Tag: EHRA

Training for local advocacy

Posted on by Milutin

Six organisations that will implement local advocacy project that won the support throught a BOOST call for proposals gathered for a workshop in Budapest, Hungary on 13 and 14 June. Workshop aims and objectives were to:

  • Provide a comprehensive understanding of key advocacy concepts and the nuances of advocacy within the harm reduction field.
  • Familiarize participants with the BOOST project’s aims, objectives, and activities, including the Advocacy Strategy.
  • Review and improve local advocacy plans, emphasizing the community’s role in shaping and implementing these plans.
  • Provide tools and resources for the development and implementation of advocacy

Our colleagues from ARAS (Romania) and HOPS (North Macedonia) were among them, together with BerLUN (Germany), HuNPUD (Hungary), R3 (Portugal) and XADUD (Spain).

Besides inputs on the BOOST project, Advocacy, How to engage communities developing and implementing communities, and Media advocacy, participants had the opportunity to present their projects and work with mentors to fine-tune their projects and plans for their implementation.

ARAS plans to use the Electoral Year 2024, which in Romania includes elections on different levels, to ensure long term political support for harm reduction funding at all levels.

HOPS prepared a project to ensure the financial sustainability of Harm Reduction Programs in North Macedonia. It is important because last years the Ministry of Health cut the budget for harm reduction programs by about 40%.

Participants and regional network representatives were interviewed about their advocacy projects by the Right Reporter Foundation, Budapest based organisation that is an expert in video advocacy. The video they shall produce will be disseminated via BOOST project and partners’ communication channels.

How to set up online harm reduction services?

Posted on by Milutin

The Eurasian Harm Reduction Association (EHRA) presents a brief guide with recommendations how to launch a new – or improve an existing – online harm reduction service for people who use drugs. The guide “Recommendations for setting up online harm reduction services” entails all the information needed to start-up an online outreach programme. The information is presented in the form of concise, evidence-based, easily implementable recommendations.

It provides step-by-step, practical advice organized into thematic units, including sections on how to launch programs, policy development, staffing, safety and security, referral procedures, and a section on monitoring and evaluation.

The text is 100% reader-friendly, meaning that you literary do not need to know anything about ‘saturation’ or ‘validity’ or any other research related terminology. The recommendations included in this guide can be adapted in line with the needs and resources of individual organisations, local contexts, and characteristics of the target population. They can also be adapted for web outreach with other key populations, such as people living with HIV, sex workers, or men who have sex with men.

To access the Guide, follow this link>>>.

 

The BOOST project launch

Posted on by Milutin

DPNSEE President Nebojša Djurasović and Executive Director Milutin Milošević participated at the first meeting of the BOOST Project in Rome 13 – 14 of February. 45 participants from more than 20 organisations joined in the Fondazione Villa Maraini in Rome.

The main aim of the BOOST project is to enhance the implementation of high-quality community-based & community-led communicable disease services as part of a comprehensive, people-centred and integrated harm reduction approach. To ahieve its goal, over the next three years, together with our partners we will focus on four key areas:

  • INFORM – providing a collection of up-to-date information and data on current practice and quality of community-based and community-led services.
  • IMPROVE – supporting the organisation of capacity building activities in the field of communicable diseases, indluding the use of digital tools.
  • SUPPORT – enhancing the scale-up of integrated community-based good practices building up existing models of good practice.
  • CONNECT & ACT – strenghtening and consolidating existing civil society networks and fostering advocacy interventions for the improved implementation comunity-based and community-led good practices oriented towards the needs of people who use drugs at European, national and local levels.

BOOST Project is founded by the EU4Health programme of the European Union, under the Action Grants to support the implementation of best practices in community-based services for HIV, AIDS, viral hepatitis and sexually transmitted infections. Partners include the Eurasian Harm Reduction Association, EuroNPUD, Free Clinic, Podane Ruce, LILA Milano, Asociacion Bienestar y Desarrolo, IGTP/ICO, ISGlobal, Foundazinone Villa Maraini. Supporting the projects work, the project with count with Scientific Advisory Board and the collaboration of organizations such as DPNSEE, ReGeneration, ARAS Foundation, AIDS Action Europe, among others.

