Black days for harm reduction in Bulgaria

June 2020 saw alarming situation in Bulgaria: all harm reduction services with public funding stopped for the second time in three years. The oldest, biggest, and most experienced harm reduction organisation, Initiative for Health Foundation, DPNSEE member organisation, shut down too after a few years of struggling to ensure sustainability. As a consequence, no needle and syringe programs remained open in the country. The only working harm reduction facility for people who use drugs is in Sofia – the Pink House, the drop-in centre run by the Centre for Humane Policy, also DPNSEE member organisation, which covers its costs mainly by individual donations.

More about these black days for harm reduction in Bulgaria is available in the article prepared by Yuliya Georgieva and published by the Drug Reporter you can access following this link>>>.

 

DPNSEE have already warned about the alarming situation last autumn. We have launched an advocacy campaign with our colleagues from Correlation – European Harm Reduction Network and Eurasian Harm reduction Network about the situation with sustainability of harm reduction services in Albania, Bosnia and Herzegovina, Bulgaria and Romania. The three Networks expressed our deep concern about the situation and willingness to give contribution to finding solution and ensuring both quick response to the urgent needs and building a sustainable solution. We sent an appeal to the Global Fund to review their eligibility model of supporting middle income countries and a project proposal to the Radian call of the Elton John AIDS Fund. Unfortunately, our efforts were not successful. And the result is here.

Even more, it is expected that the only harm reduction service in Bosnia Herzegovina provided by the organisation Margina will also close as from September.

 

HIV prevention services for key populations started in Sofia after two years of interruption

Two years after the end of the HIV prevention programs for key populations funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria, the services started again with governmental funding. This long awaited moment will re-establish the contacts between the non-governmental organizations and the most vulnerable communities among which the epidemic was kept at low levels for many years thanks to the daily hard work.

The new activity is possible thanks to the implementation of a public procurement tender of the Ministry of Health announced at the end of 2018. In Sofia the tender winner is Consortium I.Z.I.  – a union of three non-governmental organization with extensive experience in working with key populations – Association “Health without Borders”, Initiative for Health Foundation and I Foundation.

It is envisaged that for a period of 12 months 800 people who inject drugs will receive safer injecting services (clean injecting equipment); 2100 MSM and 400 women and men sex workers will be reached with condoms and safer sex consultations. It is planned that 3.300 free and anonymous HIV tests will be provided in the three groups through outreach mobile services and in the Center for Sexual Health CheckPoint Sofia. The program includes also testing for syphilis and hepatitis C as well as specialized counselling and support for 100 people living with HIV. The contract amount is 166,310 BGN without VAT.

The renewal of the HIV prevention programs for key populations in Sofia is a very positive fact for several reasons. On one hand, without specialized services these populations stay outside of the health system and for some of them the outreach teams are the only connection with the health and social services helping them to receive counselling, referrals and support for many other health and social problems. In the last two years thanks to private funding it was possible to maintain the testing and indoor prevention services for men who have sex with men in CheckPoint Sofia, as well as support for people living with HIV. But due to the lacking outreach work for people who inject drugs and sex workers the spread of HIV in these groups is unknown at the moment. On the other hand, after the long years of solely international funding which made these programs possible, the starting of prevention services with governmental finances is an essential precedent bringing hope for the sustainability of the results achieved with the GFATM support.

The representatives of Consortium I.Z.I. evaluate positively the state support for HIV prevention in key populations, although they believe that the way to sustainability hasn’t been found yet. The period for which the services will be covered is short and the funding for Sofia is approximately ¼ of what was provided before by the GFATM. The deepest concern is related to the lack of a real sustainable mechanism for social contracting. The public procurement tender as a form of funding is a temporary decision which cannot ensure continuity of the services and turns the social work into a business service which brings substantial risks for its quality.

During the first day of operation, 35 people obtained a safe injection equipment from the service.

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Association “Health without Borders” was established in 2004. It is specialized in counseling and testing services for HIV, hepatitis and sexually transmitted infections in key populations. It maintains a low-threshold medical center CheckPoint Sofia – Center for Sexual Health.

Initiative for Health Foundation was established in 1997. It is specialized in the provision of services for reduction of the harms of injecting drug use.

I Foundation was established in 2004. It is specialized in the provision of counseling and support services for people living with HIV.

Bulgaria back to the map of the Support. Don’t Punish campaign

After a year without the campaign, the Initiative for Health Foundation added Sofia to the list of participating cities in 2018.

