Letter to GF on the emergency with sustainability of harm reduction in Albania, Bosnia and Herzegovina, Bulgaria and Romania

In advance of the upcoming 42nd meeting of the Board of the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) as well as the Global Fund Regional Meeting for Eastern Europe and Central Asia to take place in Istanbul on 26-27 November, 2019, forty two (42) civil society and community organisations and networks working in the Eastern Europe and Central Asia (EECA) region for the benefit of key affected populations, including people who use drugs expressed their profound concern as to the current lack of sustainable harm reduction services in the South East European countries of Albania, Bosnia and Herzegovina, Bulgaria and Romania, respectively. Taking into consideration the successful results of the recent Sixth Replenishment Conference, we would like to invite the Global Fund to safeguard a part of the catalytic investment funds available for the 2020-2022, including multi-country grants, matching funds and strategic initiatives, in order to sustain life-saving services for people who inject drugs and other vulnerable groups and to incentivise domestic investment in harm reduction in each of these post-transition countries.

Letter was initiated by  Eurasian Harm Reduction Association (EHRA), Correlation – European Harm Reduction Network and Drug Policy Network South-East Europe.

The letter was supported by 42 organisations.

Sustainability Bridge Funding: Case Study from Bosnia and Herzegovina, Montenegro and Serbia

In the last decade, an increasing number of donors are withdrawing their support for healthcare. This has been especially true for middle-income countries, where the growth of domestic resources was one of the triggers for donor funding reduction. The Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) has termed this process as “transition”.

Sustainability Bridge Funding (SBF) is an idea that has been discussed among donors and civil society organizations as a way of mitigating the negative effects of transition and in providing support for key essential services for communities and key populations. As a safety net mechanism, it should respond to gaps in funding and mitigate adverse effects of donor funding withdrawal.

Open Society Foundations (OSF) first piloted the idea of SBF in Southeastern Europe — a region where the withdrawal of Global Fund has led to the collapse of services in countries including Romania, Bosnia and Herzegovina and Serbia — by supporting civil society to navigate the transition process and engage in effective budget advocacy.

Building on this work, in 2018 OSF, through the Eurasian Harm Reduction Association (EHRA), initiated the project, Budget Advocacy and Monitoring in countries of South East Europe . It provided funding to ³ three transitioning countries in the Balkan region – Bosnia and Herzegovina (BiH), Montenegro, and Serbia — through the sub-regional network organization, Drug Policy Network South East Europe (DPNSEE), to support budget advocacy for harm reduction services

“Sustainability Bridge Funding: Case Study from Bosnia and Herzegovina, Montenegro and Serbia” looks at the implementation of this project as one of the demonstrations of the SBF mechanism, with the objectives to:

·       Document the SBF pilot in 3 Balkan countries and to analyze the strengths and weaknesses of this approach and to develop suggestions for improvement; and,

·       Document the results, successes, and challenges of the budget advocacy projects supported through the SBF approach.

Please find the full version of the Case Study.

Tender for a peer educator (consultant) in Lithuania, in “Peer2Peer” project

The Eurasian Harm Reduction Association (EHRA) as part of the two years project “Peer2Peer: Reinforcing Peer’s Involvement in Outreach Work”, is looking for a Consultant named “Peer to peer educator”  to participate in the implementation of tasks of the project on the national level.

“Peer2Peer” aims to reinforce the capacity of outreach CSOs to reduce drug demand, by recovering and upscaling the European heritage on cooperation between peers and professionals, outreach workers, small-scale drug dealers and law enforcement. This project comprises internationally recognized research, social intervention and advocacy institutions from Europe, gathered to increase the project’s impact.

More information about “Peer2Peer” project you can find at  //harmreductioneurasia.org/projects/peer2peer/

Terms of references for Peer educator (Consultant):

  1. To participate in the need’s assessment focus-group, to discuss the empirical applicability of data produced in the activities of the project;
  2. To participate in the European Advisory Group for best practices meetings;
  3. To implement pilot-interventions in Lithuania;
  4. Support in the organization of the training in Lithuania for the preparation of pilot-intervention;
  5. To work in the field, contributing to the improvement of services provided to people who use psychoactive substances (PUPS), so they become more accessible and tailored to PUPS needs – in order to reduce drug demand and the risks associated with psychoactive substances use;
  6. To participate in the monitoring and evaluation of implementation;
  7. Support in the organization of two face-to-face discussion forums in Lithuania (including policy-makers, decision-makers, law enforcement officials, healthcare professionals and academia experts);
  8. Support in the organization of national policy dialogue seminar in Lithuania. This seminar will provide the opportunity to present project results to relevant national stakeholders, to define national policies on cooperating practices regarding outreach work with PUPS (taking into account the evidence-based knowledge produced in WP2 and WP3), to discuss future national actions and to promote effective means of exchange between all stakeholders.
  9. To participate in the policy dialogue meeting, which will be held in the European Parliament (Brussels) at the end of the project.

Proposed timeline:

From 1st December, 2019 to 31st October, 2020

Requirements to Consultant:

The submitted applications will be evaluated by the selection committee of the Eurasian Harm Reduction Association. The following criteria will be used to evaluate the bids (the maximum possible number of points is 100):

  • Relevant experience (in peer education/consultation) (40 points)
  • Knowledge and experience in the field of harm reduction and drug policy (40 points);
  • Knowledge of the Lithuanian and English languages (20 points);

Payment:

Payment for the work of the Consultant will be decided based on the results of the tendering process. The proposed work under this ToR will continue starting from 1st of December 2019 till 31 of October 2020 and will take up to 130 working day approximately.

Payment will be done on monthly basis based on provided detail timesheet and invoice.

