A project for refugee key populations from Ukraine

The Drug Policy Network South East Europe and its member organisations from Serbia (Prevent, Timočki omladinski centar, Duga, Re Generacija) and Montenegro (Juventas, Cazas) implement the “Emergency support for the provision of HIV and Harm Reduction services among key populations in Ukraine and refugees in selected neighbouring countries” project with the support from the UNODC Regional Programme Office for Eastern Europe.

Primary objectives of the project are:

  • Ensuring the continuity of the HIV prevention, treatment and care (including OAT and ARV) services for people who use drugs/living with HIV
  • Community-based care and support for people who use drugs, people living with HIV, people in prisons
  • Provision of essential requirements, including food and medicines and shelters, in coordination with the penitentiary service/local CSOs

Our organisations will implement the following activities:

  • Provide access to information about health services and drugs and ensure clear, reliable and trustworthy health information reaches refugees
  • Support in accessing health care in host country
  • Rapid provision/purchasing of basic products for existing key populations/refugee shelters/centers
  • Provision of HIV harm reduction services for key populations (including refugees)
  • HIV and harm reduction services for people who use drugs, including new psychoactive substances
  • Mobilising civil society, service providers, policymakers and other national stakeholders from the Western Balkan region to ensure wide and all-involving drug strategy development process
  • Increased awareness and understanding regarding comprehensive gender-sensitive HIV services for women who use drugs (WUD) among health care managers, service providers and decision-makers

This project will be conducted in UNODC partnership with the local CSOs and aims to strengthen the capacity of CSOs to address HIV prevention, treatment, care and support among people who use drugs (including those who use NPS/stimulants) internally displaced populations, refugees and prison populations.

Project findings will inform the development and implementation of evidence-based, gender-responsive and sustainable HIV and harm reduction services for people who used drugs/people in and released from prisons, and IDPs/refugees in Ukraine, Moldova, Serbia and Montenegro.

COVID-19 and Sex Workers/Sex Worker-led Organisations

As a criminalised population, sex workers have been disproportionately impacted by the COVID-19 pandemic, often living in precarious economic situations and excluded from social protection systems. The policy brief COVID-19 and Sex Workers/Sex Worker-led Organisations, produced by the Global Network of Sex Work Projects (NSWP), includes feedback directly from sex worker-led organisations and sex workers on their experiences of the COVID-19 pandemic, including its impact upon access to services, supplies of HIV treatment, and prevention commodities. It also highlights how the already extremely limited funding available for both advocacy and programming for sex workers continues to shrink.

This brief documents how sex worker-led organisations supported sex workers where states failed to provide adequate assistance in their social protection mechanisms and emergency responses. Finally, this paper examines the threats to sex workers and sex worker-led organisations as the world emerges from the pandemic, looks at how we can mitigate the harms and prepare sex worker-led organisations for future crises, and asks what lessons can be learned that might strengthen advocacy for sex workers’ rights going forward.

You can download this Policy Brief followint this link>>>. It is also available in Russian, Chinese, French and Spanish.

 

STAR-STAR and HERA are winners of the ViiV Healthcare’s Positive Action Challenge

At this year’s 10th IAS Conference on HIV Science (IAS 2019), held in the capital of Mexico from 21 to 24 July, ViiV Healthcare, in collaboration with the International Association for Aids (IAS) on July 23, announced the award winners of the ViiV Healthcare’s Positive Action Challenge: Stigma-Free Services for Sex Workers. This Challenge seeks brand-new ideas or current existing projects that enable sex worker communities and healthcare providers to work together to provide comprehensive stigma and discrimination-free HIV prevention services.

STAR-STAR – The First Collective of Sex Workers in the Balkans and HERA – Association for Health Education and Research are among the three winners of the $ 75,000 Prize, besides Kenya’s HOYMAS Associations and the PACE Society from Canada. Sex worker associations from Serbia, Vietnam and Mexico are winners of the SEED Prize of $ 25,000.

STAR-STAR aims to use this money prize to strengthen programs aimed at the community of male sex workers and transgender sex workers in Northern Macedonia. STAR-STAR, in cooperation with HERA, plans to expand existing services related to HIV and sexual reproductive health for sex workers and advocates introducing new, currently inaccessible preventive methods such as the PrEP (pre-exposure prophylaxis, i.e. protection against exposure to HIV) in male and transgender sex workers.

