Why is it necessary to advocate for adequate funding of drug use harm reduction programs? Which changes do we expect to achieve by advocating for adequate funding?
The regional training on budget advocacy and monitoring, held from 21 to 23 December 2017 in the hotel Romantik in Veles, Macedonia, tried to provide answers to these and many other questions. The training was organized by HOPS – Healthy Options, Skopje, with the support of the Foundation Open Society – Macedonia and conducted by experts from The Association for Emancipation, Solidarity and Equality of Women – ESE from Skopje.
The participants of the training gained knowledge that will help in their efforts to obtain financial resources from the state authorities, and covered topics that point out the problems that the organizations are experiencing due to insufficient funds, as well as the activities that the organizations can take to solve them. In addition, the process of budget analysis as a basis for advocating for creation of an effective budget as well as the procedures that are important in the process of monitoring and analysis of budgets were analysed.
11 participants come from six harm reduction civil society organisations from the region who are faced with a lack of funding for their programs after the departure of the Global Fund: Prevent and DPNEE from Serbia, Margina and PROI from Bosnia and Herzegovina, and Juventas and Cazas from Montenegro (all members of DPNSEE), and two came from local organisation Becej Youth Association from Bečej, Serbia and Group for Public Policies from Belgrade.
The Senior Level Policy Dialogue “Addressing HIV and TB Challenges: from Donor Support to Sustainable Health Systems” was organised in Tallinn, Estonia on 12 and 13 December 2017 as an official event in the programme of the Estonian Presidency of the Council of the European Union.
The event, organised by the Ministry of Social Affairs and National Institute for Health Development from Estonia, WHO European Region, UNAIDS, and the Global Fund, brought together representatives of the health and financial ministries of Europe, the Balkan and Eastern Partnership countries, representatives of the European Commission, international organisations, as well as community representatives and institutions involved in funding programmes and offering services to tackle HIV and TB.
In Eastern Europe the fight against HIV and tuberculosis has largely been funded through international organisations (such as the Global Fund to Fight AIDS, Tuberculosis and Malaria). However, this kind of funding is not sustainable in the long term.
The participants searched for ways to smoothly transition from funding through foreign aid programmes to sustainable state funding. They outlined the best practices, challenges, opportunities and risks related to integrating HIV and TB programmes into a national health system. The discussions included the role and responsibility of various institutions and organisations in stopping the HIV and TB epidemics.
DPNSEE and 4 participating member organisations representatives (Cazas, Juventas, Margina and Viktorija) actively contributed to the meeting, including two panellists who gave a specific insight in the situation of the region. Both the experiences from South East Europe and challenges we face were presented, emphasized and mentioned by many participants. The meeting was also a good opportunity to establish contacts and generate ideas for future cooperation.
Participation of the SEE representatives was made possible by generous support from the Open Society Foundation.
Preparing for the regional meeting “Addressing HIV and TB Challenges: from Donor Support to Sustainable Health Systems”, civil society organisations from Eastern Europe and Central Asia met on 11 December in Tallinn. Aim of the meeting was to consolidate and build opportunities for cooperation in advocacy efforts of civil society representatives during and after the meeting.
The pre-meeting gathered 14 representatives from civil society and community organisations mainly from South East European countries and regional community networks. Unfortunately because of heavy snow in the departure airports and delayed flights a lot of participants could not join.
There were two main issues of the meeting which of great importance for civil society and communities: transitioning of services to domestic funding and integration of it into the health and social care system.
The structure of the outcome document was presented and discussed. Next week key points from the document could be used for the plenary meeting of the Civil Society Forum of HIV, Hepatitis and Tuberculosis.
The Drug Policy Network South East Europe held its 2nd regular annual General Assembly in Belgrade, Serbia from 3rd to 5th December 2017. It was the opportunity to meet, analyse the work looking back on the year that almost ended and decide about the future work.
Thanks to the generous support from the Office for combating drugs of the Republic of Serbia, the Assembly was held in the Palace Serbia, the governmental representative building. Representatives of 15 out of 22 member organisations participated, including 2 newly recognised members.
Our distinguished guests at the Assembly were His Excellency Ambassador of Portugal Augusto Saraiva Peixoto and Director of the Office for Combating Drugs of the Government of Serbia Milan Pekić.
The Assembly adopted the report about the work in 2017 and financial report presenting the Network’s main activities. The plans for 2018 were also adopted, based on the strategic priorities proposed by the Board and ideas for possible projects and partnership building.
Changes in the Board were introduced to ensure that this governing body is active in implementing the action plan. Vlatko Dekov (HOPS, FYRO Macedonia) is elected new Chairperson and Nebojša Đurasović (Prevent, Serbia) new Vice-Chair. While Denis Dedajić (Margina, Bosnia Herzegovina), Marios Atzemis (Positive Voice, Greece) and Saša Mijović (4 Life, Montenegro) remain members of the Board as Secretary, Treasurer and Member, newly elected Board member Anna Lyubenova (Initiative for Health Foundation,IHF, Bulgaria) will serve as Deputy Secretary, and Erlind Plaku (Aksion Plus, Albania) as Deputy Treasurer.
