Integrating Harm Reduction and SRHR Services for Women and Gender Non-Conforming People Who Use Drugs

 
9
 
Module 
9
Integration of SRHR services
 
Integrating harm reduction and
sexual and reproductive health and
rights
 
Module 
9 Integration of SRHR services
 
LEARNING OBJECTIVES
 
2 hours 20 minutes
 
To identify gaps in the provision of essential SRHR services in
organisations providing harm reduction services
To  map appropriate services that offer client-oriented, non-
judgmental  SRHR services for women and gender non-conforming
people who use drugs
To develop short-term and mid-term action plan to improve the
access to and integration of SRHR and harm reduction services
 
Module 
9 Integration of SRHR services
 
BRAINSTORMING:
 
10 minutes
 
In your opinion, what are the characteristics of a harm reduction programme
designed for women and gender non-conforming people who use drugs?
 
In your opinion, what are the characteristics of a harm reduction centre/DIC that
is adapted to the needs, including the SRHR needs, of women and gender non-
conforming people in terms of facilities and services?
 
In your opinion, what are the characteristics of providers working in a
programme/centre adapted to the needs of women and gender non-conforming
people who use drugs?
 
Module 
9 Integration of SRHR services
 
PROGRAMMATIC FEATURES
 
Supporting the meaningful involvement 
of the women in all their diversity and gender non-
conforming people who use drugs in the 
design
, 
planning
,
 
implementation
,
 monitoring
 and
evaluation of programmes
Provision of both
 
individual
 and 
group
 activities
Provision of services in a 
centre
 and through 
outreach
 
to reach those most at risk
Involvement of 
trained peers 
and/or recruit peer staff and peer managers
Involvement
 of partners, friend and relatives
Strong 
referral network
Intervention at all levels, including interventions at 
community level
, and 
empowering female and
gender non-conforming communities
Advocacy
 strategy led by women and gender non-conforming people who use drugs,
 
and 
supporting
the skills and structure of community networks
.
 
Module 
9 Integration of SRHR services
 
PROVIDERS
 
Staff trained on SRHR, gender norms and gender equity
, and are respectful with
trans-women, sex workers etc.
Integration and recognition of the value of
 peers 
(at different positions, including
as leaders)
Respect of 
ethics principles 
(confidentiality, privacy, informed consent, respect of
individual choice, non-judgmental, no discrimination, etc.)
Client-oriented approach 
and adequate time is given to client/provider interaction
 
Module 
9 Integration of SRHR services
 
DEVELOPING AND STRENGTHENING
COLLECTIVES
 
OF WOMEN AND GENDER NON-
CONFORMING PEOPLE WHO USE DRUGS
 
Many of the best programmes have been started and are led by women and gender non-conforming people who use drugs.
 
S
upport 
mobilising
 
these community groups by:
Offering 
spaces to meet
Providing 
discreet advertising 
to other women/ gender non-conforming people with similar interests
Proposing 
organisationa
l 
and methodological 
support
Providing 
resources for peer education
Providing 
up-to-date information 
on relevant research
Proposing 
stakeholder linkages
Support with 
funding
 and 
training opportunities
 
To overcome potential barriers, such as difficulties in accessing or identifying these communities or when community networks
are not yet established, it is essential to recruit women/gender non-conforming people who use drugs as volunteers, paid staff
and managers.
 
Module 
9 Integration of SRHR services
 
EVALUATION OF SERVICES:
 
Working in 3
 groups
 
Step 1 : 
Tick the appropriate boxes checklist
 
Step 2: Give a score of 1 for every ‘yes’ answer and 0 for every
‘no’
 
Step 3 : Prioritise 
3 areas
 
25 minutes
 
Module 
9 Integration of SRHR services
 
THE ‘4A’ EVALUATION:
 
 
20 minutes
 
A
ccessibility
A
cceptability
A
vailability
A
ffordability
 
Module 
9 Integration of SRHR services
 
MAPPING:
 
 
20 minutes
 
Working in 3 groups
Based on the 
the previous
mapping done, develop this
comprehensive mapping:
First circle: 
existing referral
system
Second circle
: existing
services not used by the
women/gender non-
conforming people who
use drugs for potential
new referral pathway
 
