The Middle East and North Africa Harm Reduction Association (MENAHRA) is addressing the rising phenomenon of Chemsex within Lebanon’s LGBTQI+ and People Who Use Drugs (PWUD) communities through a community-based assessment. MENAHRA’s recent needs assessment in Lebanon, Jordan, Morocco, and Tunisia has revealed significant gaps in support and awareness regarding the risks and health implications associated with Chemsex. In response to this issue, MENAHRA is conducting an assessment to understand the usage patterns of Chemsex and its associated health and social impacts.

This community-based assessment explores the health challenges associated with Chemsex, focusing on its association with risky sexual behaviours. It delves into the social and legal impediments to accessing health services, made even more visceral by the stigma against drug use and sexual orientation, identity and expression. The assessment process actively involves the participation of community members, Civil Society Organizations (CSOs), and other stakeholders, thus assuring that the findings are being grounded in actual life experiences and needs.

The results of this assessment guides MENAHRA in proposing public health recommendations, setting guidelines on HIV prevention, other harm reduction measures, and improving access to health care and support services. Ultimately, it attempts to make the said ambience more inclusive for the healthcare provider and civil society collaboration in the national efforts to reduce Chemsex-related risks. Moreover, the assessment acts as advocacy for tailored, community-based interventions that address the unique vulnerabilities of PWUDs and LGBTQI+ individuals.

MENAHRA’s efforts reflect a commitment to improving the quality of life for marginalized communities by addressing urgent health risks through evidence-based, community-driven harm reduction approaches. This assessment is a vital step toward ensuring that Lebanon’s public health systems are responsive to the emerging challenges posed by Chemsex within vulnerable and marginalized populations.