Key harm reduction messages for the replenishment conference

Posted on by Milutin

In advance of the Global Fund Seventh Replenishment Conference to be hosted by President Biden in New York on September 19, 2022, the Network of People who use Drugs (INPUD), the Eurasian Harm Reduction Association (EHRA) and Harm Reduction International (HRI) developed key harm reduction messages for the Global Fund Replenishment Conference, implementation of the new Global Fund Strategy and the Global Fund’s New Funding Model (NFM4) cycle.

Harm reduction investment from international donors and governments in low and middle-income (LMI) countries totalled US$131 million in 2019 – just 5% of the US$2.7 billion UNAIDS estimates is required annually by 2025 for an effective HIV response among people who inject drugs. The Global Fund is the largest donor for harm reduction, providing at least 60% of all international donor support. The outcome of the replenishment will have significant consequences for harm reduction. The protection and scale-up of harm reduction programmes in low- and middle-income countries requires a fully funded Global Fund. An underfunded Global Fund will result in service closures, a reversal of gains made in HIV prevention among people who use drugs and ultimately, lives lost.

INPUD, EHRA and HRI urge the Global Fund and the wider donor community to be proactive in protecting harm reduction within all replenishment scenarios, in implementation of the Global Fund Strategy 2023-2028 and during the NFM4 cycle. Their recommendations centre on the following five areas:

  1. Harm reduction funding must be protected from any replenishment shortfall
  2. Catalytic investments for harm reduction and key populations must continue regardless of replenishment outcome
  3. Funding for community-led responses must be prioritised within NFM4, both for harm reduction and pandemic preparedness and responses
  4. Funding for efforts to increase domestic investment in harm reduction, and broader key population programming must be increased
  5. Funding for harm reduction in crisis must be protected and prioritised

The document with full explanation of the recommendation is available following this link>>>.

 

Civil society statement on ensuring continuity of essential life-saving treatments for Ukrainians in European countries

Posted on by Milutin

The Eurasian Harm Reduction Association (EHRA) initiated the Civil society statement on ensuring continuity of essential life-saving treatments for Ukrainians in European countries. The statement signed by 29 civil society organizations and networks, including DPNSEE.

The undersigned organisations, working with and representing the interests of communities of people living with and affected by HIV, tuberculosis, viral hepatitis and drug dependence in Central and Eastern European countries, call for the following urgent measures:

  • Organise medical data exchange with a particular focus on HIV and opioid dependence to ensure continuity of services between Ukraine and EU member states and among the EU member states;
  • As good clinical practice, ensure that previous diagnosis are accepted, people are prescribed the same regimens and take-home dosages of OAT as in Ukraine as much as possible;
  • To promote and follow the recommendations being set in the Standardized Protocol for clinical management and Medical Data-Sharing for people living with HIV among refugees from Ukraine[1] and to collaborate with WHO on the development of a similar protocol for the refugees from the Ukraine who are OAT patients
  • Support EU member states with emergency procurement and exchange of medications, as needed, to ensure methadone (tables), buprenorphine, dolutegravir-based antiretroviral therapy, pediatric antiretroviral medications and similar Ukraine-prevalent treatments are made available for continuation in all border and other neighbouring countries;
  • Establish a pool of translation support for clinicians and Ukrainian refugees and utilise automated translation services to overcome barriers in refugee services and clinical settings;
  • Support outreach and contacts by HIV and drug treatment experts and NGOs in refugee centres, including the sensitisation of staff and to urgently identify people in need of uninterrupted daily treatment;
  • Introduce simplified initiation of essential treatment to all Ukrainians with or without refugee status based on their passport data; and,
  • Ensure that monitoring systems and hotlines are available to clinicians and other service providers to immediately solve the health issues affecting Ukrainian refugees.

The Statement was sent to high level EU officials and authorities of France (currently holding EU Presidency), Czech Republic, Poland, Slovakia, Hungary and Romania.

To read full Statement, follow this link>>>.

 

An interesting discussion about the harm reduction crisis in SEE

Posted on by Milutin

On the 20th of April 2022, the three Networks organized a Webinar on Harm reduction crisis in South East Europe. During this event, national decision-makers from the region, researchers, harm reduction service providers, community and civil society representatives came together to present and discuss the key findings of the research activities.

