Until the formation and professionalization of the South African Network of People who Use Drugs (SANPUD), there was a lack of meaningful involvement of people who use drugs (PWUD) in the fight against HIV in South Africa. Via SANPUD, PWUD are now contributing to decisions through representation in governmental or civil society consultation bodies. PWUD participate in meetings with local law enforcement agencies and provide training on harm reduction and human rights, as well as link PWUD with medical services. SANPUD has also contributed to various reports and articles.

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