COIN was born out of the HIV epidemic in the Dominican Republic, and since then, we have concentrated our efforts in implementing educative and prevention programmes and healthcare provision, fighting against social discrimination against vulnerable groups, as well as empowerment of marginalised communities.

El Centro de Orientación e Investigación Integral (COIN) es una institución privada, de interés social de la República Dominicana, creada el 28 de noviembre de 1988 por un equipo multidisciplinario de personas con experiencia compartida en trabajos comunitarios y de salud. El COIN obtuvo el beneficio de la incorporación legal a través del Decreto No. 63-89 emitido por el Poder Ejecutivo el 20 de febrero de 1989. Nacemos a raíz del surgimiento de la epidemia del VIH/SIDA, en la República Dominicana, y desde ese entonces, el COIN ha concentrado sus esfuerzos en implementar programas educativos de prevención y atención en salud, enfrentar la discriminación social a la cual están sometidos los grupos marginados por la sociedad, como una forma de implementar estrategias de abordajes novedosas, efectivas con estos grupos, y a su vez contribuir con el empoderamientos de los mismos. Desde sus inicios, para el abordaje con las poblaciones marginadas, el COIN, promueve la integración de la comunidad en los procesos de identificación de sus necesidades y problemáticas y con ellos se definen las políticas de trabajo y su ejecución.

COIN a été créé pour répondre à l'épidémie du VIH en République Dominicaine. Depuis, nous avons concentré nos efforts dans la mise en oeuvre de programmes de prévention et d'éducation et de réduction des risques, et dans le combat contre la discrimination sociale des groupes vulnérables et marginalisés.

Centro de Orientación e Investigación Integral (COIN)

89 ONG soulignent la nécessité de s'attaquer aux impacts nocifs des politiques répressives en matière de drogues qui sapent les droits humains. Pour en savoir plus, en anglais, veuillez lire les informations ci-dessous.

To: Ms Ghada Waly, Executive Director, United Nations Office on Drugs and Crime

Subject: Open letter on UNODC statement on International Human Rights Day 2021

We urge you to mark International Human Rights Day 2021 by calling on Member States to change drug policies and practices that violate human rights and perpetuate inequality and discrimination.

We are writing to you ahead of International Human Rights Day 2021, which will take place on the 10th December amidst escalating global demands for the reform of laws and practices that entrench racial discrimination and social inequality, including drug policies. Last year, IDPC – together with dozens of other civil society and community organisations – called on you to issue a statement on International Human Rights Day urging Member States to change drug laws and practices that undermine health and human rights. A year later, we ask you to seize this day as an opportunity to show UNODC´s alignment with other UN entities in calling for an end to drug policies and practices that perpetuate inequality and discrimination, and violate human rights.

For decades, punitive drug policies have driven widespread human rights abuses, as has been amply documented by the UN. These include the death penalty for drug offences; extrajudicial killings; arbitrary detention, often masquerading as ‘rehabilitation’; the denial of access to life-saving harm reduction services; widespread barriers to accessing controlled medicines for pain relief; the criminalisation of people who use drugs, subsistence farmers and others groups in situations of vulnerability; corporal punishment; and mass incarceration. In all of these cases, draconian drug policies have disproportionately affected people marginalised on the basis of their gender, race, ethnicity, and economic status, thus entrenching inequality and discrimination.

Along 2021, a broad range of UN entities called on Member States to reform drug policies with discriminatory outcomes. In June 2021, the UN Working Group on Arbitrary Detention released a landmark study on arbitrary detention and drug polices, which found that ´

the war on drugs may be understood to a significant extent as a war on people. Its impact is often greatest on those who are poor, but also frequently overlaps with discrimination in law enforcement directed at vulnerable groups

´. At the same time, the UN High Commissioner for Human Rights published a new ‘Agenda towards transformative change for racial justice and equality´, highlighting that ´

The discriminatory application of criminal law must be tackled at every stage, including by reforming drug-related policies

´. The High Commissioner´s proposal led to Human Rights Council Resolution 47/21, which contains key commitments to uproot systemic racism in the law enforcement and criminal justice systems. The Political Declaration on HIV and AIDS, adopted in June 2021, also showcased the international community´s commitment to ending inequalities as a step towards ending AIDS. Lastly, the new UN system Common Position on Incarceration, led by UNODC in partnership with other UN entities, notes ‘

the overrepresentation of minority and marginalized groups among prisoners, many of whom are charged with petty and nonviolent offences

support reform efforts aimed at ensuring proportionate and individualized sentencing and alternatives to conviction or punishment in appropriate cases, including for minor drug-related offences

These various commitments emerging across the United Nations are aligned with the 2018 Chief Executives Board’s UN System Common Position on drug-related matters, which makes clear that ‘

should be designed and implemented by States in accordance with their human rights obligations

’, and commits all UN agencies, including UNODC, to support drug policies ‘

that put people, health, and human rights at the centre

Similar human rights concerns have been highlighted in the just-released Global Drug Policy Index, which measures and ranks the national drug policies of 30 countries according to how well they align with the UN system Common Position on Drugs and its Task Team report of March 2019.

