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Reports

This is a summary report for the project “Strengthening the response of non-state actors to growing needs of women who use drugs”. The project was implemented in January 2012 - June 2015 with support from the European Commission. It was implemented by harm reduction organizations in six countries: Azerbaijan, Belarus, Georgia, Moldova, Russia and Ukraine. The goal of the project was to build the capacity of non-state actors to engage in advocacy and provide services to women drug users that increase their access to HIV prevention, testing, treatment and prevention of mother-to-child transmission services. 

Campaign materials

"Women against violence" campaign leaflet to help campaing partners to document police violence cases.

Reports

Since 1 April 2014 the Eurasian Harm Reduction Network (EHRN) has been implementing the three-year Regional Program ‘Harm Reduction Works – Fund It!’, which receives financial support from the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund). The goal of the Regional Program is to strengthen advocacy by civil society, including people who use drugs (PWUD), for sufficient, strategic and sustainable investments in harm reduction as HIV prevention in the region of Eastern Europe and Central Asia. An Oversight Committee (OC) established by the EHRN Steering Committee in 2014 oversees implementation of the Regional Program, including the use of financial resources, and provides recommendations for problem-solving and improving implementation. In August - September 2015 the third set of oversight visits was held. This report highlights the main conclusions and results of these visits.

The report was prepared by David Otiashvili, M.D., Ph.D., for EHRN between June and August 2015. The author collected and reviewed a range of background materials and gathered input from key informants familiar with the Global Fund projects in reviewed countries. The desk review included analysis of country reports, program evaluation reports and data from international organizations. In-depth interviews with country respondents covered topics related to the progress of Global Fund funded programs, and the process of preparation for transition to domestic funding. Key informants included fund portfolio managers (FPMs), recipients of Global Fund grants, members of Country Coordinating Mechanisms (CCMs), representatives of civil society organizations and key affected groups in 11 countries reviewed in this report. EHRN is grateful to all who contributed to this document. The publication was prepared with generous financial support from the International Council of AIDS Service Organizations (ICASO). The views expressed in this publication do not necessarily reflect the donor’s official position.  

Advocacy materials

An open letter signed by a number of  organizations representing civil society including key affected populations from different Eastern Europe and Central Asia (EECA) countries and their partner organizations from other regions. The letter is addressed to the members of the Global Fund Board preparing for its 34th meeting on 16 -17 November 2015.

This report explores the transition-related situation in Belarus, describes challenges associated with ensuring sustainability of HIV programs in this country and provides recommendations that can be taken into consideration by stakeholders engaged with and/or affected by the transition.

EHRN’s previous Strategy expired at the end of 2014. Thus, EHRN members, Steering Committee and regional and international partners undertook rigorous analysis of EHRN’s performance in implementing our Strategy in 2010-2014 and developed a new Strategy for 2015-2019. The results of the strategic planning process clearly indicate that we, as harm reduction sector, must mobilize to prepare for and be able to adequately respond to considerable shifts in policy and funding landscape in the region.

With reductions in Global Fund support and lack of funding available from other donors, the EECA region now faces the challenge of raising domestic resources for these programs. The lack of transition and sustainability planning heightens the risk of countries losing the progress they have made over the last decade with Global Fund support. This case study examines the situation in Bulgaria and makes recommendations to the Global Fund, national governments, civil society, and other donors for easing the transition and safeguarding previous gains in HIV prevention in Bulgaria.

This document has been developed from the experiences and lessons learned during the development and implementation of Central Asian Regional HIV/AIDS Programme (CARHAP) harm reduction (HR) programmes for HIV and AIDS prevention in the Central Asian (CA) countries of Kyrgyzstan, Tajikistan and Uzbekistan between 2005 and 2012. The primary purpose of this booklet is to provide practical guidance and advice based on international best practice as reflected by local evidence and experience. To this end we have used individual and organisational examples of CARHAP‟s work to illustrate substantial points throughout. CARHAP has focused on provision of grants, capacity building, strategic planning, management skills and knowledge and technical skills for service provision which have been adapted to the individual circumstances and the situation in each country and to local contexts. Technical assistance has also been provided to promote networking among harm reduction service organisations (HRSOs) and to create coalitions for effective advocacy directed at governments and donors.

The Central Asia Regional HIV/AIDS Programme (CARHAP) was established in 2004 with the aim to contribute to averting a generalised HIV epidemic in the Kyrgyz Republic, Tajikistan and Uzbekistan. The actual implementation of the programme started in 2005, with a focus on reducing high-risk behaviours among most-at-risk populations (MARPs), especially people who inject drugs (PWID), sex workers (SWs) and men who have sex with men (MSM).   CARHAP has been investing in strengthening the capacity of harm-reduction service organisations (HRSOs), and the development of technical standards and guidelines for harm-reduction services. Monitoring and evaluation (M&E) has been a key priority for CARHAP since the onset of the programme. CARHAP and its partners have also developed and implemented tools for Client Behaviour Assessments (CBA), to assess and monitor behaviour changes among programme clients, and thus evaluate the results of the programme (outcome level). The Quality Management Toolkit (QMT) complements the  Management-Information System (MIS) and CBA tools by focusing on the quality of services, and the necessary organisational capacity of partner organisations to deliver these (high) quality services. 

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