EHRA will cover meals compensation, travel, accommodation expenses required to ensure the Consultant participation in a project related event abroad.

How to apply?

Applicants must submit their CV and Letter of Interest  in free form to eliza@harmreductioneurasia.org, the subject of the letter is “Peer educator”, the deadline for submission is before 24:00 EET on November 10, 2019. CVs and Letter of Interest  should clearly reflect the competencies of the candidate required to complete this task and should include filled daily rate form in EUR (EHRA’s template).

General terms

Interested Consultants should pay attention to the following conditions:

  • EHRA will sign a long-term contract with the Consultant for the period from 1st of December 2019 till 31 of October 2020. The contract will define a detailed work plan and payment terms.
  • EHRA reserves the right (but does not commit itself to obligations) to enter into negotiations with one or more applicants in order to obtain clarifications or additional information.
  • EHRA reserves the right to negotiate number of working days related to the each stage of work with the Consultant. Final number of working days can change during implementation by mutual agreement between EHRA and Consultant.
  • The Consultant undertakes to calculate and pay all and any taxes applicable under Lithuanian laws and regulations from the fee, if such tax payment obligation arises to him/her.

If you have any questions or need clarification regarding this ToR, please contact Eliza Kurcevič at eliza@harmreductioneurasia.org no later than November 8th, 2019.

Support. Don’t punish

What does SUPPORT mean to you? 

EHRA called everyone to be a part of international campaign Support. Don’t punish

Право каждого, Orenburg: 
#supportdontpunish #Правокаждого #АленаАсаева 
Campaign in Orenburg. Administration. Court. Parliament. Sun, positivity, unity, hope!

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Support is … caring about different drug releated cases 
Support is … Community 
Support is … be honest
Support is …. going ahead together 
Support is ….Trust in justice
Support is …..when people understand you
Support is …. the LEGALIZE of cannabis! 
Support is FREEDOM

Association Harm Reduction Network and Ranar, Kyrgyzstan

The #EKHN Board joins the Support. Don’t punish movement. We focus on supporting harm reduction policies. For us, support is a team of promoting initiatives to respect the right to health and access to treatment for all who need it. #Supportdontpunish #Supportis. EKHN, Kazakhstan

EKHN
Твой шанс

International support and development of OST in Belarus  – Твой шанс“, Belarus

Support is the improvement of psychoactive policies, which gives priority to public health and human rights, as well as to promoting drug policy reform and changing laws and policies that impede access to harm reduction activities. Kazakhstan. The photo exhibition “Orange Morning” as part of the #Supportdontpunish World Campaign

Support is to recognize the right of people to use the substances that they choose themselves and they will not be persecuted for this choice and subjected to repression. The slogan of the action in Kazakhstan is access to narcotic substances is a question of medicine. Kazakhstan. The photo exhibition “Orange Morning” as part of the World Campaign. #Supportdontpunish

Support is when each team member is unique and we have unity in the protection and care of each other. EHRA team

Porto aftertaste: populism, new allies and issue of quality

Author: Ganna Dovbakh, EHRA Executive Director

The International Harm Reduction Conference (HR19) is like a family gathering for us – it’s a regular occasion that we are looks forward to. We are getting ready for it, gathering news to share and dressing up because everyone will be there. New members who only just joined (we need to get to know each other, find common topics of conversation), as well as those we’ve known for a long time, those who only need a supportive hug like “Hang in there, brother, we’ll get through this! Proud of you, sister!”. This event can only nominally be used for advocacy because the politicians, scientists and officials who attend are mostly “our people”. They are instrumental in developing the strongest arguments for the importance of investing in harm reduction and reforming drug policy. Majority are there to share practical approaches, how they developed it, piloted and what recommend for other countries. The three days of the conference encompass everything from birth and love to death.

HR19 was very timely, taking place only a month before EHRA’s strategic planning started. It generated several important ideas not just to mull over or bemoan, but to decide what to do about them in our long-suffering post-Soviet region. I want to share my thoughts here to explore them and to encourage you to reflect on them.

  1. Populism is sweeping the planet

It’s no secret that it’s populist politicians who win elections all over the world. It’s simple – pick a few slogans that would appeal to more than 90% of the population and faithfully promise to fulfil them all (it doesn’t matter if they’re out of your competences, unachievable or would be plain harmful to the country). The majority of population usually support very simple ideas:

– I must hold onto my resources (not share it with poorer territories or groups);

– My country is for me (not for migrants, outsiders and misfits);

– I want higher income and lower spending, and

– I want to feel proud and important.

Populists have no ideology. They include these simple ideas in their campaigns, come up with catchy brands and slogans (like “Brexit”, for example – it’s punchy and simple, and no one even remembers “Remain”), and come to power. After that they must deliver on at least some of their promises. The economic aspirations often prove unrealistic but social policy is one area where it’s possible to exhibit strength and integrity. Marginal groups are minorities, sometimes less than 1%  and politicians could scarify them as  not an important group of voters. That’s when legislative initiatives to limit immigration, repressive drug policy or step up the fight against the so-called “promotion of homosexualism” appear. That’s when populism becomes extremely dangerous for people, for social policy like drug policy and harm reduction services. The masses like slogans about finally putting an end to the problem of drug use, about the need to rehabilitate or jail all the “problem” people. Our region has no tradition of democracy or tolerance towards different ways of life and as a result populism may lead to harassment and persecution.

In such circumstances, as Magdalena Dabkowska perfectly put it, public organizations either “fight, hide or unite”.

