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.

Romanian Support Don’t Punish YouTube channel launched

The Romanian Harm Reduction Network (RHRN) launched a YouTube channel with videos from users and professionals presenting the Support. Don’t Punish campaign messages “Sprijin. Nu pedepse“. A long-term video campaign started on the Global Day of Action 26 June under the S.DP umbrella.

A special campaign promotional video was prepared and posted at the channel

One of the first clips include a specific message which Professor Michel Kazatchkine, member of Global Commission on Drug Policy, sent to Romania.

A public event was held where activists from various organisations gathered to express their positions on discrimination and stigmatisation of drug users.

The stating videos at the channel will be followed by periodic episodes with practical harm reduction advices.

There are still several videos to be finished and released each couple of weeks, so stay tuned!

To see more photos from the public event, follow this link>>>. Follow the Romanian campaign Facebook page here>>>.

 

Transition of TB program in Romania

Source: Regional Civil Society and Community Support, Coordination and Communication Platform – EECA

35 participants including civil society representatives, CCM members, Global Fund Portfolio Manager, experts from neighbouring countries and representatives of the governmental structures gathered in Bucharest on 13 – 14 of June at a workshop “Transition from the Global Fund support of TB program to national funding: understanding the role, opportunities and priorities for civil society in Romania” to discuss what they can do for a greater sustainability of the country’s responses to the TB and HIV epidemics.

Based on the Global Fund Board’s decision in November 2016 on the allocation of resources for the 2017-2019 allocation period, Romania has been allocated € 4,052,972 for tuberculosis and building resilient and sustainable systems for health. The implementation of this new TB grant in Romania formally started in March 2019 and it is planned to finish its implementation in March 2021. This grant is being considered as the last TB grant for the country to support the transition processes. Although the new Global Fund 2019 Eligibility List does mention Romania as being eligible for TB funding again, yet, the eligibility does not guarantee an allocation, and it is not clear if Romania will be allocated any further funding to support the TB response in 2020 – 2022.

Although Romania is ineligible to receive Global Fund funding for HIV response since 2010 when its last Global Fund HIV grant came to an end, the current “transition grant”, as well as all previous TB grants to Romania, includes a significant component on HIV prevention among key affected populations (KPs). Therefore, civil society mobilization for joint advocacy to ensure the domestic funding of HIV prevention activities among KPs is essential.

At the same time, according to the Global Fund’s Eligibility List 2019 Romania may be eligible for an allocation for HIV/AIDS for non-governmental or civil society organizations if the country demonstrates the barriers to providing funding for interventions for key populations, as supported by the country’s epidemiology. The Global Fund Secretariat will assess whether the criteria have been met at the time of determining allocations for the 2020-2022 allocation period. The decision on the countries‘ allocations within the next 2020-2022 allocation period to be made by the Global Fund Board in November 2019.

Youth Studies South East Europe

The Friedrich Ebert Stiftung (FES) published reports on the experiences and aspirations of youth in Southeast Europe. The FES carried out a representative region-wide survey on a sample of more than 10.000 young people aged 14 – 29 from ten countries in Southeast Europe in early 2018.

“FES Youth Studies Southeast Europe 2018/2019” is an international youth research project carried out simultaneously in ten countries in Southeast Europe: Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Kosovo*, North Macedonia, Montenegro, Romania, Serbia and Slovenia. The main objective of the surveys has been to identify, describe and analyse attitudes of young people and patterns of behaviour in contemporary society.

A broad range of issues were addressed, including young peoples’ experiences and aspirations in different realms of life, such as education, employment, political participation, family relationships, leisure and use of information and communications technology, but also their values, attitudes and beliefs.

Findings are presented in ten national and one regional study and its accompanying policy papers, which have been published in both English and the respective national languages.

The most important results are grouped under headlines:

  • A wish to belong to Europe
  • Migration and mobility do not have to be zero-sum
  • Fighting corruption as a crime, not as a concept
  • Employment discourse shifting towards the quality of work
  • A different kind of ‘political’…
  • …which has to do with ‘the social’
  • Give youth a say in Europeanisation

To download the regional study and its accompanying policy papers following this link>>>

You can read the national studies at this webpage.

