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Drug policies’ sensitivity towards women, pregnancy, and motherhood: a content analysis of national policy and programs from nine countries and their adherence to international guidelines

2023-09-08Journal article Open access
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dc.contributor.authorGhosh, Abhishek
dc.contributor.authorJerkovic, Dijana
dc.contributor.authorIgnjatova, Liljana Aleksandar
dc.contributor.authorBruguera, Carla
dc.contributor.authorIbrahim, Dalia I.
dc.contributor.authorOkulicz-Kozaryn, Katarzyna
dc.contributor.authorMaphisa, J. Maphisa
dc.contributor.authorMartinelli, Thomas F.
dc.contributor.authorNeto, Ana
dc.contributor.authorCanêdo, Joana
dc.contributor.authorGordon, Rebecca
dc.date.accessioned2024-03-11T13:03:50Z
dc.date.available2024-03-11T13:03:50Z
dc.date.issued2023-09-08
dc.description.abstractBackground and objectives Substance use in women is associated with unique psycho-social and physical vulnerabilities and poses complex challenges during pregnancy and motherhood. Gender-sensitive drug policy which considers the needs of women and their children could address these concerns. The objectives of this study were: (1) to systematically explore national-level drug policies’ sensitivity and responsiveness to women, pregnant women, and children; and (2) to examine the adherence of drug policies with international guidelines for gender sensitivity in drug policy. Methods The research team was diverse professional backgrounds and nine countries. A summative content analysis of national drug policy documents, action plans, and strategies was performed. Specific documents focusing on women, pregnancy, and children were analysed. Specific themes and how frequently they appeared in the documents were identified. This quantification was an attempt to explore usage indicating the relative focus of the policies. A thematic map was developed to understand how national-level drug policies conceive and address specific concerns related to women who use drugs. We adapted the UNODC checklist for gender mainstreaming to assess policies’ adherence to international guidelines. Results Twenty published documents from nine countries were reviewed. The common themes that emerged for women, pregnancy, and children were needs assessment, prevention, treatment, training, supply reduction, and collaboration and coordination. Custody of children was a unique theme for pregnant women. Specific psycho-social concerns and social reintegration were special themes for women, whereas legislation, harm reduction, research, and resource allocation were children-specific additional themes. For women-specific content analysis, special issues/concerns in women with drug misuse, need assessment, and prevention were the three most frequent themes; for the children-specific policies, prevention, training, and treatment comprised the three most occurring themes. For pregnant women/pregnancy, prevention, treatment, and child custody were the highest occurring themes. According to ratings of the countries’ policies, there is limited adherence to international guidelines which ensure activities are in sync with the specific needs of women, pregnant women and their children. Conclusion Our analysis should help policymakers revise, update and adapt national policies to ensure they are gender-responsive and address the needs of women, pregnant women and their children.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1186/s13722-023-00410-0pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/50197
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relationInter·GLAM project, co-funded by Grant No. 957776 under the European Union’s DG Justice Programme “Drugs Policy Initiatives—Supporting initiatives in the field of drugs policy” (JUST-2019-AG-DRUGS)pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectDrug policypt_PT
dc.subjectwomenpt_PT
dc.subjectpregnancypt_PT
dc.subjectmotherhoodpt_PT
dc.titleDrug policies’ sensitivity towards women, pregnancy, and motherhood: a content analysis of national policy and programs from nine countries and their adherence to international guidelinespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.titleAddiction Science & Clinical Practicept_PT
oaire.citation.volume18pt_PT
person.familyNameCanêdo dos Santos Barroso Dias
person.givenNameJoana Francisca
person.identifier.ciencia-id951D-49BC-434F
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationa4030995-983f-4501-ad5b-1f3d716f3a88
relation.isAuthorOfPublication.latestForDiscoverya4030995-983f-4501-ad5b-1f3d716f3a88

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