The Foundation engaged a professional reporter to explain the content of the campaign, its story around the world and in Bulgaria. The article was published in the web-site and FB of Initiative for Health Foundation (where the article reached primarily 531 persons), in the web-portal of the Bulgarian non-governmental organizations NGOBG and in 4 online media.

A photo-frame for profile pictures was developed and distributed in Facebook for people who would support the campaign.

In addition, 80 t-shirts were produced with the campaign logo and were distributed during 4 events of Initiative for Health Foundation in the period 31 May – 26 June 2018: one public discussion, one networking seminar and two trainings.

Long list of activities in the Support. Don’t Punish campaign in South East Europe

On the occasion of the 26 June, The United Nations’ International Day against Drug Abuse and Illicit Trafficking, the Global Day of Action of the Support. Don’t Punish Campaign is organised in more than 150 cities in the world. The Drug Policy Network South East Europe this year again coordinates activities of the campaign in South East Europe, where 10 of our member organizations are pushing actions in 9 countries and 11 cities.

To the launch the campaign, DPNSEE will organise “Kick-off event” in the EU Info Centre in Belgrade, Kralja Milana 7, on 21 June 2018 at 12:00. Representatives of the Network will present the current situation in the countries of South East Europe. To contribute to the campaign, DPNSEE will also present the baseline research on “Documenting Drug Related Cases of Discrimination”, an activity within the project “Strengthening the capacity of civil society organizations in South-East Europe and promote drug policy based on respect for human rights and public health”. Our guests will be Danilo Ćurčić from the A11 – Initiative for economic and social rights and Dr Hajrija Mujović, Vice -chair of the Association of Lawyers for Medical and Health Law of Serbia – SUPRAM.

Representatives of the Network will as well present the activities of the Network members in the countries of the region.

In Albania, on the 26th of June, Aksion Plus will organize awareness activities in two cities, Tirana and Durres. The activities will include sharing leaflets and information especially toyoung people. In their Opioid Substitution Therapy centres, they will organize small group discussions, outreach information, leaflets distribution, one to one conversations and counselling to raise their awareness on how to better protect their rights, as well as to provide referrals to other institutions in case they face violations from police, courts and law enforcement agencies. During campaign clients will be strongly encouraged and supported to fight for their rights and report to the organisation or to the People’s Advocate when they face violence or stigma, and messages of the campaign will be also communicated to the Government officials.

In Bosnia and Herzegovina, organization Margina will organize events in city of Tuzla. That will include promotional activities, starting the campaign on 11th of June by screening documentary film “I want to wake up” with aim to point out the problem of education of young people and reducing stigma and discrimination against drug users. Other activities planned are Public Debate and Press Conference “CANTONAL INSTITUTION FOR DISEASES” – Why do we not have it? as introductory event to the entire day of action on 26th of June, that will also be presented through street action in city of Tuzla. In this event, following documents will be presented: Bosnia and Herzegovina National Drug Strategy 2018 – 2023, Policy to reduce drug use damage in the Federation of Bosnia Herzegovina, Decisions of the Government and the Tuzla Canton Assembly on the establishment of the “Institute for Addiction of the Tuzla Canton”. The Association Margina is dedicating this day, as well as other days of the year, to people who have adopted this “lifestyle” with the aim of bringing the wider community closer to the addicted population and so additionally contribute to the reduction of stigma and discrimination.

Check out their facebook event and join the day of action:  https://www.facebook.com/events/407051669794756/

In Bulgaria, organization Initiative for Health Foundation will write and promote article, telling the story about the campaign worldwide and its implementation in Bulgaria in the last years. The article will be written by a professional journalist and popularized mostly in NGO platforms and other online channels. The organization will also develop a frame for a Facebook profile image and dissemination on social media consecutive counting of dissemination

To activate your facebook frame in the Bulgarian language go HERE

In Croatia, Organisation Terra will organise the Forum theatre performance on the problems of a former addict who is hindering discrimination due to his past. The play will be organised on the 26th of June, to mark the International day against drug abuse and illicit trafficking. The theatre will be played in the city of Rijeka, Croatia.

Check out their facebook event and join the day of action:  https://www.facebook.com/events/2087957514813170/

 

In Greece, in Athens, the action will be implemented by the NGOs Platform for Psychoactive Substances. This platform is an unofficial initiative for joint action among organizations working in the area of drug policy and psychoactive substances, currently consisting of the following organizations: Centre for Life, Diogenis, Peers Network of Users of Psychoactive Substances, Positive Voice, Praksis, Prometheus and Steps. This year the Greek NGO Platform for psychoactive substances will undertake the organization and implementation of the campaign in Greece.

