Public appeal to protect vulnerable groups from coronavirus COVID-19

To:

National health authorities and institutions

National drug agencies and responsible

National social services

Civil society organisations

 

The World Health Organization (WHO) has declared a public health emergency of international concern over a new coronavirus, which causes an illness officially known as COVID-19 that has killed more than 2,900 people worldwide. As of 1 March, the outbreak has affected an estimated 87,000 people in at least 30 countries globally. The key issues are how transmissible this new coronavirus is between people and what proportion become severely ill and end up in hospital.

Outbreak of the epidemic in Italy, neighbouring country to our region, brought the virus to our region. First cases were reported at the bordering cities of Trieste and Gorizia near Slovenia, but also in Austria, Croatia, Romania, North Macedonia and Greece. It is pretty realistic that they will appear in other South East European countries.

We believe that the health systems in South East Europe countries and wider are well prepared and will react efficiently, without panic but also taking situation seriously.

Still, Drug Policy Network South East Europe shares concern that the health systems may not have fully in their sight the key populations we are supporting (people who use drugs, sex workers, LGBTI and MSM, homeless, etc.) and that these populations, being side-lined in the community, may not be well informed about the threat and measures they should take to protects themselves.

Governments have to ensure that all individuals have the opportunity to remain healthy and educated. Alongside preparedness measures, countries must ensure efforts to achieve a truly inclusive universal health coverage grounded on rights-based laws, policies and procedures by prioritizing and protecting vulnerable groups.

To combat stigma and discrimination and achieve universal health coverage vulnerable populations are faced with, we must not divide ourselves further. Viruses don’t discriminate on the basis of race, religion, gender identity, lifestyle or sexual orientation.

On our side, DPNSEE and our member organisations, especially those who provide services to people who use drugs and other connected vulnerable groups, are ready to play they role in overall efforts to fight the problems caused by this epidemic. We have already started prevention activities and are preparing for situation when/if epidemics escalates.

DPNSEE is a regional network with a wealth of experience from around the region. We think that this is the situation when we all should act together, for the benefit of all members of our societies.

 

Drug Policy Network South East Europe

2 March 2020

 

You can download the Appeal following this link>>>

Ready for COVID-19?

In December 2019, a novel coronavirus (2019-nCoV) was first isolated from three patients with pneumonia, connected to the cluster of acute respiratory illness cases from Wuhan, China. Coronaviruses are zoonotic, meaning they are transmitted between animals and people. More about the virus is available in the video bellow.

According to the latest epidemiological data on 25 February, the total number of COVID-19 cases has reached 80,407 globally, and 2,708 people have died from the virus, which puts the mortality rate at nearly 3.4%. This is an emerging, rapidly evolving situation with ongoing outbreak investigations. More about the virus is available at the World Health Organisation webpage following this link>>> and at the webpage of the European Centre for Disease Prevention and Control.

Outbreak of the epidemic in Italy, neighbouring country to our region, saw 322 cases in a very short period of time, with 11 deaths, while cities of Cremona and Brescia turned into quarantine. First cases were also reported in Croatia, Romania, North Macedonia and Greece and also in Austria. It is pretty realistic that they will appear in other South East European countries.

In the exchange which the DPNSEE Board had, we expressed concern that the health systems may not have fully in their sight the key populations we are supporting (and people with substance use disorder, especially heroin users, are usually in a weak health conditions), that these populations, being side-lined in the community, may not be well informed about the threat and measures they should take to protect themselves and that our organisations, especially those who provide services to people who use drugs and other connected vulnerable groups should also play they role in overall efforts to fight the problems caused by this epidemic.

DPNSEE invited its member organisations to act locally but also to act together, share experiences, actions and results they achieve.

We see our role in three dimensions:

  1. While the coronavirus is still a threat, you may participate in calming the situation and avoiding panic which may occur, inform people you are supporting about the protective measures against the coronavirus and make all necessary steps internally to be prepared for possible dark scenarios.
  2. If COVID-19 cases appear in your country, you may intensify communication and advising the key populations, activate full spectrum of protection measures for your staff and establish close cooperation with authorities, especially national and local public health authority to advice on necessary steps.
  3. If you find yourself locked in a quarantine area, please fully respect all necessary advices and make sure that your people are safe, but also offer services other than your ordinary actions to support overall efforts of overcoming the critical situation.

