Our national footprint

Public health facilities

• Malusi Clinic
• Nkanunu Clinic
• St Barnabas Gateway Clinic
• Old Bunting Clinic
• Mangcwanguleni Clinic
• Nolita Clinic
• Buntingville Clinic
• Pilani Clinic
• Ntapane Clinic
• Maqanyeni Clinic
• Ngqeleni Clinic
• Lujizweni Clinic

Senior Secondary schools

• Bhekizulu & Xhentse
• Smuts Ndamase
• St Patrick’s & Upper Corana
• Sandi
• Chief Henry Bokleni
• Zinduneni, Old Bunting, Cwele
• Mjaliso, Dalibhunga, Qanqiso, Jongesizwe
• Phondolwendlovu
• Ndamase
• Ntshilini
• Sewushe
• Dimanda
• Ngqeleni
• Gxaba

TVET Colleges

• KSD TVET,
• Candlelight Nursing College

Services contact

Coordinator 01
Sister Ndlebe
083 698 4473

Coordinator 02
Sister Mlungwana 
078 247 1125

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Public health facilities

• Bambisana Gateway Clinic
• Bomvini Clinic
• Caguba Clinic
• Isilimela Gateway Clinic
• Majola Clinic
• Mtambalala Clinic
• Port St Johns Community Health Clinic
• Tombo Community Health Clinic
• Mevana Clinic
• Lutshaya Clinic

Senior Secondary schools

• KwaMsikwa, Makukhanye
• Toli
• Caguba
• Ngubezulu
• Gcinumthetho, Majali Tech.
• Ntafufu
• PSJ
• Cibeni
• Lutshaya

Services contact

Sister Maxayi 
061 211 3832

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• OR Tambo

• eThekwini
• uThukela
• uMgungundlovu
• Zululand

Keeping people healthy means more than just treating addiction. Needle and Syringe Programs (NSP) provide sterile equipment to stop the spread of HIV and Hepatitis. Opioid Agonist Therapy (OAT), which uses medications like methadone, gives people a stable medical alternative to street drugs. These programs are the backbone of our prevention work. They act as a bridge, connecting people whom the health system might otherwise ignore to general medical care and counselling. In South Africa, less than 1% of people who inject drugs can access OAT right now. We are working to change that.

Learn more

• Harm Reduction International
• World Health Organisation: Consolidated guidelines on HIV, viral hepatitis and STI prevention, diagnosis, treatment and care for key populations (2022)
• WHO Syringe programmes for PWID
• United Nations Office on Drugs and Crime: Establishing and delivering evidence-based, high quality OAT

An opioid overdose causes a person’s breathing to slow down or stop completely. Naloxone is a medication that quickly reverses this process by blocking the effects of opioids in the brain. It is not a drug that can get you high, and it is safe for almost anyone to use in an emergency. Right now, South African law makes it difficult to get the medication because it usually requires a prescription. We believe this needs to change. Since most overdoses happen in private homes, there needs to be a focus on training friends, family, and peers to recognise the signs and use “take-home naloxone” to save a life before an ambulance arrives.

Learn more

• National Harm Reduction Coalition (United States)
• World Health Organization: Opioid overdose

Resources

• Benefits for all
• Community Safety
• Case for South Africa

Presentations

• Solutions for public drug use & overdose
• Common Concerns

You cannot always tell what is in a dose just by looking at it. Drug checking is a simple way to test for dangerous additives before someone uses a substance. Globally, drug testing has identified powerful synthetic opioids (e.g. Fentanyl and Nitazenes) in the supply of unregulated drugs. This makes the risk of an accidental, fatal overdose much higher than before. Drug checking and surveillance have become a vital resource in managing the supply, impact and consequences of an ever-changing supply. Drug checking allows individuals to test substances for dangerous contaminants and reduce the harm related to drug use. It also provides valuable research data to reduce the availability of these drugs.

Learn more

• Drug Checking – Good Overview
• Opioid Lab Data
• Drug Checking for the People
• Drug checking in Mexico: Instituto Ria
• NIDA Supports Drug Checking

The drug market changes fast. New substances appear without warning, and we need to know about them before they cause a public health crisis. What is also true is that there are false warnings about new “Zombie Drugs” that create panic. These stories dilute the message of real dangers. The South African Early Warning System (SA-EWS) will be a community filter, helping to keep things real. TB HIV Care will work with groups like SACENDU (part of the SA Medical Research Council) to track what is happening on the ground in real time. When we find a dangerous new trend or a bad batch of drugs, we can send out alerts immediately. This data helps us put resources where they are needed most rather than relying on guesswork.

Learn more

• SA Medical Research Council: South African Community Epidemiology Network on Substance Use (SACENDU)
• United Nations Office on Drugs and Crime: Early Warning Systems

We want people to stay alive. That is the basic goal of an Overdose Prevention Site. It is a clean, supervised space where someone can use drugs they have already bought. These sites do not supply the drugs, but they do provide immediate help like oxygen or naloxone if something goes wrong. In over thirty years of these sites running globally, not a single person has died from an overdose inside one. They reduce street drug use, overdose in public spaces and help keep used needles off the streets. They give us a way to connect people with health services when they are ready.

Learn more

• Brown University site about OPS
• OnPoint NYC

Drug decriminalisation removes criminal penalties (such as jail time) for possessing small amounts of drugs for personal use, shifting focus from criminal justice to health-based approaches. It differs from legalisation, as selling and producing drugs remain illegal. Key benefits include reduced incarceration rates, lowered stigma, and increased access to treatment.

Learn more

• UNAIDS: Decriminalization of drug use in the context of HIV,

• OR Tambo
• Chris Hani
• Amathole

• Khayelitsha/Eastern
• Southern/Western

• Northern/Tygerberg
• Southern/Western
• West Coast

• Cape Town

• Amajuba
• eThekwini
• Harry Gwala
• King Cetshwayo
• uMgungundlovu
• uThukela
• Ugu
• Umzinyathi
• Zululand

• Capricorn
• Waterberg
• Vhembe

• Ehlanzeni
• Gert Sibande
• Nkangala

• Bojanala Platinum
• Dr Kenneth Kaunda
• Ngaka Modiri Molema
• Rooigrond

• Cape Town

• Nelson Mandela Bay

• Tshwane

• eThekwini

• Ehlanzeni

• Cape Town

• Nelson Mandela Bay
• OR Tambo

• eThekwini
• uMgungundlovu

• Ehlanzeni
• Gert Sibande
• Nkangala

• Dr Kenneth Kaunda
• Ngaka Modiri Molema

• Cape Town