They are organising an event on Tuesday, June 26, 2018, at 7 pm, at the Athens Municipal Cellular Market (42, Fokionos Negris str) as an open dialogue regarding: current public health and drug policies applied in addressing the issue of psychoactive substances, the way users are being treated by the state and society, the issue of combating crime that accompanies drug use by law enforcement, and finally the removal of unjustified social stereotypes at the expense of PWUD, the
importance for the provision of substantial support, as well as the need for equal, meaningful and substantial participation of users community in procedures totally concerning them.
The event will be followed by participation of Mrs. Katerina Konidari, psychologist, social researcher, and writer, who will talk about the representation of addiction treatment on art; Mr. Michalis Lolis, Police Lieutenant of the A’ (First) Police Department for Combating Racist Violence, who will communicate his experience on human rights’ issues and the protection of people with different identities and Mr. Yannis Kissas, representative of the Peer Network of Users  psychoactive Substances, who will specifically refer to the Network’s proposals for supportive policies rather than the punishment of drug users. The discussion will be co-chaired and coordinated by Mr. Christos Anastasiou, member of the Peer Network of Users Psychoactive Substances.

You can find the full press release in English HERE  or on Greek HERE

To get involved:

Like their facebook page: https://www.facebook.com/supportdontpunishGreece/

Join their facebook event: https://www.facebook.com/events/179003616107047/

Follow them on Instagram: https://www.instagram.com/support.dont.punish_greece_/

In Macedonia, organisation HOPS will to focus on recreational drug use, harm reduction and human rights. The central event will be organized in Skopje, as a public debate/panel on the health and legal aspects of recreational drug use and harm reduction. Activists, experts, decisions and opinion makers will take part in the debate, which will also be streamed online. In addition, IEC materials will be produced containing information on practices for reducing harms from recreational drug use, as well as personal rights. The 3 different leaflets will be promoted during the public debate and will be later distributed during the field activities at music events. All activities will be supported by a social media campaign aimed to inform a wider audience on harm reduction practices and raise public awareness about human rights.

Check out their facebook event and join the day of action: https://www.facebook.com/events/1632706273514505/

 

In Montenegro, organisations Juventas and Link will organize several activities such as Street movie projection nights, on the 26th of June and screen a documentary by Drugreporter that would be premiered during the campaign. The documentary is following the work of our two NGOs, talking about the implementation of the Harm Reduction Program in Montenegro, most of all covering the story of the work and struggles of the Drop in centres for people who use drug and sex workers and our outreach work. Documentary is also talking about the challenges that NGO Juventas and NGO Link face in daily work with clients and in the partnering institutions. In addition to this documentary, other documentary films of the NGO’s that are conducting Harm Reduction program in the region are planned to be screened, as well as some cult films that correspond to the topic.

During the campaign the project team will set up an information stand at one of the University of Montenegro’s Faculty in order to influence on young people, share with them message of the Support. Don’t Punish campaign, as well as information about the harm reduction program itself and the services provided by NGOs Juventas and Link. NGOs will distribute information to media and ensure national media coverage.

Check out their facebook event and join the day of action: https://www.facebook.com/events/251897252232425/

 

In Romania, this year Romanian Harm Reduction Network alongside with other two member organisations of DPNSEE,  ARAS and ALIAT will organize a series of activities to mark the Global Day of Action and participate in the campaign. They vary from online consultations with people who use drugs on changes to be made to the law 143/2000 on preventing and combating trafficking and illicit drugs use, using iterative-designed videos online to presents law 143/2000 and others laws on drugs in Europe. They will also organize a consultation meeting with representatives of NGOs providing services (prevention, harm reduction, treatment) for people who use drugs on the changes to be made to the law 143/2000 on preventing and combating trafficking and illicit drugs use, organize a “lawkathon” (working session) with lawyers from LGBT, human rights, Roma, education, feminist and/or housing NGOs to formulate the amendments to the law 143/2000 on preventing and combating trafficking and illicit drugs use, according to the proposals made by people who use drugs and NGOs providing services during the consultations, organize a round-table/meeting with representatives from various ministries on the proposal to amend the law 143/2000 on preventing and combating trafficking and illicit drugs use. Last but not least there will be organized flashmob/short event at the Parliament building to raise awareness on the proposal to amend the law 143/2000 on preventing and combating trafficking and illicit drugs use.

