRnk55.8NoYesnk
EGY1000006.7Yes11No
IRN18500015.07Yes682Yes4275
IRQ34673nkNoNo
ISRnknkYes5Yesnk
JORnk6Yes2No
KWTnknkNoNo
LBNnk1Yes2Yesnk
LBY720687NoNo
MAR1850011.4Yes8Yes6
OMNnk3.8NoNo
PSEnk0Yes1No
QATnknkNoNo
SAU100003.5NoNo
SYR10000nkNoNo
TUN90003Yes3No
AREnknkNoYesnk
YEMnknkNoNo

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