‘I feel safer in the streets than at home’: Rethinking harm reduction <i>for</i> women in the urban margins

Abstract

Through qualitative data collected with women affected by drug use and drug-related violence in Bogotá, this article explores the convergence of harm reduction rationales and violence prevention programming in the urban margins to advocate for women's health empowerment and health rights as victims of intergenerational trauma and violence. We propose a methodological shift of public health praxis from street-based outreach models to intimate spaces of intervention for health outcomes embodiment ¹ as we continue to develop our community health model to work with marginalised communities in the urban global South. Through this work committed to social justice in marginalised urban communities, we seek to support women's health needs through harm reduction in historically marginalised communities in urban settings. Our results expose how multi-level gender-based violence affects women's health in their living spaces in the urban margins. Drawing from women's voices and narratives of urban violence, we call for a feminist alternative to traditionally masculinist and public-space oriented harm reduction practice for health empowerment in the urban margins.