In order to establish common positions, small group work was organised on key issues for which DPNSEE will issue statements in the future. Cannabis and Drug checking were specific topics for sharing and generating ideas.
During several events which happened in October, DPNSEE have deepened existing and established new relations with Portugal.
APDES outreach team in action
Our staff member Irena Molnar had an unofficial visit to APDES (Agência Piaget para o Desenvolvimento), a non-governmental which promotes integrated development in their headquarters in Vila de nova Gaia, near Porto. APDES main goal is to intervene with vulnerable communities and people, in order to improve their access to healthcare services, employment and education, working for the empowerment of institutions and individuals, as well as for the reinforcement of social cohesion. They developed several activities in this municipality and cities like Porto, Barcelos, Guarda, Viseu, Setúbal and Lisbon. The services they deliver are related to health, harm reduction and human rights, among others. Irena had a special opportunity to spend a day with the outreach team of GIRUGaia project, inter-disciplinary outreach team that works with drug users. Guided by principles related to harm reduction, it promotes the use of aseptic material and the adoption of lower risk use practices. It also provides services that promote citizenship, health and social inclusion. During several days, with good help of Joana Francisca Canedo, Advocacy and Policy officer in APDES, Irena got introduced to the Portuguese policies and functioning of the system itself, but most important also situation on the ground.
As a part of the TWIST project at Lisbon Addiction 2017 conference, several days later, member organisations representatives and Staff members had an opportunity to meet with various officials and activists from Portugal and learn about their policy and activities. We got an opportunity to informally meet with executive director of APDES, Jose Queiros, with whom we discussed future cooperation of APDES and DPNSEE. We presenting the DPNSEE work and discussed various issues and potential future cooperation. That included support which APDES could offer to DPNSEE member organisations through study visits, know-how exchange and other activities. Lisbon Addictions 2017 and the TWIST project haven’t served only as a great opportunity for learning from academia, but also to reconnect with old and make new connections with wider European specialist in areas related to substance use.
Irena and Milutin with Jose Queiros, executive director of APDES
Just after returning to Serbia, DPNSEE staff members had a meeting with the Ambassador of Portugal His Excellency Augusto Saravia Peixoto and the Deputy Head of Mission Ms Graça Costa Macedo. The meeting was scheduled on the DPNSEE initiative for cooperation.
We had an interesting exchange about the Portuguese drug policy, which is usually seen as one of the most effective in the European Union, agreeing easily that a comprehensive approach involving all stakeholders is necessary for obtaining good results. DPNSEE representatives presented their recent cooperation with their peers in Portugal, especially APDES. The Ambassador and his colleagues offered support in ensuring a wide array of contacts for the visit to Portugal, where a delegation consisting of governmental and NGO representatives from Serbia would have the opportunity to get a full insight into the policy and field activities. Following that visit and on the basis of the priorities established by the new Action Plan Against drugs in Serbia 2018 – 2020, the Embassy will assist with finding most suitable experts that would come to Serbia and bring their experiences to local stakeholders.
His Excellency is also interested to extend cooperation to other countries of the region where he represents Portugal: Bosnia Herzegovina, FYRO Macedonia and Montenegro.
Policy Analysis and Policy Creation Group (GAJP), Center for Public Administration, Local Self-Government and Public Policy of Faculty of Political Sciences with the support of the Konrad Adenauer Foundation and PERFORM, organised The Fifth Days of Public Policy at the University of Belgrade, Faculty of Political Sciences.
The topics of the event were: construction policy, public advocacy as a science and art, the role of citizens in changing public policies, privacy on the Internet, circular economy, public administration reform and drug policy of Republic of Serbia. Creators, decision-makers and politicians, academics, private sector, state institutions and civil society organizations spoke about these topics. During Friday and Saturday, workshops were organized to bring participants closer to the process of creating public policies.
Drug Policy Network South East Europe participated in the panel devoted to drug policies, alongside with Director of The Office for combating drugs, Milan Pekić and Miroslav Savković farmacologist, Professor at the University of Belgrade, Faculty of Pharmacy.
Panel discussion included topics like: The current state of affairs when a drug policy is in question and how is the system of drug control in Serbia regulated? What are the possible alternatives when policies in this field are concerned? While Irena Molnar, Communication officer of the Network drove attention to harm reduction programs and culture change of substance use in Serbia, Milutin Milošević, Executive director spoke about process of defining amendments to Laws and work on it at institutional Level included but not limited to process, public debates, working groups, engagement of NGOs. He was also briefly explaining processes of evaluation of Strategy and Action plan and what has been done so far.
Around 100 participants voted the panel on drug policies as the most interesting at the event.