Correlation – European Harm Reduction Network, the Eurasian Harm Reduction Association and the Drug Policy Network of South-Eastern Europe have been working together to advocate for addressing the harm reduction crisis in South East Europe since 2019.

Countries of South-Eastern Europe and the Balkans, including Albania, Bosnia and Herzegovina, Bulgaria, Kosovo, Montenegro, Romania and Serbia, are experiencing relatively high levels of HIV and HVC infection among people who inject drugs. However, due to limited domestic resources and the gradual withdrawal of the Global Fund from the region, the governments of these countries are facing a lack of resources to continue the long-term funding of comprehensive harm reduction programmes.

During this webinar, C-EHRN, EHRA and DPNSE present the research Crisis in harm reduction funding: The impact of transition from Global Fund to Government support and opportunities to achieve sustainable harm reduction services for people who inject drugs in Albania, Bosnia and Herzegovina, Bulgaria, Kosovo*, Montenegro, Romania and Serbia they have conducted in the area and discuss its key findings, which include among others:

  • Common challenges of scaling-up harm reduction programmes in the countries of South-Eastern Europe.
  • Consequences of the limited funding of the harm reduction services for public health and national healthcare systems.
  • Opportunities available for the governments of the region to act and invest funds and efforts in effective and proven models of harm reduction in their respective countries.

Building upon this research, this publication, and also policy briefing and factsheet, highlight opportunities available for the governments of the region to act and invest funds and efforts in effective and proven models of harm reduction in their respective countries.

Recording of the Webinar is available below.

Harm reduction crisis in South East Europe

Posted on by Milutin

Correlation – European Harm Reduction Network, the Eurasian Harm Reduction Association and the Drug Policy Network of South-Eastern Europe have been working together to advocate for addressing the harm reduction crisis in South East Europe since 2019.

The three networks are hosting an online discussion about the funding challenges and opportunities for governments to the crisis of harm reduction services in SEE countries and the Balkans.

The webinar will take place on the 20th of April from 13:00h to 14:30h CET.

Countries of South-Eastern Europe and the Balkans, including Albania, Bosnia and Herzegovina, Bulgaria, Kosovo, Montenegro, Romania and Serbia, are experiencing relatively high levels of HIV and HVC infection among people who inject drugs. However, due to limited domestic resources and the gradual withdrawal of the Global Fund from the region, the governments of these countries are facing a lack of resources to continue the long-term funding of comprehensive harm reduction programmes.

During this webinar, C-EHRN, EHRA and DPNSE will present the research they have conducted in the area as well as opportunities available for the governments of the region to act and invest funds and efforts in effective and proven models of harm reduction in their respective countries.

The webinar is open to national decision-makers from the SEE region, the Balkans and other European countries, researchers, harm reduction activists, civil society representatives, harm reduction service providers and the media.

The event will be held in English. To register and to receive the complete webinar agenda, please fill in the form https://us02web.zoom.us/webinar/register/WN_-4Dh14MmQumJc3mPJxZgOw

Please contact for more details: Roberto Perez Gayo rpgayo@correlation-net.org

 

Crisis in harm reduction funding

Posted on by Milutin

Correlation – European Harm Reduction Network, the Eurasian Harm Reduction Association and the Drug Policy Network of South-Eastern Europe have been working together to advocate for addressing the harm reduction crisis in South East Europe since 2019.

Countries of South-Eastern Europe and the Balkans, including Albania, Bosnia and Herzegovina, Bulgaria, Kosovo, Montenegro, Romania and Serbia, are experiencing relatively high levels of HIV and HVC infection among people who inject drugs, including those who inject psychoactive substances. However, due to limited domestic resources and the gradual withdrawal of the Global Fund from the region, the governments of these countries are facing a lack of resources to continue the long-term funding of comprehensive harm reduction programmes. In addition to these and other barriers, in some countries, there is no legal basis for NGOs to provide services to marginalized populations, including people who use drugs.

Graham Shaw produced the research he have conducted with our and support of our colleagues from the region.

