Access to harm reduction services in Atlantic Canada: Implications for non-urban residents who inject drugs

► We interviewed current injection drug users in urban and non-urban Atlantic Canada. ► Non-urban IDUs described more challenges in accessing clean injecting equipment. ► Poor access to syringes and information was linked to unsafe injection and disposal. ► Urban IDUs had better access to other supports offered by harm reduction agencies. ► Non-urban IDUs face a critical lack of non-stigmatizing spaces and services.