Strategic planning to improve sustainability of HIV prevention services

The Alliance for Public Health engaged a group of experts to perform a brief assessment of the latest experiences in the Serbia on financing civil society organisations with national funds, including the Global Fund national grant, and to plan on the national level for the sustainability strategy and concrete steps.

The experts visited Serbia from 16 to 20 December and held a serial of meetings with the Ministry of Health, Ministry of Youth and Sports, Health Insurance Fund, CSOs and other stakeholders. At the last day of the mission, the concluding stakeholder consultation with presentation of preliminary findings was conducted.

The visit was organized by DPNSEE member organization Timočki omladinski centar, who is the national lead of the multi-country project implemented by the consortium led by the Alliance. Representatives of DPNSEE and our other member organisations Prevent and Duga also contributed at the meetings.

Our initiative presented at the Global Fund Board meeting

The Developing Country NGO Delegation at the Global Fund published a statement with the 42nd Board Meeting highlights, including 8 important matters they pushed for at the meeting, with ways that civil society can move them forward. The statement is available following this link>>>

The initiative of the three regional networks: Correlation – European Harm Reduction Network, Eurasian Harm reduction Network and Drug Policy Network South East Europe to respond to the critical situation concerning the sustainability of harm reduction services in Albania, Bosnia and Herzegovina, Bulgaria and Romania was among the issues that the Delegation raised at the Global Fund Board meeting. It is mentioned in the point 4 of the statement:

Addressing civil society concerns: The Developing Country NGO brought to the Board and bilateral meetings concerns raised by civil society organisations including those by nearly 100 NGOs about the ending of multi-country grants in West Africa; cases of the failed transitions and interruption of services for key populations, including the lack of funding for harm reduction programs in Albania, Bosnia and Herzegovina , Romania and Bulgaria; and exploring next steps to ensure access to health services, treatment and care in Venezuela.

We hope that the Global Fund will make some concrete steps in helping us find a quick response to the urgent needs and building a sustainable solution in these countries.

 

New issues for monitoring

Every year in autumn, The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) organises Reitox meeting – the European information network on drugs and drug addiction. The 8th Extended Reitox network meeting was held on 12 November in the EMCDDA premises in Lisbon, Portugal. It brought together representatives from circa 50 countries, including: the Heads of the 30 Reitox national focal points from the 28 EU Member States, Norway and Turkey; representatives from the 6 Western Balkan countries covered by the European Instrument for Pre-Accession Technical assistance project (IPA7) and representatives from 15 European Neighbouring Policy area countries.

This year’s meeting will be dedicated to the topic ‘New issues for monitoring’. The agenda included issues like Drug policy debates: how routine monitoring data used?, Introduction on new proposal of the UNODC Annual Reports Questionnaire (ARQ) and Cannabis: latest developments.

During the session on Prevention of infectious diseases, DPNSEE Executive Director Milutin Milošević presented Situation in the Western Balkan countries. Besides presenting the Network and briefly describing the type of data that are available to us, a detailed view on the situation in the Western Balkan countries was given including prevalence of HIV, HCV, HBV among people who inject drugs, provision of harm reduction services and access to treatment, barriers and challenges and relevant policies in the region.

Participation in the Reitox meeting was an excellent opportunity to present the potential of the Network for partnership and discuss modalities for further cooperation with EMCDDA and national drug agencies

A publication about our project

In the last decade, an increasing number of donors are withdrawing their support for healthcare. This has been especially true for middle-income countries, where the growth of domestic resources was one of the triggers for donor funding reduction. The Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) has termed this process as “transition”.

In 2018 the Open Society Foundations, through the Eurasian Harm Reduction Association (EHRA), initiated the project Budget Advocacy and Monitoring in countries of South East Europe. It provided funding to three transitioning countries in the Balkan region – Bosnia and Herzegovina, Montenegro, and Serbia – through the sub-regional network organization, Drug Policy Network South East Europe (DPNSEE), to support budget advocacy for harm reduction services. The local coordinating organisations are Margina, Juventas and Prevent.

