This guide was developed in response to the growing need among service providers working with drug users in Central and Eastern Europe and Central Asia to introduce overdose prevention work into their services. It summarizes best regional practices as a useful tool for non-governmental organizations working with people who use drugs and wanting to expand their services to introduce overdose prevention. The guide provides a set of concise recommendations on overdose programming based on lessons learned from colleagues in the region as well as additional information on overdose prevention, and an overview of the first pilot results that can serve as guidance in the planning, implementation and monitoring of new projects.
In collaboration with the Eurasian Harm Reduction Network (EHRN), the Health Policy Project (HPP) has designed a policy decision model focused on people who inject drugs (PWID). The PWID Decision Model identifies the existence of restrictive, poorly written, or absent policies that may serve as obstacles for programs to provide both sustained and accessible HIV counseling and testing, antiretroviral therapy, hepatitis, TB, opioid substitution therapy, and sterile needle and syringe services for PWID. It is also inclusive of issues such as stigma and discrimination, gender based violence, and criminal justice systems. While designed for global adaptation and application, the decision model specifically addresses policy barriers common in Eastern Europe and Central Asia.
Over the last decade, the Global Fund has played a unique and indispensable role in responding to the HIV epidemic among people who use drugs in Eastern Europe and Central Asia (EECA). In 2011, a sharp reduction in donor support forced the Global Fund to halt new funding and impose cost-cutting measures. With few alternative funding sources available, efforts to halt new HIV infections in the EECA region will be severely weakened, leading to the reversal of the many gains made in the last decade with Global Fund support. This report, produced by EHRN in 2012, explains how the latest changes in the Global Fund funding policies affect the HIV response in countries throughout the region, including their impact on program sustainability, and community strengthening. It also provides a set of recommendations for the donors and national governments.
In times of economic crisis, governments face choices on how best to balance spending and where best to direct limited resources and generate prosperity. Managing the costs of interventions to ensure the highest quality and best outcomes for the lowest possible costs becomes a priority. The report shows that the dominant law enforcement approach results in misbalanced government spending. Countries of the region spend more than double amount of money on enforcement of laws on drug use and possession rather than harm reduction, while either drug use nor HIV epidemic are being contained pointing towards inadequate political priorities and inefficient spending of tax money.
Despite the existing problems in lack of government financing for harm reduction and the need to improve the rights of people who use drugs, including reform of punishment policies, Kyrgyzstan presents a good practice example when it comes to dialogue and partnership between NGOs and the Government. Report aims to evaluate the implementation of the Political Declaration in Kyrgyzstan; the results of the evaluation were presented during 54th session of UN Commission of Narcotic Drugs.
The aim of this report is to provide a summary of the approaches to the process of selection (i.e. election) of Country Coordinating Mechanism (CCM) members from the non-governmental sector. It also highlights related problems in Eastern Europe and Central Asia (EECA) while reviewing potentially effective ways of engagement for non-governmental constituencies (NGC) in the CCM activities. The report ends with a tangible set of recommendations for CCMs, non-governmental actors and staff of the Global Fund Secretariat.
As the Global Fund’s New Funding Model enters into effect, the Eurasian Harm Reduction Network, together with a number of other civil society organizations, has developed a joint position paper calling for moving away from pre-determined country funding allocation, and arguing for making funding available for most at risk populations (MARP) in middle-income countries, maintaining opportunities for submitting regional proposals, particularly if they focus on MARPs and ensuring meaningful engagement of vulnerable populations and non-government organizations at all stages of the proposal development process.
Technical support in Eastern Europe and Central Asia is delivered by a wide range of providers, including multilateral and bilateral donors. Yet, at a time, when the region is facing an escalating epidemic, the departure or decreasing contribution of key donors and the continuing challenges of the political social and legal environment, there is no clear mechanism for a strategic conversation about technical support in EECA between the different stakeholders. This briefing paper provides an overview of the region’s most pressing technical support needs with respect to harm reduction program development and implementation and argues for a coordinated, multi-agency response to providing technical assistance in the region, with greater involvement of civil society as an important resource.
In 2011, the Harm Reduction Knowledge Hub (the Knowledge Hub), seeking to sustain its role as a reliable technical support provider in the field of harm reduction in Eastern Europe and Central Asia (EECA), carried out an assessment of technical support (TS) needs and best practices in the region. The assessment included: a desk review of the reports and documented TS needs assessments for the period of 2008-2010, an online survey of TS needs and individual phone interviews with EHRN member organizations to identify existing good practices and TS needs. A summary of the findings is provided in this report.
This letter on behalf of AIDS-service organizations from Eastern Europe and Central Asia congratulates Mark R. Dybul as the newly appointed Executive Director of the Global Fund to Fight AIDS, Tuberculosis and Malaria and expresses hope that in operationalizing the Global Fund’s strategy, managing the Global Fund Secretariat and introducing the New Funding Model, he takes into account a set of recommendations from the NGOs in EECA on prioritizing community systems strengthening, services for most at risk populations and civil society engagement in the proposal development processes.