Yorick Roman, Skipalska Halyna, Suvorova Svetlana, Sukovatova Olga, Zakharov Konstantin, Hodgdon Sara
HealthRight International, Representative Office in the Russian Federation, 7 Lev Tolstoy Street, Office 701, St. Petersburg 197376, Russia ; Doctors to Children, 7 Lev Tolstoy Street, Office 707, St. Petersburg 197376, Russia.
Adv Prev Med. 2012;2012:316871. doi: 10.1155/2012/316871. Epub 2012 Dec 5.
Women who inject drugs require gender-specific approaches to drug rehabilitation, modification of risk behaviors, and psychosocial adaptation. Improved outcomes have been demonstrated when the specific needs of women's subpopulations have been addressed. Special services for women include prenatal care, child care, women-only programs, supplemental workshops on women-focused topics, mental health services, and comprehensive programs that include several of the above components. To address the special needs of women injecting drug user (IDU) subpopulations, such as HIV-positive pregnant women and women with young children, recently released female prisoners, and street-involved girls and young women, HealthRight International and its local partners in Russia and Ukraine have developed innovative service models. This paper presents each of these models and discusses their effectiveness and implementation challenges specific to local contexts in Russia and Ukraine.
注射毒品的女性需要针对其性别的戒毒方法、风险行为矫正以及心理社会适应措施。当女性亚群体的特殊需求得到满足时，已证明能取得更好的效果。针对女性的特殊服务包括产前护理、儿童保育、仅限女性的项目、关于女性主题的补充讲习班、心理健康服务以及包含上述若干组成部分的综合项目。为满足注射毒品女性（IDU）亚群体的特殊需求，例如艾滋病毒呈阳性的孕妇、有年幼子女的女性、近期获释的女性囚犯以及街头流浪的女孩和年轻女性，国际健康权利组织及其在俄罗斯和乌克兰的当地合作伙伴开发了创新服务模式。本文介绍了每种模式，并讨论了它们在俄罗斯和乌克兰当地背景下的有效性及实施挑战。