Module 
9 Integration of SRHR services
 
DEVELOP ACTION PLANS:
 
 
40 minutes
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This module focuses on integrating harm reduction and sexual and reproductive health and rights (SRHR) services for women and gender non-conforming individuals who use drugs. It aims to identify gaps in service provision, map appropriate client-oriented SRHR services, and develop action plans to improve access and integration. Brainstorming sessions explore the characteristics of harm reduction programs, centers, and providers tailored to the needs of this specific population. The programmatic features emphasize community involvement, peer support, comprehensive service provision, and advocacy led by affected communities.


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  1. 9 9 Module 9 Integration of SRHR services Integrating harm reduction and sexual and reproductive health and rights

  2. Module 9 Integration of SRHR services LEARNING OBJECTIVES 2 hours 20 minutes To identify gaps in the provision of essential SRHR services in organisations providing harm reduction services To map appropriate services that offer client-oriented, non- judgmental SRHR services for women and gender non-conforming people who use drugs To develop short-term and mid-term action plan to improve the access to and integration of SRHR and harm reduction services

  3. Module 9 Integration of SRHR services BRAINSTORMING: 10 minutes In your opinion, what are the characteristics of a harm reduction programme designed for women and gender non-conforming people who use drugs? In your opinion, what are the characteristics of a harm reduction centre/DIC that is adapted to the needs, including the SRHR needs, of women and gender non- conforming people in terms of facilities and services? In your opinion, what are the characteristics of providers working in a programme/centre adapted to the needs of women and gender non-conforming people who use drugs?

  4. Module 9 Integration of SRHR services PROGRAMMATIC FEATURES Supporting the meaningful involvement of the women in all their diversity and gender non- conforming people who use drugs in the design, planning, implementation, monitoring and evaluation of programmes Provision of both individual and group activities Provision of services in a centre and through outreach to reach those most at risk Involvement of trained peers and/or recruit peer staff and peer managers Involvement of partners, friend and relatives Strong referral network Intervention at all levels, including interventions at community level, and empowering female and gender non-conforming communities Advocacy strategy led by women and gender non-conforming people who use drugs, and supporting the skills and structure of community networks.

  5. Module 9 Integration of SRHR services PROVIDERS Staff trained on SRHR, gender norms and gender equity, and are respectful with trans-women, sex workers etc. Integration and recognition of the value of peers (at different positions, including as leaders) Respect of ethics principles (confidentiality, privacy, informed consent, respect of individual choice, non-judgmental, no discrimination, etc.) Client-oriented approach and adequate time is given to client/provider interaction

  6. Module 9 Integration of SRHR services DEVELOPING AND STRENGTHENING COLLECTIVES OF WOMEN AND GENDER NON- CONFORMING PEOPLE WHO USE DRUGS Many of the best programmes have been started and are led by women and gender non-conforming people who use drugs. Support mobilising these community groups by: Offering spaces to meet Providing discreet advertising to other women/ gender non-conforming people with similar interests Proposing organisational and methodological support Providing resources for peer education Providing up-to-date information on relevant research Proposing stakeholder linkages Support with funding and training opportunities To overcome potential barriers, such as difficulties in accessing or identifying these communities or when community networks are not yet established, it is essential to recruit women/gender non-conforming people who use drugs as volunteers, paid staff and managers.

  7. Module 9 Integration of SRHR services EVALUATION OF SERVICES: 25 minutes Working in 3 groups Step 1 : Tick the appropriate boxes checklist Step 2: Give a score of 1 for every yes answer and 0 for every no Step 3 : Prioritise 3 areas

  8. Module 9 Integration of SRHR services THE 4A EVALUATION: 20 minutes Accessibility Acceptability Availability Affordability

  9. Module 9 Integration of SRHR services MAPPING: 20 minutes Working in 3 groups Based on the the previous mapping done, develop this comprehensive mapping: First circle: existing referral system Second circle: existing services not used by the women/gender non- conforming people who use drugs for potential new referral pathway

  10. Module 9 Integration of SRHR services DEVELOP ACTION PLANS: 40 minutes

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