DPNSEE invites authorities to pay specific attention to vulnerable populations, which may remain invisible in situations when major efforts are needed for an effective respond to the crisis.

The corona virus COVID-19 is a serious treat, but not more dangerous than usual influence we face every winter. With good preparations and respecting necessary prevention measures, its effects may be reduced and minimised. DPNSEE wants to ensure that people we serve, our staff and societies in general are prepared to fight this challenge.

To read the letter that DPNSEE sent to its member organisations follow this link>>>

Consultations on reaction to the coronavirus outbreak

Last two days, the DPNSEE Board had on-line communications, including a few experts from inside the Network, on the threat of coronavirus outbreak in South East Europe following the first cases which appeared in neighbouring Italy. The first case of the virus were also reported in Croatia. Those participating shared information about situation in their countries.

The Board agreed that if the situation in our region escalates in our countries, we need to see if the health system is ready to respond in such a way that the services we provide to key affected populations are not jeopardized. There may be issues with accessing drop-in centres, protection of users and our staff working there, distribution of substitution therapy and access to it, etc. In addition, it may be good to take measures in the drop-in centres already now to advise the users about prevention measures because they may not be informed and be cut from regular information channels through media.

A Letter to member organisations inviting them to prepare for the coronavirus outbreak with brief instructions is being prepared and will be shared as soon as possible.

 

Regular DPNSEE General Assembly

The DPNSEE General Assembly was held on 20 February 2020 in the Palace of Serbia in Belgrade. Representatives of 18 out of 24 member organisations with the voting right and one associate member organisation were present.

The Assembly adopted minutes from the previous Assembly, operational rapport and information about the financial situation and Action plan for 2020 and discussed the situation in the countries of the region.

DPNSEE continued enlarging with new member organizations. Organization HELP from Split, Croatia, was granted ordinary membership. Also, the organisation Čovekoljublje (Philanthropy) from Belgrade, Serbia was granted the status of associate member.

Unfortunately, the Assembly decided that membership of the organisation 4 Life will terminate because of inactivity and failure to pay the ordinary member’s annual fee for the last three years. This organisation is invited to consider applying for associate membership in the Network.

The Assembly elected two new members of the Board: Ilinka Serdarević from Terra, Rijeka, Croatia and Tomaž Koren from the Alliance of Non-Governmental Organisations for Drugs and Addictions in Slovenia. The new President of the Network is Nebojša Djurasović from Prevent, Novi Sad, Serbia, while Vice-President is Denis Dedajić from Margina, Tuzla/Zenica, Bosnia Herzegovina.

The Assembly decided that the Network opens the process of designing the new Statutes. After the member organisations send proposals for the new Statutes, the DPNSEE Board should prepare a draft new Statutes that will be adopted at the electronic Assembly after consultations among the member organisations.

In the thematic part of the Assembly, during afternoon, an external consultant Jarmila Bujak Stanko facilitated the strategic workshop to complete the strategic plan development process.

DPNSEE General Assembly and SEE dialogue on drugs 2020

The regular annual DPNSEE General Assembly will be held on 20 February 2020 in Belgrade. The key topic of the Assembly will be finalising the strategic plan of the Network. The Assembly will include usual agenda point on reporting and planning the work in 2020.

Following the success of the first dialogue between national authorities and civil society organisations held in 2018, the Office for Combating Drugs of the Government of the Republic of Serbia and Drug Policy Network South East Europe organize the second meeting of national authorities responsible for drug policy and civil society organisations from South East Europe. The meeting will be held on Friday 21 February 2020 in Belgrade, in the Palace of Serbia.

The aim of the meeting is to discuss about issues of importance for drug policy and reflect on the cooperation between authorities and civil society organisations at the national and regional level and perspectives of future cooperation.

The key topics for this meeting will be:

  1. Decriminalisation of drug consumption and possession for personal use – challenges and experiences
  2. Role of civil society in drug policy

Governmental representatives and civil society organisations from Albania, Bosnia Herzegovina, Bulgaria, Croatia, Greece, Kosovo*, Montenegro, North Macedonia, Romania, Serbia and Slovenia will have an opportunity to hear results from decriminalisation processes in Italy, Portugal and The Netherlands, discuss pros and cons for drug decriminalisation in countries of the South East Europe region, share their experiences and examples of successful inter-sectorial cooperation and propose recommendations for improvements.