We already work well together with LGBT people, sex workers and people living with HIV. We share their vision of threats and goals (as, for example, in the public campaign for decriminalization – //chasevirus.org/). But this is clearly not enough. We need to get in touch with other “ghettos”, with those whose principles and goals are in tune with ours, with those for whom populism is just as dangerous. Feminist movement, migrants rights protection movement, human rights activists, groups fighting for transparent budgets, democratic elections, inclusive schools and cities. Most likely, their knowledge of drug policy and harm reduction is as superficial as that of the general population, and most likely they don’t want to be associated with those issues. But we should all unite in the face of the common threat.

Here’s the famous quote of the pastor Martin Niemöller:

“First they came for the socialists, and I did not speak out—because I was not a socialist.

Then they came for the trade unionists, and I did not speak out— because I was not a trade unionist.

Then they came for the Jews, and I did not speak out—because I was not a Jew.

Then they came for me—and there was no one left to speak for me”.

It’s clear that if we don’t speak out about the Istanbul Convention, if we don’t support the LGBT rights movement, then very soon the response to HIV and provision of services to people who use drugs will stop being a health and safety issue but become an issue for political opposition.

  1. «There’re only a few of us left, us and our pain…»

At the political summit organized by UNITE before the conference, Miriam Aroni Krimsky, director of Fair and Just Prosecution from the United States, said: “I feel less depressed in comparison of US with other countries. Misery does love company.”

The key question now is – who can be our ally when we demand a drug policy reform or funding for harm reduction? There is a field that we’re already familiar with. At the conference, we talked a lot about ways to convince HIV/AIDS or TB specialists that a change in drug policies is vital for effective implementation of health care programs for people who use drugs. Feminists can be our allies. Not all of them understand the problems faced by women who use drugs, but the 120 organizations that signed the Barcelona Declaration on #Narcofeminism are a great force.

The conference saw several inspiring sessions which highlighted the need to build relationships at the national level with child protection services and social services, with shelters for women who suffered violence. Because for now the unfortunate narrative is like “Using drugs? Do not dare give birth and raise children!”. This is the cruel message sent by governments of our region to every woman who uses drugs through social security and health care system. Violations of the reproductive rights of women who use drugs in Estonia, Russia and the eastern oblasts of Ukraine were summarized for the HR19 participants by Dasha Matyushina, EHRA’s associate and expert and adviser to UNAIDS. (//www.facebook.com/EHRAssociation/videos/287907672152813/)

We’ve also gained new allies in the form of prosecutors. The law activist from the United States mentioned above spoke about her experience in persuading young prosecutors to introduce alternatives to imprisonment: “Our experience shows – prosecutors and law enforcement could bring public health understanding into court instead of idea of imprisonment. We need to bring prosecutors at the table with community, those who have lived drug use experience”.  With prosecutors come lawyers. I’m not at all sure that all the lawyers in our region who handle drug-related cases are aware that the law allows referrals to substitution treatment and other forms of social assistance.

What message are we sending to our allies? It’s absolutely clear that it’s not about help or pity, it’s about making governments stop preying on peoples’ lives and ruining them. Members of Parliament from different countries talked during the conference and came to a common understanding: «Decriminalization of drug use and possession is needed, but it is not enough. In many countries decriminalization is on the paper, but people are living in harsh policy on the street. In reality, decriminalization could lead to serious penalizing of people with fines so high that it ruins families and peoples’ lives».

3. «Zina, where’s the money?»

The situation with funding for harm reduction around the world is critical. About 2/3 of the total funding comes from the Global Fund to Fight HIV, Tuberculosis and Malaria. While funding for programs in middle income countries (according to the World Bank classification) is gradually being reduced and withdrawn, the only hope rests on the countries themselves, on national and municipal funding. There were quite a few pessimistic presentations given at the conference because there had been reluctance on the part of decision-makers to allocate funds for harm reduction.

We’re often told that the government has no money for harm reduction. That’s not true – it does. At the conference, EHRA shared the findings of a study on the cost of criminalization. The findings suggest that if the state provided people who use drugs with harm reduction services such as substitution therapy, counselling provided by peer community members,  and help with employment and reintegration instead of imprisonment, it would save a significant amount of public funds. The data was gathered in 26 countries of the region. It can help harm reduction activists in their advocacy effort because it supports the argument that keeping a person in prison costs more than providing them with harm reduction services. In some countries the cost of imprisonment is 2, or 4 and even 11 times higher than the cost of health and social services.

Even if the state starts paying for harm reduction services, as is already happening in Kazakhstan, Ukraine, Georgia, Moldova, it’s unlikely to fund advocacy efforts. Only genuine democracies can afford to pay for something that may be critical of them. In our case, advocacy groups and community organizations have to fight for their survival. Some pharmaceutical companies understand the role community plays in changing the market for their products and therefore are ready to support advocacy. This is quite common in European countries even though it’s associated with a difficult moral choice. Each organization need to choose how to be independent in their advocacy agenda if pharma as donor will demand or kindly ask to correct something in it. We have yet to make that choice.

There are still a few private foundations that support harm reduction and advocacy in our CEECA region. Among them is the Elton John AIDS Foundation that has now begun to allocate substantial resources for the HIV response among affected groups. We hope that this and other private foundations won’t stop at financial support but will also speak loudly and proudly about the harm reduction programmes.

  1. We need to fix harm reduction[1]

The issue of quality has now become the cornerstone of harm reduction services in the countries where harm reduction is supported by the state or the Global Fund. Ambitious goals are set for coverage with the cost per client below minimum. Comprehencive consultations with a social worker, support with necessary legal documents, counselling and legal support have long been considered a luxury. The situation when sticking to a indicators and meeting the targets are more important to an organisation than supervising consultants and searching for the best ways to help people who use drugs has become the norm. Everyone understands that people with addiction need a safe space where they can have a cup of tea, have something to eat, wash, rest, use a drug without risking an overdose. However, this level of service has almost become a thing of the past and is perceived now as the “golden age” of harm reduction.

