The new data in this report shows a worrying slowdown in the provision of harm reduction services for people who use drugs, with no new countries introducing needle and syringe programmes since 2014.

Along with this, there has been a rise in injecting stimulant use across all regions of the world, and a dramatic increase in overdose deaths.

Harm reduction in prisons also remains vastly insufficient, with only a very small number of countries providing needle exchange or overdose training in at least one prison.

Keywords: HIV, PWID, prisoners, drug, OST, NSP, hepatitis C, needle/syringe

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