The development of this strategic document included multiple steps that ensured and maximized the participation of all relevant stakeholders and ended with a common consensus around the new proposed vision, mission, organogram, domains of action, and strategic objectives.

The process of development started with an extensive review of the literature and consultations with MENAHRA’s staff and partners. The first draft was developed in line with the WHO health-related Sustainable Development Goals and targets in the region and the Global AIDS Strategy 2021-2026 (17-18). The draft was sent for local and international expert review and was edited following the feedback received. The draft was also posted on MENAHRA’s website for public review. Finally, a consensus meeting was held during the general assembly in January 2022 and the strategy was finalized following the additional feedback received.

Based on extensive and informative discussions with MENAHRA’s stakeholders and a review of the main challenges faced during the past seven years, a new structure for MENAHRA was proposed.

The new structure re-positions MENAHRA first and foremost as a regional network of CSOs and supporting individual partners working in the field of harm reduction in 20 countries of the MENA region.