Achieving the goals of the Ending the HIV Epidemic (EHE) Initiative depends on doing more to strengthen communities, reduce the harm associated with drug use, and prevent disease transmission. This issue brief outlines the policy reforms needed to implement an integrated and sustained approach that prioritizes greatly expanded access to comprehensive harm reduction services, focuses on addressing substance use disorders and HIV education, decriminalizes substance use, and engages the meaningful participation of affected communities.

Keywords: policy, systems, substance use, HIV