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

Regional training on budget advocacy and monitoring

Why is it necessary to advocate for adequate funding of drug use harm reduction programs?
Which changes do we expect to achieve by advocating for adequate funding?

The regional training on budget advocacy and monitoring, held from 21 to 23 December 2017 in the hotel Romantik in Veles, Macedonia, tried to provide answers to these and many other questions. The training was organized by HOPS – Healthy Options, Skopje, with the support of the Foundation Open Society – Macedonia and conducted by experts from The Association for Emancipation, Solidarity and Equality of Women – ESE from Skopje.

The participants of the training gained knowledge that will help in their efforts to obtain financial resources from the state authorities, and covered topics that point out the problems that the organizations are experiencing due to insufficient funds, as well as the activities that the organizations can take to solve them. In addition, the process of budget analysis as a basis for advocating for creation of an effective budget as well as the procedures that are important in the process of monitoring and analysis of budgets were analysed.

11 participants come from six harm reduction civil society organisations from the region who are faced with a lack of funding for their programs after the departure of the Global Fund: Prevent and DPNEE from Serbia, Margina and PROI from Bosnia and Herzegovina, and Juventas and Cazas from Montenegro (all members of DPNSEE), and two came from local organisation Becej Youth Association from Bečej, Serbia and Group for Public Policies from Belgrade.

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.

EECA Civil Society Meeting

Preparing for the regional meeting “Addressing HIV and TB Challenges: from Donor Support to Sustainable Health Systems”, civil society organisations from Eastern Europe and Central Asia met on 11 December in Tallinn. Aim of the meeting was to consolidate and build opportunities for cooperation in advocacy efforts of civil society representatives during and after the meeting.

The pre-meeting gathered 14 representatives from civil society and community organisations mainly from South East European countries and regional community networks. Unfortunately because of heavy snow in the departure airports and delayed flights a lot of participants could not join.

There were two main issues of the meeting which of great importance for civil society and communities: transitioning of services to domestic funding and integration of it into the health and social care system.

The structure of the outcome document was presented and discussed. Next week key points from the document could be used for the plenary meeting of the Civil Society Forum of HIV, Hepatitis and Tuberculosis.

Social inclusion of most at-risk youth in the Western Balkans Region

The EU funded project ARYSE (At-Risk Youth Social Empowerment), implemented in 6 Western Balkans countries aims to contribute to achievement of social inclusion of most At-Risk Youth at the regional level, by strengthening CSOs capacities, regional/national cooperation and advocacy actions. The specific objective of the action is to support equal access to education, employment, justice and other related fields to most At-Risk Youth in the Balkan countries, by fostering the level of active participation and inclusion of CSOs representing young people in decision making and reform processes.

The project partners are ARSIS (Albania), Association Margina (Bosnia and Herzegovina), HOPS (Macedonia), Juventas (Montenegro), NGO Labyrinth (Kosovo), Prevent (Serbia) and SHL Foundation from Germany that has a role of consultant.

Topics that the project addresses include

    • Youth from families with history of drug use and/or conflict with law
    • Street youth
    • Youth who use drugs
    • Youth in conflict with law
    • Youth without parental care
    • Young Roma

    The training mainly organised to provide material for future procedures and guidelines is being held in Skopje, Macedonia, from 15 to 18 October 2017. Experts – Nevena Nikolić, Vlatko Dekov, Dardan Berisha, Jarmila Bujak Stanko, Violeta Kola, dr Meliha Bijedić, dr Anita Burgund and Katarina Mitić – prepared draft standards for specific topics of the project.

     

    More about the project is available at the website HERE>>>

Good results of the „Support. Don’t Punish” campaign in Montenegro

NGO Juventas, together with NGOs 4 Life and Montenegrin High School Students Union, implemented “Support don’t punish” campaign for the third time in Montenegro. This year campaign was dedicated to the burning issues in the country:

  • Lack of sustainable support to Harm Reduction services,
  • Lack of treatment for underage people who use drugs,
  • Youth and drug use.

