Meetings with the Open Society Foundations representatives

On the margins of the dialogue between civil society and donors, representatives of the Open Society Foundations visited DPNSEE office on 18 January 2018: Daniel Wolfe, director of International Harm Reduction Development, Julia Greenberg, director of Governance and Financing, and Ekaterina Lukicheva, program officer for the International Harm Reduction Development Program (all three from the OSF Public Health Programme) along with Raminta Štuikyte, consultant. Vice-President Nebojša Đurasović, Secretary of the Board Denis Dedajić and Executive Director Milutin Milošević welcomed the distinguished guests.

DPNSEE hosts presented work and potentials of the Network and answered many questions. Guests were especially interested by the fact that DPNSEE gathers member organisations from all SEE countries and that it has a wide approach to the issue, including various elements of drug policy. They underlined that their full withdrawal from the region of Eastern Europe and Central Asia is not good so they decided to assign funds to it. In 2017, they already supported two CSO projects in Montenegro with and they still have funds for support to Bosnia Herzegovina, Romania and Serbia which were not distributed, while for 2018 they have planned additional support to the region. Agreement was reached, in principle, that DPNSEE will implement a project on budget advocacy and implementation in Serbia, on local and national level. DPNSEE also proposed such an initiative on the regional level. Discussions about potential cooperation extended throughout the next two days of meetings.

Before the meetings in Belgrade, OSF and GF representatives visited Montenegro to discuss implementation of the two project they finance since 2017 and preparations for the national project application to the Global Fund. Our member organisations Cazas and Juventas were involved in the meetings.

Representatives of Margina and Viktorija had working meetings with both OSF and GF representatives. Result of the meetings is that the same support as the one for Montenegro is proposed for Bosnia Herzegovina, for a similar project adjusted to the structure of the country. Two projects are foreseen: one on accreditation of the harm reduction services in the Republic of Srpska and other on social contracting in the Federation of BH. The trigger for this decision was presentation which Denis had as panellist.

The OSF visit ended with visit to the Drop-in for drug users and Shelter for sex workers in Novi Sad managed by Prevent. The visit was very effective, with excellent presentation of Prevent’s work and very emotional discussion with three sex workers in the Shelter. At the end the guests (including representatives of SWAN and Mama Cash foundation) haven’t made any concrete promise for support but they expressed their willingness to help finding donors. The visit should be used as a model for welcoming donors and convincing them to finance services.

At the Drop-in for drug users

A dialogue between civil society and donors

The Open Society Foundations convened civil society activists from HIV, harm reduction, sex worker and LGBT communities from South Eastern Europe and health and human rights donors to discuss opportunities for strategic collaboration to sustain HIV prevention services for key populations and facilitate transition to domestic financing of these programs. The half-day meeting was held on 18 January 2018 in Belgrade, Serbia.

The aims of the meeting were:

  • Share examples of civil society advocacy towards domestic financing of HIV services, including efforts to push national governments to commit to provision and financing of services for key populations;
  • Discuss current challenges sustaining programming for key populations in the region with a specific focus on the threats to the human rights movements, programs, and advocates that were directly and indirectly supported by the Global Fund when it was still active in the region;
  • Present examples of how targeted donor support for civil society engagement in transition and sustainability process can bolster government ownership of the HIV response;
  • Discuss strategies and opportunities to address the service gap and enable civil society to navigate the transition process, as well as roles that donors, regional networks and technical agencies can play.

DPNSEE member organisations representatives were panellists: Denis from Margina and Dragos from RHRN presenting situation in Bosnia Herzegovina and Romania, Ivana from Juventas presenting the promising case study of Montenegro and Milutin, together with two other networks (ERA – LGBTI Equal Rights Association for Western Balkans and Turkey and SWAN – Sex Workers’ Rights Advocacy Network) on possibilities for work together to strengthen national and regional advocacy.

Many organisations were at the list of potential invitees. Finally, around 35 CSO participated. Besides DPNSEE, 9 member organisations were present: Aksion Plus, Margina, Viktorija, Labyrinth, Cazas, Juventas, ARAS, RHRN and Prevent.