The case study looks at the implementation of this project as one of the demonstrations of the SBF mechanism, with the objectives to:

  • Document the pilot in 3 Balkan countries and to analyse the strengths and weaknesses of this approach and to develop suggestions for improvement; and,
  • Document the results, successes, and challenges of the budget advocacy projects supported through this approach.

Our project serves as a pilot for the Sustainability Bridge Funding (SBF), an idea that has been discussed among donors and civil society organizations as a way of mitigating the negative effects of transition and in providing support for key essential services for communities and key populations. As a safety net mechanism, it should respond to gaps in funding and mitigate adverse effects of donor funding withdrawal.

Please find the document following this link>>>

Budget analysis presented in Serbia

The budget analysis in Serbia was completed and presented on an event organised jointly by Prevent and DPNSEE in the EU Info Centre in Belgrade on 1 October 2019. The analysis was prepared in scope of the project Budget Advocacy and Monitoring in countries of South East Europe by the team of consultants engaged by Prevent.

The surveys were of a meta-analytic nature, conducted on data and information obtained on the basis of publicly available documents published by state bodies: the Ministry of Health, the Ministry of Finance, the Parliament of the Republic of Serbia, the Customs Administration and the Agency for Business Registers.

The aim of the research was to explore the status and trends of program financing in order to find opportunities and solutions for securing funds for their sustainability.

The analysis clearly shows a continuous decrease in the allocation of funds for preventive health care, regardless of whether the total budget of the Ministry is increased or decreased and whether the budget of the Ministry of Health occupies a higher or lower percentage in the national budget for a given year. The most significant finding is the constantly present difference in the planned and executed budget – the allocated/spent funds are continuously reduced compared to those planned.

The Analysis of the budgets in Serbia is available following this link>>>

Besides the analysis of the budget of the Ministry of Health which was produced, DPNSEE has prepared and presented an analysis of the public calls for prevention of the Ministry of Health. This analysis is available following this link>>>.

 

The International Overdose Day marked around SEE

On the occasion of the International Overdose Awareness Day (IOAD), DPNSEE issued a press release underlining the importance of awareness and fighting stigma on overdose and presenting data about the issue worldwide and especially in Serbia. The release was published by the national Press agency Tanjug and several other media and portals.

The press release is downloadable following this link>>>

In Montenegro, NGO Juventas also issued a press release (supported by the NGO 4 Life) and held a press conference where Marija Mijović, coordinator of Programme of direct assistance to the people in risk of social exclusion presented situation in the country. A movie “Overdose”, directed by Mladen Vujović, outreach worker at the Drop-in Centre of NGO Juventas, Montenegro in cooperation with the Hungarian Drug reporters, was screened at the Green Montenegro International Film Festval.

Our colleagues from the Romanian Harm Reduction Network created a special video for this year’s IOAD campaign. Have a look at “Voices of the drug users. Episode 1”

Association AREAL and AREALTRIBE group from Slovenia organized a workshop dedicated to the International overdose awareness day on 1 September 2019 in Ljubljana, Slovenia. Participants were educated how to respond if an individual finds himself or herself in that position.

Our colleagues from the Healthy Options Skopje (HOPS) promoted widely their webpages related to overdose and drugs

Thousands of people die each year from drug overdose and the fact is, overdose is an increasing global problem. Spreading the message that the tragedy of overdose and injury is preventable, International Overdose Awareness Day raise awareness of overdose and reduces the stigma associated with the drug-related death. Also, the day of awareness is providing support to families and loved ones of overdose victims, so that no one is forgotten.

Time to remember – time to act.

Our new website

DPNSEE Office team is proud to present our new website. This is a result of a great work of our colleagues Snežana and Nenad and expert work from Vuk Ninić from STANDARD-E.

Besides visual and improvements in organisation of the site, we updated two important services and made them easily available.

At the Resource Centre, you can currently search through more than 360 documents classified in 7 categories, from 12 countries of the region (including even Turkey) and international, on 11 languages. Thank you once again to our recent volunteer Marija Spasić and Staff members Irena Molnar and Nenad Maletin for compiling such a comprehensive collection of documents and Nenad again for making it available for web search and download.

