New case study on HIV prevention in Albania

Eurasian Harm Reduction Association (EHRA) just published the case study “The Challenges of Global Fund Transition in Albania: HIV Prevention Services for Key Populations on the Brink of Collapse” which looks at the challenges which could be faced by country in sustaining HIV prevention programmes among KAPs, implemented primarily by civil society organisations (CSO’s), as a result of the withdrawal of the Global Fund through the transition period.

The purpose of this report is to identify gaps and challenges faced by CSO’s in the transition from Global Fund assistance to government support of services for key populations (KP) under the 2017-2019 grant. Whilst the funding commitment by government institutions is to absorb all costs, the methodology to prepare for this transition, and also the strategy to transfer costs, is unclear.

We hope that the information and arguments presented in this case study as well as the recommendations could be used by the civil society and communities representatives to support their sustainability and transition related advocacy activities as well as to establish the communication with other potential donors to persuade them to establish a ‘safety net‘ through which bridging funds can be made available to address the sustainability related challenges faced by KPs services in country.

HIV Prevention Services for Key Populations on the Brink of Collapse

This case study is available at EHRA’s webpage following this link>>>

 

Regional conference on youth at risk

The regional conference on youth at risk, the closing event of the project “At-Risk Youth Social Empowerment“, was held in Podgorica, Montenegro on 10 – 11 December 2019. The project was supported by the European Union and implemented by consortium of six organizations from six Western Balkan countries: Juventas (project coordinator, Montenegro), ARSIS (Albania), Association Margina (Bosnia and Herzegovina), HOPS (Macedonia), NGO Labyrinth (Kosovo), Prevent (Serbia).

The conference aimed to examine results of the implementing reforms as well as remaining challenges in the field of social policies focusing on youth at risk. Within the scope of this project, youth at risk category includes young people using drugs, young people in conflict with the law, youth without parental care, young Roma, youth with street experience, youth living in families with history of using drugs or/and conflict with the law.

The conference gathered policy officials, researchers, service providers, civil society activists and members of the academia from the region of Western Balkan and Europe to discuss current social position of different youth at risk categories and main obstacles for better social integration. Guests and speakers included Nikola Janović, Minister of Sports and Youth, Government of Montenegro and representatives of the ministries of Health, Education, Justice and Labour and Social Welfare, Fiona McCluney, resident coordinator, UN system Montenegro, Michaela Bauer, UNICEF’s Deputy Representative for Montenegro and Ana Margarida Tome De Freitas Mariguesa, European Delegation to Montenegro, among others.

One of the main topics was related to the social services in terms of their quality, regional availability, process of monitoring and evaluation. Also, the conference was the opportunity to explore current state of the cooperation between public administration and civil society in the process of service provision. Different modes of cooperation were discussed including examples of good practice with the aim to identifying cooperation models that can have best possible results. The sustainability of the social services was one of the topics.

A very emotional moment of the conference was screening of the movie “Where is the home?” which was produced with the support from the project. The movie presents personal stories of two young man who grew up in a home for children and youth without parental care.

Representatives of the DPNSEE member organisations were active throughout the conference. Board members Nebojša Đurasović and Denis Dedajić were panellists, while Executive Director Milutin Milošević moderated one of the panels.

Make Drug Policy a Priority

Press Release

On 5 December 2019, the EU Civil Society Forum on Drugs (CSFD), an expert group of the European Commission, organized a seminar for Members of the European Parliament (MEPs) entitled ‘The Future of European Drug Policy’.

The event comes at a time when the EU is facing significant challenges in tackling the illicit drug market. Despite the EU’s efforts to counter the drug problem, drug trafficking and production remain among the most profitable criminal activities in the region, while the health and social harms associated with drug use continue to rise, with more than 8.000 drug-related deaths reported in 2019. Drug-related issues affect millions of people within the EU, bringing with them complex health, security, social and criminal justice issues.

The expiry of the current European Drugs Strategy (2013 – 20) and Action Plan (2017 – 20) represent a key opportunity to be seized by the EU. It is a chance to review successes and failures of European drug policy and to build on the learnings and challenges from the last decade, by continuing to prioritize a drug policy approach grounded in the principles of public health and human rights.

However, civil society expressed concerns that the EU is failing to recognize the importance and cross-cutting nature of drug policy and is now deprioritizing the issue.

During the seminar, the CSFD urged MEPs to undertake the following actions: prioritize health challenges associated with drug use, uphold human rights above all, discuss ongoing debates and policy shifts associated with cannabis regulation, ensure that funding is allocated for drug-related projects beyond 2020 and consider creating an informal group of MEPs interested in European drug policy to track key developments in European drug policy.

The most dangerous thing about MDMA is that it’s illegal

The Beckley Foundation published a policy proposal which examines the acute, sub-acute, and chronic harms related to MDMA use in detail. The report examines the production, distribution, purchase and consumption of the drug; related risks and harms; and the impact prohibition has on these, as well as the potential impact of alternative policies. Crucially, their evidence shows that most harms associated with MDMA use arise from its unregulated status as an illegal drug and that any risks inherent to MDMA could be more effectively mitigated within a legally regulated market.