What technical help do we need to fix harm reduction? How do we agree on the criteria for the proper, real harm reduction, especially for the most affected groups, the 10% who need not just a syringe but social help and therefore are difficult to reach?

As new drugs appear, the principles of harm reduction based on non-judgemental help remain unchanged. What has to adjust is the information – we need to educate about the risks the new drugs usage, we need to be able to check what’s in the drug and provide other ways to use safely. For me personally one thing has become clear following our discussions – flexibility and adaptability to people’s needs are the main criteria on which we can judge the quality of harm reduction services. It’s very important to set our professional criteria for harm reduction now. We, as a regional professional association for harm reduction, will be able to use them to improve the quality of our own work.

Renardo Batista Leir, a Portuguese MP, put it very well at the opening of the conference: “Harm reduction and true love are similar – they must be unconditional in order for them to work.” And it sounds like a good slogan to support each other on our difficult path.

[1] Thanks to Dasha Matyushina for the phrasing.

WEB developer is needed for a long-term contract

EHRA is looking for a specialist to provide long-term maintenance and support for harmreductioneurasia.org  website.

Application deadline is July 25, 2019.

Please see the detailed Terms of Reference to familiarize yourself with the tasks, requirements and conditions. Applications can be submitted by contacting Irena Zubkova at irena@harmreductioneurasia.org

Download application form

Call for proposals to receive small grants for community-led monitoring of service quality and satisfaction

RCF New logo
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The Eurasian Regional Consortium invites you to fill in forms to take part in the call for proposals to receive small grants for community-led monitoring of service quality and satisfaction.

The call for proposals and the workshop to develop the skills and knowledge in monitoring of service quality and satisfaction are organized with financial support of the Robert Carr civil society Networks Fund (RCNF) within the project  “Thinking outside the box: overcoming challenges in community advocacy for sustainable and high-quality HIV services”.

The Eurasian Regional Consortium joins the efforts of the Eurasian Coalition on Male Health (ECOM), the Eurasian Women’s AIDS Network (EWNA) and the Eurasian Harm Reduction Association (EHRA) to effectively address the lack of financial sustainability in prevention, treatment, care and support programs for the key populations vulnerable in terms of their rights violation and the risk of HIV.

Activities of the Eurasian Regional Consortium within the Project: Learning cycles of the Project implemented by the Eurasian Regional Consortium are composed of five interlinked thematic areas: Organizational sustainability; Building broader coalitions for budget advocacy; Community-led advocacy for comprehensive quality standards for HIV services based on national needs and international recommendations; Budget monitoring and accountability and Community-led monitoring of quality of services.

1. Within the Project component “Community-led monitoring of quality of services”, the Eurasian Regional Consortium 1) organizes a workshop, and among the workshop participants 2) initiates a call for proposals for small grants to conduct research studies.

The workshop for community-led organizations is organized to provide the tools and develop the skills to conduct community-led monitoring of service quality and satisfaction. During the workshop, research developers and practitioners will share their expertise and train the participants how to use the following monitoring tools:

  • “Secret client”, adapted for assessing government services by the Eurasian Coalition on Male Health
  • “Access to sexual and reproductive health services”, developed by the Eurasian Women’s AIDS Network
  • “Community-led monitoring of the satisfaction with OST programs”, developed at the request of the Eurasian Harm Reduction Association.

Quotas. The expected total number of workshop participants is 18 people, with equal quotas for each community:

  • 6 people representing the community of people who use drugs/OST participants
  • 6 people representing the community of gay/bisexual men/trans people
  • 6 people representing the community of women living with HIV and vulnerable to HIV

Working languages of the workshop: Russian and English, dates July 3-4, 2019

2. The call for proposals for small grants will be initiated among the workshop participants.

The goal of the call for proposals: ensure practical use of the acquired skills for the community-led monitoring of service quality and satisfaction. Six grants will be awarded. The total budget of the call for proposals is USD 35,000, with the maximum amount of one grant being USD 5,800. 

Quotas.  The following quotas are set forth for each of the communities:

– 2 grants for the community of people who use drugs/OST participants;

– 2 grants for the community of women living with HIV and vulnerable to HIV;

– 2 grants for the community of gay/bisexual men/trans people.

Criteria to select grant recipients:

  1. The group/organization is delegated by, accountable to and led by one of three above-mentioned communities.
  2. The group/organization has an experience of organizing/participating in research studies.
  3. The group/organization has an experience of advocacy through the government decision-making mechanisms.
  4. The group/organization operates in one of 16 countries: Albania, Armenia, Azerbaijan, Belarus, Bosnia and Herzegovina, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Montenegro, Northern Macedonia, Russia, Tajikistan, Turkmenistan, Ukraine or Uzbekistan.
  5. The applicant presents a clear and specific plan/budget describing the use of grant funds as per the goals of the call for proposals.

! All other things being equal, preference will be given to the groups/organizations, which are active members of EHRA, ECOM and EWNA.

Each proposal will be considered by secretariats of the organizations, which are members of the Eurasian Regional Consortium, and the decision on composition of the workshop participants will be taken considering the agreed quotas.

If you meet the above-mentioned criteria, please fill in the form to confirm your intention to conduct community-led monitoring of service quality and satisfaction

Deadline. The proposals will be accepted by 23:59 on May 29, 2019 (Vilnius time).

Till June 5, 2019, the members of the Eurasian Regional Consortium team will contact you: ECOM – Paata Sabelashvili paata@ecom.ngo, EWNA – Svetlana Moroz svetamorozgen@gmail.com and EHRA – Olya Belyaeva olga@harmreductioneurasia.org.

