Measuring HIV stigma and discrimination

To better understand the status of HIV-related stigma and discrimination and progress towards their elimination, support advocacy for addressing HIV-related stigma and discrimination and highlight data gaps, UNAIDS is coordinating the development of summary measures of HIV-related stigma and discrimination.

Starting on 19 August 2019 for a period of three weeks, various elements of the draft measures will be discussed. A few key questions will guide the moderated discussion each week. Inputs and recommendations from each week will be shared at the start of the following week and used to inform the next element of the measures to be discussed.

The virtual consultation is open to everyone. They aim to encourage broad participation, particularly of people living with and affected by HIV, gay men and other men who have sex with men, transgender people, young people, sex workers, people who use drugs and women, from all regions. Contributions through this consultation will be used to inform the development of the measure(s) and ensure they are people-centred, reflecting the lived experiences and realities of people, and meaningful to inform programmatic action.

To get more information and participate in the consultation follow this link>>>

Awareness video on human rights and harm reduction approach

Our member organisation Labyrinth invite to check out awareness video-animation they produced on Human rights and Harm reduction approach for people who use drugs in Kosovo.

The video was a part of the project that Labyrinth implemented “Enhancing drug user’s rights and entitlements” and was supported by the EU Office in Kosovo. The purpose of the “ENDURE” project was to create a more appropriate environment for people from marginalized communities to realize health, social and legal rights and to be involved in all processes of social life.

The project aimed to address the needs of discriminated and stigmatized groups by strengthening their capacities to invoke anti-discrimination law. The “ENDURE” project also aimed to raise awareness against discrimination providing legal and psychological support to drug users and improve access to drug users.

In scope of the ENDURE project, Labyrinth prepared two publications (both in Albanian):

Have a look at this excellent video. Subtitles are available both in English and Serbian language.

Time to remember loved ones and end overdose

Globally, there is an estimated minimum of 190,900 premature deaths caused by drugs (range: 115,900 to 230,100). It is estimated that there were more than 70,000 deaths caused by to drug overdose in European Union countries in the first decade of the 21st Century. Opioids account for the majority of drug-related deaths and in most cases such deaths are avoidable.

Local communities around the world are coming together every year at the end of August to remember those who have died or suffered permanent injury due to drug overdose.

Observed on the 31st of August every year, International Overdose Awareness Day (IOAD) seeks to create better understanding of overdose, reduce the stigma of drug-related deaths, and create change that reduces the harms associated with drug use.

People and communities came together to raise awareness of one of the world’s most urgent public health crises – one that, unfortunately, is only getting worse.

In 2018, there were 747 IOAD events of all kinds, held in 38 countries.

A full list of the IOAD 2019 events currently planned around the world can be found at: https://www.overdoseday.com/activities-2019/

International Overdose Awareness Day is convened by Penington Institute, an Australian not-for-profit.

Consultancy needed!

The Harm Reduction Consortium is a global coalition of seven independent organisations which exists to end the global war on drugs and promote services instead that protect the health and human rights of people who use drugs. The Consortium want to upskill their members and selected partners in communicating more effectively and proactively, as well as engaging with the media confidently. In order to achieve that, they are seeking to appoint an experienced individual or organisation to provide training and coaching in communications, crisis management and media engagement.

The Harm Reduction Consortium members have a compelling message and story to tell: the global war on drugs is having disastrous consequences all around the world. But they are not doing this as effectively and proactively as they would like. They are therefore seeking to build confidence and capacity among the Consortium members and selected key partners in the areas of communication best practices, public speaking, media engagement, crisis management and communications, effective social media presence and message framing for different audiences.

They are looking for individuals or organisations that can provide high quality communications, messaging and media coaching to the Consortium members in order to deliver our messages convincingly and impactfully.

For more information about their needs, requirements for applicants and how to apply, please visit their website here>>>. The deadline is Sunday 11th August.

Stigmatizing Attitudes – Online Consultation

In 2018 the Commission on Narcotic Drugs adopted Resolution 61/11 ‘Promoting non-stigmatizing attitudes to ensure the availability of, access to and delivery of health, care and social services for drug users’. With the support of the Government of Canada, the UNODC Prevention, Treatment and Rehabilitation Section (PTRS) is now coordinating an informal consultative process with the aim of developing a handbook of best practices worldwide on this crucial issue.