Authors claim that there is growing evidence to support reorienting drug policy away from an ideologically driven criminal justice-led model to one rooted in pragmatic health and harm reduction principles. Current policy is not meeting its goal of reducing harms, and greater control of MDMA production, distribution, purchase and consumption is needed in order to prevent MDMA-related emergencies.

This policy proposal rests on the following five principles which should underpin all evidence-informed drug policy and practice:

  • Promoting public health and reducing harm
  • Safeguarding vulnerable populations, including children and young people
  • Supporting human rights
  • Promoting social justice
  • Supporting participatory democracy

Roadmaps to Regulation: MDMA has two overarching interlinked objectives:

  • To highlight that the harms associated with MDMA use are predominantly related to its prohibition;
  • To propose an alternative regulatory model that would reduce the harms associated with criminalising MDMA use and minimise the risks associated with its use more generally.

The report outlines, for the first time, detailed recommendations for drug policy reform in order to better control the production, distribution, purchase, and consumption of MDMA products. Reform, and the ensuing reduction in MDMA-related harms, will not happen overnight. The changes outlined, which culminate in a strictly-regulated, legal market for MDMA, would need to be phased in gradually and closely monitored throughout, in order to ensure that health and social outcomes are properly evaluated.

More about the report is available it the video below

To read full report, follow this link>>>

Global Fund 2020 Eligibility List

The Global Fund have just published their 2020 Eligibility List and the updated Projected Transitions List. Some of the changes are related to South East European countries.

Since Bulgaria and Romania are not on the OECD DAC list of ODA recipients, they may be eligible for an allocation for HIV for non-governmental or civil society organizations under Paragraph 9b of the Eligibility Policy only if they have demonstrated barriers to providing funding for interventions for key populations, as supported by the country’s epidemiology. As 2020 is an allocation year, the Secretariat has conducted an assessment and has determined that Bulgaria and Romania don’t meet the requirements under Paragraph 9b of the Eligibility Policy. Therefore, they have been determined not to be eligible for an HIV allocation for the 2020-2022 allocation period.

Kosovo* was classified as an Upper-Middle Income country in the 2019 Eligibility List based on the latest three-year average of GNI per capita data (Atlas method). As a result, the HIV and TB components may be eligible for an allocation of Transition Funding in the 2020-2022 allocation period.

North Macedonia‘s HIV component is now classified as eligible in the 2020 Eligibility List after meeting eligibility criteria for two consecutive eligibility determinations, noting that eligibility does not guarantee an allocation.

Montenegro and Serbia remain eligible for HIV and Romania for Tuberculosis.

 

The 2020 Eligibility List is now available on the Global Fund’s website>>>

The projected transitions list is available following this link>>>

 

Global State of Harm Reduction 2019

Harm Reduction International, a leading NGO dedicated to reducing the negative health, social and legal impacts of drug use and drug policy, just published their annual The Global State of Harm Reduction biennial report. First published in 2008, it involves a coordinated effort across practitioners, academics, advocates and activists to map global data and responses to drug-related harms. The data presented here has been gathered over the course of 2019 from publicly available sources and in cooperation with our partners around the world.

It is the only report to provide an independent analysis of the state of harm reduction in the world and has become the go-to source on global harm reduction developments for researchers and advocates in our sector and beyond.

The Report indicated that:

  • Since 2018, the total number of countries implementing needle and syringe programmes (NSP) has increased by just one, from 86 to 87.
  • The re-introduction of NSPs in Bulgaria and the first NSP opening in Sierra Leone have been countered by the closure of services in Uganda.
  • No new countries have begun implementing opioid substitution therapy (OST) programmes since 2018.

We extracted the data on the situation in countries of South East Europe:

To get full information from the report, follow this link>>>

Should you find any inaccuracies, please contact Harm Reduction International at office@hri.global

EU Drug Markets Report 2019

Drug trafficking is a highly profitable commercial activity and remains a core business for organised crime groups across Europe today. Understanding the reality of the European drug market requires a holistic approach, following the supply chain from production and trafficking to distribution and sales.

Taking such an approach, two EU agencies – the EMCDDA and Europol – have joined forces to provide their third state-of-the-art overview of the European illicit drug market in the form of the EU Drug Markets Report 2019.

The analysis presented in this report spans numerous topics such as the links between drugs and other crimes, the licit economy and society more generally as well as the processes and players involved in the trade, from production and trafficking to distribution. Taking an evidence-based approach, the report reviews the markets for heroin, cocaine, cannabis, amphetamine, methamphetamine, MDMA and new psychoactive substances. It also provides action points to inform policy development at EU and national level. This publication is an essential reference for law enforcement professionals, policymakers, the academic community and indeed for anyone seeking up-to-date information and analysis on drug markets in Europe.

The latest data show that overall drug availability within Europe remains ‘very high’ and that consumers have access to a wide variety of high-purity and high-potency products at steady, or falling, prices. An important cross-cutting theme in the report is the environmental impact of drug production, including deforestation and the dumping of chemical waste, which can result in ecological damage, safety risks and high clean-up costs.

