A/79/177
IX. Good practices
99. In Estonia, greater access to harm reduction services led to a 97 per cent
reduction in new HIV diagnoses among people who inject drugs between 2007 and
2016. 214
100. The provision of scientific information on psychoactive substances and on their
side effects (including risks and potential after-effects) are effective harm reduction
measures, such as in Switzerland, with the “Just Say Know” campaign. The country
conducts annual training of professionals in the field, including medical and
non-medical professionals, regarding the risk of communicable disease transmission
associated with drug use, including in prisons, which is an effective harm reduction
measure. 215
101. The decriminalization of sex work has been shown to have positive impacts on
the health of sex workers, among others. 216 New Zealand decriminalized sex work in
2003, with the explicit goal of protecting the human rights of sex workers. Prior to
that change, sex workers were often reluctant to reveal their occupation to health
professionals or carry condoms. 217 They are also increasingly able to reject certain
practices and negotiate safer sex. 218
102. In Australia, successful harm reduction programmes, coupled with services
provided by peer-based drug user organizations, have sustained the virtual elimination
of HIV transmission among people who inject drugs and form part of the country’s
national hepatitis C strategy, which also includes outreach services, including to
remote and Indigenous populations, as well as integrated care models. Opioid
dependence treatment medicines are available at a significantly reduced cost to
patients under the country’s Pharmaceutical Benefits Scheme, which subsidizes most
cost-effective medications. The “Rethink Addiction” national convention was
launched, with the participation of people with lived experience, so as to reduce the
stigma associated with alcohol, drugs, gambling and addiction. 219
103. In Mali, in the country’s northern regions, it is difficult for health services and
health-care workers to carry out their routine activities. In response, the Government
has collaborated with non-governmental humanitarian organizations to ensure the
continuation of health services. 220
104. In 2022 in Argentina, a programme that aims to establish integrated and
comprehensive access to health care among people who use or are dependent on drugs
was implemented, by strengthening the network among health and mental health -care
providers, Government and non-government actors, in order to achieve access, quality
care and equity. The programme aims to create interjurisdictional, multidisciplinary
spaces for consultation so as to collaboratively design strategies to integrate policies
on drugs and mental health, with an emphasis on the care system. Furthermore, the
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214
215
216
217
218
219
220
24-13226
Marty Lise and others, “Revealing HIV epidemic dynamics and contrasting responses in two
WHO Eastern European countries: insights from modeling and data triangulation”, AIDS,
vol. 35, No. 4 (March 2015); and submission from UNAIDS.
Submission from Switzerland.
A/HRC/14/20, para. 35.
Jan Jordan, The Sex Industry in New Zealand: A Literature Review (Wellington, New Zealand
Ministry of Justice, 2005), p. 65, cited in A/HRC/14/20, para. 35.
New Zealand, Ministry of Justice, Report of the Prostitution Law Reform Committee on the
Operation of the Prostitution Reform Act of 2003 (Wellington, 2008), pp. 46–47 and 50, cited
A/HRC/14/20, para. 35.
Submission from Australia.
Submission from Mali.
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