Extended: Terms of reference for the external consultant Facilitator of EHRA 2020-2024 Strategy development

Context information

Eurasian Harm Reduction Association (EHRA) – is a non-for-profit public membership-based organization, registered in March 2017 in Vilnius, Lithuania, by the initiative of harm reduction activists and organizations from Central and Eastern Europe and Central Asia (CEECA) continues traditions of regional harm reduction activists’ network since 1997.

We strive for a creation of a favorable environment for the delivery of sustainable harm reduction programs and decent lives of people who use drugs in the CEECA region. EHRA is keen to achieve 4 strategic objectives in 2018-2019 in accordance to the Strategical framework 2018-2019:

  • Ensuring sustainability and efficiency of harm reduction services in the CEECA region;
  • Advocating for non-punitive drug policies in the CEECA region based on public health and human rights;
  • Developing leadership and expertise of civil society and people who use drugs in the monitoring of drug policies, financing, access and quality of harm reduction services in the CEECA region;
  • Strengthening organizational governance and operational systems, program efficiency and financial sustainability of EHRA.

EHRA now unites 251 organizational and individual members for advocacy actions on regional and national level from 29 countries in 7 sub-regions of the CEECA: Baltics, Central Europe, South-Eastern Europe, Eastern Europe, Central Asia and Russia. EHRA has a transparent, open and participatory-based governance structure which is regulated by EHRA Articles of Association. Organization is led by the elected Steering Committee and overseen by the Treasurer and the international Advisory Board. EHRA is acting as a strategic partner and fiduciary agent of the Eurasian Network of People Who Use Drugs (ENPUD).

Consultancy task and expected results

EHRA is searching for a consultant to help with the development and drafting of new Strategy for 2020-2024.

Specific objectives of the consultancy are the following:

  1. To prepare and facilitate face-to-face Steering Committee meeting on Strategy development which needs to help the participants to:
    1. Revisit mission and vision of EHRA if needed;
    2. Review the results of EHRA Strategical framework 2018-2019;
    3. Conduct SWOT/TOWS analysis to evaluate EHRA (any other analysis methodology can be proposed);
    4. Define key strategic objectives and objectives indicators for the new strategy 2020-2024.

Meeting expected results:

  • Understanding of strengths/weaknesses/threats/opportunities of EHRA by all SC members;
  • Understanding of key achieved results, role of EHRA and expectations from members, regional experts/partners/stakeholders collected during preparation to the meeting by EHRA Steering Committee and Secretariat team;
  • Outline the strategic objectives for Strategy 2020-2024 and their indicators.
  1. To develop the first draft strategy outline and infographic (with the vision of key SMART indicators, risks and options/approaches for Association effective work).
  2. To review the draft Strategy outline in line with the comments and suggestions received in the consultation process with EHRA Advisory Board, members and key partners.
  3. To finalize the Strategy outline.

 

Stages of work and proposed timeline

Objectives Detailed description Timeline
1.      Prepare and facilitate  face-to-face Steering Committee  meeting on Strategy development Key objectives of the meeting in Vilnius:
 

–          Review the results of EHRA Strategical framework 2018-2019
–          Conduct SWAT analysis of EHRA-          Define key strategic objectives and indicators

9-10th of July , 2019
2.      Develop the first draft of the strategy outline and suggested infographic First draft based on the Strategic meeting outcomes with the vision of key SMART indicators, risks and options/approaches for Association effective work. July-August, 2019
3.      Review the draft Strategy outline in line with the comments and suggestions received in the consultation process with EHRA Advisory Board, members and key partners. Collection of comments and suggestions to the organizational Strategy from consultation process with EHRA Advisory Board, members and key partners, revision of the Strategy draft. September- October, 2019
4.      Finalize the Strategy outline Finalization of the Strategy. October, 2019

Requirement to the consultant

Submitted applications will be evaluated by a selection committee at the Eurasian Harm Reduction Association. To assess the tender applications, the following criteria will be used (the maximum possible amount of points is 100):

  • Rich and diverse experience in developing/building capacities of regional or global community networks – 20 points;
  • Excellent understanding of harm reduction, drug policy, HIV response and/or civil society involvement into advocacy and capacity building in social and public health issues – 15 points;
  • Excellent facilitation skills, experience in facilitating group work, brainstorm, organizing fruitful discussion in multicultural and multilanguage team – 20 points;
  • Experience of facilitating strategic planning process and development of Strategic documents for international/regional organizations – 15 points;
  • Fluent speaking and writing English. Russian is an asset – 10 points;
  • Reasonable cost of services – 10 points.

How to apply

The candidates are invited to submit their CVs, Letter of Interest and filled daily rate form (EHRA’s template) by e-mail referenced under title “Consultant for Strategy Development” to irena@harmreductioneurasia.org by 24:00 EET, 20 of May 2019. CVs and Letter of Interest should clearly reflect the competencies of the candidate required to complete this task and include proposed amount of working days, estimated cost of services and filled daily rate form in Euro (EHRA’s template).

General Conditions

The following should be noted by interested consultants:

  • EHRA will sign a contract with the winner of the competition where detailed workplan and payment conditions will be determined.
  • The winner of the competition is obliged to provide the confirmation of his daily rates before signing the contract. EHRA reserves the right to negotiate services cost for working days if it is not confirmed by previous records or is not affordable for EHRA.
  • EHRA reserves the right (but is not under obligation to do so) to enter into discussion with one or more bidders in order to obtain clarifications or additional details or negotiate the proposed cost.
  • EHRA reserves the right to negotiate number of working days related to each stage of work with the consultant. Final number of working days can change during implementation by mutual agreement between EHRA and consultant.

