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Harm reduction overview for Slovenia

Map of Slovenia

1. National context

Slovenia has more than 20 years of experience in the field of harm reduction. The reduction of drug-related harm was included in the National Strategy on Drugs for 2004–09 and was continued in the National Strategy for 2010–14. Many new programmes have been developed at the local level, mainly aimed at injecting drug users and drug users in recreational settings. As an example, in response to the recently emerging use of unknown substances sold as drugs, the NGO DrogaArt provides a special testing service in recreational settings.

In 2013, ten harm reduction programmes (including four mobile units) for people who inject drugs operated across Slovenia, providing sterile injecting equipment, information and counselling at nine fixed sites and 178 different outreach locations across Slovenia, including the capital city of Ljubljana and other regions and cities (the Maribor region, the Koper region, the cities of Celje, Ilirska Bistrica, etc.). Injecting equipment for these programmes is centrally purchased and distributed by the Koper Regional Unit of the National Institute for Public Health and funded the Slovenian Health Insurance Institute. Syringes and other injecting paraphernalia (alcohol wipes, ascorbic acid) are usually made available through day-care centres, outreach and mobile services, but are also available at five pharmacy-based exchange sites. In 2013, around 513 000 syringes were distributed nationwide. It was estimated in 2012 that around 121 000 syringes were sold to drug users through pharmacies.

In addition, free vaccination against HBV and free testing for HCV and HIV are available to all drug users in contact with the CPTD. These centres also provide training on overdose prevention. Treatment for HCV infection is also free of charge.

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2. Responses to prevent and reduce drug-related infectious diseases

Needle and syringe programmes Country  data
Availability of  NSP programmes  Extensive
% NSP availability at NUTS3  50 %
Drug use equipment distributed at specialised drug agencies (standard prevention material)
availability of alcohol pads  Yes
availability of dry wipes  Yes
availability of containers  No
availability of water  No
availability of condoms  Yes
availability of foil  No

Sources:

Structured questionnaire 'Prevention and reduction of health-related harm associated with drug use' (SQ23/29), submitted in 2014.
For an explanation of terms used, see the definitions of terms.
Availability expert rating scale:

  • Full – nearly all persons in need would obtain it.
  • Extensive – a majority but not nearly all of them would obtain it.
  • Limited – more than a few but not a majority of them would obtain it.
  • Rare – just a few of them would obtain it.
Testing, vaccination and treatment of infections Country  data
Availability of Hepatitis C testing in the community  Full
Availability of universal hepatitis B immunization programme  Yes
Hepatitis B vaccination programme specific for high risk groups  Yes
ARV treatment of HIV infection  Full

Sources:

Structured questionnaire 'Prevention and reduction of health-related harm associated with drug use' (SQ23/29), submitted in 2014.
Availability expert rating scale:

  • Full – nearly all persons in need would obtain it.
  • Extensive – a majority but not nearly all of them would obtain it.
  • Limited – more than a few but not a majority of them would obtain it.
  • Rare – just a few of them would obtain it.
Health promotion responses Country  data
Availability of individual counselling programmes  Full
Availability of programmes for practical advice and training on 'safer use/safer injecting'  Limited
Involvement of peer educators in the response to infectious diseases prevention  Yes

Sources:

Structured questionnaire 'Prevention and reduction of health-related harm associated with drug use' (SQ23/29), submitted in 2014.
Availability expert rating scale:

  • Full – nearly all persons in need would obtain it.
  • Extensive – a majority but not nearly all of them would obtain it.
  • Limited – more than a few but not a majority of them would obtain it.
  • Rare – just a few of them would obtain it.

Drug Treatment

See the country specific treatment profile.

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3. Responses to prevent and reduce drug-related deaths

Availability of drug-related death responses in the community Country  data
Availability of overdose information materials  Limited
Availability of individual overdose risk assessment (provided by trained drugs or health workers)  Limited
Availability of overdose response training  Limited

Sources:

Structured questionnaire 'Prevention and reduction of health-related harm associated with drug use' (SQ23/29), submitted in 2014.
Availability expert rating scale:

  • Full – nearly all persons in need would obtain it.
  • Extensive – a majority but not nearly all of them would obtain it.
  • Limited – more than a few but not a majority of them would obtain it.
  • Rare – just a few of them would obtain it.
Availability of drug consumption rooms Country  data
Number of facilities n.av.
Number of cities n.av.
Number of consumptions per year n.av.

Sources:

Structured questionnaire 'Prevention and reduction of health-related harm associated with drug use' (SQ23/29), submitted in 2011.
N.Av. stands for ‘The intervention is not available in the country’.

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4. Responses to prevent and reduce drug-related harms in recreational settings

Provision of specific responses implemented in night clubs and festivals Free, accessible, cold water Immediate First Aid ‘Chill out’ rooms Information material Outreach work Amnesty bins
Night clubs  Extensive  Full  Does not exist  Limited Limited  Does not exist
Festivals  Full  Full  Rare  Extensive  Extensive  Does not exist

Sources:

Structured questionnaire 'Prevention and reduction of health-related harm associated with drug use' (SQ23/29), submitted in 2011.
Provision expert rating scale:

  • Full – in nearly all night clubs/festivals.
  • Extensive – a majority of night clubs/festivals provide the intervention (but not nearly all of them).
  • Limited – more than a few night clubs/festivals provide the intervention (but not a majority of them).
  • Rare – just a few night clubs/festivals provide the intervention.

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5. References and links

Related EMCDDA resources

 

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The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) is the reference point on drugs and drug addiction information in Europe. Inaugurated in Lisbon in 1995, it is one of the EU's decentralised agencies. Read more >>

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Page last updated: Wednesday, 03 June 2015