Health and rights for People Who Use Drugs in Georgia We believe that the end of AIDS is possible if there is more focus on key populations. Our project in Georgia addresses barriers faced by the PWUD community related to their sexual and reproductive health and rights. Driven by community champions, we work to realize PWUD activists and community initiatives are able to influence the government through an established mechanism; a supportive policy environment exists with the political will to change legislation and to meaningfully involve civil society and PWUD; and service delivery done by NGOs is financed by the government and international donors. Georgia is among low HIV prevalence countries being at high risk for an expanding epidemic due to widespread injecting drug use and the population movement between Georgia and neighbouring high HIV prevalence countries such as Ukraine and Russia. Since 1997 the number of newly registered cases started to increase and Georgia is one of those very few countries in the world and in the region where the HIV incidence has been increasing steadily during the last decade. The latest available evidence indicate that the HIV epidemic in Georgia is largely concentrated among key populations, including PWUD for which the estimated HIV prevalence is 2.2%. Another major problem is the late HIV diagnosis and its association with a high mortality rate and the major multidrug-resistant (MDR) TB burden. Despite the impressive expansion of HIV prevention efforts over the last several years, coverage of key populations with preventive services and HIV testing remains low for all key populations. It should be highlighted that the state programme does not procure 4th generation HIV tests, which identify HIV positive cases earlier. There are no services addressing the specific needs of young people (between the ages of 14 and 24) who are vulnerable and most at risk of HIV in Georgia. Stigma and discrimination of people living with HIV continues to be a major barrier to HIV prevention and service utilisation. Negative social attitudes and low public awareness also remain obstacles, especially for PWUD. Besides societal attitudes, state criminal laws, regulations, and policies relevant to drug use and preventive work among IDUs and prisoners are among limiting factors. Despite the accomplishments in various areas of national HIV response, the epidemic continues to grow. The programme aims to end the AIDS epidemic among PWUD in Georgia through 1) a strenghtened civil society that holds governments to account, 2) increased fullfilment of human rights of key populations, 3) improved SRHR and fewer infections. The specific outcomes include: - increased awaraness of PWUD community of their SRHR and available services - CSOs have strengthened skills and knowledge on protecting rights and working with the government. Standards and systems of monitoring the quality of services exist, and data on effectiveness of interventions and services are available for activists. -Healthcare and law enforcement professionals have continuous education to build non-stigmatising attitudes. Professional standards are elaborated and approved. -Community representatives actively protect their rights, with the support of civil society organisations and human rights defenders. -Society is tolerant and informed about the needs and problems of PWUD. Mass media provides correct and tolerant information on drug use, and issues of SRHR are integrated into the general education. - Community initiatives and KP activists are involved in influencing the government through an established mechanism. -A supportive policy environment exists, with the political will to initiate (liberal) legislation changes, and to involve civil society organisations and key populations. Services and NGOs are supported with financially by the government, international donors and social enterprises to ensure sustainability. Services are accessible and affordable (including rehabilitation and employment) We focus on People Who Use Drugs. So far, 12 peers and 20 professionals have been trained and 1300 clients reached, of which 300 receive the full package of services.