Representatives of ministries of health, justice, social services and interior of the Government of Serbia, Directorate of Police, Republic Public Prosecutor, Office for Supporting Civil Society, other civil society organisations, embassies, and international organisations are also invited to the meeting.

 

Glossary of terms used in drug policy in Montenegrin

With the support of our member organisation Juventas, DPNSEE produced the Glossary of terms used in drug policy in Montenegrin.

The Glossary is prepared with the aim to contribute to better understanding the drug problem in more emphatic manner. Glossary is an alphabetical list of terms with definitions.

This is the fifth language in which the Glossary is published, after the original version in English and those in Spanish, Serbian and Bosnian.

To download the Glossary in Montenegrin, follow this link>>>

HIV prevention services for key populations in Albania on the brink of collapse

Civil society organisations from Albania issued an open letter expressing their concerns regarding a difficult context of provision of HIV services to key populations groups in the country.

The implementation of the Global Fund grant came to an end on 31 December 2019 and the new transition grant is not still signed yet. By 1st of January, all NGOs providing services to key population run out of any kind of support. Access to the services of 1800 people who inject drugs and 380 methadone clients, 1200 MSM, 290 sex workers, 30 prisoners and up to 200 people living with HIV is being jeopardized.

NGOs are required to shut down services, cut human resources and return all assets to the principal recipient (Ministry of Health and Social Protection): computers, printers, minivans, tables, furniture and even remaining rapid tests. This is disturbing for those NGOs which are renting spaces.

There is a total lack of information from all institutions, including CCM, how the project will continue, what will be the role of each actor and how the sustainability of services will be ensured, if it will be.

Albanian NGOs appeal to the Global Fund Secretariat, CCM and Minister of Health and Social Protection of Republic of Albania requesting them not to neglect this situation but to act fast and appropriately to ensure the sustainability of HIV prevention services for key populations. The support of other donors and technical partners is also very welcomed.

DPNSEE has already, in partnership with Correlation and EHRA, raised issue of sustainability of harm reduction services in Albania, Bosnia Herzegovina, Bulgaria and Romania.

The open letter is available following this link>>>.

Visit to the Special Prison Hospital

Photo: Ministry of Justice of Serbia

DPNSEE Vice-President Nebojša Đurasović and Executive Director Milutin Milošević visited the Belgrade Special Prison Hospital for a meeting with the director Dr Dragoljub Paunović and Dr Olivera Matijašević.

The Special Prison Hospital houses and treats both convicts with illnesses and persons with an imposed mandatory measure of substance and alcohol abuse treatment. The hospital currently hosts 778 patients to whom a complete healthcare (except operations) and medicines are offered by 303 doctors and other staff. It is the only prison hospital supporting 28 prisons in the country.

Besides sharing about activities on both sides, we discussed opportunities for cooperation on a variety of issues including state of drug use and recovery, HIV and Hepatitis C, opioid substitution therapy, testing for blood borne diseases, support in the pre-release from prison process, training and information sharing with medical staff and prisoners, etc.

Regional conference on youth at risk

The regional conference on youth at risk, the closing event of the project “At-Risk Youth Social Empowerment“, was held in Podgorica, Montenegro on 10 – 11 December 2019. The project was supported by the European Union and implemented by consortium of six organizations from six Western Balkan countries: Juventas (project coordinator, Montenegro), ARSIS (Albania), Association Margina (Bosnia and Herzegovina), HOPS (Macedonia), NGO Labyrinth (Kosovo), Prevent (Serbia).

The conference aimed to examine results of the implementing reforms as well as remaining challenges in the field of social policies focusing on youth at risk. Within the scope of this project, youth at risk category includes young people using drugs, young people in conflict with the law, youth without parental care, young Roma, youth with street experience, youth living in families with history of using drugs or/and conflict with the law.

The conference gathered policy officials, researchers, service providers, civil society activists and members of the academia from the region of Western Balkan and Europe to discuss current social position of different youth at risk categories and main obstacles for better social integration. Guests and speakers included Nikola Janović, Minister of Sports and Youth, Government of Montenegro and representatives of the ministries of Health, Education, Justice and Labour and Social Welfare, Fiona McCluney, resident coordinator, UN system Montenegro, Michaela Bauer, UNICEF’s Deputy Representative for Montenegro and Ana Margarida Tome De Freitas Mariguesa, European Delegation to Montenegro, among others.