The first phase of this informal consultative process consists of an online questionnaire, where experts nominated by Member States as well as civil society organisation and other experts that have been identified by UNODC have the opportunity to participate. The aim of the online questionnaire is to collect as much information as possible about stigmatising attitudes and about practices addressing them. Specifically the online consultation seeks to identify:

  • Increasing awareness of the negative effects of stigmatizing attitudes on the availability of, access to and delivery of health, care and social services for persons who engage in the non-medical use of substances; and
  • Promoting non-stigmatizing attitudes in the development and implementation of scientific evidence-based policies related to the availability of, access to and delivery of health, care and social services for persons who engage in the non-medical use of substances.

PTRS is calling on civil society organisations and experts to answers the questionnaire. The information provided will inform the development of a handbook documenting successful experiences which promote non-stigmatizing attitudes, particularly as they relate to non-medical use of substances, that could provide inspiration for innovative policies and practices.

PTRS is asking for the questionnaire to be filled in personal capacity. Individual responses will be kept confidential and reported in aggregated form, unless quoting a document that is available in the public domain anyway. The survey will take 50 to 60 minutes to complete and is in English only.

To participate, please click on the following link>>> and submit your response by 15 September 2019.

If participants have any questions, concerns or difficulties please contact Ms. Elizabeth Mattfeld (elizabeth.mattfeld@un.org), Ms. Heeyoung Park (heeyoung.park@un.org) or Ms. Giovanna Campello (giovanna.campello@un.org) from the UNODC PTRS team.

European Citizens Initiative on Cannabis

A group of drug policy reformers from Italy, France and possibly Belgium is working on the text of a European Citizens Initiative concerning a comprehensive reform of cannabis regulations at the EU level. The Initiative aims at making the EU adopt a common policy on the control and legal regulation of cannabis production, adult use and sale.

There is currently a heterogeneous legal map as regards cannabis policies in the EU. The question of coherence and discrimination is primordial. A common policy on the control and legal regulation of cannabis production, adult use and sale would: (a) ensure equality before the law and non-discrimination of all EU citizens; (b) protect consumers and monitor health security; (c) end cannabis illicit trafficking. Let’s leap toward the legalization of cannabis and the harmonization of national legislation across the EU.

The target at this stage is to ensure the participation of organisations that will collect 1 million signatures among European citizens reached in at least 7 counties (here’s the minimum number of signatories per member state).

Should you be interested in contributing to the text first and, eventually, to join the campaign in 2020, please write to Lorenzo Mineo who is coordinating the exercise.

STAR-STAR and HERA are winners of the ViiV Healthcare’s Positive Action Challenge

At this year’s 10th IAS Conference on HIV Science (IAS 2019), held in the capital of Mexico from 21 to 24 July, ViiV Healthcare, in collaboration with the International Association for Aids (IAS) on July 23, announced the award winners of the ViiV Healthcare’s Positive Action Challenge: Stigma-Free Services for Sex Workers. This Challenge seeks brand-new ideas or current existing projects that enable sex worker communities and healthcare providers to work together to provide comprehensive stigma and discrimination-free HIV prevention services.

STAR-STAR – The First Collective of Sex Workers in the Balkans and HERA – Association for Health Education and Research are among the three winners of the $ 75,000 Prize, besides Kenya’s HOYMAS Associations and the PACE Society from Canada. Sex worker associations from Serbia, Vietnam and Mexico are winners of the SEED Prize of $ 25,000.

STAR-STAR aims to use this money prize to strengthen programs aimed at the community of male sex workers and transgender sex workers in Northern Macedonia. STAR-STAR, in cooperation with HERA, plans to expand existing services related to HIV and sexual reproductive health for sex workers and advocates introducing new, currently inaccessible preventive methods such as the PrEP (pre-exposure prophylaxis, i.e. protection against exposure to HIV) in male and transgender sex workers.

