Serving the Lesbian, Gay, Bisexual and Transgender community since 1994

The second-oldest LGBT organisation in South Africa, OUT provides stigma-free HIV, sexual health and other services to gay, bisexual and MSM communities. We also work to eradicate LGBT+ hate crimes and discrimination while assisting and supporting victims.

The HarmLess Project

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HarmLess, a project of OUT LGBT Well-being, provides a core package of evidence-based HIV prevention and harm reduction services to people who inject drugs (PWID) in Pretoria (Tshwane).

The HarmLess Project is located in Hatfield and makes use of OUT’s TEN81 Clinic, which offers free sexual health and HIV services to key population groups, including PWID.

Why is HarmLess needed?

Drug use plays a substantial role in the growth of the South African HIV epidemic and PWID are at disproportionately higher risk for HIV infection and onward transmission compared to the general population.

The South African National Strategic Plan on HIV, STIs and TB (2017-2022) includes specific objectives to reduce HIV infections among people who use drugs (PWUD).

Other national drug related policies (notably the Central Drug Authority’s National Drug Master Plan and the National Department of Health’s (NDOH) Mini Drug Master Plan) highlight the need for interventions for HIV prevention and harm reduction for PWID where evidence supports this need.

What does HarmLess do?

The HarmLess Project offers a core package of services. These are endorsed by: PEPFAR, WHO, UNAIDS, UNODC, the UN General Assembly, the Economic and Social Council, the UN Commission on Narcotic Drugs, the UNAIDS Programme Coordinating Board and the Global Fund. The following services are offered in Pretoria:

  • Peer based outreach;
  • A mobile unit that goes out to service clients;
  • Needle and syringe distribution, collection and disposal;
  • HIV counselling and testing;
  • Referral for antiretroviral therapy and HIV care and support;
  • Prevention of, screening, treatment and/or referral for treatment of STIs;
  • Condom and lubricant distribution;
  • Targeted information, education and communication for PWID and their sexual partners;
  • Prevention, screening and referral for diagnosis and treatment of TB;
  • Referral for drug use disorder treatment and Opioid substitution therapy (OST) therapy where these services exist;
  • Prevention, screening and testing for hepatitis B and C (where funding allows);
  • The HarmLess Project hopes to add OST to the core package of services. Currently the project is not able to support OST medication, but is exploring financial options.

For more information, contact HarmLess Program Manager Nelson Medeiros on or 012 430 3272.

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The HarmLess Team


HarmLess is a project of OUT LGBT Well-being and is funded by CDC (PEPFAR), through the Foundation for Professional Development (FPD), and Mainline.

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