The theme of the 2021 International Human Rights Day is ‘Equality: Reducing inequalities, advancing human rights’, and is aimed at ´

addressing and finding solutions for deep-rooted forms of discrimination that have affected the most vulnerable people in societies

´. As such, it presents a crucial opportunity for UNODC to align itself with other UN entities in calling for the end of policies that perpetuate inequality and discrimination, while highlighting its commitment to the promotion of human rights, in line with the UN system Common Positions.

It is in this context that we urge you to issue a strong statement on International Human Rights Day, calling on states to change the drug laws, policies and practices that violate health and human rights, and entrench inequality. To be credible, such a statement should explicitly acknowledge the disproportionate impact of drug laws and drug control on people marginalised on the basis of their gender, race, ethnicity, and economic status, and urge Member States to:

Abolish the death penalty in all circumstances. Imposing capital punishment for drug offences has been found to be contrary to international human rights law by the Human Rights Committee, and the Human Rights Council.

Put an immediate end to extrajudicial killings committed in the name of drug control, as has been repeatedly called for by the Human Rights Council and UN human rights experts.

Permanently close compulsory drug detention centres, including those that masquerade as ‘rehabilitation’, and implement voluntary, evidence-informed, and rights-based health and social services, as recently called for by sixteen UN agencies, including UNODC.

Stress the urgent need to provide accessible, affordable, and adequately funded harm reduction services in community and closed settings, to fulfil the right to health and the right to life of people who use drugs, as demanded by several UN human rights bodies and experts. This is also central to UNODC’s core role as lead UNAIDS co-sponsor regarding prisons and HIV amongst people who use drugs.

Take immediate measures to address prison overcrowding, as already recommended by UNODC and the UN High Commissioner for Human Rights in the wake of the COVID-19 pandemic, by promoting alternatives to incarceration, and ensuring proportionate sentencing for all drug offences, including by taking into account mitigating factors – in line with the basic principle that prisons should only be used as a last resort in all circumstances.

Ensure that people who use drugs are not subject to arbitrary detention, torture, or ill-treatment – whether in state custody or public or private drug services. While under detention, people with a drug dependence or health problems associated with their drug use must be offered evidence-based treatment, harm reduction and other drug services on a strictly voluntary basis.

Promote the end of all punishment for drug use, and drug possession and cultivation for personal use, as permitted within the three drug control conventions. Such policy shifts will help to end the stigma, criminalisation, and exclusion faced by people who use drugs, and to facilitate access to health and social services, as called for by the UN system Common Position, UNAIDS, and UN human rights bodies.

Make sure that drug policies incorporate a gender-sensitive perspective. This should be done by tailoring drug services to the specific needs of women, and by ensuring that criminal laws take into account the circumstances of women involved in drug offences, as most of them come from backgrounds of poverty, marginalisation, and oppression.

Clearly outline the ways in which UNODC will work to achieve these changes, and the measures being taken to ensure that human rights are effectively embedded as a core strand for all of the Office’s work.

As the lead UN agency in drug-related matters, UNODC has the responsibility to promote drug policies that respect, protect, and fulfil human rights, in a way that is consistent with the standards developed by the UN system, and in line with the commitments set in the UN system Common Positions on drugs and on incarceration. A strong statement in the forthcoming International Human Rights Day would be an important and welcome step to signal UNODC’s unequivocal commitment.

We look forward to discussing these concerns and recommendations with you.

Les ONG exhortent la Directrice exécutive de l'ONUDC à marquer la Journée des droits humains par un appel à la réforme des politiques en matière de drogues qui perpétuent les inégalités

Lever le moratoire mis en place il y a 43 ans serait un grand pas en arrière pour le respect des droits humains. Pour en savoir plus, en anglais, veuillez lire les informations ci-dessous.

LONDON [27 JUNE 2019] – Harm Reduction International and almost 120 human rights organisations from around the world – including Amnesty International and the International Commission of Jurists – published open letters today calling on the United Nations’ major drug control bodies to intervene and help stop Sri Lanka’s move to resume executions after 43 years.

President Maithripala Sirisena signed the execution warrants this week for four people convicted of drug-related offences.