NGO Juventas and NGO 4 Life made a public statement on the 26 June, in which they requested urgent enabling on:

  1. Provision of free of charge residence in the Public institution for accommodation, rehabilitation and re-socialization of drug users for all persons in need of this treatment.
  2. Provision of payment of treatment costs to the Public Institution for accommodation, rehabilitation and re-socialization of Persons who use drugs who are members of families already been entitled to social protection benefits.
  3. Introduction of Non-Interferon Therapy for the Treatment of Hepatitis C Viral Infection and Issuance of Non-Interferon Therapy Generic Medication Purchase Permission.

 

At the other hand, NGO Juventas in partnership with Montenegrin Union of High school Students implemented online survey among young people in Montenegro from 16th to 26th June. 590 persons from most of municipalities of Montenegro, younger than 30 participated in survey, which gave an overview on the state of Youth and drugs in our country. 1/3 of respondents were underage.

After public presentation of survey results, Public Debate on the topic of “Legalisation of marihuana in Montenegro – Pros and Contras” was organised in Youth Centre of Podgorica and team of “Slobodan Škerovic” High school Pro and team of Political Science Faculty Contra.

At the end, a short video form was created in order to rise questions on the state of people who use drugs and available health and social care support in Montenegro, which was seen by 7800 people.

At the other hand, Juventas supported activities of NGO Link, first association of persons who use drugs in Montenegro during “Self-Support, don’t punish Us” campaign, during which a public statement on stigma and discrimination as one of main problems of people who use/inject drugs was made.

In order to improve the quality of life of drug addicts, but also to influence positive changes in our community, participating organisations proposed a series of measures:

  1. Establishment of the Clinic for the treatment of drug addiction and strengthening the role of the psychiatrists and the personal doctor in the treatment of this disease in all health centres in Montenegro.
  2. Increase the capacity of substitution programs in health canters, in particular in Podgorica, to reduce existing waiting lists for starting treatment in the capitol.
  3. Introduce free distribution of Naloxone
  4. Enabling conditions for adequate treatment of persons who use drugs within the Institution for Execution of Criminal Sanctions
  5. Opening the safe injection room

 

Juventas supported implementation of drug-addicted persons activity related to painting „Support. Don’t Punish” logo in the center of Podgorica.

The main result of this year „Support don’t punish” campaign in Montenegro is decision of Ministry of Health to support development of substitution treatment in Podgorica and ensure opening another centre of this kind in 2018. The latest. NGO Juventas succeeded to make this agreement, just at the end of July, after whole month of very demanding negotiations.

Support. Don’t Punish – SEE Country activities

Albania

In the frame of the 26th of June and the world campaign Support. Don’t Punish, Aksion Plus will organize awareness activities in two cities, Tirana and Durrës, distributing leaflets and sharing information especially to young people. In parallel, they launched an online blog inviting young people, their beneficiaries and partners such as Y-peer, YMCA, Youth Voice network to write “What would you do about drug user’s rights, if you were a Prime minister” related to the drug policy reforms, treatment, and other related actions.

Other activities also involve their clients at opioid substitution therapy centres (OST) where they organise 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. The most vulnerable groups among their clients (i.e. street users, sex workers who use drugs, LGBT members) are strongly encouraged and supported to fight for their rights and report to Aksion Plus or to People’s Advocate when they face violence or marked stigma. Their six OST centres will be very active to convey the message of this campaign. Aksion Plus will also try to extend the activities with decision makers and politicians though it will be difficult as the general elections will take place on 25 of June. They have presented their ideas on drug policy and interventions during the Democratic Party election campaign.

Contact: gencaxionp@albmail.com


Bosnia and Herzegovina

To mark the day of 26th of June Association Margina planned a series of activities:
1. Public debate “Addiction and drug addicts in the legislation in Bosnia and Herzegovina”
The public debate on this subject will be held on 26 June, in cooperation and partnership with the University of Tuzla. Professors and students of several universities (Law, Medicine, Education and Rehabilitation, Philosophy and Pharmaceutical) will participate. The goal is that academia provides guidelines on the suggestions of experts and NGOs that Bosnia and Herzegovina need Lex specialis “Law on Drugs” that would encompass all aspects of this phenomenon and its application in the society like the one in Bosnia and Herzegovina.

