Machteld Busz, the Executive Director of Mainline, and Kunal Naik from PILS share their extensive experience in the field of harm reduction. Mainline is one of the original Dutch harm reduction organisations, and they have funded crucial services in South Africa. Mac explains that harm reduction is far more than needle and syringes and OST. Kunal has been at the forefront of the delivery of OST in Mauritius - the first African country to introduce OST. He shares the ups and downs of the processes and policy landscape, in the hopes that South Africa will learn from the mistakes Mauritius has made that have made them and example of both best and worst practice in Africa.