If you have any questions or clarifications in relation to these ToR, please feel free to contact Ganna Dovbakh anna@harmreductioneurasia.org no later than 27th April 2019.

Terms of reference for the external consultant Facilitator of EHRA 2020-2024 Strategy development

Context information

Eurasian Harm Reduction Association (EHRA) – is a non-for-profit public membership-based organization, registered in March 2017 in Vilnius, Lithuania, by the initiative of harm reduction activists and organizations from Central and Eastern Europe and Central Asia (CEECA) continues traditions of regional harm reduction activists’ network since 1997.

We strive for a creation of a favorable environment for the delivery of sustainable harm reduction programs and decent lives of people who use drugs in the CEECA region. EHRA is keen to achieve 4 strategic objectives in 2018-2019 in accordance to the Strategical framework 2018-2019:

  • Ensuring sustainability and efficiency of harm reduction services in the CEECA region;
  • Advocating for non-punitive drug policies in the CEECA region based on public health and human rights;
  • Developing leadership and expertise of civil society and people who use drugs in the monitoring of drug policies, financing, access and quality of harm reduction services in the CEECA region;
  • Strengthening organizational governance and operational systems, program efficiency and financial sustainability of EHRA.

EHRA now unites 251 organizational and individual members for advocacy actions on regional and national level from 29 countries in 7 sub-regions of the CEECA: Baltics, Central Europe, South-Eastern Europe, Eastern Europe, Central Asia and Russia. EHRA has a transparent, open and participatory-based governance structure which is regulated by EHRA Articles of Association. Organization is led by the elected Steering Committee and overseen by the Treasurer and the international Advisory Board. EHRA is acting as a strategic partner and fiduciary agent of the Eurasian Network of People Who Use Drugs (ENPUD).

Consultancy task and expected results

EHRA is searching for a consultant to help with the development and drafting of new Strategy for 2020-2024.  

Specific objectives of the consultancy are the following:

  1. To prepare and facilitate face-to-face Steering Committee meeting on Strategy development which needs to help the participants to:
    1. Revisit mission and vision of EHRA if needed;
    2. Review the results of EHRA Strategical framework 2018-2019;
    3. Conduct SWOT/TOWS analysis to evaluate EHRA (any other analysis methodology can be proposed);
    4. Define key strategic objectives and objectives indicators for the new strategy 2020-2024.

Meeting expected results:

  • Understanding of strengths/weaknesses/threats/opportunities of EHRA by all SC members;
  • Understanding of key achieved results, role of EHRA and expectations from members, regional experts/partners/stakeholders collected during preparation to the meeting by EHRA Steering Committee and Secretariat team;
  • Outline the strategic objectives for Strategy 2020-2024 and their indicators.
  1. To develop the first draft strategy outline and infographic (with the vision of key SMART indicators, risks and options/approaches for Association effective work).
  2. To review the draft Strategy outline in line with the comments and suggestions received in the consultation process with EHRA Advisory Board, members and key partners.
  3. To finalize the Strategy outline.

Stages of work and proposed timeline

Objectives Detailed description Timeline
1.      Prepare and facilitate  face-to-face Steering Committee  meeting on Strategy development Key objectives of the meeting in Vilnius:

-          Review the results of EHRA Strategical framework 2018-2019 -          Conduct SWAT analysis of EHRA

-          Define key strategic objectives and indicators

9-10th of July , 2019
2.      Develop the first draft of the strategy outline and suggested infographic First draft based on the Strategic meeting outcomes with the vision of key SMART indicators, risks and options/approaches for Association effective work.   July-August, 2019  
3.      Review the draft Strategy outline in line with the comments and suggestions received in the consultation process with EHRA Advisory Board, members and key partners. Collection of comments and suggestions to the organizational Strategy from consultation process with EHRA Advisory Board, members and key partners, revision of the Strategy draft. September- October, 2019
4.      Finalize the Strategy outline Finalization of the Strategy. October, 2019

Requirement to the consultant

Submitted applications will be evaluated by a selection committee at the Eurasian Harm Reduction Association. To assess the tender applications, the following criteria will be used (the maximum possible amount of points is 100):

  • Rich and diverse experience in developing/building capacities of regional or global community networks – 20 points;
  • Excellent understanding of harm reduction, drug policy, HIV response and/or civil society involvement into advocacy and capacity building in social and public health issues – 15 points;
  • Excellent facilitation skills, experience in facilitating group work, brainstorm, organizing fruitful discussion in multicultural and multilanguage team – 20 points;
  • Experience of facilitating strategic planning process and development of Strategic documents for international/regional organizations – 15 points;
  • Fluent speaking and writing English. Russian is an asset – 10 points;
  • Reasonable cost of services – 10 points.

How to apply

The candidates are invited to submit their CVs, Letter of Interest and filled daily rate form (EHRA’s template) by e-mail referenced under title “Consultant for Strategy Development” to irena@harmreductioneurasia.org by 24:00 EET, 29 of April 2019. CVs and Letter of Interest should clearly reflect the competencies of the candidate required to complete this task and include proposed amount of working days, estimated cost of services and filled daily rate form in Euro (EHRA’s template).

General Conditions

The following should be noted by interested consultants:

  • EHRA will sign a contract with the winner of the competition where detailed workplan and payment conditions will be determined.
  • The winner of the competition is obliged to provide the confirmation of his daily rates before signing the contract. EHRA reserves the right to negotiate services cost for working days if it is not confirmed by previous records or is not affordable for EHRA.
  • EHRA reserves the right (but is not under obligation to do so) to enter into discussion with one or more bidders in order to obtain clarifications or additional details or negotiate the proposed cost.
  • EHRA reserves the right to negotiate number of working days related to each stage of work with the consultant. Final number of working days can change during implementation by mutual agreement between EHRA and consultant.