DPNSEE congratulates our colleagues from North Macedonia and Serbia.

Second DPNSEE Quarterly newsletter

Second issue of our newsletter in 2019 – DPNSEE Quarterly is out. In the April – June issue you may find information about:

  • DPNSEE Strategic Workshop
  • Support. Don’t Punish campaign in South East Europe
  • EHRA visit to DPNSEE
  • Annual HIV/AIDS Surveillance Report in Greece
  • Accreditation of the drop-in centres of the Association Margina in Tuzla and Zenica
  • New HOPS Executive Director
  • Training for youth workers hosted by the Association Rainbow in Šabac
  • And more

Read or download the DPNSEE Quarterly following this link>>>

UNAIDS calls for greater urgency as global gains slow and countries show mixed results towards 2020 HIV targets

Taken from a UNAIDS press release

The pace of progress in reducing new HIV infections, increasing access to treatment and ending AIDS-related deaths is slowing down according to a new report released on 16 July 2018 by UNAIDS. UNAIDS’ Global AIDS Update, Communities at the centre, shows a mixed picture, with some countries making impressive gains while others are experiencing rises in new HIV infections and AIDS-related deaths

We urgently need increased political leadership to end AIDS,” said Gunilla Carlsson, UNAIDS Executive Director, a.i., “This starts with investing adequately and smartly and by looking at what’s making some countries so successful. Ending AIDS is possible if we focus on people, not diseases, create road maps for the people and locations being left behind, and take a human rights-based approach to reach people most affected by HIV.”

The report shows that key populations and their sexual partners now account for more than half (54%) of new HIV infections globally. In 2018, key populations – including people who inject drugs, gay men and other men who have sex with men, transgender people, sex workers and prisoners – accounted for around 95% of new HIV infections in eastern Europe and central Asia and in the Middle East and North Africa.

However, the report also shows that less than 50% of key populations were reached with combination HIV prevention services in more than half of the countries that reported. This highlights that key populations are still being marginalized and being left behind in the response to HIV.

Globally, around 1.7 million people became newly infected with HIV in 2018, a 16% decline since 2010, driven mostly by steady progress across most of eastern and southern Africa. South Africa, for example, has made huge advances and has successfully reduced new HIV infections by more than 40% and AIDS-related deaths by around 40% since 2010.

However, there is still a long way to go in eastern and southern Africa, the region most affected by HIV, and there have been worrying increases in new HIV infections in Eastern Europe and Central Asia (29%), in the Middle East and North Africa (10%) and in Latin America (7%).

Disconcertingly, the report shows that the gap between resource needs and resource availability is widening. For the first time, the global resources available for the AIDS response declined significantly, by nearly US$ 1 billion, as donors disbursed less and domestic investments did not grow fast enough to compensate for inflation. In 2018, US$ 19 billion (in constant 2016 dollars) was available for the AIDS response, US$ 7.2 billion short of the estimated US$ 26.2 billion needed by 2020.

To continue progress towards ending AIDS, UNAIDS urges all partners to step up action and invest in the response, including by fully funding the Global Fund to Fight AIDS, Tuberculosis and Malaria with at least US$ 14 billion at its replenishment in October and through increasing bilateral and domestic funding for HIV.

Progress is continuing towards the 90–90–90 targets. Some 79% of people living with HIV knew their HIV status in 2018, 78% who knew their HIV status were accessing treatment and 86% of people living with HIV who were accessing treatment were virally suppressed, keeping them alive and well and preventing transmission of the virus.

Communities at the centre shows however that progress towards the 90–90–90 targets varies greatly by region and by country. In Eastern Europe and Central Asia for example, 72% of people living with HIV knew their HIV status in 2018, but just 53% of the people who knew their HIV status had access to treatment.

AIDS-related deaths continue to decline as access to treatment continues to expand and more progress is made in improving the delivery of HIV/tuberculosis services. Since 2010, AIDS-related deaths have fallen by 33%, to 770 000 in 2018.

Progress varies across regions. Global declines in AIDS-related deaths have largely been driven by progress in eastern and southern Africa. In Eastern Europe and Central Asia however, AIDS-related deaths have risen by 5% and in the Middle East and North Africa by 9% since 2010.