The letters – sent to the International Narcotics Control Board (INCB) and UN Office on Drugs and Crime (UNODC) – underscore that the death penalty for drug offences violates international human rights law. The signatories state that “Remaining silent as Sri Lanka puts an end to a 43-year de facto moratorium on executions would strike a blow to the INCB’s and UNODC’s commitments to human rights compliance as a core principle of international drug policy.”

Giada Girelli, human rights analyst at Harm Reduction International, said: “There is simply no evidence that the death penalty is an effective deterrent against the drug trade. President Sirisena’s move is a gross violation of human rights – UN bodies must urge authorities in Sri Lanka to reverse this and work to consign the death penalty to the history books.”

Harm Reduction International’s latest research shows that global executions for drug offences fell by almost 90% from 2015-18, in large part because of judicial reforms in Iran. Of the 35 countries that retain the death penalty for drug offences, only four carried out executions in 2018 (China, Saudi Arabia, Iran and Singapore).

Une centaine de groupes de défense des droits humains exhortent l’ONU à exiger l’annulation des exécutions pour délits de drogue au Sri Lanka

110 ONG dans le monde entier soutiennent la Lettre de Manguinhos et l’approche de la réduction des risques au moment où le Brésil ferme les yeux sur les preuves scientifiques et revient à une politique de guerre contre la drogue. Pour en savoir plus, en anglais, veuillez lire les informations ci-dessous.

Abonnez-vous à l'Alerte mensuelle de l'IDPC pour recevoir des informations relatives à la politique des drogues.

At a time when rights violations and threats to democracy are deepening, it is necessary to defend the fundamental role of care. With this in mind, we present this 

, a region of the city of Rio de Janeiro, Brazil, where Fiocruz[2] and, much more drastically, many favelas and poor communities have been constantly hit by despicable and violent war-on-drugs policies that criminalize drug users and authorize warlike actions on whole populations, like in so many other marginalized regions across Latin America and the world.

The world is currently witnessing a rise in conservative forces which, in Latin America, has translated into the weakening of democratic processes; the deepening of socioeconomic inequities; and an exacerbation of social breakdown and segregation. Taken together, such dynamics risk undermining fundamental rights. One emblematic example is the recent intervention that took place in the District of Luz, in the city of São Paulo. For four years, a multisectoral project inspired by the principles of harm reduction aimed to articulate actions to guarantee the right to housing, work / income and care in the region known as "

" A police operation aimed at "social cleansing" took place in May 2017, using moral panic to serve the interests of real estate speculators. This was followed by weeks of violence and arbitrary actions against socially vulnerable people living in extreme poverty, labeled as "crack addicts." A public policy focusing on care, health and promoting rights was thus replaced with repression and rights violations.

Such arbitrariness is not limited to Brazil – similar cases can be found in many areas of Latin America, where the presence of drugs serves as a pretext for territorial intervention. Other forms of structural violence include difficulties in accessing public services, murders, incarceration, exposure to infectious diseases, lack of access to medicines and absence of policies that aim to protect citizens’ rights.

Because of their focus on promoting health, citizenship, the right to access the city, social justice and drug users’ human rights, harm reduction policies have not been exempt from the effects of the conservative juncture. The current drug policy model is implemented selectively, by specifically criminalizing, imprisoning and stigmatizing the poorest groups living in marginal regions, homeless people, black and/or indigenous people, as well as women and youth.

Successful approaches focusing on care reject the interventionist violence defended by conservative policies. The evidences, ethic and political knowhow of harm reduction reject policies that fail to recognize the diversity of human experience and only rely on biomedical rationality and the criminalization of what is considered to be divergent behaviors. The harm reduction interventions that we are carrying out in our daily lives across the continent - and perhaps in other parts of the world - represent a concrete alternative to failed binary and simplistic concepts and interventions. It is nevertheless necessary to move even further towards a multisectoral harm reduction approach that is capable of articulating support for drug policy reform with the struggles of women, blacks, indigenous peoples, LGBTI and youth.

Given this situation, we propose a harm reduction approach grounded in decriminalization and emancipation, in which subjective and corporeal experiences are no longer exposed to repressive and disciplinary actions. Harm reduction is a powerful tool to question current models of control, and includes the promotion and respect for the freedom and autonomy of people who use drugs.

We consider it urgent to share our experiences and resistance, and promote a dialogue in Latin America - and elsewhere - with the view of consolidating our argument in defense of public harm reduction policies as they relate to drug policy reform.

