Grant: Travel Awards - Institute Community Support

Pregnant people who use unregulated drugs (PPWUD) face numerous challenges when accessing sexual and reproductive health care in Canada. Past research has examined barriers to sexual and reproductive health care for PPWUD, but virtually no research has examined promising policies, programs and practices that support the sexual and reproductive health of this population. We conducted a scoping review, searching for relevant literature (2016 and 2023). We found a total of 71 articles, most of which were from grey literature sources. These articles highlighted 46 unique programs and several helpful practices aimed at supporting PPWUD in accessing sexual and reproductive health care in Canada. However, we found a lack of government and operational policies to support this population, and key disparities within and between provinces. This paper draws on the scoping review findings to propose potential policy solutions to support this key underserved population.