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

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>>>.

 

Support to Ukrainian refugees in Romania

The wave of refugees fleeing Ukraine after the start of the war came also to neighbouring Romania. So far, 500.000 of them entered Romania – most of them transiting to other destinations, while 50.000 stayed in the country.

Our member organisation ARAS from Romania immediately got organised to provide them help and continues to be with those who were forced to leave their families, homes and friends because of the war in Ukraine!

The ARAS apartment became a house, for a week, for 4 people: three women and a 9-year-old girl, followed another 4 ariving later. Company MODELiER provides a hot meal to the refugees accommodated by ARAS.

The ARAS team facilitated access to ARV treatment in Bucharest for a woman living with HIV from Ukraine. This was possible due to a joint effort of ARAS and the National Institute of Infectious Diseases “Prof. Dr. Matei Balş”, which responded promptly to the request, so that treatment is not interrupted. It was the first situation of this kind; ARAS are sure, unfortunately, that it is not the last. In 2020, according to UNAIDS estimates, 250.000 people were living with HIV in Ukraine.

In order to continue offering these services, ARAS invited for donations. The information about this is available on the ARAS website (https://arasnet.ro/donatie-paypal/) or directly in the bank accounts available at the image below with the mention UKRAINE.

Humanitarian corridor for Ukraine

The EHRA Statement

45 civil society organizations from different European countries including Ukraine requested relevant UN, EU structures and humanitarian institutions to urgently support and set up of an uninterrupted supply chain of humanitarian assistance to the affected populations within the country, and to establish safe humanitarian corridors to evacuate civilians from Ukraine.

On 24 February 2022, the Russian Federation launched a large-scale invasion of Ukraine, targeting several large cities including Kyiv, Kharkiv, Kherson, Mariupol and Zhitomyr, and bombing neighbourhoods within those areas, inevitably resulting in countless civilian deaths. The escalating war actions are causing tremendous humanitarian crises affecting millions of people. Those staying in cities and villages in Ukraine are in urgent need of warm shelter, food, water, basic medicine and other essential supplies. Additionally, more than 100,000 people have been internally displaced since the invasion began, and the number of displaced people will continue to grow. At the moment, meeting the essential needs of internally displaced people is extremely difficult in Ukraine due to martial law, curfews and threats to the lives of volunteers.

What is now urgently needed is the provision of basic, essential health supplies and medication for people in Ukraine, including those internally displaced, by means of revised importation rules and distribution networks. People who belong to vulnerable and discriminated groups — such as people who use drugs, people in prison, gay and other men who have sex with other men, sex workers and trans people — must not be overlooked in these efforts. Notably, Ukraine has the second largest population of people living with HIV, people with tuberculosis and drug-resistant tuberculosis and opioid dependency in Eastern Europe and Central Asia, and the country has developed successful and progressive harm reduction and treatment programmes, supported by the global community. To sustain those achievements and preserve human life, we ask you to ensure essential provisions including opioid agonist therapy, ARV therapy, and tuberculosis diagnostics and treatments.

Following negotiations between the two sides on 3 March, Ukraine and Russia have agreed tentatively to create humanitarian corridors in the worst-affected areas of Ukraine, where civilians are most at risk from the war. But in reality, there is no clarity on how these passages could be implemented.

Ukraine urgently needs humanitarian corridors supported by intergovernmental and multilateral organizations.

 

An important DPNSEE Board meeting

The DPNSEE Board held online meeting on 3 March 2002. The meeting agnda included some very important points.

The Board discussed current Network situation. With reduced funding, DPNSEE is now working in a “safe mode” with 50% staff working time and limitted expenses. We are safe in this mode for the first half of 2022 and expect that with some new projects we shall return to regular work soon.

The Board decided to organise the DPNSEE General Assembly online on Tuesday 29 March. The Assembly will have three thematic sessions: 1) Formal meeting to adopt reports and plans; 2) Elections (at least three Board members are not eligible for re-election) and 3) Strategic planning (finalising the DPNSEE Strategy).

The Board in length discussed the situation with key affected populations caused by the recent war in Ukraine. Several actions have already been taken by UN agencies, Global Fund community delegations, EHRA and various civil society organisations to ensure that provision of necessary harm reduction services and HIV prevention programs, both in Ukraine and Russia but also in countries which welcomed refugees from the two countries. The Board invites member organisations to open their services for the refugees and help them settle in the unpleasant situation. The Board will follow the situation and take necessary further steps if needed.

 

Ukraine Counts – statement of the Civil Society and Communities Delegations to the Global Fund Board

Joint Statement of three delegations to the Board of the Global Fund

On the eve of our collective call to “Fight for What Counts,” the invasion of Ukraine has indeed catalysed the Global Fund partnership’s call to action.