Communities at the centre shows that the full range of options available to prevent new HIV infections are not being used for optimal impact. For example, pre-exposure prophylaxis (PrEP), medicine to prevent HIV, was only being used by an estimated 300 000 people in 2018, 130 000 of whom were in the United States of America. In Kenya, one of the first countries in sub-Saharan Africa to roll out PrEP as a national programme in the public sector, around 30 000 people accessed the preventative medicines in 2018.

The report shows that although harm reduction is a clear solution for people who inject drugs, change has been slow. People who inject drugs accounted for 41% of new HIV infections in Eastern Europe and Central Asia and 27% of new HIV infections in the Middle East and North Africa, both regions that are lacking adequate harm reduction programmes.

Gains have been made against HIV-related stigma and discrimination in many countries but discriminatory attitudes towards people living with HIV remain extremely high. There is an urgency to tackle the underlying structural drivers of inequalities and barriers to HIV prevention and treatment, especially with regard to harmful social norms and laws, stigma and discrimination and gender-based violence.

Criminal laws, aggressive law enforcement, harassment and violence continue to push key populations to the margins of society and deny them access to basic health and social services. Discriminatory attitudes towards people living with HIV remain extremely high in far too many countries. Across 26 countries, more than half of respondents expressed discriminatory attitudes towards people living with HIV.

The report highlights how communities are central to ending AIDS. Across all sectors of the AIDS response, community empowerment and ownership has resulted in a greater uptake of HIV prevention and treatment services, a reduction in stigma and discrimination and the protection of human rights. However, insufficient funding for community-led responses and negative policy environments impede these successes reaching full scale and generating maximum impact.

UNAIDS urges countries to live up to the commitment made in the 2016 United Nations Political Declaration on Ending AIDS for community-led service delivery to be expanded to cover at least 30% of all service delivery by 2030. Adequate investments must be made in building the capacity of civil society organizations to deliver non-discriminatory, human rights-based, people-centred HIV prevention and treatment services in the communities most affected by HIV.

To read full report follow this link>>>

DPNSEE have made an excerpt with the country data for 10 countries of the region, which you can download following this link>>>

A statement for partnership on addressing corruption in SEE

On 1 February 2019, the UNODC Civil Society Team (CST) organized a follow-up meeting to draft on an outcome document which affirms the fundamental importance of active participation of individuals and groups outside the public sector in the prevention of and the fight against corruption and raising public awareness regarding the existence, causes and gravity of and the threat posed by corruption. This event resulted from previous collaborations throughout the three multi-stakeholder workshops on the United Nations Convention against Corruption (UNCAC) and its Review Mechanism. The meeting brought together ten civil society representatives (including DPNSEE member organisation Cazas) and six private sector actors from the region, namely Albania, Bosnia and Herzegovina, Montenegro, North Macedonia, Serbia and Kosovo* as well as partners from the Regional Anti-Corruption Initiative, the UNCAC Coalition and the Southeast Europe Leadership for Development and Integrity (SELDI) Network.

The outcome statement Belgrade Outcome Statement spells out concrete and practical steps towards a strengthened cooperation in the areas of training and knowledge, implementation of UNCAC and its Review Mechanism and collective action. This document has been endorsed by the contributors and remains open for additional endorsements. Over the past few months there has been an increase in endorsements across South Eastern Europe.

The Statement is not intended to have legal force and will not be legally binding on the participants or their organizations, except to the extent voluntarily agreed to by the participants, their organizations, or any other signatories or parties signing on to the Statement. Involvement in the creation, finalization, and implementation of the principles or action items of this Statement are on a voluntarily basis.

The UNODC Civil Society Team intends to organize a side event at the eighth session of the Conference of the States Parties to the United Nations Convention against Corruption in Abu Dhabi, on 16-20 December 2019, which is seen as the next opportunity to engage some new stakeholders in order to showcase the statement and the work that goes with it.

In order for to add the name of your organization to the Statement document that features on the UNODC website, please an email confirming endorsement to unodc-ngounit@un.org.

To read the Statement follow this link>>>