#SoS_project launched

Alliance for Public Health, leading a regional consortium uniting Network of People living with HIV/AIDS 100% Life, Central-Asian PLH Association and Eurasian Key Populations Health Network (EKHN), manages the multi-country project ‘Sustainability of services for key populations in Eastern Europe and Central Asia region’, funded by the Global Fund in amount up to USD 13 million. The project will be implemented throughout 2019-2021 and aims to reduce the HIV epidemic in the Eastern Europe and Central Asia and South East Europe regions through accelerating progress on Fast-Track by 2020 and to ensure the sustainability of HIV services for key populations in 14 countries of the regions: Belarus, Bosnia and Herzegovina, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Montenegro, North Macedonia, Romania, Russia, Serbia, Tajikistan, Ukraine and Uzbekistan.

The project launch meeting was held on 26 March 2019 in Kyiv, Ukraine. It gathered all implementing partners, regional and global stakeholders, donors active in the region to discuss the program approaches and plans, get strategies advise and coordinate with other regional initiatives to maximize impact of investment.

At the project coordination meeting on 27 March all regional consortium members, project sub-recipients, implementing and technical partners in the region to discuss and coordinate the concrete plans and timelines for project activities among the implementers.

To achieve the expected savings, the project will develop strategies for optimizing the cost of ART regimens, which will lead to a decrease in the average cost of first-line ART. Advocacy activities will also be carried out aimed at reducing prices for ARVs and using savings to finance the needs of prevention and care services for the Key Groups and PLHIV. In addition, work to optimize clinical guidelines for ART, a list of drugs in accordance with WHO guidelines is planned, as well as advocacy to include countries in voluntary licensing and registration of generic manufacturers.

Andriy Klepikov, the Executive Director of the Alliance for Public Health, said that almost half of these funds ($ 5.6 million) will go to the advocacy of the reduction of prices for ARV drugs and optimization of procurement mechanisms.  Another quarter of the project budget ($ 3.2 million) is planned for budget advocacy. $ 1.6 million is provided for the removal of legal barriers, the same amount for project management. Another $ 1 million will go to operational research.

“The idea is not only to throw in some initiatives, but simultaneously with such interventions to launch operational research, which will help identify and prove their effectiveness,” explained Klepikov. – “It worked, in particular, in Ukraine. But we would not want other countries to take it on faith. In each country for advocacy, before the Ministry of Health will start funding, it is important to get a serious evidence base, which is collected through operational research”.

DPNSEE member organisations Cazas and Timok Youth Centre will be sub-recipients of the project in Montenegro and Serbia, while HOPS is involved in project implementation in North Macedonia.

Global Fund eligibility list 2019

The Global Fund to Fight AIDS, Tuberculosis and Malaria has recently published its updated country eligibility list for 2019. The list reflects the eligibility determinations for the year 2019 (a non-allocation year) and is for information purposes only. Allocations are made once every three years following the outcomes of the Global Fund’s replenishment The 2020 Eligibility List will determine which country components are eligible for an allocation for the 2020-2022 allocation period.

SEE countries affected by changes are Bulgaria, Kosovo*, North Macedonia and Romania. Montenegro and Serbia remain eligible for HIV disease component due to high disease burden.

Bulgaria and Romania may be eligible for an allocation for HIV/AIDS for non-governmental or civil society organizations if there are demonstrated barriers to providing funding for interventions for key populations, as supported by the country’s epidemiology for the 2020-2022 allocation period.

Kosovo is newly classified as an Upper-Middle Income country based on the latest three-year average of GNI per capita data. As Kosovo’s HIV/AIDS and TB burden are ‘Not High’, both the HIV/AIDS and TB components are now eligible for Transition Funding for the 20202022 allocation period.

North Macedonia‘s HIV/AIDS disease burden classification changed to ‘Low’ in 2018 to ‘High’ in the 2019 Eligibility List, resulting in one determination of eligibility. Country components must be eligible for two consecutive eligibility determinations to be classified as eligible on the Eligibility List.

According to the GF Eligibility Policy “Upper-middle income countries meeting the disease burden criteria, but some may be eligible for an allocation for HIV/AIDS to directly finance non-governmental and civil society organizations, if there are demonstrated barriers to providing funding for interventions for key populations, as supported by the country’s epidemiology. Eligibility for funding under this provision will be assessed by the Secretariat as part of the decision-making process for allocations. As part of its assessment, the Secretariat, in consultation with UN and other partners as appropriate, will look at the overall human rights environment of the context with respect to key populations and specifically whether there are laws or policies which influence practices and seriously limit and/or restrict the provision of evidence-informed interventions for such populations”.