The following organizations and institutions sign the 

Institutional Program on Alcohol, Crack and other Drugs of Oswaldo Cruz Foundation - PACD/Fiocruz (Brazil)

International Drug Policy Consortium – IDPC

Brazilian Association of Harm Reduction Workers – ABORDA (Brazil)

Brazilian Platform on Drug Policy - PBPD (Brazil)

Brazilian Association of Collective Health – ABRASCO (Brazil)

Brazilian Association of Mental Health – ABRASME (Brazil)

Brazilian Network for Harm Reduction and Human Rights – REDUC (Brazil)

Intercambios Asociación Civil (Argentina)

Asociación Costarricense para el Estudio e Intervención em Drogas – ACEID (Costa Rica)

Acción Técnica Social – ATS (Colombia)

International Network of People who Use Drugs - INPUD

Pares en Acción-Reacción Contra la Exclusión Social - PARCES (Colombia)

Centro Cáritas de Formación para la Atención de las Farmacodependencias y Situaciones Críticas Asociadas (Mexico)

Associação Brasileira Multidisciplinar sobre Drogas - ABRAMD (Brazil)

Grupo Tortura Nunca Mais Rio de Janeiro – GTNM/RJ (Brazil)

Iniciativa Negra por uma Nova Política de Drogas – INNPD (Brazil)

Associação Redes de Desenvolvimento da Maré (Brazil)

Agência Piaget para o Desenvolvimento - APDES (Portugal)

Drug Policy Alliance – DPA (United States)

Washington Office on Latin America – WOLA (United States)

International Centre for Science in Drug Policy – ICSDP (Canada)

South Indian Harm Reduction Network – SIHRN (India)

Transform Drug Policy Foundation (United Kingdom)

Union for Improved Services, Communication and Education (Ireland)

Teenswatch Community Harm Reduction (Kenia)

Centro de Prevención de las Adicciones de Bariloche (Argentina)

Fundación Latinoamérica Reforma (Chile)

Centro de Orientación e Investigación Integral - 

Students for Sensible Drug Policy (Jamaica)

Fédération Bruxelloise Francophone des Institutions pour Toxicomane – FEDITO (Belgium)

Association de lutte contre le sida – ALCS (Marocos)

Global Call to Action Against Poverty - GCAP (Burundi)

Students for Sensible Drug Policy (Australia)

Association des Guides du Congo – AGC (Congo)

Multidisciplinary Association for Psychedelic Studies - MAPS (United States)

Washington Heights Corner Project (United States)

New York Harm Reduction Educators (United States)

Students for Sensible Drug Policy - SSDP (United States)

Elementa Consultoría en Derechos (Colombia)

Andean Information Network - AIN (Bolivia)

Puente, Investigacion y Enlace - PIE (Bolivia)

Estudiantes por una Política Sensata de Drogas (Costa Rica)

Asociación de Vecinos La Teja Barial (Uruguay)

Observatorio de cultivos y cultivadores declarados ilícitos - OCCDI (Colombia)

Corporación Humanas - Centro Regional de Derechos Humanos y Justicia de Género (Colombia)

Instituto Helena Greco de Direitos Humanos e Cidadania (Brazil)

Conselho Regional de Serviço Social do Rio de Janeiro (Brazil)

Coletivo Balance de Redução de Danos (Brazil)

Associação Brasileira de Estudos Sociais sobre o Uso de Psicoativos - ABESUP (Brazil)

Laboratório de Estudos Interdisciplinares sobre Psicoativos – LEIPSI (Brazil)

Centro de Pesquisa, Intervenção e Avaliação em Álcool e Drogas – CREPEIA (Brazil)

Centro de Referência sobre Drogas e Vulnerabilidades Associadas da UNB Ceilândia (Brazil)

Rede Nacional de Feministas Antiproibiocionistas - RENFA (Brazil)

Associação Multidisciplinar de Estudos sobre a Maconha Medicinal - AMEMM (Brazil)

Grupo Interdisciplinar de Estudos sobre Substâncias Psicoativas - GIESP/UFBA (Brazil)

Fórum Intersetorial de Drogas e Direitos Humanos de São Paulo - FIDDH (Brazil)

Fórum Estadual de Redução de Danos de São Paulo - FERD (Brazil)

Centro de Orientación e Investigación Integral (COIN)

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Les ONG exhortent la Directrice exécutive de l'ONUDC à marquer la Journée des droits humains par un appel à la réforme des politiques en matière de drogues qui perpétuent les inégalités

Une centaine de groupes de défense des droits humains exhortent l’ONU à exiger l’annulation des exécutions pour délits de drogue au Sri Lanka

Lettre de Manguinhos : Un appel mondial pour protéger la réduction des risques en Amérique Latine