This briefing and report outline the key elements of domestic public financing and social contracting for harm reduction. They explore the importance of social contracting for sustaining harm reduction community systems, safeguarding HIV prevention and ensuring people who use drugs have uninterrupted access to harm reduction services through transition from donor to domestic funding.

Drawing upon global data-gathering, country studies, and a review of the literature, the report explores the current state of public financing for harm reduction. It presents key elements and principles for successful social contracting and highlights those that may be particularly crucial for community-led responses for criminalised and marginalised populations, including people who use drugs. It summarises the readiness for public financing for harm reduction in six countries across East and Southern Africa, West and Central Africa, and Asia, and provides details on social contracting for HIV and harm reduction in practice.