To read full document with the eligibility list follow this link>>>>

The South East Europe pre-Conference Meeting held in Bucharest

With the support from the Open Society Foundations, the Drug Policy Network South East Europe organised the South East Europe Meeting on 20 November in Bucharest, Romania, prior to the 4th European Harm Reduction Conference. The event aimed to get together activists working on harm reduction services, exchange experiences and promising ideas for the future, meet with international partners and discuss future opportunities for collaboration. 36 representatives of harm reduction organisations and institutions from countries of the region and from various international organisations attended this meeting: Albania, Bosnia and Herzegovina, Bulgaria, Greece, Kosovo*, Macedonia, Montenegro, Romania, Serbia and Slovenia.

Nebojša Đurasović, Vice-President of the DPNSEE Board opened the Meeting with welcome note and agenda review and announced first session Where is South East Europe now? Sofia Galinaki from Diogenis, the member of the IDPC Members’ Advisory Council, moderated this session. She presented the results of the Harm Reduction Survey. Dragoş Roşca, Romanian Harm Reduction Network, continued this session and spoke about current situation in Romania, Denis Dadajić, from Margina, explained situation in Bosnia and Herzegovina and Silvana Naumova from HOPS, presented current situation in Macedonia.

Facilitating the second session What do we actually do?, DPNSEE Executive Director Milutin Milošević, reminded on some dilemmas, including those of quality in the times of transition and integrated services for all vs. those specific for key sub-populations. Ivica Cekovski from HOPS spoke about the concept of quality in Macedonia. The session continued with Dr Vera Kerleta-Tuzović, Agency for Healthcare Quality and Accreditation in FBiH who presented accreditation of drop-in centres Bosnia and Herzegovina and session was closed with Tomaž Koren, from Alliance of NGOs for Drugs and Addictions, from Slovenia, who talked about quality of services in Slovenia, with special view on harm reduction in nightlife and festival settings.

The pre-conference meeting continued with third session that was moderated by Jelena Čolaković, from the DPNSEE member organisation Juventas, Montenegro. The speakers crossed over specific topic Where do we go from here? and was centred around opportunities for collaboration, including a regional program on sustainability supported by the Global Fund. Vladan Golubovic, from Chairman sent a presentation about the Regional Coordinating Mechanism. Tetyana Deshko, from Alliance for Public Health presented upcoming Global Fund supported regional project “Sustainability of services for key populations in Eastern Europe and Central Asia region”. Then, Mišo Pejković from Cazas spoke about experiences in cooperation in the region. The session was closed by Amarildo Fecanji, from ERA, who talked about potential cooperation between the networks and organisations.

At the last session What else we need to talk about? Ganna Dovbakh from Eurasian Harm Reduction Association emphasized potentials for advocacy in the process of EU Enlargement on national level.

Closing the Meeting, Nebojša Đurasović thanked all for contributing to the Meeting which he found successful. He noted a very friendly and open atmosphere and hoped that the experiences and ideas presented will be a good basis for future cooperation and partnerships.

Photos: Snežana Šundić – Vardić and Sanja Đurasović

Situation in Romania full of challenges

Delegation of the Drug Policy Network South East Europe with Nebojša Đurasović, Vice-President, Denis Dedajić, Secretary of the Board, and Milutin Milošević, Executive Director, visited Romania on 19 November 2018. It was one of the two remaining in the serial of visits aimed to present DPNSEE to the society, build strong relationships with the authorities, institutions and services and explore opportunities for partnerships.

The situation in the country is far from good with no harm reduction services available outside Bucharest, no support for MSM services and no HIV strategy and strategic plan (a proposed document is in the Ministry of Health for one year but not approved). Opioid Substitution Therapy funding is a nightmare (procedurally), therefore hospitals do not want to engage in that, and Harm Reduction is in a survival mode. State institutions and civil society organisations have different data on key populations, with number of drug users ranging from 9.000 to 19.000.

