Treatment and Harm reduction services in the context of the economic crisis

DPNSEE member organisations Diogenis organised conference “Treatment and Harm reduction services in the context of the economic crisis, developments and challenges” from 19 to 21 October 2017 in Nicosia, Cyprus. The conference aimed to provide knowledge about the developments and challenges concerning
treatment and harm reduction services in the context of the economic crisis in countries of South
and South East Europe and to discuss possibilities which can guarantee the continuity, quality and
further development of services.

This conference is part of the project “New Approaches in harm reduction policies and practices”, financially supported by the European Commission. Transnational Institute from The Netherlands is the lead organisation of the project and partners are Diogenis, Drug Policy Dialogue from Greece, Forum Droghe from Italy and the International Centre for Ethnobotanical Education from Belgium.

Issues discussed at the conference included:

  • The way in which the competent authorities and the responsible service providers reacted to the economic crisis; the role of Civil Society Organisations in this respect and the lessons learned for securing the continuation of harm reduction and treatment services to drug users.
  • Strategies and action plans for effective harm reduction advocacy at the national level.
  • Developments on cannabis policy in South and South East Europe countries. Regulation of cannabis for medical purposes.
  • Decriminalisation of drug possession for personal use.
  • Supervised consumption sites.
  • Recent developments in countries of South and South East Europe.

The conference also paid attention to the new EU Action plan on drugs 2017-2020 and the developments in drug policy on the international level.

Diogenis cooperated with researchers from different countries, who were responsible to conduct interviews based on a research questionnaire and summarize the outcomes of these interviews in a related short report. All reports were collected and presented in a paper which was the background of the discussion at the conference.

Participants were representatives of civil society, national agencies and experts from 12 European countries. They had the opportunity to exchange information, good practices and policies on drugs in their countries as well as Europe-wide, amid economic difficulties and social challenges in Europe.

Social inclusion of most at-risk youth in the Western Balkans Region

The EU funded project ARYSE (At-Risk Youth Social Empowerment), implemented in 6 Western Balkans countries aims to contribute to achievement of social inclusion of most At-Risk Youth at the regional level, by strengthening CSOs capacities, regional/national cooperation and advocacy actions. The specific objective of the action is to support equal access to education, employment, justice and other related fields to most At-Risk Youth in the Balkan countries, by fostering the level of active participation and inclusion of CSOs representing young people in decision making and reform processes.

The project partners are ARSIS (Albania), Association Margina (Bosnia and Herzegovina), HOPS (Macedonia), Juventas (Montenegro), NGO Labyrinth (Kosovo), Prevent (Serbia) and SHL Foundation from Germany that has a role of consultant.

Topics that the project addresses include

    • Youth from families with history of drug use and/or conflict with law
    • Street youth
    • Youth who use drugs
    • Youth in conflict with law
    • Youth without parental care
    • Young Roma

    The training mainly organised to provide material for future procedures and guidelines is being held in Skopje, Macedonia, from 15 to 18 October 2017. Experts – Nevena Nikolić, Vlatko Dekov, Dardan Berisha, Jarmila Bujak Stanko, Violeta Kola, dr Meliha Bijedić, dr Anita Burgund and Katarina Mitić – prepared draft standards for specific topics of the project.

     

    More about the project is available at the website HERE>>>

Long way to make good changes in the Law

Ministry of Health of Serbia proposed changes to the Law on psychoactive controlled substances at the end of 2016. Very limited proposal and the public debate which was organised during 4 weeks of festive days caused serious concern among civil society organisations in Serbia. DPNSEE with two member organisations Prevent and Re Generacija, along with three other partner organisations, made large number of comments and proposals to improve the draft.

Unfortunately, there were no reply from the Ministry for more than 9 months. Finally, with the support of the Office for Cooperation with Civil Society, a meeting was organised on 4 October to discuss our contribution. Representatives from the Ministry of Health, Office for Cooperation with Civil Society, Office for combating drug abuse and Ministry of Interior met with the aim to present civil society organisations comments and proposals and exchange about which of them should be incorporated into the next version of the draft.

Although we were prepared for qualified discussion about our proposals, it turned out that the Working group in the Ministry of Health already prepared the next draft and that some of our proposals were accepted. Despite the requests to specify which proposals were accepted and which not and why, the representatives of the Ministry remained on the position that it will be possible only when this new version will be sent for the next round of consultations.

