The Czech Republic has a long history with drug use. After the fall of the Iron Curtain and opening to the open market, the use of ‘Western’ illicit drugs skyrocketed. We adequately responded with targeted and efficient harm reduction measures. We have achieved remarkable results to minimise health harms, including HIV and hepatitis among IDUs. NGOs and non-profit organisations have had an important role in this process since 1995. Services provided by them began to be financially supported by governmental bodies.

The harm and demand reduction measures are based on scientific evidence and monitoring on the impacts of this policy is performed frequently. It is also adapted to the local needs.

Positive impacts on harm reduction: low rates of HIV and hepatitis, low mortality rates by overdose and low problem drug use (0.4% of the population under 16 years old). Such results can be successful proof that these measures are efficient and do not lead to increased drug use.