If you have any questions or clarifications in relation to these ToR, please feel free to contact Ganna Dovbakh anna@harmreductioneurasia.org no later than 27th April 2019.

Receive assistance to promote humane drug policy

Eurasian Harm Reduction Association (EHRA) would like to inform you about the possibility of obtaining resource assistance/funding for initiative groups and organizations of the community of people who use drugs to achieve necessary objectives.

The competition is announced jointly with the Eurasian Drug Users Network (ENPUD). Community expert capacity is a significant resource for EHRA and partners in countries in the processes of organizing, implementing and discussing the results of resource support.

Taking into account EHRA Position Paper on Drug Policy, we are striving to make international and national drug policies recognize the fact that drug use is a complex socio-cultural phenomenon and acknowledge at the legislative level that:

  • People use drugs for various reasons, including for socialization or leisure purposes;
  • Drug use is not the evidence of mental illness or antisocial behavior in most cases;
  • Certain patterns of drug use carry health-related risks, and therefore drug policies should be based on harm reduction principles.

The Eurasian Harm Reduction Association would like to offer its assistance by providing necessary resources to promote humane drug policy, including (but not limited to) four sub-grants for organizations/initiative groups.

Implementation time June – November 2019

Languages: Russian and English

We are going to provide our assistance to: initiative groups and organizations that either have a legal status or not legally registered, managed by the community of people who use drugs.

The total budget for sub-grants is $17,500. 4 groups/organizations will be selected to receive the funding in the amount of 4,375 USD each for a period of 3 to 6 months.

Our approach to grant allocation.

The practical implementation of one of EHRA’s principles – our work starts with a request and ends with the result, requires allocation of resources to implement the activities that have already obtained interim results during the previous allocation period of 2017-2018, as it is possible that further assistance is required in such cases.

In this regard, EHRA uses the following quotas for grant allocation:

two grants in the amount of 4,375 USD each will be allocated to the countries that have already taken part in the previous allocation period of 2017-2018 so that the activities already started will have a practical effect.

List of the countries and the results achieved:

Belarus – new OST regulation was signed, new services of the OST program are implemented: take-home methadone, out-patient treatment/hospital admission/detention without interrupting treatment. Description of previous activities can be found here.

Georgia – promoting drug policy reform based on previous experience of civil society mobilization. The history of the White Noise Movement can be found here.

Kazakhstan – documentation of the process of expanding OST coverage, advocacy to make the OST program stable in the country; advocacy for implementation of the recommendations received from the UN Committee on Economic, Social and Cultural Rights (CESCR*) on drug policy in Kazakhstan. Description of previous activities can be found here. Here you can find out how the community managed to prevent closing the programs with the help of regional and international funding.

Kyrgyzstan – amendments to the Code of Misconduct as a result of the community-led monitoring of negative consequences.  Here you can find out what was done in Kyrgyzstan in 2017-2018 thanks to the resources provided.

Lithuania – drawing attention to the need of drug policy reform in the country, including by promoting harm reduction services during festivals; harm reduction training of night club employees. The experience of the Lithuanian youth movement is described here.

Estonia – advocacy for implementation of the recommendations received from CESCR during the 65th Session on drug policy and HIV in Estonia. Description of previous activities can be found here.

– two grants of 4,375 USD each will be allocated to two organizations/groups in the following countries: Azerbaijan, Albania, Armenia, Bulgaria, Bosnia and Herzegovina, Hungary, Kosovo, Latvia, North Macedonia, Moldova, Poland, Russia, Romania, Serbia, Slovakia, Slovenia, Tajikistan, Turkmenistan, Uzbekistan, Ukraine, Croatia, Montenegro, Czechia.

Deadline for submitting applications: 12:00 am 24 April 2019 GMT+3.

Information on resource assistance for the community

to change drug policy in member countries of the Eurasian Harm Reduction Association

The assistance is jointly provided by secretariats of ENPUD and EHRA as part of the project “We Will Not End AIDS Until We Adopt Harm Reduction and End the War on Drugs”  of the International Harm Reduction Consortium, which now involves eight international and regional networks of people who use drugs and harm reduction and drug policy organizations, such as International Drug Policy Consortium (IDPC), European Network of People who Use Drugs (EuroNPUD), Eurasian Drug Users Network (ENPUD), Youth RISE, Harm Reduction International (HRI), Middle East and North Africa Harm Reduction Association (MENAHRA), Eurasian Harm Reduction Association (EHRA), and Women and Harm Reduction International Network (WHRIN).

Here you can find the description of the processes and results of the joint work of the country teams of the movement #Narconomics: from street to government &EHRA & ENPUD & members of the International Harm Reduction Consortium in 2017-2018. 

    The project was implemented with the support of Robert Carr Fund.

                   Thematic priorities

You are free to submit an application for any issue directly related to opportunities to change either your life or the lives of your peers who use drugs. Your application should contribute to the achievement of the objectives of the group/organization in the field of drug policy and available harm reduction services meeting the people’s needs in accordance with the EHRA Position Paper on Drug Policy.

We will do our best to find funding or opportunities to implement the maximum number of grant proposals, if we receive more applications for resource assistance in drug policy than we can actually finance.

How to apply for a small grant

Fill in the application form (download Word document)

Send it to Olga Byelyayeva, EHRA, e-mail: olga@harmreductioneurasia.org, tel.:  +37063036691

Application deadline: April 29, 2019, 12AM, Lithuanian time.

You will receive a confirmation of received application.

