In Russia consumption of drugs and possession of small amounts is an administrative offence punished by a fine of approximately 55 -70 € or administrative detention up to 15 days. Possession of considerablelarge and extremely large amounts  is a criminal offence, punishable with a fine up to 7,000 € or imprisonment from up to 3 to 10-15 years depending on the amount involved (Article 228)[1]. Based on the court statistics people are usually charged under Article 228.2 and 228.3 with average sentence 3-5 years[2]. According to the Council of Europe Annual Penal Statistics SPACE I there are 602176[3] inmates in Russian prisons, 129419[4] of them for drug-law offences. HIV prevalence in prison is 6,5%.[5] As for the drug use responses in prison there ART, but OST and NSP services do not exist.[6] The average amount spent per day for the detention of one inmate in Russian prisons is 2,5 Eur/per day[7], 912,5 Eur/per inmate/per year.

The estimate number of people who inject drugs is around 1815000[8]. HIV prevalence among PWID is 25,6%[9]. There is no OST in Russia and it is prohibited by law. NSP services exist in a few cities. In some places it is supported by the state. Minimum possible unemployment benefit is approximately 20,6 Eur/per month (247,2 Eur/per client/per year), maximum – 110 Eur/per month.[10]  So, the provision of health and social services would cost the state around 247 Eur/per person/per year,