The meeting had a limited success because we presented comprehensive and qualified approach to dealing with legislation and stayed on our positions regarding very important issues related to drugs: need to ensure involvement of civil society organisations in all issues related to drug use, wider set of services of the early warning system that is to be established (including field work and consulting), right to bring samples of substances for checking, wider distribution of naloxone around the country, use of language that will not stigmatise people who use drugs, respecting the right to information and protection of sensitive information, better coordination of all the stakeholders, especially reporting about drugs, etc. The proposed amendments to the Law still have to pass a few levels to come to the Parliament and we are ready to keep advocating for a better Law.

Call for an international expert

The DPNSEE member organisation Labyrinth requires international Expert on Human Rights to conduct 2 days training for “Enhancing Drug Users rights and Entitlements” project, financed by the European Union office in Kosovo. The training work should be conducted between October 17th to October 18 in Kosovo, Prishtina.

The expert, under the guidance of the project manager, and in collaboration with rest of the project team will:

Review Kosovo and International legislation on HR and compiles two days training agenda with the aim of delivering key concepts on HR, non-violent approach toward the drug users and sensitization of public workers dealing with drug users.

Specific objectives to be delivered:

  • HR of drug users in in respect to treatment
  • HR of drug users in respect to Harm Reduction
  • HR of underage drug users
  • HR of female drug users
  • Interested applicants are invited to submit their CV and Cover letter and financial offer by: October 2, 2017, at 16:00 PM.

The candidates are requested to submit their financial offer consisting of fee for the service to be provided.

Travel and accommodation will be covered by Labyrinth.

More details on background of the project, job descriptions and requirements, you can find in the Terms of Reference.

For additional information and inquiries, please contact the organisation.

We are growing – three new DPNSEE member organisations!

During the country visits to FYRO Macedonia (December 2016), Croatia (March 2017) and Bulgaria (2017), DPNSEE membership was promoted as the potential for exchange, partnerships and joint work. Following these promotions, application for membership came from:

  • Coalition ‘Sexual and Health Rights of Marginalized Communities’, Skopje, FYRO Macedonia
  • Terra, Rijeka, Croatia
  • Initiative for Health Foundation, Sofia, Bulgaria

In accordance with the Statutes, the DPNSEE Board supported the applications and called the Extraordinary Electronic General Assembly of the Network to vote about the applications.

The Assembly was held from 19 July at 14:00 to 20 July 2017 at 14:00. 12 out of 19 member organisations participated in the extraordinary General Assembly, all voting in favour of the proposals. The three organisations are now ordinary members of the Network which now has 22 member organisations in 11 countries.

The Coalition “Sexual and Health Rights of Marginalized Communities” promotes protection and respect of the fundamental human rights of marginalized communities, with focus on LGBTI persons, drug users, people living with HIV, sex workers and marginalized women. The Coalition focuses on advocacy, research and analysis, inclusion of the marginalized communities in the creation and implementation of the policies, education of all the relevant actors, promotion of the cultural practices of the marginalized communities, as well as networking and building alliances with the civil society.

Terra association is a non-profit, non-governmental organization established in 1998. on the initiative of a group of experts (medical doctors, pedagogue, psychologist, social workers) involved in work of several local institutions (Red cross, Clinic Hospital Centre in Rijeka) and foreign organizations (IFRC, UNHCR). At the end of 2000, the association initiated “Reduction of the health and social effect of drug abuse Program”) with the great emphasis on proactive education, field work and including different target groups, wider population and community on account of omnipresent problem of drug abuse. The program has been launched as an answer to the growing epidemic of addiction and a real threat of spreading HIV/AIDS among the addicts, that comes as a result of sharing used needles and cookers, and accordingly, by sexual intercourse, on wider population.

Initiative for Health Foundation is a non-governmental, non-profit organization, registered under the Bulgarian law. The mission of the foundation is to improve public health by supporting people in health and social risk to be better informed, more responsible and independent. Our goal is to prevent the spread of HIV through the development of evidence-based social and health services. We aim to be an autonomic, stable and recognizable organization with a highly competent team. We work for legislation change and for public and political support of our cause.

Good results of the „Support. Don’t Punish” campaign in Montenegro

NGO Juventas, together with NGOs 4 Life and Montenegrin High School Students Union, implemented “Support don’t punish” campaign for the third time in Montenegro. This year campaign was dedicated to the burning issues in the country:

  • Lack of sustainable support to Harm Reduction services,
  • Lack of treatment for underage people who use drugs,
  • Youth and drug use.

