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Advances in Preventive Medicine
Volume 2012 (2012), Article ID 316871, 8 pages
http://dx.doi.org/10.1155/2012/316871
Review Article

HIV Prevention and Rehabilitation Models for Women Who Inject Drugs in Russia and Ukraine

1HealthRight International, Representative Office in the Russian Federation, 7 Lev Tolstoy Street, Office 701, St. Petersburg 197376, Russia
2Doctors to Children, 7 Lev Tolstoy Street, Office 707, St. Petersburg 197376, Russia
3HealthRight International, Representative Office in Ukraine, 3-7 Stanislavsky Street, Kyiv 01001, Ukraine
4Ukrainian Foundation for Public Health, 3-7 Stanislavsky Street, Kyiv 01001, Ukraine
5HealthRight International, 65 Broadway, 19th Floor, New York, NY 10006, USA

Received 4 September 2012; Revised 22 October 2012; Accepted 24 October 2012

Academic Editor: Thomas F. Kresina

Copyright © 2012 Roman Yorick et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.