Pioneering methadone programme in Dar es Salaam gives hope to thousands

Dr Pilly Sahid and Yusuf Ahmed Mzitto, known as "Kessy", at the Mwananyamala District Hospital’s methadone clinic in Dar es Salaam. Dr Pilly Sahid and Yusuf Ahmed Mzitto, known as "Kessy", at the Mwananyamala District Hospital’s methadone clinic in Dar es Salaam. WHO/T. Miranda

24 August 2016 - In a discreet corner of the Mwananyamala District Hospital grounds, in the United Republic of Tanzania’s largest city Dar es Salaam, a group of young people queue outside a small window for their daily dose of methadone. Others are taking refuge from the intense heat in the few shady spots available in the dusty yard behind the low building housing the clinic.

In recent years, Dar es Salaam has seen an increase in illicit drug use, particularly heroin, as the large port city has become a pit stop for smugglers en route from Afghanistan to Europe and the rest of Africa. The heroin sold is poor quality but is cheaply available, with one dose costing as little as 1 US dollar.

Tanzania