At the meeting with Sorin Oprea, Director of the Agency for Combating Drugs, in a friendly atmosphere created through recent contacts, we discussed about the potential to raise drug policy higher on political agenda during the Romanian presidency over EU starting in January. We were informed about forthcoming purchase of 900.000 syringes for harm reduction services, the data collecting system that operates well in Romania and will be offered to Turkey, a 3 Million Euro programme that is planned for civil society organisations and plans to develop a system of alternative sanctions. Our interest in protection of personal data of drug users was replied with assurance that the problem was solved and that anonymity is guaranteed. The optimistic situation presented by the Agency was questioned by our civil society colleagues during the next meetings.

Discussion with our colleague Dragoş Roşca, director of the Romanian Harm Reduction Network, presented a bit different and challenging situation in the country. Among others, Dragoş gave us a good insight in functioning of country coordinating mechanism after departure of Global Fund. RHRN mainly functions as a watchdog for state institutions. He informed us that out of 15.500 people living with HIV, 14.000 are on treatment.

Dan Popescu from our member organisation ARAS took us to two methadone centres where they serve almost 500 people. The most vulnerable 100 of them get the service for free, while other can choose to pay 3 Euro for a daily service or 120 Euro for monthly package. We instantly commented that the country should provide the services for free – otherwise people’s basic right for health is not respected! In the centre situated in a large hospital, 11 committed activists work from 7:00 AM to 6:00 PM, supported by a doctor, nurse and social worker. This service operates for 12 years already.

We also had an opportunity to see one of two their outreach team and their van which cruises the streets of Bucharest and provides service on the spot.

The visit was really good opportunity to learn about a variety of issues related to drug policy in this complex and segmented country.

The 4th European Harm Reduction Conference in Bucharest

The 4th European Harm Reduction Conference, called for 21 to 23 November 2018 in Bucharest, Romania is organised by the Correlation Network in cooperation with Romanian partners and different European Networks and partners, such as Infodrug Switzerland, the European Network of People Who Use Drugs, the Eurasian Harm Reduction Association and the European Joint Action HA-REACT.

The conference will present the latest harm reduction research results, innovative and next best-thing practices, discuss drug policy including the need to scale up harm reduction services and provide an appropriate platform to create a link between national and European developments in drug policies and harm reduction.

The European Harm Reduction Conference is aimed at professionals that work in the areas of harm reduction, treatment, prevention, medicine, research, law enforcement and politics and, finally but importantly, drug user and community organisations.

With the support from the Open Society Foundations, the Drug Policy Network South East Europe will coordinate participation of South East Europe in the 4th European Harm Reduction Conference. Specific objectives of this project include:

 

  • Improve and extend partnerships in South East Europe
  • Provide organizational and logistic support to SEE representatives at the Conference
  • Organize a SEE side-event before EuroHRC
  • Support linking of the SEE participants with various networks, EU agencies etc.
  • Envisage and agree on models of long term co-operation in the region

The pre-conference South East Europe meeting will be held on 20 November. Aim of the event is to get together, exchange experiences and promising ideas for the future, meet with international partners and discuss future opportunities for collaboration. So far, 36 representatives of harm reduction organisations and institutions from all countries of the region and from various international organisations applied for the event.

More about the Conference is available at the website following this link>>>

European Harm Reduction Conference

Following recent conferences held in Marseille 2011, Basel and Amsterdam in 2014, the 4th European Harm Reduction Conference is called for 21 to 23 November 2018. The Conference will be held in Bucharest, Romania, in the National Library. It will be organised by the Correlation Network in cooperation with Romanian partners and different European Networks and partners, such as Infodrug Switzerland, the European Network of People Who Use Drugs, the Eurasian Harm Reduction Association and the European Joint Action HA-REACT.

The conference will present the latest harm reduction research results, innovative and next best-thing practices and discuss drug policy including the need to scale up harm reduction services. Last but not least, the conference provides an appropriate platform to create a link between national and European developments in drug policies and harm reduction.

The European Harm Reduction Conference is aimed at professionals that work in the areas of harm reduction, treatment, prevention, medicine, research, law enforcement, and politics and finally but importantly drug user and community organisations.

More about the Conference is available following this link>>>

DPNSEE is negotiating with the Open Society Foundations a project to ensure stronger participation of SEE representatives at the Conference.