The report highlights the increasing importance of Europe, both as a target and drug-producing region, and shows how the violence and corruption, long seen in traditional drug-producing countries, are now increasingly evident within the EU. Among the wide-ranging consequences of the drug market presented in the analysis are its negative impacts on society (e.g. gang violence, drug-related homicide) and the strain on public institutions and governance. The drug market’s links to wider criminal activity (e.g. human trafficking, terrorism) are also explored, along with its negative repercussions on the legal economy (e.g. how money laundering associated with the drug trade undermines legitimate businesses).

To read full report, follow this link>>>

A short presentation of the main highlights from the EU Drug Markets Report 2019, targeting policy and practice is available in a separate document available here>>>

 

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.

 

European Hepatitis C Community Summit

The 3rd European Hepatitis C Community Summit was held in Marseille, on 25 and 26 November 2019. The aim of the Summit was to bring together researcher, health and community workers, medical staff and HCV patients and advocates to discuss elimination of the disease and role of harm reduction and community services. The event was organised by Correlation – European Harm Reduction Network, in cooperation with the European Union funded Eurosider project.

The programme contained plenary and parallel sessions and focused on priorities for community involvement and advocacy targets for after the event.

A variety of examples of good practice was presented during parallel sessions on: Models of good practice, HCV in prison, Peer Involvement works – we just need to implement it, Capacity building, Access to services, ODBuster – Digitally Networking the Response to Opioid Overdose Emergencies, HCV prevention for (un) documented migrants and Building Capacity to support People who use drugs. Probably the most interesting one was on HCV in prison.

Several representatives of DPNSEE member organisations participated, including Aksion Plus, Margina, Proi, Prometheus, Juventas, HOPS, Positive Voice, ARAS and Alliance of Non Governmental Organisations for Drugs and Addictions in Slovenia. The DPNSEE Board member Marios Atzemis was member of the planning team of the Summit.

The French Embassy in Belgrade provided support for two representatives from Serbia. One was from the Institute for Public Health while the second was DPNSEE Executive Director Milutin Milošević.

At the Summit, a statement about the negative effects of criminalisation on health and well being of people who use drugs entitled The decriminalisation of drug use and ensuring national funding of key services will reduce death, disease and marginalisation of people who use drugs was launched – without any opportunity to discuss it.

Who is responsible for prosecuting cannabis in Slovenia?

There is still no official translation of the 1961 Convention, but the Ministry of Health is commissioning a study on other countries

In April, The National Assembly Health Committee called on the ministry to prepare the grounds for cannabis cultivation by the end of this year.

Where is the sticking point?

The Ministry of Health has announced a low-value study for analyzing the costs and benefits of regulating cannabis cultivation for medical purposes in Slovenia, while SD representative Bojana Muršič is asking Minister Minister Aleš Šabeder for the purpose, as all the explanations have been gathered in 2016. Members of Parliament have been misled for years.

The analysis should include an overview of cannabis cultivation regimes for medical purposes in the EU countries, identifying the varieties of cannabis that are most in demand on the market, as well as the presentation and dissemination of the results, which will take a year. It won’t be cheap; providers must prove they have completed at least two comparable health surveys worth at least € 25,000 in five years.

All these years, the officials of the ministry you lead ensure that the risks and costs outweigh the benefits that are minimal. In a public debate that has intensified in recent years, on a number of occasions from a number of different sources the ministry has been presented credible information, publicly and clearly, which they want to collect now through the public procurement and (re)use of public funds“, Muršič warns the minister and adds that in April, the National Assembly Health Committee called on the ministry to prepare the grounds for cannabis
cultivation by the end of this year.

cannabis
Photo: Voranc Vogel/Delo

The Convention does not classify hemp plants as illicit drugs; that is a Slovenian particularity that was added by an unofficial translation from ten years ago.

Confusion due to wrong translation

Even in the order, the ministry points out that the regulation on hemp use in our country is based on three UN conventions, first a single drug convention of 1961 and related protocols of 1972. “The basis for the classification of the cannabis plant as well as the resin in the illicit drug list is thus the Single Convention as well as the 1988 Convention on Illicit Traffic in Narcotic Drugs and Psychotropic Substances. The Single Convention allows the cultivation of cannabis for medical purposes under certain conditions”, the ministry writes.

But here’s the catch. The Convention does not classify hemp plants as llicit drugs; that is a Slovenian particularity that was added with an unofficial translation from ten years ago. Exactly three years ago, this translation of the convention was removed from the websites of all bodies, including the Ministry of Justice. Thus, Slovenia does not have an official translation of the convention, thus violating said convention. Even worse, this unofficial translation is still used by the courts and police in criminal proceedings.

cannabis
Photo: Roman Šipić/Delo

According to the Rules of Procedure, the Drugs Commission should operate in the Slovenian language, which is not easy when the Single convention is available in Serbian and French, since Slovenia succeeded it from Yugoslavia.

Who is responsible?

Responsibility for the professional preparation and coherence of the material, which appears everywhere from the government commission to the World Health Organization (WHO) regional organization, is in the Health promotion and control of chronic non-communicable diseases and conditions department of the Ministry of Health.

Author: Borut Tavčar, Delo