1. What We Can Do About It Yvonne Sibuea Asian Network of People who Use Drugs Women, Drug Use, and the Risk of HIV Transmission

2. Why Women are Using Drugs Body Image Some women reported to use ecstasy and going dancing on the weekends to help them lose weight, or stay thin. Methampetamine also believed as weight reducer Self Image Many women struggle with issues of self-esteem in their daily lives. They may be overly critical of themselves and feel that others also perceive them as "not good enough." Some women have found that when they are using drugs they feel better about themselves. They may experience themselves as attractive, confident and sexy. Partner Pressure Having a partner who use drugs has been reported as a strong factor affecting women decision to start using drugs

3. Specific Problem among WUD Periods Some women who use drugs find that their periods become heavier or irregular. They may even stop. Often this is because a woman's weight has dropped below a level that is individual to her. Breastfeeding It is possible that using drugs may interfere with this. Some women choose to wait until they are no longer nursing to resume drug use. Some women choose to express breast milk while under the influence of a drug and discard the "affected" milk. This can be tricky to judge however, as it is difficult to know how long a particular drug remains in bloodstream. Sexuality Some women say that drugs can heighten the pleasurable feelings of touching and kissing. Some women find it difficult to orgasm while under the influence of a drug. One may feel like having sex more than she normally would. Pregnancy There are many drugs that may not be harmful to a woman but that can harm the unborn baby. Many women who use drugs have had a trouble free pregnancy and given birth to a perfectly healthy baby. However, if a women use drugs, it increase the chance of experiencing complications during pregnancy and/or with the healthy development of the baby.

4. Contraception & STDs Drug use may reduce the effectiveness of the pill as it is important to take it every day at the same time for consistency. Sexual Harassment Many women have had the experience of sexually harrasment at parties or any drug scene, making them feel uncomfortable, or sometimes worse.

5. Amphetamine Type Stimulants in SEA Main illicit drugs threat in E/SE Asia E/SE Asia: = ½ of world’s meth seizures & meth users Crystalline meth: rapidly expanding in new markets High levels of ATS manufacture ATS treatment demand and arrests continue to rise Precursor sourcing continually evolving (UNODC 2012)

6. Five Teen Drug Trends Teen Drug Trend #1: Bath Salts Bath salts are stimulants similar to meth and cocaine, but they are being sold legally under the names Vanilla Sky, Aura, Hurricane Charlie, Ivory Wave and many others. To get around the laws that would make bath salts illegal, manufacturers label them "not for human consumption" and sometimes market them as plant food or other seemingly innocuous products. Teen Drug Trend #2: Kratom Derived from a plant found in southeast Asia, kratom has been used for a variety of medicinal purposes in other countries. Kratom is sold in the form of leaves, powder, extract or capsules, and can be swallowed, drank as a tea or snorted as a powder. Article Source: http://EzineArticles.com/6551596 Teen Drug Trend #3: Spice / K2 Spice, also known as K2, skunk or J-dub. Spice is a blend of herbs sprayed with a potent psychotropic drug that contains synthetic cannabinoids. The drug impacts the same receptors in the brain as marijuana (hence the name "legal marijuana"), but Spice can be up to 10 times stronger than marijuana, producing a high that typically lasts one to two hours after smoking.

7. Five Teen Drug Trends Teen Drug Trend #4: Salvia Salvia is a powerful hallucinogenic herb that is being used as often as Ecstasy and even more often than LSD, according to The New York Times. The drug comes in a variety of forms, including seeds, leaves or liquid extract, and takes effect within seconds if smoked. Teen Drug Trend #5: Prescription Drugs The most popular prescription drugs abused by teens are painkillers such as OxyContin and Vicodin, but a significant number of teens abuse stimulants and depressants as well.

8. Sexual Transmission of HIV among WUD The use of stimulant drugs are the main factors of unprotected sexual intercourse. (74%, sexual activities after ATS use in Semarang, PERFORMA-La Trobe 2011 Drug Trend Research) High percentage of unprotected sexual intercourse after ATS use in Semarang (57%, PERFORMA- La Trobe 2011 Drug Trend Research)

9. Free Drug Market vs HIV Prevention Women and young girls are easily buy stimulant drugs from the online market. They don’t really know the contents, the risk following those drug use. The rise of sexual desire should be well understood by the user of stimulant drugs. The HIV Prevention education or any Harm Reduction education material should reach women and young girls where they are ( accessible, easily found in internet, social media) The HIV Prevention and Harm Reduction education material should recognize Sexual Reproductive Health aspects.