© Chien-Chi Chang
people who use drugs of which 30,000 inject it.
of people who inject drugs are HIV-positive in Dar es Salam.
Of people who inject drugs are infected with hepatitis C virus.
Médecins du Monde’s emergency response includes a range of humanitarian assistance programmes. Find out more below about our work and missions in Tanzania.
THE NEED FOR HUMANITARIAN ASSISTANCE IN TANZANIA
Tanzania is a major hub for heroin trafficking coming from Central Asia, where drug consumption has widely spread. There are more than 300,000 people who use drugs, of which 1/10 inject it.
HEALTH CONSEQUENCES OF DRUGS
Due to the lack of adequate prevention and healthcare services adapted and accessible for these populations, unsafe practices (like sharing used syringes and unprotected sex) are very spread and have a considerable impact on the health of people: more than one third is HIV-positive and one fourth has hepatitis C.
BARRIERS TO ACCESSING CARE
Although proper harm reduction (HR) services do exist such as access to opioid substitution treatments and syringe exchange programmes, they are still too scarce compared to the actual needs. Stigmatisation and discrimination – which are prevalent in healthcare services and amongst the population – constitute additional barriers to healthcare.
The legal framework and the repressive political environment further reinforce the marginalisation of people and how distanced from healthcare they are.
© William Daniels
OUR HUMANITARIAN WORK IN TANZANIA
The aim of Médecins du Monde’s medical assistance in Tanzania is to prevent and reduce risks related to drug consumption.
REDUCING THE RISKS OF USING DRUGS
A COMPREHENSIVE PROGRAMME
Between 2010 and 2018, Médecins du Monde established the first comprehensive humanitarian harm reduction programme in Tanzania in the city of Dar es Salam.
Despite a political environment less than favourable, this pilot project included comprehensive services adapted to the needs of people. The teams have set up a reception centre and mobile activities to go and meet the most isolated people who are using drugs. Our medical assistance programme in Tanzania has developed services that are adapted to the most vulnerable people.
HARM REDUCTION ADVOCACY
To ensure the durability of our humanitarian mission in Tanzania and of our interventions, we relentlessly aim our advocacy at the authorities in favour of harm reduction and strengthen the capacity of local partners through the training and resources centre.
Today, Médecins du Monde is playing a major role for promoting and institutionalising harm reduction in Tanzania. In 2021, as a national expert, Médecins du Monde’s teams endeavoured to:
- ensure the proper transfer of the pilot programme to guarantee long-term quality and durability,
- coordinate the upscaling of harm reduction services currently in place in Dar es Salam and currently being set up in two other localities (Bagamoyo and Tanga), in collaboration with the Ministry of Health and the institutions involved,
- reinforce the capacity of local institutions and organisations to implement supervision and harm reduction services of quality,
- support the Tanzanian network of people who use drugs to get the needs of consumers acknowledged and defended,
- support the development of policies and national strategies in favour of harm reduction,
- do advocacy work aimed at policy makers within the national healthcare system to strengthen healthcare services adapted to people who use drugs.
In 2021 in the context of our work in Tanzania, we:
- reinforced and expanded our harm reduction programme in 3 cities of the country. This project reached 7,049 people who use drugs,
- worked with and trained 9 local partners who started setting up syringe exchange programmes,
- trained/informed 1,251 people on harm reduction (police, healthcare staff, etc),
- collaborated with public institutions to develop key national policies to establish harm reduction programmes.
Beneficiaries in 2021.
Budget in 2021.
Beneficiaries in 2021.
Budget in 2021.