Since 2009, Médecins du Monde France (MdM) has been implementing a harm reduction programme in Tanzania for People Who Use Drugs and People Who Inject Drugs.  The programme focussed on Temeke District in Dar es Salaam city and was established and managed in close cooperation with the Ministry of Health & Social Welfare (MOHSW), the Temeke Municipal Council and a number of national non-governmental organisations (NGOs) and local community-based organisations (CBOs).
The programme Goal was to contribute to the mitigation of HIV transmission and HIV/AIDS-associated morbidity and mortality among PWUD in association with Tanzanian stakeholders. The overall programme objective was to advocate and train for better access to adapted harm reduction, HIV and viral hepatitis services for the drug user populations of Dar es Salaam with a special focus on women.

NCG conducted the evaluation of the harm reduction programme implemented by Médecins du Monde France (MdM) in Tanzania over the period 2009-2015.
The evaluation aimed to identify the results of the programme implementation over the period 2009–2015 and identify lessons learned and recommendations for future harm reduction and HIV programming in Tanzania and the region. The evaluation was based on a desk-based literature review, interviews and circulation of questionnaires to stakeholders based in France and the UK, plus interviews with stakeholders based in Tanzania, carried out during the evaluation country visit to Dar es Salaam in November–December 2015.