2. Marking the global campaign “Support. Don’t Punish”
The evening of 26 of June will be dedicated to outdoor activities and promotion campaign supported by local DJs and socially engaged bands. During activities, a documentary film “I want to wake up,” will be shown, which gives a complete picture of the life of five drug users in different stages of their life.

3. Press conference and promotion of strategic documents
This event will be the introductory full-day program aimed to the media and partners that want information about these important documents and the developments regarding the Global Campaign to reach to the largest possible number of citizens of Bosnia and Herzegovina. At this event Margina will promote the following documents:
• National Strategy of Bosnia and Herzegovina on Drugs 2017-2022
• The policy for reducing harm from drug use in the Federation of Bosnia Herzegovina
• EU Action Plan 2017-2020

Contact: berinabahic@gmail.com


Greece

A group of civil society organisations from Greece will participate in the campaign:
• “CENTRE FOR LIFE” – for the support of people living with HIV/AIDS
• “DIOGENIS”- Drug Policy Dialogue
• “PeNUPS”- Peers’ Network of Users of Psychoactive Substances
• “POSITIVE VOICE”- Association of People living with HIV/AIDS
• “PROMETHEUS” -Hellenic Liver Patient Association
• “PRAKSIS”

These organizations constitute the “Greek Platform for Psychoactive Substances”, an unofficial initiative for joint action among organizations working in the area of drug policy and psychoactive substances. This year all these organizations are supporting the campaign and are responsible for its implementation in Athens, Greece. You can find more at https://www.facebook.com/supportdontpunishGreece/

Activities in Greece will include:
1. Press conference by “PeNUPS” supported by all the aforementioned organizations on 27 June from 12:00 to 14:00 at  Romantso, 3-5 Anaksagora Street, Omonia, Athens with aim to promote the campaign, highlight the actual needs of people who use drugs by giving floor directly to people who are the most affected by problematic drug policies. The challenges in the national drug policy will also be presented and the need for drug law reform and peer involvement will be promoted as one of the basic principles of harm reduction. The discussion will be coordinated by the journalist Mrs. Sotirchou Ioanna.
Facebook event: https://www.facebook.com/events/203865003471040/

2. Street event (all the aforementioned organizations) with aim to make the campaign more visible to the general population and to offer some services to people who use drugs (e.g. food, mobile washing machine service, shower bus, rapid tests for HIV/HBV, HCV) Date: to be announced Location: SIN Athina, Athens at 19.00 pm, at Varvakeios square
Facebook event:https://www.facebook.com/events/321069778316468 

Contact: sofia.galinaki@diogenis.info


Macedonia

HOPS – Healthy Options Project Skopje opened the newspaper articles contest on the topic: „Why harm reduction programs are needed in the Republic of Macedonia“. You can find the call for articles here http://hops.org.mk/mk/content/povik-za-izbor-na-najdobra-novinarska-statija-na-tema-odrzhlivosta-i-potrebata-na-programite.

Subsequently, organization announced on-line petition for support on harm reduction programs in the Republic of Macedonia. You can find it at following link: https://www.change.org/p/ministry-of-health-and-the-government-of-the-republic-of-macedonia-a-petition-for-supporting-harm-reduction-programs-and-hiv-prevention-in-of-macedonia

On 25 and 26 June, HOPS will collect signatures for the petition in the main square in the city of Skopje while on 30 June they plan to submit the petition to the Government of the Republic of Macedonia and announce the winner article.

Contact: vlatkod@hops.org.mk


Montenegro

Our Member organization Juventas with other civil society organisations and community-based organisations, including youth organisations organises campaign in capitol Podgorica, but with national coverage on several activities. One of them is media launch of the questionnaire for young people living in Montenegro. NGO Juventas and the Montenegrin Union of high school students as a main aim of the survey will try to obtain information from young people about young people. They will be used to continue creating activities aimed at young people in Montenegro, in the area of drug use. The questionnaire is completely anonymous. Survey among Youth on drug use you is available here https://www.surveymonkey.com/r/Juventas

In 2017, the campaign is planned to cover 3 topics: 1) Harm Reduction, 2) Non-existing treatment for underage people who use drugs, 3) Young people and drug use.  Special attention will be given to topic of young people and drug use, which will be a part of youth debate that we will organize around Action Day.

