21/11/2025
Over the past 3 days in Rubavu, the STEPS INITIATIVE had the honour of being represented by our Executive Director, Nshimiyimana, at the IMRO-Rwanda pre-meeting with Civil Society Organizations ahead of the Midterm Review of the HIV/Hepatitis National Strategic Plan 2024–2027.
As an organization founded and led by individuals with lived experience including our ED Alain, who once used drugs we understand deeply the stigma, fear, and barriers that People Who Use Drugs (PWUD) face every day. This lived experience continues to guide our work and strengthens our commitment to community-led advocacy.
Throughout the sessions, CSOs focused on how to strengthen advocacy for People Who Use Drugs (PWUD) and ensure that harm reduction remains at the centre of national health strategies.
Key challenges highlighted include:
🔹 High risk of HIV and Hepatitis infections among people who inject drugs, due to unsafe injecting practices
🔹 Risk of overdose and preventable deaths
🔹 Stigma and discrimination, which prevent individuals from seeking healthcare
🔹 Criminalization, which pushes people further away from support
🔹 Limited access to harm reduction and community-led services
These realities remind us why harm reduction is essential. Harm reduction is not about encouraging drug use—it is about saving lives, restoring dignity, and giving people a chance to heal.
We were encouraged to see CSOs working together to identify gaps, share experiences, and shape priorities that will strengthen an inclusive and effective national response. Lived experience must remain central in these conversations.
A national strategy succeeds only when the communities most affected are part of designing the solutions.
We extend our gratitude to du Monde, Health Development Initiative (HDI), and IMRO-Rwanda for creating this platform under the project. As the STEPS INITIATIVE, we remain committed to advocating for compassion, evidence-based harm reduction, and equitable access to health services for all.