This qualitative research study was led by INPUD, in collaboration with social science researchers at the Global Health Centre of the Geneva Graduate Institute to learn more about the continuing impacts of COVID-19 on the community and to develop shared positions in relation to the pandemic treaty. It used a community-engaged approach to: • Inform INPUD members of current developments and processes in global health governance in response to COVID-19, including the securitisation of global health, the proposed pandemic treaty, and related debates; • Further investigate the diverse experiences of people who use drugs in the COVID-19 pandemic with harm reduction policy, drug use and supply, policing, detention, and human rights; and • Develop a set of policy recommendations based on evidence from the research that can be utilised during INPUD’s future advocacy.