One of the main topics was related to the social services in terms of their quality, regional availability, process of monitoring and evaluation. Also, the conference was the opportunity to explore current state of the cooperation between public administration and civil society in the process of service provision. Different modes of cooperation were discussed including examples of good practice with the aim to identifying cooperation models that can have best possible results. The sustainability of the social services was one of the topics.

A very emotional moment of the conference was screening of the movie “Where is the home?” which was produced with the support from the project. The movie presents personal stories of two young man who grew up in a home for children and youth without parental care.

Representatives of the DPNSEE member organisations were active throughout the conference. Board members Nebojša Đurasović and Denis Dedajić were panellists, while Executive Director Milutin Milošević moderated one of the panels.

Emergency situation concerning the sustainability of harm reduction services in Albania, Bosnia and Herzegovina, Bulgaria and Romania

The three regional networks: Correlation – European Harm Reduction Network, Eurasian Harm reduction Network and Drug Policy Network South East Europe were informed by our members organisations about the situation with sustainability of  harm reduction services in Bosnia Herzegovina which is characterised by lack of strategy, policy and funding caused by the delay in establishing national Government for more than a year after the elections, withdrawal of international donors and misunderstandings and low level of cooperation between the governmental institutions and civil society, but also inside the civil society sector providing harm reduction services. The national Strategy for prevention and control of HIV and AIDS has ended (2016) and the Transition plan, developed by the Country Coordinating Mechanism during implementation of The Global Fund funded programme has not been implemented. As a result, the harm reduction services are closed in Sarajevo, Mostar, Bihać and Banja Luka and exist only in Zenica and Tuzla relaying on voluntary work of unpaid Staff and with all supplies already on minimum.

The three Networks expressed our deep concern about the situation and willingness to give contribution to finding solution and ensuring both quick response to the urgent needs and building a sustainable solution. We are ready to provide non-partisan support in identification and advocacy for the best possible approaches to urgently start provision of services to the populations of people who use drugs, sex workers and prisoners and other affected populations and to properly advocate for the sustainability of governmental funding.

The urgent action we are taking is to explore opportunities for emergency bridging funding to ensure survival of existing harm reduction services in the country. The situation is alarming and requires direct action and mobilisation of the international community. The three network have limited resources, so we are now contacting some of our partners and donors, explaining the situation and calling for immediate and urgent support. This could include short-term funding and technical support to ensure a minimum of harm reduction services. So far, we have a promise from the Open Society Foundations for a small grant which would cover basic need for the month of November.

We plan to develop and implement a comprehensive process to achieve sustainable long-term solutions. The activities for long-term solutions target local governments and policy-makers with the aim to ensure sustainable funding for harm reduction services. We already offered our expertise and support in this process, In addition, we would like to engage and involve other relevant stakeholders, such as donors and funders.

As the first concrete long term action we decide to send an appeal to the Global Fund to review their eligibility model of supporting middle income countries, besides Bosnia Herzegovina also Albania, Bulgaria and Romania.

In advance of the upcoming 42nd meeting of the Board of the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) as well as the Global Fund Regional Meeting for Eastern Europe and Central Asia to take place in Istanbul on 26-27 November, 2019, we – civil society and community organisations and networks working in the Eastern Europe and Central Asia (EECA) region for the benefit of key affected populations, including people who use drugs – would like to express our profound concern as to the current lack of sustainable harm reduction services in the South East European countries of Albania, Bosnia and Herzegovina, Bulgaria and Romania, respectively. Taking into consideration the successful results of the recent Sixth Replenishment Conference, we would like to invite the Global Fund to safeguard a part of the catalytic investment funds available for the 2020-2022, including multi-country grants, matching funds and strategic initiatives, in order to sustain life-saving services for people who inject drugs and other vulnerable groups and to incentivise domestic investment in harm reduction in each of these post-transition countries.

41 civil society organisations from Eastern Europe and Central Asia supported the letter. We hope that the Global Fund shall understand the situation and support our proposal.

The letter to the Global Fund is available following this link>>>