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In the USA, as well as internationally, rates of HIV infection among women continue to grow. In addition, women who inject drugs are at further increased risk for hepatitis C co-infection. The purpose of this study was to conduct qualitative and quantitative needs assessments for HIV/STD/hepatitis prevention among women in methadone maintenance programmes. Qualitative interviews and a quantitative, self-administered questionnaire were used to develop an understanding of their needs, and perceptions of what they believed would constitute effective prevention intervention programmes. Results supported women's interest in these services and provided feedback on how to structure prevention programmes by placing them in the context of women's lives and addressing concrete barriers (e. g. transportation, child care, confidentiality concerns) to facilitate adherence to these programmes. Respondents indicated a desire for HIV prevention information, but also wanted information on hepatitis, relapse prevention, stress management and accessing services. The development of such programming would require partnering with the target population and their service providers to develop feasible and effective interventions.