Handbook on Services for Women Who Use Drugs

Today, on the Harm Reduction Day, AIDS Action Europe presented the Handbook on Services for Women Who Use Drugs.

This handbook offers practical examples for creating specific activities for women who use drugs or opioid substitution therapy. It can also just serve as inspiration for other types of initiatives and projects. The aim is to increase the uptake of services by women who use drugs in the medium term.

To make these suggestions for specific activities as practical as possible, authors have developed them in the form of fact sheets, based on the knowledge and experience of women working in women-specific organisations.

The handbook was initially developed by Deutsche Aidshilfe and translated into English and Russian by AIDS Action Europe.

To access the Handbook, follow this link>>>.

 

Campaign to Eliminate Violence Against Women Who Use Drugs

With the International Campaign for the Elimination of Violence Against Women UNiTE, a UN
initiative of 16 days of activism, the Women and Harm Reduction International Network (WHRIN)
and Drug Policy Network South East Europe (DPNSEE), with campaign partners YouthRISE,
EuroNPUD and EWNA call for an end to all forms of violence against women and gender diverse
people who use drugs. The EVAWUD campaign highlights the need to end violence against women
and gender diverse people who use drugs and improve drug policies from a feminist, human rights
and harm reduction perspective.

Women and gender diverse people who use drugs are subject to extreme levels and a wide range of violence due to patriarchal norms combined with punitive prohibition of some drugs. State-driven stigma, criminalization, harmful gender norms, and corruption drive substantive health and safety harms. These act as barriers for women and gender diverse people who use drugs accessing critical harm reduction and gender-based violence (GBV) services.

Women and gender diverse people who use drugs experience GBV at up to 25 times the rate experienced by women in the general public. This violence includes, (but is not limited to) extra judicial killing, capital punishment, forced and coerced sterilisation and abortion, rape, sexual harassment, loss of child custody, bashings, imprisonment for personal possession or use, penalisation for drug use in pregnancy, along with other types of gendered violations, stigma and discrimination.

Woman and gender diverse people who use drugs around the world can face arbitrary detention, extortion, police violence, torture and ill-treatment, with well over a third of women in prison for drug offences and with the incarceration of women for drug offences spiking globally by 53% since 2000.

Due to the so-called “war on drugs”, survivors have little recourse and often no support, particularly in cases of violence from police, prison guards and compulsory ‘treatment’ centre staff. The experiences of violence against women who use drugs are even more extreme for those facing intersecting oppressions such as women of colour, sex workers, or trans women. Additionally, young people face more barriers to accessing essential health and harm reduction services due to policies and laws on age restrictions, affecting young women and gender diverse people.

WHRIN and DPNSEE and partners note that, by collaborating with groups of women and gender diverse people who use drugs and documenting peer led actions and services, the appropriate responses to these inequities and violations are clear.

Meaningful community involvement must feature as the cornerstone to all good practice responses in developing GBV services. As the criminalisation of drug use stands as a primary barrier between women and gender diverse people who use drugs and attainment of human rights including the right to safety, access to harm reduction and other essential health services.

Decriminalisation which removes all sanctions and punishment, including coerced or court-imposed treatment programs, for all people who use drugs, and all types of drugs is also imperative. Properly implemented decriminalisation will reduce the stigma and violence associated with the “war on drugs”.

Expansion of harm reduction and inclusion of violence prevention and mitigation, and gender sensitive, affirming and age-appropriate support services are also critical. It is also noted that sexual and reproductive health is now promoted as an additional essential service that should be incorporated within the harm reduction suite of services for people who use drugs, and that best practice service delivery integrates comprehensive GBV services.

DPNSEE and WHRIN, EuroNPUD, YouthRISE and ENWA call for an end to the “war on drugs”, to end this violence against women and gender diverse people who use drugs. Legislation and legal principles, procedures, policies, programmes and practices relating to criminal justice must be reviewed to determine if they are adequate to prevent and eliminate violence against women and gender diverse people who use drugs. If they are found to have a negative impact, they must be modified in order to ensure that people who use drugs enjoy fair and equal treatment.

Please join us in ensuring adequate resources and legislative frameworks uphold the safety and human rights of women and gender diverse people who use drugs.

