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.

A challenge to connect and coordinate efforts in fighting HIV/AIDS

skoplje-1

The FYRO Macedonia Country Coordinating Mechanism hosted the South East Europe High Level HIV
Regional Meeting on 1 and 2 December 2016 in Skopje in partnership with local NGOs H.E.R.A. and
Stronger Together and supported by AIDS Healthcare Foundation.

The objective of the meeting was to establish a regional platform in South East Europe from countries that
are receiving and transiting from Global Fund to advocate for HIV sustainability beyond Global Fund
projects both at national and regional level. Countries in the South East Europe expected to be part of the
regional platform are: Macedonia, Albania, Bosnia and Herzegovina, Serbia, Montenegro, Kosovo, Bulgaria
and Romania. Representatives of all these countries participated except Albania.

Besides country representatives, participants at the meeting included Vice-Chair and two Board members
and Focal Points of the Global Fund, representatives of the Open Society Foundations from New York and
local, several international organisations operating in the country (UNFPS, USAID, WHO, UNICEF), HIV and tuberculosis unit in the national Ministry of Health and local NGOs.

This was the first regional meeting of the CCM representatives. It was initiated to coordinate actions in a
very difficult situation when South East Europe is the only region which haven’t EECA region didn’t meet the Millennium Development Goal 6 related to HIV/AIDS. Question hard to answer is: Is it possible to end the HIV epidemic in SEE countries with current domestic and international investments? That is why the
Government investments of in HIV response and funding CSOs programs for key populations are important but not enough.

The Global Fund has 272 million USD for multi-country actions and 50 million USD for fighting HIV in
countries in transition. The decision on funding the projects in the next three years will be announced on 15 December!

The Open Society Foundations created their Safety Net mechanism for safeguarding services for key
population in countries where Global Fund is not providing funds any more. From actions eligible for these
funds, advocacy and accreditation are especially interesting for DPNSEE.

The meeting once again emphasized involvement of community and civil society organization in the HIV
regional dialogue. Unfortunately, there were no high level governmental representatives although it was
the idea of the organisers.

Working part of the meeting was dedicated to formulating the SEE Regional Coordinating Mechanism
Governance Manuel: Mission, common goals, objectives and outcomes, members, regional meetings,
activities as part of the 2017 working plan. It is important to underline that the RCM does not seek to
duplicate or over-ride the national authority of any CCMs or similar national bodies. Rather, through good
coordination among different regional stakeholders, it can and will amplify the work of national CCMs.

The participants agreed to delegate to Macedonian CCM responsibility to confirm all the members of RCM,
and complete the full draft of the Governance Manual by 31 January 2017. Permanent RCM Secretariat
office will be established by the RCM on the basis of an open, transparent and competitive process.

Besides the Executive Director, DPNSEE had several member organisations in the national delegations:
Viktorija from Bosnia Herzegovina, HOPS from FYRO Macedonia, Cazas and Juventas from Montenegro and ARAS from Romania. We had a good exchange and cooperated well when discussing the proposals.