EHRN supports capacity building to plan the funding transition of harm reduction services in the EECA region. Case study December 2015- February 2016

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To gain the support and engagement of CCM members in planning the transition in each country, EHRN has conducted a series of seminars for CCM representatives, particularly of those from KAPs and CSOs, to improve their understanding of issues around HR sustainability and transition processes in Belarus, Georgia, Moldova, Kazakhstan and Tajikistan. The seminars were funded by the Global Fund supported Regional Program -- Harm Reduction Works – Fund It! (2014-2017) (Regional program), implemented by EHRN.

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As countries’ economies in EECA region are growing, they are facing with the new challenge – the donors, including the Global Fund, are reducing the funding for key sectors, such as health. Consequently, such countries have had to plan their transition from donor to state funding and, in many instances, this is threatening the sustainable delivery of TB and HIV prevention, treatment and care programs.

As a key part of the transition process in EECA countries, the CCMs (Country Coordination Mechanism) have been assigned to play a vital role in keeping public and private sectors engaged with TB and HIV responses. However, continuous efforts are needed to raise the awareness of civil society (CSOs) and community representatives, being the members of CCMs, of the importance of program sustainability, and to engage them in transition related processes at all stages. Failure to ensure consistent funding of programs targeting key populations (KAPs) – people who use drugs (PWUD), sex workers, men who have sex with men, and transgender people and others - can result in the collapse of services and a resulting surge in HIV and TB incidence and prevalence among such groups. Moreover, there is a need to raise awareness of issues concerning sustainable funding of harm reduction services (HR) to undermine the risk of those services, vanishing in the transition process.