The following report, policy briefing and factsheet present and analyze current common challenges of scaling-up harm reduction programmes in the countries of South-Eastern Europe and the consequences of the limited funding of the harm reduction services for public health and national healthcare systems. Building upon this research, these publications highlight opportunities available for the governments of the region to act and invest funds and efforts in effective and proven models of harm reduction in their respective countries.

Report

 

 

 

 

 

 

Policy brief

 

 

 

 

 

 

Factsheet

Montenegro: Benchmarking sustainability of the HIV response among Key Populations in the context of transition from Global Fund support to domestic funding

Posted on by Milutin

The Eurasian Harm Reduction Association (EHRA) published document “Benchmarking sustainability of the HIV response among Key Populations in the context of transition from Global Fund support to domestic funding” within the framework of the regional project ‘Sustainability of Services for Key Populations in Eastern Europe and Central Asia’. This publication was prepared by Mr. Vladan Golubović, EHRA Consultant

The aim of this analysis is to assess the fulfillment of the commitments given by the Government of Montenegro aimed to ensure the sustainability of the HIV response among KPs in the context of the country’s transition from Global Fund support to national funding. The results of the assessment are expected to be used to assist CSO’s, key affected communities and partners to remain more informed and engaged in the monitoring of the transition process from donor to domestic funding and to thereby advocate for the implementation of activities that will lead to the sustainability of the national HIV response.

This assessment was conducted using the Methodological Guide and Transition Monitoring Tool (TMT) developed by EHRA. A number of national commitments contributing to ensuring sustainability of the HIV response were identified and prioritised and subsequently analysed based on available data, as well as information from key informants. The assessment was conducted and led by two national reviewers with the support of local HIV experts and representatives of affected communities from organisations involved in advocacy and service delivery for KAPs and PLHIV (the national reference group).

The analysis is available following this link>>>.

 

Taking stock of budget advocacy efforts in EECA

Posted on by Milutin

The Eurasian Harm Reduction Association (EHRA) presented the mapping report „Taking stock of budget advocacy efforts in Eastern Europe, South-Eastern Europe and Central Asiа“ summarising budget advocacy efforts, funding and impact during the period 2018-2021 in CEECA countries. The focus of the assessment is on the role of civil society in budget advocacy, while acknowledging that government leaders, UN and technical partners play important roles as well. The assessment describes key budget advocacy initiatives and HIV donor support for them.

The report zooms in the four result areas of advocacy: civil society capacity to advocate; influencing HIV funding levels from national and local public sources; increasing efficiencies in spending; and contracting and funding for NGOs to deliver services. Without offering a comprehensive review, one of the final sections of the report shines light on efforts to influence budgets beyond HIV including in the fields of TB and health systems.

Regional overview is based on eight country case studies (including three fro Sout East Europe) exploring national experiences with budget advocacy, emerging challenges, and best practices. Kyrgyzstan, Moldova and Ukraine (lower middle-income countries), Georgia, Kazakhstan and Montenegro (upper middle income countries receiving donor support), and Bulgaria and North Macedonia (post-Global Fund countries) were selected for analysis.

To keep the mapping manageable and focused, this assessment has not attempted to assess neither the impact of the ongoing COVID-19 pandemic on HIV budget advocacy and fiscal space for health financing nor potential savings from reducing criminalization of population behaviours.

Analytical report «Taking stock of budget advocacy efforts in Eastern Europe, South-Eastern Europe and Central Asiа» has been prepared by EHRA in partnership with Open Society Foundations, The Global Fund to Fight AIDS, Tuberculosis and Malaria Sustainability, Transition and Efficiency Strategic Initiative and EECA regional team in cooperation with ECOM – Eurasian Coalition on Health, Rights, Gender and Sexual Diversity and Eurasian Women’s Network on AIDS (EWNA) as partners in the Eurasian Regional Consortium withing project “Thinking outside the box: overcoming challenges in community advocacy for sustainable and high-quality HIV services” supported by the Robert Carr Fund for civil society networks. Information was provided by country, regional and international partners. We are grateful to all our partners, members of Regional Advisory Group on Sustainability, interviewees and reviewers for their time and effort in work on this report.

To read the report, follow this link>>>.