Developing Services for Female Drug Users

1. Developing Services for Female Drug Users A Training by GTZ with special inputs from the Eurasian Harm Reduction Network – Harm Reduction Knowledge Hub

2. Why Focus on Female Drug Users? In recent years, harm reduction service providers across the world have noted a perplexing trend: even as the number of women drug users grows, their access to services remains decidedly low. How can we provide female drug users with the services they need? GTZ Training: Developing Services for Female Drug Users

3. The Training… • seeks to convey firsthand practice experience, tools and tips • encourages participants to contribute their own experience in working with female drug users • highlights the specific needs of female drug users • introduces strategies by which service providers can meet them • draws on practical experience with different approaches • deploys dynamic, interactive teaching methods • includes modules that are specifically adapted to the needs of EECA countries • provides step-by-step guidance through all 7 modules GTZ Training: Developing Services for Female Drug Users

4. Training Topics • Special implications for harm reduction and HIV preventionamongfemaledrugusers • Addressing and reaching out to female drug users • Developing gender-sensitive outreach skills involving peers • Integrating female drug users in existing services and making services more women-friendly • Creating special services for female drug users • Forming links for effective referral and adherence • Participatory needs assessment and planning • Impact-oriented monitoring and evaluation • Advocacy and community support • Cross cutting issues GTZ Training: Developing Services for Female Drug Users

5. Cross cuttingissuestackled • Female drug users in prison • Effects of drug use in pregnancy • Domestic violence • Methamphetamine use among women • Harm reduction for sex workers who use drugs • Harm reduction, drug treatment, and pregnancy • Childcare and child custody • PMTCT GTZ Training: Developing Services for Female Drug Users

6. The Training Structure • The general structure of the training follows the logic of assessment, trust-building, planning, implementation, and m&e • Variable modules may be selected according to the interests and needs of the participants • Special sessions focusing on the situation in Eastern Europe and Central Asia were developed by the Eurasian Harm Reduction Network (EHRN) and the Harm Reduction Knowledge Hub GTZ Training: Developing Services for Female Drug Users

7. Training Modules The modules can be individually tailored to the needs and interests of the participants of each workshop with the help of a pre-training assessment • Introduction of participants and trainer • Introduction to the aims and activities of the workshop • Clarifications of programme, ground rules, attitudes, and expectations Module 1 “Welcome and Introduction” • Why focus on women drug users • Cross cutting issues – overview • Spotlight: • Eastern Europe and Central Asia Module 2 “Rationale” GTZ Training: Developing Services for Female Drug Users

8. Training Modules • Domestic Violence • Methamphetamine, women and Harm Reduction • Harm Reduction for Sex Workers who Use Drugs • Harm Reduction, Drug Treatment and Pregnancy • Gender-Sensitive Drug Treatment • Drug Using Women in Prison • Spotlight: • Effects of Drug Use in Pregnancy Module 3 “Cross cutting issues” GTZ Training: Developing Services for Female Drug Users

9. Training Modules • Outreach to Female Drug Users • Integrating Women Drug Users in Existing Services • Creating Special Services for Female Drug Users Module 4 “Addressing Female Drug Users” • Identification of Relevant Actors • Analysing Trust and Links • Case Management Module 5 “Referral and Adherence” GTZ Training: Developing Services for Female Drug Users

10. Training Modules • Planning Along the Impact Chain • Project Management – Roles and Responsibilities • Impact oriented monitoring and evaluation Module 6 “Planning, Monitoring and Evaluation” • Trainers receive feedback on the methodology and contents of the modules from the participants • Certificates of participation are handed out (optional) • Formal conclusion ends the workshop Module 7 “Wrap Up, Feedback and Closure” GTZ Training: Developing Services for Female Drug Users

11. Training Methods Inputs from experts - optional - Role Play Exercises in small groups Site visits - optional - Discussion of group work in plenary Lectures / Presentations GTZ Training: Developing Services for Female Drug Users

12. Our Services • Regional or national trainings of trainers are offered through international master-trainers • The manual for trainers is available in English and Russian • An interactive CD provides trainers with the necessary guidance through all modules, with tentative schedules for each module, lectures, descriptions of group work and tools, and additional reading material • We conduct a pre-training assessment to adapt every workshop to your participants’ needs GTZ Training: Developing Services for Female Drug Users

13. Training Examples Pilot workshopwithUkrainianserviceproviders - Kiev, April 2009 12 drug experts from different regions of the Ukraine were trained on behalf of the GTZ HIV/AIDS Programme in Ukraine. Training workshop in Katmandu, September 2009 22 female service providers and peer outreach workers from different regions of Nepal were trained in cooperation with GTZ and Recovering Nepal, a national network of former drug users and Nepalese drug services. Bothtrainingworkshopswereheldby Susanne Schardt, Realitäten Bureau – international drugpolicyadvisor and longstanding expert in developing and facilitatingtrainingworkshops on varioustopics GTZ Training: Developing Services for Female Drug Users

14. For more Information Contact at GTZ: Patricia Kramarz Sector-Project "Strengthening the German Contribution to the Global AIDS Response" GTZ-Berlin Office Reichpietschufer 20 10785 Berlin, Germany Tel.: +49 30 726 14 300 Fax.: +49 30 726 14 22 300 E-Mail: patricia.kramarz@gtz.de www.gtz.de/responding-to-aids Contact at EHRN: Shona SchonningProgram Director Siauliu St. 5/1-21 Vilnius LT-01133, Lithuania Office: +370 5 212 2154 Cell: +370 685 515 53 E-mail: shona@harm-reduction.orgwww.harm-reduction.org October 2009 Photos: Susanne Schardt, Realitäten Bureau and Julia Gordunova, EHRN GTZ Training: Developing Services for Female Drug Users