NGO Juventas and NGO 4 Life made a public statement on the 26 June, in which they requested urgent enabling on:

  1. Provision of free of charge residence in the Public institution for accommodation, rehabilitation and re-socialization of drug users for all persons in need of this treatment.
  2. Provision of payment of treatment costs to the Public Institution for accommodation, rehabilitation and re-socialization of Persons who use drugs who are members of families already been entitled to social protection benefits.
  3. Introduction of Non-Interferon Therapy for the Treatment of Hepatitis C Viral Infection and Issuance of Non-Interferon Therapy Generic Medication Purchase Permission.

 

At the other hand, NGO Juventas in partnership with Montenegrin Union of High school Students implemented online survey among young people in Montenegro from 16th to 26th June. 590 persons from most of municipalities of Montenegro, younger than 30 participated in survey, which gave an overview on the state of Youth and drugs in our country. 1/3 of respondents were underage.

After public presentation of survey results, Public Debate on the topic of “Legalisation of marihuana in Montenegro – Pros and Contras” was organised in Youth Centre of Podgorica and team of “Slobodan Škerovic” High school Pro and team of Political Science Faculty Contra.

At the end, a short video form was created in order to rise questions on the state of people who use drugs and available health and social care support in Montenegro, which was seen by 7800 people.

At the other hand, Juventas supported activities of NGO Link, first association of persons who use drugs in Montenegro during “Self-Support, don’t punish Us” campaign, during which a public statement on stigma and discrimination as one of main problems of people who use/inject drugs was made.

In order to improve the quality of life of drug addicts, but also to influence positive changes in our community, participating organisations proposed a series of measures:

  1. Establishment of the Clinic for the treatment of drug addiction and strengthening the role of the psychiatrists and the personal doctor in the treatment of this disease in all health centres in Montenegro.
  2. Increase the capacity of substitution programs in health canters, in particular in Podgorica, to reduce existing waiting lists for starting treatment in the capitol.
  3. Introduce free distribution of Naloxone
  4. Enabling conditions for adequate treatment of persons who use drugs within the Institution for Execution of Criminal Sanctions
  5. Opening the safe injection room

 

Juventas supported implementation of drug-addicted persons activity related to painting „Support. Don’t Punish” logo in the center of Podgorica.

The main result of this year „Support don’t punish” campaign in Montenegro is decision of Ministry of Health to support development of substitution treatment in Podgorica and ensure opening another centre of this kind in 2018. The latest. NGO Juventas succeeded to make this agreement, just at the end of July, after whole month of very demanding negotiations.

Without Shift: Harm Reduction After Global Fund in Serbia

For three years, Serbia was not eligible for funding from the Global Fund, which resulted in the closure of harm reduction programs around the country. The movie, prepared by NGO Re Generation, gives a glimpse of the desperate situation faced by injecting drug users in Serbia, and also explores the consequences of the closure of needle exchange programs in Belgrade, whilst trying to assess the current situation in the country!

Serbia is at the crossroads of a number of heroin trafficking routes. It has a significant population of injecting drug users – 20,000 according to the official estimates. Thanks to grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria, several harm reduction services were introduced during the first decade of this century. Approximately two thousand people enrolled in opiate substitution programs, and four needle exchange programs provided sterile equipment to injecting drug users. The prevalence of HIV among drug users was low, though access to harm reduction services was far from adequate – the best indicator of risk being the high prevalence of Hepatitis C infections.

The last grant from the Global Fund ended in June 2014. The Government made no commitment to continue funding the programs, and there are no other international donors available to step in and cover the harm reduction funding gap. This resulted in closing of all needle and syringe projects except one, which is operated by Association Prevent in Novi Sad. Three years later, the Government has changed but the programs are still out of focus when it comes to national funding!

 

What it means for Serbia at this point, and what it will mean for the future of the needle and syringe programs in the country is yet unknown. To find out more, watch the movie “Without Shift” produced by NGO Re Generation with support of Drug Reporter, exploring the opinions of different stakeholders on the topic.

Take the first step for your protection

More than 50% of people living with HIV worldwide are women. In Europe 1 in 3 HIV diagnoses concerns women. In Greece, 66,5% of women that have been diagnosed with HIV, until today, acquired the virus through heterosexual sexual intercourse.

