Developing a "Menu" of services for WUD

Harm Reduction International developed the following lists which draw on examples of existing gender-specific HR services and provide a ‘menu’ of options to improve and expand care for WUD. Since HR strategies and programs are implemented very differently (and sometimes not at all implemented) in the different countries, ideally services should be tailored to the needs of women in a given context.

WUD should always be involved in the design and implementation of these programs to ensure their effectiveness, appropriateness, and respect of the human rights of WUD.

Adjustements and small additions to existing services

The following improvements have been suggested for those organizations that can only afford to bring adjustments or small additions to their existing services/programs:

• Addition of women-specific items to basic HR kits (women’s hygiene materials and female condoms along with syringes, male condoms, wipes, lubricant).
• Additional basic services/material assistance for women at HR sites (pregnancy tests; diapers and other supplies for children; short-term babysitting while women get counselling; informational gender-specific materials; help in learning to inject oneself to eliminate dependence on partners).
• Staff training on gender issues (counselling techniques for women, needs of WUD etc.).
• Gender balance in HR staff, including active involvement of WUD in service provision and design.
• Special time for women only (‘Ladies’ Night’).
• Women-only support groups, women-specific counselling programs.
• Relationships with trusted gynecologists, obstetricians and other specialists for client referrals.
• Secondary syringe exchange program focusing on expanding coverage of women.
• Training MAT providers and obstetricians-gynecologists on drug use and drug treatment in pregnancy (for OST programs/policymakers): take-home doses, flexible clinic hours.
• Basic training on drug use for primary care and women’s healthcare providers to enable effective and prompt referrals to HR and related services when needed.
• Links between services for people who use drugs and for sex workers, including discreet provision of HR for sex workers unable to openly visit a HR site in opening hours.