Facebook event: https://www.facebook.com/events/799566700220674/ 

Contact: tijanap@gmail.com


Serbia

Belgrade

Within the “Support. Don’t Punish” Global Day of Action NGO Re Generation is planning to organize a movie screening night that will aim to address the main obstacles and main problems regarding current drug policies in Serbia and wider. The event will be organised in Kvaka 22, on the 26 June, and the details of the event you can find on the Facebook event https://www.facebook.com/events/312618992520893

The three movies that will be screened will represent different sides of public health and human right issues related to drug use, including three different aspects of use such as recreational, problematic and medical and obstacles that exist when accessing information, services and other relevant programs.
Movies to be screened are:

  1. “Clubbing and youth health” – Harm reduction programs in recreational setting
  2. “Medical cannabis legalisation in Serbia” – Medical cannabis is legal in places as diverse as Canada, Uruguay, Israel and Jamaica. How would legalisation of medical cannabis look in Serbia?
  3. “Without shift” – What happened to NSP programs in Serbia after the Global Fund discontinued funding in Serbia.

Participant of the debate are:
Galeb Nikačević – VICE Srbija
Bojan Arsenijević – Re Generation
Teodora Jovanović – KSEA,
Ognjen Martinović – Re Generation

Contact: ngo.re.generation@gmail.com

Novi Sad

The Association Prevent will organise street action on 26 June from 10AM to 13AM in front of „Slobodan Bajić“ student home. The public event will include wearing t-shirts with „Support. Don`t Punish“ message and photograšhing people in the street who will be holding boards with the same slogan. Free t-shirts will be given away to people who want to support the campaign.

Contact: djnebojsa84@yahoo.com


Romania

RHRN with their partners will have the street activity around 2-3 open-air tents that will be installed in the centre of Bucharest, close to the University, to distribute information, the comic book on drugs, some banners on legalization and the campaign, presentations of the NGOs activities and distribution of some drug testing kits (LSD, ecstasy).

Contact: drosca@rhrn.ro

Annual Drug Policy Conference

The Annual Regional Conference in South East Europe was organised in Thessaloniki from 8 to 10 June 2017. The conference aimed to bring together NGOs, policy makers and researchers active in the drugs field in the region of South East Europe, in order to discuss drug policy developments and trends, exchange experiences and best practices in the region, Europe and the United Nations.

The conference is part of the regional project “Strengthening NGO capacity and promoting public health and human rights oriented drug policy in South East Europe”, supported financially by the European Commission and the Open Society Foundations. The organiser was Diogenis, Drug Policy Dialogue.

National drug coordinators from Romania and Croatia

The Conference agenda included a large number of interesting issues:

  • The Sustainable Development Goals 2030 and drug policy. Priority issues, the role of UN agencies, expected commitments from the member states and role of NGOs. Presenter was Jo Dedeyne-Amann, Chief Secretariat to the Governing Bodies, Division for Treaty Affairs, UNODC. Nikos Stergiou, Communication and public relations Officer, Diogenis, presented experience of two local meetings.
  • Initiatives undertaken in the countries of our region related to implementation of the outcomes of the UNGASS and the role of NGOs. National drug coordinators presented work in their countries: drug co-ordinators: Sorin Oprea (Romania), Milan Pekić (Serbia), Željko Petković (Croatia) and Manina Terzidou, head of the Greek Monitoring Centre for Drugs (EKTEPN) (Greece)
  • Women and Drugs. Facts and Special Characteristics for Girls and Women who use drugs was the presentation from Meni Malliori, Professor of Psychiatry at the University of Athens, while Georgia Aslanidou, Psychologist, OKANA Thessaloniki presented about Addicted mothers and the journey of therapy
  • Drugs and internet: experiences, opportunities and concerns in the use of online counselling tools presented by Ilias Paraskevopoulos, Consultant for addictions at KETHEA ITHAKI
  • The Harm reduction project in South East Europe. Developments and next steps presented by Sofia Galinaki, Advocacy Officer, Diogenis and Peers’ involvement in harm reduction, with introduction from Christos Anastasiou, Peer Network of Users of Psychoactive Substances (PENUPS).
  • Irena Molnar and Bojan Arsenijević from the NGO Re Generation, Serbia provided valuable insight into Changing culture in drug use including new psychoactive substances
  • Developments in the discussion about cannabis policy in countries of SEE
Irena Molnar presenting about Changing culture in drug use including new psychoactive substances