Evaluation criteria

Criteria for prioritizing the provision of assistance:

  1. Evaluation criteria: the group/organization has already collected evidence and data to build the evidence base of the problem – up to 10 points
  2. The group/organization has formulated its objective for 2019, provided the activities plan and documented its previous actions to solve the problem – up to 10 points.
  3. The group / organization understands what results it is going to achieve and what actions are necessary to take to do this – up to 10 points.
  4. Small grant allocation budget provided – up to 10 points.

In turn, EHRA and ENPUD agree to obtain approval from the groups/organizations on the information to be published on the decisions taken, as well as before and during the implementation of the project. 

Key dates

Activity Result Deadline Person responsible/focal person
Call for proposals Published on the EHRA website and social media 12 April 2019 Igor Gordon, EHRA, Program Team Lead Igor@harmreductioneurasia.org +37063652650
Submission of applications from the community of people who use drugs The full list of received applications provided to the experts Until 29 April 2019 EHRA, Advocacy manager and an expert on drug users community advocacy   olga@harmreductioneurasia.org +37063036691
Commission members review and evaluate applications Commission members provide the evaluation sheet 26 April – 5 May 2019 Team of experts on resource assistance
Informing applicants on the results The list of priority topics for resource assistance is provided, the results of discussions and consultations  are published on the EHRA website and social media Until 10 may 2019 Team of experts on resource assistance sign the Agreement. The Agreement is published. Person responsible for drafting and publication of the Agreement: Olga Belyaeva olga@harmreductioneurasia.org +37063036691
All applicants are informed about the results to determine who is ready to seek resources further. The list of all requests is agreed upon with all the applicants and published to find additional funding or opportunities. Until 10 June 2019 Igor Gordon, EHRA, Program Team Lead Igor@harmreductioneurasia.org +37063652650  
Preparation and signing of agreements on provision of the basic package of financial support for 4 groups/organizations Work plans agreed, ageements signed Until 10 June 2019 Tatiana Fomicheva, EHRA, Head of the Finance and Administration Team tania@harmreductioneurasia.org      
Providing resources for 4 groups/organizations on priority issues Documentation of the advocacy process. June – December 2019 Team of experts. Responsible for communication Olya Belyaeva, EHRA olga@harmreductioneurasia.org +37063036691

Alexander Levin, Specialist on drug policy, ENPUD   sasha.levin75@gmail.com
ENPUD will organize an Internship in Germany for small grant recipients to get acquainted with progressive drug policy and acquire practical skills in its implementation.   Here is a video about the drug policy model of Portugal, which the group members studied in theory and practice as part of the Project "#Narconomics: from street to government" in 2017. Representatives of 4 groups/organizations together with the resource assistance team developed, agreed upon and conducted the internship. The information is published on the websites and social media of ENPUD and EHRA. August-September 2019 (dates will be specified until June). Alexander Levin, Specialist on drug policy, ENPUD sasha.levin75@gmail.com  

Olga Belyaeva EHRA, Advocacy manager and an expert on drug users community advocacy olga@harmreductioneurasia.org +37063036691  
Communal effort to find opportunities to provide resource support for all groups that have requested assistance. Communication with groups waiting for assistance and seeking opportunities to expand resource assistance based on existing requests. Seeking funds from other projects, informing donors and partners about requests for resource assistance, receiving funding or submitting requests to partner organizations. The implementation of the request. Documentation. Informing the general public using media. June – December 2019 Igor Gordon, EHRA, Program Team Lead Igor@harmreductioneurasia.org +37063652650    

Specialist on Advocacy, ENPUD (will be selected after the applications will have been received)
Analysis and evaluation of actions, results, experience and next steps - together with EHRA, ENPUD and the group/organization of the community of people who use drugs. The monitoring, assessment and lessons learned questionnaire completed. November – December 2019 Olga Belyaeva, EHRA olga@harmreductioneurasia.org +37063036691

Alexander Levin, ENPUD sasha.levin75@gmail.com
Informing the members of EHRA, ENPUD, their partners and donors about the activities implemented by the community and its partners, as well as suggestions for further actions. The description of actions, country advocacy and general regional overview are prepared, proposals for future activities are provided. January – February 2020 Олą Belyaeva EHRA olga@harmreductioneurasia.org +37063036691  

Alexander Levin, Specialist on drug policy, ENPUD sasha.levin75@gmail.com, and Specialist on Advocacy, ENPUD

The group of experts to analyze and evaluate the requests according to the criteria and to formulate a priority list of resource assistance: Eliza Kurcevic, Masha Plotko and Olga Belyaeva (EHRA), Alexander Levin, Expert on Drug Policy (ENPUD/EHRA Steering Committee Member); Larisa Solovieva, ENPUD Coordination Council Member. Igor Gordon and Tatiana Fomicheva – managers of the resource assistance program for EHRA community.

We also involve experts from EHRA Steering Committee and Executive Board and experts from partner organizations in implementation processes of resource assistance according to the topic of the request. Here is a link to detailed information about the people who will help us prioritize and implement resource assistance.

All experts are professionals in their field, have a solid background and understanding of the topic and achieved high performance in their countries, at the regional and international level, and protect the interests of the community of people who use drugs. 

Questions and feedback

To get the answer to your question as soon as possible, submit comments or provide feedback, please refer to our contact persons:

Olya Belyaeva, EHRA, e-mail: olga@harmreductioneurasia.org, tel.:  +37063036691

Igor Gordon, EHRA, e-mail:  Igor@harmreductioneurasia.org, tel.:  +37063652650

You can also ask a question, leave a comment and give other feedback on Facebook pages of EHRA and ENPUD.

Fill in the application form