The meeting was mainly about presenting situation and needs, with not many questions and comments from the floor. Most of the results were achieved in informal exchanges with other participants. Besides OSF and Global Fund representatives, donors included Embassy of France in Serbia, Mama Cash and Reconstruction Women’s Fund (Serbia). Representatives of other Networks included Eurasian Harm Reduction Network and Eurasian coalition on male Health.

Just after the main meeting of the dialogue, an Informal dialogue on LGBTI and HIV in South-Eastern Europe was organised by the ERA – LGBTI Equal Rights Association for Western Balkans and Turkey. Most of the DPNSEE member organisations participated in the meeting that addressed the current work done, gaps and challenges in collaborating towards protecting LGBTI rights and addressing HIV and needs and opportunities for a regional approach and support of this work.

Representatives of the DPNSEE member organisations at the Dialogue

SEE civil society organisations consultations

Preparing for the regional dialogue with donors, civil society organisations from South East Europe met in Belgrade, Serbia on 17 January 2018. The aim of the meeting is to discuss current developments regarding the work of the South East Europe Regional Coordinating Mechanism (RCM) and preparation process of the multi-country application, possible cooperation with EECA regional networks as well as opportunities for advocacy funding initiatives sustaining HIV prevention services in South East Europe. Around 30 representatives of the civil society organisations (CSOs) from all SEE countries participated.

Ana Filipovska, the RCM Coordinator and Milutin Milošević, DPNSEE Executive Director, presented recent work of the RCM and the call for multi-country application to the Global Fund to fight HIV, tuberculosis and malaria. The presentations and discussions following then helped to clarify some misunderstandings. Two regional initiatives for the project to the Global Fund were presented – Alliance and EHRA, ECOM, SWAN.

Milutin Milošević, DPNSEE Executive Director, delivering presentation

CSOs were invited to actively contribute to the work of Country Coordinating Mechanisms in expressing the country needs and designing a regional project.

The meeting was organised by HERA and Zaedno Posilni, supported by the Open Society Foundations.

Senior Level Policy Dialogue

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.

Without Shift: Harm Reduction After Global Fund in Serbia

For three years, Serbia was not eligible for funding from the Global Fund, which resulted in the closure of harm reduction programs around the country. The movie, prepared by NGO Re Generation, gives a glimpse of the desperate situation faced by injecting drug users in Serbia, and also explores the consequences of the closure of needle exchange programs in Belgrade, whilst trying to assess the current situation in the country!

Serbia is at the crossroads of a number of heroin trafficking routes. It has a significant population of injecting drug users – 20,000 according to the official estimates. Thanks to grants from the Global Fund to Fight AIDS, Tuberculosis and Malaria, several harm reduction services were introduced during the first decade of this century. Approximately two thousand people enrolled in opiate substitution programs, and four needle exchange programs provided sterile equipment to injecting drug users. The prevalence of HIV among drug users was low, though access to harm reduction services was far from adequate – the best indicator of risk being the high prevalence of Hepatitis C infections.

The last grant from the Global Fund ended in June 2014. The Government made no commitment to continue funding the programs, and there are no other international donors available to step in and cover the harm reduction funding gap. This resulted in closing of all needle and syringe projects except one, which is operated by Association Prevent in Novi Sad. Three years later, the Government has changed but the programs are still out of focus when it comes to national funding!

 

What it means for Serbia at this point, and what it will mean for the future of the needle and syringe programs in the country is yet unknown. To find out more, watch the movie “Without Shift” produced by NGO Re Generation with support of Drug Reporter, exploring the opinions of different stakeholders on the topic.

A potential for regional project

Representatives of Bosnia Herzegovina, Bulgaria, FYRO Macedonia, Kosovo*, Montenegro, Romania and
Serbia, which constitute the South East Europe Regional Coordinating Mechanism (RCM), are meeting in
Skopje on 25 and 26 May 2017. The aim of the meeting is to determine key activities and stakeholders that
will implement a multi-country grant and opportunities for the RCM to develop its work through the end of
2017.

The RCM would like to develop a joint understanding of scope and limitations of Global Fund multi-country
grants, as they apply to South East Europe and to achieve consensus on a working project design for a
potential multi-country grant from the Global Fund. Also, complementary steps for the RCM for the coming
year should be determined.

DPNSEE member organisations are present in many national country coordinating mechanisms. As the
network, we expect involvement in regional projects and see them as a good potential to maximise results.