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

Seite 2 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

Seite 3 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

Seite 4 4 Training Topics  Special implications for harm reduction and HIV prevention among female drug users  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

Seite 5 5 Cross cutting issues tackled  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

Seite 6 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

Seite 7 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 GTZ Training: Developing Services for Female Drug Users Module 1 “Welcome and Introduction”  Introduction of participants and trainer  Introduction to the aims and activities of the workshop  Clarifications of programme, ground rules, attitudes, and expectations Module 2 “Rationale”  Why focus on women drug users  Cross cutting issues – overview Spotlight: Eastern Europe and Central Asia

Seite 8 8 Training Modules GTZ Training: Developing Services for Female Drug Users Module 3 “Cross cutting issues”  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

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

Seite Training Modules GTZ Training: Developing Services for Female Drug Users Module 6 “Planning, Monitoring and Evaluation”  Planning Along the Impact Chain  Project Management – Roles and Responsibilities  Impact oriented monitoring and evaluation Module 7 “Wrap Up, Feedback and Closure”  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

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

Seite Our Services GTZ Training: Developing Services for Female Drug Users  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

Seite Training Examples Pilot workshop with Ukrainian service providers - Kiev, April drug experts from different regions of the Ukraine were trained on behalf of the GTZ HIV/AIDS Programme in Ukraine. GTZ Training: Developing Services for Female Drug Users Training workshop in Katmandu, September 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. Both training workshops were held by Susanne Schardt, Realitäten Bureau – international drug policy advisor and longstanding expert in developing and facilitating training workshops on various topics

Seite For more Information Contact at GTZ: Patricia Kramarz Sector-Project "Strengthening the German Contribution to the Global AIDS Response" GTZ-Berlin Office Reichpietschufer Berlin, Germany Tel.: Fax.: GTZ Training: Developing Services for Female Drug Users Contact at EHRN: Shona Schonning Program Director Siauliu St. 5/1-21 Vilnius LT-01133, Lithuania Office: Cell: October 2009 Photos: Susanne Schardt, Realitäten Bureau and Julia Gordunova, EHRN