Everywhere and for everyone: proportionate universalism as a framework for equitable access to community drug checking

Barriers to equitable service delivery included criminalization and stigma, geographic and access issues, and lack of cultural appropriateness that deter service use for a broad population with diverse needs. Strategies to enhance equitable access include 1ocating services widely throughout communities, integrating drug checking within existing health care services, reframing away from risk messaging, engaging peers from a broad range of backgrounds, and using discreet methods of delivery to help create safer spaces and better reach diverse populations at risk for overdose.