 

Supporting women who use drugs victims of gender-based violence

Our member organisation HOPS – Options for Healthy Life Skopje, in the period from the 13th to the 15th April 2022, realized three one-day trainings in three different cities: Strumica, Bitola and Skopje on the topic: “Treatment of women victims of gender-based violence who use drugs“, intended for professionals working with victims of gender-based violence.

On April 13, the training was held in the Therapeutic Community “Pokrov” – Strumica, which was attended by a total of 13 representatives: 8 representatives from the Centers for Social Work in Sveti Nikole, Strumica, Kočani and Štip and 5 representatives from other non-governmental organizations: Educational – humanitarian organization “EHO” – Štip, Youth Club of the Red Cross Strumica, Women’s Action Radoviš, Sky Plus Strumica and the therapeutic community Pokrov Strumica.

On April 14, the training was held at the hotel “Millennium Palace” Bitola, which was attended by a total of 12 representatives, of which: 3 representatives from the Centers for Social Work in Prilep and Resen, 2 representatives from PHI Health Center Bitola and PHI General Hospital Prilep, 1 representative from PHI Psychomedica Bitola and 6 representatives from non-governmental organizations: Center for Human Rights AMOS – Bitola, Via Vita – Bitola, Station 5 – Prilep and Association for Social Action, Prevention Education EASP Prilep.

On April 15, the training was held in the hotel “City Park” Skopje, which was attended by a total of 13 representatives, as follows: 4 representatives from the Centers for Social Work in Skopje, Veles and Tetovo, 2 representatives from PHI General Hospital Kumanovo and 7 representatives by non-governmental organizations: Macedonian Young Lawyers Association, Association for Health Education and Research HERA Skopje, Civic Initiative for Women Sveti Nikole, National Network against Violence against Women and Domestic Violence and the Red Cross of the Republic of Northern Macedonia.

The trainings were led by prof. Dr. Liljana Ignjatova from the Medical Faculty Skopje, Department of Psychiatry and Hajdi Sterjova Simonovic – Executive Director of the Association HOPS. The purpose of these trainings is to sensitize the professionals who work with women who use drugs in cases when they are victims of gender-based violence.

The participants evaluated all three trainings extremely positively, both from the aspect of high quality and level of theoretical and practical knowledge of the trainers, as well as from the aspect of interaction established between the participants and the trainers and the possibility for exchange of information and experiences.

The experience from the held trainings showed us that there is a huge interest in this topic and the need to conduct such trainings in the future.

The trainings are organized by the Association HOPS, supported by the Eurasian Harm Reduction Association (EHRA), as part of the project “Access to comprehensive care for women who use drugs in cases of violence” funded by COVID-19 Response Mechanism (C19RM) of the Global Fund to Fight AIDS, Tuberculosis and Malaria as part of the regional project “Sustainability of services for key populations in Eastern Europe and Central Asia region” (#SoS_project) implemented by the Alliance for Public Health.

Tool for Gender-Responsive Harm Reduction Services for Women who Use Drugs

The International Network of People who use Drugs (INPUD) and the International Network of Women who use Drugs (INWUD), in collaboration with the United Nations Office of Drugs and Crime (UNODC) HIV/AIDS Section and Koalisi Satu Hati, a community advocacy group in Indonesia, developed On the A-Gender: Community Monitoring Tool for Gender-Responsive Harm Reduction Services for Women who use Drugs. It aims to be a resource for community advocates to begin documenting, evidencing and addressing this state of play. The tool acknowledges the diversity and intersectionality of women who use drugs – including sex workers, lesbian and transwomen.

Worldwide, women who use drugs are vastly underserved within health and social services and programmes. National and international research, services, guidelines, and training programmes are either gender-neutral or male-focused. As harm reduction services are primarily tailored to men, women who use drugs often find their specific needs being unacknowledged and unaddressed, leading to non gender-responsive harm reduction services.

This resource can be a useful and a practical first step towards developing advocacy strategies to introduce and scale up gender-responsive harm reduction services in various settings around the world. In this way, the right to health of women who use drugs can be respected and better promoted.

To read full and download the tool, follow this link>>>