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Navigating water, sanitation and hygiene (WaSH) access at the intersections of poverty, substance use, sex work and gender : A qualitative analysis of Vancouver, Canada's washroom trailer program

Wise, Melody; Vieira, Echo; Cairns, Tyne Baynton; Cornborough, Andrea; Gosal, Jaeten; Krüsi, Andrea

2025-09

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This study assessed how the Washroom Trailer Program (WTP), a municipal response to large-scale closures of public washrooms during the COVID-19 pandemic, shaped experiences of health (in)equity among unhoused/precariously housed people, sex workers and people who use substances in Vancouver, Canada. Specifically, it examined how WTP interventions shaped access to WaSH services, overdose prevention, risks of gender-based violence (GBV), and connections to health care and social services. The findings of this study highlight the potential benefits of scaling and evaluating similar WaSH interventions in other urban settings in HICs as a pragmatic means of improving overall safety, health and well-being among marginalized and criminalized populations.