Representatives from 14 DPNSEE member organisations, 3 Board members and all 5 Staff were at the Conference. We presented the Network, strategic priorities and plans for the future. Our two volunteers talked about their work on the Glossary and Resource Pool.

Marios Atzemis, DPNSEE Board member, making an intervention

The Conference was a very good opportunity to share and learn about interesting ideas and make plans for the future.

YODA Workshop for young activists in Europe

Last week (15 – 22 May) around 30 young people from 12 countries gathered in Belgrade for another round of workshops organised by Youth Organisations For Drug Action in Europe. This time the workshops, funded by European Youth Foundation and Open Society Initiatives, focused on “Promotion of social inclusion and protection of human rights among young drug users “.  Young people came from Serbia, UK, Belgium, Slovakia, Poland, Romania, Bosnia, Montenegro, Albania, Hungary, Bulgaria and Macedonia and representative of the Council of Europe. 5 of them were representatives of DPNSEE member organisations Juventas, Re-Generation, Aksion Plus, HOPS and Margina.

The aim of the workshop was to analyse different aspects of human rights violations regarding young people and drugs through mentioned topics, so that official document can be drafted, addressing policy change in order to overcome different problems and prevent human rights violation in the future. Within 7-day long workshop participants were showcasing examples of human rights violations of young people protected under the European Convention on Human Rights and also compared the criminal penalties for drug offences in their countries, compared cases of young people receiving drug treatment and discussed access to drug treatment for young people who use drugs.

Issue of drug during the summer tourist season

The Ministry of health of Montenegro hosted the Regional Workshop on Drug Supply and Demand
Reduction During the Summer Tourist Season, organised by the Technical Assistance Information Exchange Instrument of the European Commission. The Workshop was held in Podgorica on 7 and 8 July 2016.

The aim of the Workshop was to strengthen capacities of Police and Anti-Drugs Services in the Western Balkans and Turkey on drug supply and demand reduction during the summer tourist season, especially at large events such as music festivals. A report from the EMCDDA (European Monitoring Centre for Drugs and Drug Addiction) on travel and drug use in Europe notes that certain travel destinations across Europe have a reputation of having a wide availability of a range of drugs; these include party locations, electronic music festivals and the nightlife scene on certain Mediterranean islands. This is very interesting now, when the festival tourism is the fastest growing tourist branch, especially in the Southeast Europe.
Participating countries included Albania, Bosnia and Herzegovina, Montenegro, Serbia, Turkey and theFormer Yugoslav Republic of Macedonia. Guest speakers came from Belgium, Croatia, Italy and Slovenia. From the Montenegrin side, all for most active NGOs participated, including DPNSEE member organisations 4Life and Juventas and Cazas and Preporod. The Executive Director of DPNSEE participated for one day, sharing experiences and establishing contacts with a variety of participants.

The Workshop was an interesting platform for sharing of best practices and exchanging of knowledge with Experts from EU Member States on effective tools for reducing drug supply and demand. The thing which left a specific impression was the completely opposite positions: restrictive one of state agents (policy, anti-drug services, prosecutors) and pro-active one of the non-governmental organisations. Also, it is a pity that representatives from big festivals were not invited to share their experiences (“Sundance” being prepared at the time of the workshop).