Bridging the Gaps 2 - PWUD project Kenya Kenya (population 45 million) is an East-African country on the Indian Ocean that borders Somalia, Tanzania, Uganda, South-Sudan and Ethiopia. Well known for its wildlife parks and safaris, it also has a history of terrorist attacks. Over the years, due to its strategic location, Kenya has become an important transit hub for heroin from South-East Asia. HIV has seriously affected the general population as well as key populations such as People Who Inject Drug (PWID), whose HIV prevalence is estimated to be over 18%. With the introduction of needle and syringe programs, harm reduction services first became available in 2011, followed by methadone treatment in 2014. Mainline started supporting local NGOs that work with drug users in 2012 in offering outreach services, Needles and Syringe Programmes (NSP), nutritional support, advocacy for health and human rights. Mainline started working in Kenya during the first Bridging the Gaps program in 2012. MEWA is the main implementing partner under BtG2 in Kenya. Bridging the Gaps works with a Theory of Change approach. A Theory of Change is a description of a list of events that is expected to lead to a particular desired outcome. It is a visualization how change is believed to happen. In 2016, representatives of the PWUD community developed a specified Theory of Change that consists of short-,medium, and long term outcomes. The Theory of Change describes how we plan to realize stronger engagement of PWUD in decision-making processes and research; a more positive and enabling legal, political and economic environment for PWUD; and more equal access to health services, especially harm reduction, TB and Hep. C services and HIV and STI services. Through innovation and by building on previous work, we will strengthen civil society organisations’ ability to: 1. We facilitate community development - Building capacity of PWUD on proposal writing and providing linkages to institutions for start-up capital. - Organizing family forums, enrolling and mentoring parents in the methadone programme. - Providing prevention for vulnerable youth through training and mentoring their parents. - Disseminating IEC harm reduction materials targeting women who use drugs, people staying at drug dens and in prison. - Capacity strengthening in the form of policy development, governance, representation in Global Fund process advocacy activities, including emphasis on gender. - Establishing a women’s network within KeNPUD. 2. We advocate for the continuously strengthening of services and upholding human rights - Promoting drug policy and a legal framework for scaling up financial sustainability of harm reduction services to PWUD. - Communicating and engaging in advocacy with politicians, the judiciary, law enforcement and media to gain more support of harm reduction work. 3. We deliver inclusive, rights-based and gender sensitive services - Providing pharmaceutical drugs (antibiotics, anti-malaria, analgesia, sedatives, antidepressants) and non-pharmaceutical drugs (screening kits, HIV rapid test kits, STI test kits, speculum, stand lamp, forceps, sterile gauze). - Providing comprehensive health care services to PWUD at the DIC, in prison and at the drug dens. Providing nutrition support and social services. - Supporting outreach workers in meeting their own basic health and safety needs. People who use Drugs