The pages for the Glossary of terms used in drug policy currently provide you with the on-line versions of the Glossary in English and Serbian. We are in process of uploading the versions in Spanish, Bosnian and Montenegrin and connecting them to establish relations between terms in different languages. PDF versions are already available from the website. Thank you to our recent volunteer Vladana Stepanović for collecting most of the terms and many other colleagues who helped with additions and translations.

Two more new pages are also in the current version – those for DPNSEE Projects and Publications.

We hope that you shall like, use, link and promote our website. Also, we welcome all your comments which can be of help to making this website useful.

We would very much appreciate your suggestions for new terms for the Glossary (or improved texts for existing terms) and documents for the Resource Centre (or information about new versions of the existing documents).

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>>>

Serbia celebrated the International day against drugs

The Office for combating drugs of the Government of the Republic of Serbia organised a conference in occasion of the International Day against Drug Abuse and Illicit Trafficking in Belgrade on 26 June 2019. Representatives of international organisations, governmental institutions, civil society and media joined to hear about latest experiences and successful stories in fighting drug abuse and support to the people who use drugs.

After the welcome and introductory speech from the Director of the Office Milan Pekić, presentation followed:

  • A comparative analysis of the statistic data about drug seizures in 2018 – Radomir Popović, Office for combating drugs
  • Modern approach to treatment and curing drug addiction – Dr Diana Raketić, Special hospital for addictions
  • Psycho-social interventions and re-integration process of people with drug disorder in Serbia – Milka Kalaba, The Ministry of Labour, Employment, Veteran and Social Policy
  • Misuse of drugs in adolescence – Dr Svetislav Mitrović, Institute for mental health
  • New psychoactive substances and new trends in drug use – Dr Jelena Janković, Ministry of Health
  • Treatment of addiction of people in prisons – Dr Maja Paunović, Special prison hospital
  • Role of media in drug prevention and fighting stigma of ex-drug addicts – Mladen Mijatović, Member of the Committee for fighting narcomania in schools

The civil society had an important role too with Aleksandar Žugić from the Association Izlazak presenting Evaluation of multi-sectorial meetings they held in local communities, while Irena Molnar from NGO Re Generacija spoke about the “Support. Don’t Punish” campaign. She also presented the results of the research on “Discrimination of people who use drugs” prepared by DPNSEE.

The conclusion of the conference is that cooperation between different stakeholders is very much needed, as well as education of people from different professions (health workers, police, teachers and others, including civil society activists) on drug addiction and human rights.

The Support. Don’t Punish campaign launched in South East Europe

For the launch of the Global Day of Action, DPNSEE organised a “Kick-off event” to start the campaign in South East Europe. The event was held in the EU Info Centre in Belgrade, Kralja Milana 7, on 19 June 2019.

Besides journalists, representatives of colleague civil society organisations, UN agencies, Office for combating drugs and political parties were present.

Representatives of the Network presented the key findings from baseline research on “Documenting Drug Related Cases of Discrimination”. This small scale research aims on raising awareness on existing discrimination in different areas of everyday life, map the situation and make a base for the further advocacy actions in decreasing stigma and discrimination towards people who use drugs.

DPNSEE also presented the proposal for decriminalisation of drug use and possession made to the Working group on changes to the Criminal Law in Serbia. The proposal was submitted to the Working Group for amendments to the Criminal Law but unfortunately was not supported.

DPNSEE member organisation Prevent presented results of the regional project “Budget Advocacy Monitoring in South East Europe” in Serbia. That included analysis of the national budgets for 4 last years with a specific focus on health and harm reduction, execution of the budget and excises, and the Declaration for sustainable national response to HIV.

Re Generation presented the results of their research “How the closing of the needle exchange programs affected the access to harm reduction services in two cities – Belgrade and Budapest“.

Finally, DPNSEE representatives presented the activities in the region in scope of the Support. Don’t Punish campaign.

To find out what is planned in your city or country, follow this link>>>

To see more about the campaign worldwide, follow this link>>>