Peer-led Consultation Mechanism

This report presents an analysis showing that, while people who use drugs (PWUD) are accessing harm reduction services, significant challenges remain in relation to employment opportunities, access to comprehensive healthcare, and persistent stigma. The findings offer valuable, community-led insights that will inform the annual overview of harm reduction services across Europe, complementing the Correlation Civil Society Monitoring of Harm Reduction in Europe conducted by the European Harm Reduction Network (C-EHRN). The questionnaire provides essential perspectives on the views and lived experiences of PWUD in four key “Lighthouse” countries participating in the EU4Health BOOST Project: Czechia, Finland, Belgium, and Italy — with a particular focus on the cities of Brno, Helsinki, Antwerp, and Rome. It explores how people experience harm reduction services within existing programmes, practices, and policy frameworks. The European Network of People Who Use Drugs (EuroNPUD) collaborated with community focal points in each country to ensure that the voices and realities of those accessing harm reduction services were central to the data collection process. This initiative represents a vital step toward improving harm reduction responses and promoting more inclusive and participatory local and European drug services and policies.

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