At this week’s Preparatory Meeting for the Global Fund’s ambitious replenishment ask of 18 Billion US dollars, the Communities Delegation to the Board – speaking on behalf of the Civil Society and Communities Delegations – recognised that “Marginalised communities and populations are the first to suffer the consequences of any global pandemic and conflict. Around the world, they are our constant reminder that AIDS, TB and malaria do not go away in times of crisis.”

Ukrainian people and communities are suffering and will continue to suffer the graver consequences of the ongoing invasion and bombing of Ukrainian cities and the killing of Ukrainian citizens. The immensity of this destabilisation and the huge social, political, economic and personal cost of this conflict to populations and individuals across the region is yet to be seen. The highest costs are likely to be paid by the most marginalised – in lives, in loss of homes and livelihoods, in rising illness, in lack of access to health care, food security and education, in displacement and forced migration.

All these horrific costs are being paid by people and communities. At the same time, the life-saving services provided and progress achieved over many years in Ukraine with the support of the Global Fund are disrupted and devastated. We urge all in the GF partnership to recognise that those who stayed in Ukraine’s conflict zones and those who have left will need massive support to restore services, to provide for ongoing needs and to ensure continuity of and access to essential prevention, care and treatment.

As we actively place “communities at the center,” and in continuing global solidarity with our many friends and colleagues caught in the horror of war today, we urgently call on Global Fund to immediately and ambitiously provide support and as much protection as possible to affiliated staff in Ukraine (including CCM members and Principle Recipients), implementers (including Sub-Recipients and all other implementing partners), as well as people receiving needed services and support through Global Fund’s country and regional programs.

To that end we collectively call for the immediate deployment of Global Fund emergency funds to serve the needs of communities and civil society organisations that are arising as a result of the crisis in Ukraine.

Everyone can do their part to advocate, speak up, contribute, commit, pray and stand in solidarity with the people of Ukraine – our friends, our colleagues and our families. There are immediate needs for food and medical supplies, treatments, diagnostics, and more.

This is where the power of our Global Fund partnership can most meaningfully influence, intervene and save lives.

Our delegations deplore and condemn the actions of Russia against the sovereignty and basic human rights of the Ukrainian people. It is up to the strong solidarity and ambition of our partnership to mitigate the damage and destruction to people and programs caused by the actions of Russia.

With appropriate and immediate action, we can help to preserve the impact that the Global Fund has achieved in Ukraine – and across the broader region – over the past 20 years.

We are able, we are uniquely positioned and we are obligated to do so by our commitment to saving lives, protecting human rights and upholding humanity.

Communities Delegation to the Board of the Global Fund
Developing Country NGO Delegation to the Board of the Global Fund
Developed Country MGO Delegation to the Board of the Global Fund
25 February 2022

Protection and continuity of health and HIV services in Ukraine

From the UNAID statement

Amidst the ongoing military offensive against Ukraine, The Joint United Nations Programme on HIV/AIDS (UNAIDS) is calling for the protection of health workers and uninterrupted continuation of HIV and health services for all people, including people living with and affected by HIV. Ukraine has the second largest AIDS epidemic in the region. It is estimated that there are 250 000 people living with HIV in Ukraine, 156 000 of whom are on antiretroviral therapy, medication that needs to be taken daily for people to remain alive and well.

People living with HIV in Ukraine only have a few weeks of antiretroviral therapy remaining with them, and without continuous access their lives are at risk,” said Winnie Byanyima, UNAIDS Executive Director. “The hundreds of thousands of people living with and affected by HIV in Ukraine must have unbroken access to life-saving HIV services, including HIV prevention, testing and treatment.”

To date, the Government of Ukraine, together with civil society and international organizations, has implemented one of the largest and most effective HIV responses in Eastern Europe and central Asia. However, with the ongoing military offensive, the efforts and gains made in responding to HIV are in serious risk of being reversed, putting even more lives in danger.

The right to health and access to HIV services must always be protected, and health workers, representatives of civil society and their clients must never be targets in a conflict. The ongoing military conflict has affected everyone in Ukraine but is likely to be particularly hard for people living with HIV and key populations, including people who use drugs, sex workers, gay men and other men who have sex with men and transgender people.

As highlighted by the United Nations Secretary-General, the United Nations is committed to support people in Ukraine, who have already suffered from “so much death, destruction and displacement” from the military offensive, in their time of need.

With the support of the Global Fund to Fight AIDS, Tuberculosis and Malaria, the United States President’s Emergency Plan for AIDS Relief and UNAIDS, the Government of Ukraine and civil society partners have delivered HIV prevention and treatment services for people living with HIV and key populations across Ukraine for many years and stand ready to give further support during the ongoing crisis.

UNAIDS staff remain on the ground in Ukraine, working to ensure that people living with HIV and key populations in Ukraine have continued access to life-saving services, with a particular focus on the most vulnerable civilians. UNAIDS will continue to support HIV prevention, testing, treatment, care and support for people across Ukraine affected by the crisis.