From 4 to 6 October in Brno, Czech Republic, the Conference on Rational Drug Regulation was held, organised by A.N.O. – Asociace nestatnichne ziskovych organizaci a Spolecnost Podaneruce o.p.s
The conference had an aim to start the dialogue and question social, political and professional attitudes that are going through phase of change that we can witness. At the states level we see examples of changing policies regarding cannabis for example, but on the other hand we still see policymakers practice the so call war on drugs. Rationality of Drug Regulations Conference aimed to open space for the dialogue regarding how these trends are reflecting on the local level? How are the local governments, relevant activist groups or organisations, activist groups, police forces, schools dealing with this changing situations? The Conference aimed primarily at professionals; however, it was also open to members of public interested in the topics.
Within the panel “Harm reduction: Between professionalization and activism”, DPNSEE Staff member Irena Molnar was representing the cases of SEE, and from this point of view she was presenting case study “Serbia’s Drug Policy Crossroad – Will EU accession period bring more balanced approach to (recreational) drug use?“
The conference also discussed topics on: How are these trends reflected at the local level? How are they advocated, explained and interpreted by the general public? What direct experience do the specific villages, towns, neighbourhoods, and streets have with these? How are the local governments, relevant organizations, activist groups, police forces, schools or helping network services dealing with the changing situation of the drug regulation?
UNODC hosted the first multi-stakeholder workshop on the United Nations Convention against Corruption and its Review Mechanism in Sarajevo, Bosnia and Herzegovina, from 25 to 29 September 2017. As the first such workshop held in Southeast Europe, the event aimed to develop capacities of around 60 participants across the region to contribute to the implementation of the Convention and its Review Mechanism.
The UN Convention against Corruption, ratified by 182 States, is the only legally binding, universal, anti-corruption instrument. Its far-reaching approach and the mandatory character of provisions make it a unique tool for developing a comprehensive response to global corruption issues.
The Convention covers five main areas: preventive measures, criminalization and law enforcement, international cooperation, asset recovery, and technical assistance and information exchange. The Convention covers many different forms of corruption, such as bribery, trading in influence, abuse of functions, and various acts of corruption in the private sector.
At the first review cycle, approximately 85 per cent of Governments involved civil society organizations in their country visits, building momentum to uphold their treaty obligations. The workshop, in this regard, reiterated the importance of this practice during the second review cycle, especially in the Southeast Europe region. It also aimed to promote collaboration between all relevant stakeholders.
Supported by the Austrian Development Agency through the Regional Anti-Corruption Initiative, and by the European Bank for Reconstruction and Development, the training informed participants about the methodology and tools for country reviews and build their capacity to reproduce workshop sessions at the national and regional levels. Participants engaged in a constructive dialogue by sharing their experiences, lessons learned and good practices, as well as undertaking practical exercises.
Milutin Milošević, the DPNSEE Executive Director, and Sanja Šišović CAZAS, Montenegro, participated in the workshop. That allowed them to gain a good insight in the Convention and opportunities to join the review process.
The Drug Policy Network South East Europe was informed about problems in the Eurasian Harm Reduction Network that resulted in EHRN Secretariat staff quitting the organization and the Steering Committee resigning and creation of a new structure: the Eurasian Harm Reduction Association.
Strongly supporting our colleagues from the EHRN Steering Committee and Secretariat, DPNSEE sent a letter which you can find bellow.
Since 2001 31st September has been marked around the World as the International Overdose Awareness Day in order to raise public awareness of the most risky outcome of the use of psychoactive substances and gave the meaning to deceased overdoses. Serbia was on the world map of countries that marked this day in 2017 under the slogan “Memory Recollection, Time for Action”.
Overdoses with the deadly outcome due to the use of drugs, alcohol and uncontrolled use of medicines are on the rise, especially among young people. Drug users, one of the most marginalized groups in our society, do not have to be condemned to death by overdosing.
In the city of Pančevo, organisation Nova+ organised street action, to join the world network of cities where this day is marked by burning candles for the deceased and sharing information and educational materials regarding prevention of overdose and also to raise awareness of this problem in the society.
Street action in Pančevo
The marking of the day continued in with the open talk in the Apollo Hall, where professionals were discussing the problematizing this this issue in relation to Serbia through an open talk. Invited speakers were Nenad Živković writer and journalist, moderator, Osmah Hamzagić representing the Public Health Institute Pančevo, Aleksandar Žugić from NGO Izlazak, Irena Molnar in the name of the Drug Policy Network South East Europe and host Branislav Princip from Nova+ organisation.
Conclusion of almost two hours of talk was as expected: society has a problem with overdoses – Serbia is not excluded. The first step in preventing overdose has to be raising awareness of the issue and recognising it as a public health problem that has social consequences. Recognition of symptoms, proper treatment in this case and the latest pharmacological preparations for the prevention of fatal outcome, which are recommended around the world, should become common practice in Serbia too.
