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 ninth edition, the Global State of Harm Reduction 2024 is the most comprehensive global mapping of harm reduction responses to drug use, HIV and viral hepatitis.
The Global State of Harm Reduction has always been produced through a collaborative effort between community and civil society representatives and researchers. The report includes nine regional chapters authored by experts from each region. This year’s report differs slightly from previous editions as we emphasise key regional issues and populations that continue to be neglected by harm reduction services.
Each regional chapter presents data on the availability of harm reduction services and addresses two key issues that require special attention. The report also includes three new thematic chapters focused on harm reduction for Indigenous people, people in prison and youth. We also continue to include data to map the implementation of viral hepatitis services for people who use drugs.
Top trends presented in the report include:
- 93 countries now provide at least one needle and syringe programme (NSP), compared to 92 in 2022.
- Opioid agonist therapy (OAT) programmes are now in 94 countries, compared to 88 in 2022 – although coverage remains varied and limited.
- The number of countries with drug consumption rooms (DCRs) or overdose preventions centres remains very small, but it has increased from 16 to 18 since 2022. The two new countries on this list are Colombia and Sierra Leone.
- Take-home naloxone programmes are now available in 34 countries, a slight decrease from 35 in 2022.
DPNSEE has been following the Global State of Harm Reduction reports in recent years. We have already prepared an overview of the findings of the situation in South East Europe. Here it is

To access the Report, follow this link>>>.
The Forum membership comprises 45 civil society organisations coming from across Europe and representing a variety of fields of drug policy, and a variety of stances within those fields. Its purpose is to provide a broad platform for a structured dialogue between the Commission and the European civil society which supports drug policy formulation and implementation through practical advice.
The European Union Regulation (2023/1322) establishing the European Union Drugs Agency (EUDA) calls on the EUDA to intensify cooperation and collaboration with civil society organisations (CSOs), including organisations of people who use drugs and communities affected by the consumption and sale of drugs or drug-related crime. This should involve consultations, information exchange and knowledge sharing. Recognising the value of these potential developments, the EUDA convened the consultation meeting in the margins of the 
The head of the Department for Quality and Standards in the field of drug addiction and behavioral addictions, Josipa Lovorka Andreić, said that, according to HZJZ research, more than half of addicts have overdosed at least once, which only increases the possibility that their next overdose will be their last.


