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In Nepal very little attention is given to interventions that provide an enabling environment for young drug users and there are virtually no human rights initiatives for this group. There should be meaningful participation of youths at local and national decision-making bodies to ensure the voice of youths on issues affecting their lives are met effectively and appropriately and their rights are respected, protected and fulfilled. Specific research regarding young drug users should be undertaken in order to address their issues, since they are not generally captured in the current monitoring methods.