In addition to the activities listed above, they are planning on connecting a series of other events financed through private sources to raise awareness on stigma associated with substance use and addiction, under the same harm reduction / Support. Don’t Punish umbrella.

The facebook event to join the action is: https://www.facebook.com/events/179830952686479/

 

In Serbia, NGO Prevent will implement action Support. Don’t Punish for the fourth time in Novi Sad. Campaign will start on 20th June when the media were informed about the action. Prevent will spread information through social networks and during campaign reach over 30 thousand people in this way. Prevent also announced the competition for the best short video on the topic Support. Don’t. Punish which will be the official promo video of their Association for participation in a global campaign marking International Day Against Drug Abuse and Illicit Trafficking 26th of June.

To follow up their camapaign and street action find more information on their facebook page:  https://www.facebook.com/preventns/

 

NGO Re Generation, together with Drugstore Belgrade, announcing the Global Day of action within the campaign Support. Don’t Punish, are organizing an event that will start the cooperation of this club and this organization in order to create safer nightlife, which is the first of this kind in Serbia. After recent events in Europe that have been linked to drug policy and nightlife, NGO Re Generation and Drugstore decided to launch higher-level cooperation within the framework of the Global Day of Action, in order to influence the change of awareness and the change in drug policies in general. Joining the campaign, Re Generation and Drugstore want to express sincere concern and start the program, present the activities within the cooperation with which they start their own struggle for safer, better quality and better night environment that we are all part of!

Join their event and support the healthy nightlife settings:  https://www.facebook.com/events/278127766064145/

 

HIV and TB Prevention in Sofia and Bulgaria

“HIV and TB Prevention in Sofia and Bulgaria – Assessment of the Situation” is a report that was created under the project “Fast-track TB/HIV responses for key populations in EECA cities”. It is a regional project funded by the Global Fund, which unites the efforts of five EECA cities (Almaty, Beltsi, Odesa, Sofia and Tbilisi) to achieve sustainable city-level policies for prevention of HIV and TB. The project is coordinated by the Ukraine Alliance for Public Health. In Sofia, Bulgaria, the local coordinators are Initiative for Heath Foundation and Association “Health without Borders”.

The main objective of the report is to bring together all the available information regarding the prevention of HIV and TB in Sofia and Bulgaria and to provide it to the decision makers. The report should be used as a base for the development of a Sofia city strategy on HIV and TB, which has not been developed so far.

The evaluation was conducted in the period July – September 2017 through: analysis of data provided by the Ministry of Health and experts of the Sofia Municipality and the National Centre for Addictions; analysis of documents and previous reports; qualitative methods (interviews and focus groups with vulnerable communities and professionals); mapping of services. The results outline the gaps in service provision related to the withdrawal of the Global Fund and confirm the need of an adequate national and city responses. The book is an author’s interpretation of the data gathered through the common assessment methodology of the project.

Full report in Bulgarian and a summary in English can be found at:
http://www.initiativeforhealth.org/blog/2017/12/12/nov-doklad-s-otsenka-na-nuzhdite/

Another good news from Bulgaria is that on 21 December 2017 the City Council of Sofia adopted the new members of the Municipal Committee on prevention and control of HIV/AIDS. With this act the municipality practically re-established the Committee and gave it a new start, after few years of inaction. The Committee will consist of representatives of the City Council of Sofia, municipal administration, other relevant state and municipal institutions and NGOs.

The first meeting of the new Committee is planned for January when it is expected to give start to the development of a city HIV strategy.

The act of the re-establishment of the Committee was intensively supported through the partnerships within the project Fast-track TB/HIV responses for key populations in EECA cities, involving coordinating NGOs in Sofia and the representatives of the key populations networks.

We are growing – three new DPNSEE member organisations!

During the country visits to FYRO Macedonia (December 2016), Croatia (March 2017) and Bulgaria (2017), DPNSEE membership was promoted as the potential for exchange, partnerships and joint work. Following these promotions, application for membership came from:

  • Coalition ‘Sexual and Health Rights of Marginalized Communities’, Skopje, FYRO Macedonia
  • Terra, Rijeka, Croatia
  • Initiative for Health Foundation, Sofia, Bulgaria

In accordance with the Statutes, the DPNSEE Board supported the applications and called the Extraordinary Electronic General Assembly of the Network to vote about the applications.

