"The period from 2020 to 2022 has seen increased uptake of harm reduction interventions. For the first time since 2014, the Global State of Harm Reduction has found an increase in the number of countries implementing key harm reduction services.

"This growth has been driven by new needle and syringe programmes (NSPs) opening in five African countries as well as four new countries having officially sanctioned drug consumption rooms (DCRs).a This includes a site in Mexico that had been operating without formal approval since 2018 but now has approval from local authorities. Three countries have introduced opioid agonist therapy (OAT) for the first time.

"No country has stopped the implementation of NSP, OAT [Opiate Assisted Treatment] or DCRs since 2020."


Harm Reduction International (2022). Global State of Harm Reduction 2022. London: Harm Reduction International.