DPNSEE congratulates our colleagues from North Macedonia and Serbia.

Legal needs and access to justice for people who inject drugs and sex workers in Macedonia

Our member organisation HOPS published the Research report: Legal needs and access to justice for people who inject drugs and sex workers in Macedonia.

This research represents the first effort to assess the legal needs and paths to justice for people who inject drugs and sex workers in Macedonia. It was conducted at the end of 2016 and the beginning of 2017 using a mixed-methods research approach. The quantitative phase included 250 respondents chosen through stratified random sampling, out of which 169 inject/injected drugs, and 107 are/were engaged in sex work over the last three and a half years. The qualitative research phase, on the other hand, was comprised of focus group discussions with 69 respondents from both communities, as well as individual or group interviews with 7 representatives from competent institutions.

The research results showed that people who inject drugs and sex workers in Macedonia experience ten times more non-trivial justiciable problems in comparison to the general population in the country. In addition, low level of legal literacy, lack of trust in institutions and systemic discrimination, among other factors, prevent citizens from these communities to seek protection of their rights and delivery of justice through institutional mechanisms. Such circumstances confirm the communities’ high vulnerability and underline the need for advancement of their access to information, legal advice and protection.

The findings pinpoint the necessity to educate people who inject drugs and sex workers on existing institutional mechanisms for protection of rights and delivery of justice, and motivate them to take actions towards legal resolution. Since citizens from these groups trust civil society organizations the most, CSOs are the first instance where they seek free legal advice and aid. Hence, services offered to these communities by civil society organizations need to be developed further, while also advancing the cooperation between the organizations and the competent institutions, including introduction of functional referral mechanisms.

Recommendations of the report also include that overcoming prejudices against people who inject drugs and sex workers in institutions responsible for ensuring the legal order, such as the police, Legal Needs and Access to Justice for People Who Inject Drugs and Sex Workers in Macedonia prosecutors, courts and prisons is crucial. This could be achieved with temporary measures, such as trainings, field and study visits, but also through more sustainable systemic changes in the process of professional training of employees in the aforementioned institutions. Similar measures could be useful for health and social workers

To read full report follow this link>>>>. Version of the report in Macedonian is available following this link >>>>.

Programmatic Mapping to Estimate Size, Distribution, and Dynamics of Key Populations in Kosovo

The burden of an HIV epidemic in Kosovo* lies among the key populations (KPs) of female sex workers (FSWs), men who have sex with men (MSM), and people who inject drugs (PWIDs). The aim of this study was to estimate the size and distribution of these populations to create evidence for developing action plans for HIV prevention.

Results of this Study: Study in Kosovo

Of the estimated 6814 men who have sex with men (range: 6445 to 7117), nearly 4940 operate through the internet owing to the large stigma and discrimination against same-sex relationships. Geo-based men who have sex with men (who operate through physical spots) congregate at a few spots with large spot sizes (13.3 men who have sex with men /spot). Three-fourths of the men who have sex with men are distributed in 5 major municipalities. Fridays and Saturdays are the peak days of operation; however, the number only increases by 5%. A significant number are involved in sex work, that is, provide sex to other men for money. People who inject drugs are largely geo-based; 4973 (range: 3932 to 6015) people who inject drugs of the total number of 5819 (range: 4777 to 6860) visit geographical spots, with an average spot size of 7.1. In smaller municipalities, they mostly inject in residential locations. The numbers stay stable during the entire week, and there are no peak days. Of the 5037 (range: 4213 to 5860) female sex workers, 20% use cell phones, whereas 10% use websites to connect with clients. The number increases by 25% on weekends, especially in larger municipalities where sex work is mostly concentrated. Other than a few street-based spots, most spots are establishments run by pimps, which is reflective of the highly institutionalized, structured, and organized female sex workers network.

This study provides valuable information about the population size estimates as well as dynamics of each KP, which is the key to developing effective HIV prevention strategies. The information should be utilized to develop microplans and effectively provide HIV prevention services to various KPs.

To read more about this study follow this link >>>>