In many parts of the country amphetamine use is widespread and much more common than opiate use. The drug is injected and used widely in the sex industry. Risks of injecting-related damage and of HIV and hepatitis spread are considerable but uptake of services is poor. Despite official discouragement, several projects have reacted to this situation by offering a prescribing service. Evidence is accumulating that this helps attract stimulant users to the service and leads to positive behaviour change.