The above data combined with the fact that there is lack of female-oriented awareness campaigns in Greece, motivated the Centre for Life (Kentro Zois) to design a powerful awareness campaign for the female population, focusing on heterosexual intercourse, in order to convey the message that HIV concerns women as well and that women can take the initiative for a healthy sex life.

Centre for Life’s campaign entitled “Take the first step for your protection” has the valuable support of the Melina Merkouri Foundation and constitutes the first coordinated awareness effort for women concerning HIV and/or AIDS in Greece. Leading roles of the campaign are played by Lena Drosaki, Lena Papaligoura, Ioanna Pappa and Gioulika Skafida, actresses that have been awarded with the Melina Merkouri Theatre Award for their performances.

Kentro Zois would like to thank the Dramatic Arts of the Piraeus Society and the talented actors Augoustinos Koumoulos, Dinos Gelameris, Angelos Dallas , Nikos Mavrakis & Elias Adam for their particpation, Larry Gus for letting us use the song “Aggelos Kiriou”, as well as Pitch for the warm hospitality.

The Centre of Life, since its foundation, implements support and empowerment services for seropositive women, as well as information and prevention actions for the female population. Women are a population particularly vulnerable to HIV, both due to biological factors and psychosocial factors.  Given all the above, the Centre for Life considers of utmost importance the message of information and proper prevention to reach all women, thus inviting the public to support this effort for an issue that concerns us all.

More about the campaign you can find HERE>>>

Adriatic Drug Addiction Treatment Conference and Symposium on Addictive Behaviours

The South Eastern European Adriatic Addiction Treatment Network invites you to come to Budva, Montenegro‚, from 12 to 14 October 2017, to celebrate the 8th Adriatic Drug Addiction Treatment Conference and the 16th SEEA Symposium on Addictive Behaviours and to be a part of the premier addiction treatment conference in the region.

In the last few years SEEAnet has organised joint international conferences with Global Addiction Association and numerous other events in the region.  They have been included in developing treatment programmes and trainings in Africa, Americas, Asia and Europe. Knowledge and experience from SEEAnet region have been so shared internationally. Addictions continue to remain in the front of medicine and other sciences and practices as the reaction to new challenges in this field in our changing world.

The main conference topics are treatment of drug users with comorbidities and cooperation with drug prevention, harm reduction, treatment and rehabilitation programs, specially psychiatric but not at all excluding other medical, social, educational, law enforcement … services and NGOs in the region, specially Montenegro, treatment of people who use new psychoactive substances, treatment of Hepatitis C, different praxis trough the region, treatment in prisons and use of medical cannabinoides.

The registration is open and organisers are now accepting abstracts submissions on all topics of the addictions keeping registration fees on 2009 levels when the conference had been already in beautiful Budva and where you had wanted to return again.

More about the Conference is available from the SEEAnet website HERE>>>

 

“Support. Don’t Punish“ activities organized by Association Prevent

Association Prevent held action „Support. Don’t Punish“ for the third time in Novi Sad and for the first time in Kragujevac. In Novi Sad target group were students and in Kragujevac visitors of the music festival Arsenal fest. With these two actions few thousand people were reached directly.

Campaign started on 20 June when the media were informed about the action. Prevent also spread information through social networks and during campaign reached over 30 thousand people in this way.

Campaign continued with action in Kragujevac during music festival Arsenal fest in period from 22 to 24 June. Members of Prevent were there, talked to the visitors and photographed them with the slogan of the campaign.

On 26th June action was held in front of the student’s dormitory in Novi Sad. Photo booth (photo cabin for selfies) raised special attention of the visitors. They made a lot of photographs and in the same time they supported this campaign. Location was selected because young people are the key agents of change in society and that they could understand message the best.

Beside photo boot visitors of the action had a chance to talk with Prevent members and to read about the campaign from printed material.

Photos from the activity are available HERE.

Action in Novi Sad was visited by three the biggest TV stations (Radio and television of Vojvodina – public service, Novosadian television and Chanel 9) and two journalists from newspaper (Dnevnik and Magyar Szó). Information about the action was published on 12 internet portals. Few days after the activity, Chanel 9 organized 45 minutes long TV show dedicated to this issue. Guest in this show was president of the Association Prevent, Mr. Nebojša Đurasović.