The Assembly was held from 19 July at 14:00 to 20 July 2017 at 14:00. 12 out of 19 member organisations participated in the extraordinary General Assembly, all voting in favour of the proposals. The three organisations are now ordinary members of the Network which now has 22 member organisations in 11 countries.

The Coalition “Sexual and Health Rights of Marginalized Communities” promotes protection and respect of the fundamental human rights of marginalized communities, with focus on LGBTI persons, drug users, people living with HIV, sex workers and marginalized women. The Coalition focuses on advocacy, research and analysis, inclusion of the marginalized communities in the creation and implementation of the policies, education of all the relevant actors, promotion of the cultural practices of the marginalized communities, as well as networking and building alliances with the civil society.

Terra association is a non-profit, non-governmental organization established in 1998. on the initiative of a group of experts (medical doctors, pedagogue, psychologist, social workers) involved in work of several local institutions (Red cross, Clinic Hospital Centre in Rijeka) and foreign organizations (IFRC, UNHCR). At the end of 2000, the association initiated “Reduction of the health and social effect of drug abuse Program”) with the great emphasis on proactive education, field work and including different target groups, wider population and community on account of omnipresent problem of drug abuse. The program has been launched as an answer to the growing epidemic of addiction and a real threat of spreading HIV/AIDS among the addicts, that comes as a result of sharing used needles and cookers, and accordingly, by sexual intercourse, on wider population.

Initiative for Health Foundation is a non-governmental, non-profit organization, registered under the Bulgarian law. The mission of the foundation is to improve public health by supporting people in health and social risk to be better informed, more responsible and independent. Our goal is to prevent the spread of HIV through the development of evidence-based social and health services. We aim to be an autonomic, stable and recognizable organization with a highly competent team. We work for legislation change and for public and political support of our cause.

Focus on transition

Delegation of the project “Strengthening NGO capacity and promoting public Health and human rights oriented Drug Policy in South East Europe ” visits Bulgaria from 29 to 30 May. The visit is part of the efforts for the enlargement of the Network as an essential prerequisite for making it a strong and reliable partner.

The main aims of the visit are to: (a) present DPNSEE to the Bulgarian society, (b) build strong relationships, enhance contacts and improve drug policy dialogue with the relevant authorities, state institutions, policy makers and NGOs, (c) explore opportunities for partnerships and collaboration and (d) discuss possible applications of local civil society organizations for membership in DPNSEE. The experiences from Bulgaria, country that is in transition from communist to EU member state, are of interest, especially because it will hold the EU presidency in the first half of 2018.

The delegation consists of 3 people: Marios Atzemis, DPNSEE Board member, Milutin Milošević, Executive director and Sofia Galinaki, Advocacy Officer, Diogenis (DPNSEE member organisation).

The first day of the visit, the delegation had an interesting exchange with Dr Vyara Georgieva, the Chief Expert in the Ministry of Health for the programmes financed by the Global Fund to fight AIDS, Tuberculosis and Malaria and Petar Tsintsarski, Consultant for the program Prevention and Control of HIV/AIDS. The key learning points from this meeting are that the HIV/AIDS problem should be seen from various angles besides medical: cultural, social etc. and that financing services should be concentrated on the level of local communities.

During the meeting in the National Centre for Addiction with Momtchil Vassilev, Director of the National Focal Point on Drugs and Drug Addictions and Nikolay Butorin, Expert on Training Programmes, the delegation got a lot of data about drugs in the country. Improvement of Early Warning System for new psychoactive substances was an issue of joint interest.

Meeting in the National Centre for Addiction

For the second day of the visit, meetings were first scheduled with two civil society organisations: Initiative for Health Foundation and Centre for humane policy. Our colleagues gave us a realistic and open vies on the situation in the country, especially in the light of termination of the Global Fund support that will cause closing of services to drug users.

Dr Tsvetelina Raicheva, who recently directed the National Addiction Centre provided more statistics about the situation. At the Centre for the Study of Democracy the representatives of the network had a meeting with Mr. Dimitar Markov (Senior Analyst and Project Director, Law Program) and Mr. Atanas Rusev (Senior Analyst, Security Program). The Security program implements criminology research, actively contributes to the Bulgaria’s policy debate on organized crime and participates in projects on crime and security issues. The issues of inadequate funding and bureaucracy in the field of drugs were highlighted in this meeting as one of the biggest barriers at policy level. Moreover, the need for more action in the issue of immigration and its connection to drug use through several routes has to be identified and addressed.

With our friends from Initiative for Health Foundation and Centre for humane policy