When a tank is urgently needed to transport… methadone to hospitals

Author: Olya Belyaeva, Advocacy Manager, EHRA.

A tank is urgently needed! It doesn’t have to be a new one. The tank is needed to transport methadone to hospitals in Kazakhstan. Drug control authorities require paramilitary security for the transportation of drugs. However, the state is not going to allocate funds for security measures and this issue has not been resolved in 10 years.

Continue reading “When a tank is urgently needed to transport… methadone to hospitals”

Call for technical assistance for organizations wishing to try themselves in alternative financing

With the gradual withdrawal of major donors from the CEECA region and the failure of states to fulfill their obligations to switch to national funding, the issue of survival for NGOs working in the field of harm reduction is particularly acute. EHRA announces a call[1] for technical assistance (TA) for organizations wishing to try themselves in alternative financing[2].

The purpose of this TA is to improve the understanding by public organizations and civil society organizations from СEECA countries of the possibilities and conditions for obtaining alternative funding.

Who can apply? Officially registered community-led and civil society organizations working in the field of harm reduction on national or sub-national levels, that already have experience in finding alternative resources or plan to introduce the chosen practice in the near future.

Eligible countries: Albania, Armenia, Azerbaijan, Belarus, Bosnia and Herzegovina, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Montenegro, Northern Macedonia, Russia, Tajikistan, Turkmenistan, Ukraine or Uzbekistan.

Within this TA EHRA will cover travel expenses of 2 employees of two selected organizations to 4-6 day internship in the chosen organization. After completing an internship, the organization is obliged to try to implement the gained knowledge within six months after the internship.

List of organizations for internships

  1. Light of Hope, Ukraine //www.lightofhope.com.ua

On the basis of the organization, there is an Adaptation Center for the homeless and those released from prison, a Shelter for women who have suffered from domestic violence or human trafficking, a Youth Center and the Training and Production Center (Social Enterprise), which helps socially vulnerable groups with employment, provides access to education and professional training.

The “Training and Production Center” is one of the most advanced social enterprises in Ukraine. The center was created to support and socially integrate representatives of various key groups into society.

Learning Opportunities:

  • Participation in social contracting
  • Organization of a social enterprise
  • Providing consulting services
  1. From heart to heart, Ukraine //fhth.ck.ua

The organization provides services in the field of HIV prevention, counseling and testing for HIV and STIs, harm reduction services, psychological support, rehabilitation assistance, etc. Charitable Organization “From Heart to Heart” has experience in raising funds as part of charity events and fairs. The organization has a Reintegration Center for the homeless and people who have been released from prisons, where they can acquire skills that contribute to their social adaptation in society. Thanks to the advocacy actions of the CO “From Heart to Heart”, the local authorities introduced reduced rent rates for NGOs working with vulnerable groups.

Learning Opportunities:

  • organization of a social enterprise
  1. ReGeneration, Serbia //regeneracija.blogspot.com/

The organization promotes effective drug policy; implements advocacy campaigns with the involvement of the media to expand harm reduction programs in the country. ReGeneration also conducts capacity trainings for other organizations and professionals who work with people who use drugs. ReGeneration is the only organization in Serbia that conducts research among people who use drugs.

Learning Opportunities:

  • sale of expert services
  • production of videos, articles, studies
  • crowdfunding
  • collection of private donations
  1. Foundation for Social Education, Poland //fes.edu.pl/o-nas/

The organization’s activities include: free and anonymous testing for HIV and HCV in two counseling and diagnostic centers in Warsaw; educational and informational seminars and trainings in the field of sexual and reproductive health and HIV prevention; hotline counseling services for people living with HIV and their relatives; harm reduction services; legal support for people living with HIV and their relatives. The Social Education Fund receives 1% of the personal income tax paid by the population.

Learning Opportunities:

  • percentage tax designation
  • grants from pharmaceutical companies
  1. Positive Initiative, Moldova //www.positivepeople.md

“Positive Initiative” is an organization of patients living, affected, or vulnerable to HIV, which operates throughout the Republic of Moldova. The organization has positive experience in conducting campaigns to raise funds in cooperation with business, organize a social enterprise, receives membership fees, as well as donations from individual donors.

Learning Opportunities:

  • Financing prevention programs among at-risk groups from the compulsory health insurance fund through grants
  • Procurement of psychosocial support and rehabilitation services for people with drug dependence by the penitentiary system
  • Integration of peer consultants into the staff of state medical institutions (narcology service, ART distribution rooms)
  • Development of social business by NGOs
  • Crowdfunding
  1. Kings of the street, Slovenia //www.kraljiulice.org

Kings of the Street is the largest organization in Slovenia working with homeless people and their social isolation. The NGO started its activity by launching the country’s first street magazine written by the homeless people themselves. “Kings of the street” conduct outreach work and provide counseling and information about organizations where they can get help. The organization also have a day center for homeless and other marginalized groups of the population, as well as an open and alternative form of education for people who have been excluded from other forms of formal and non-formal education.

Learning Opportunities:

  • Issue of a street magazine / tourist guide;
  • organization of a social enterprise.

Application selection process. Qualified applications from eligible countries will be assessed by project management team based on the selection criteria:

  • Justification of the selected organization and practice of alternative financing (45 points)
  • Implementation plan for the selected practice (25 points)
  • Understanding of their own shortcomings / needs in organizational capacity to increase competitiveness in obtaining affordable financing (30 points)

Qualification criteria:

  • Officially registered public and civil society organizations working in the field of harm reduction at the national or subnational levels.
  • The 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.

Internship period: November-December 2019.

How to apply

If your organization is interested in receiving this TA, please fill in and submit the application form along with the documents confirming registration of your organisation to irena@harmreductioneurasia.org, the subject of the letter is “TA AltFund”, the deadline for submission is until 24:00 Eastern time on November 5, 2019.



[1] This activity is conducted under the project “Thinking outside the box: overcoming challenges in community advocacy for sustainable and high-quality HIV services” which is carried out by the Eurasian Regional Consortium. The aim of the project is to maximize capacity of consortium’s member organizations and their impact of advocacy to improve funding environment for sufficient allocation of resources for HIV programs in countries of EECA.

[2] Alternative financing – indirect state funding, crowdfunding, involvement of business companies in charitable projects, establishment of social enterprises, etc.

Workshop materials “Community-led monitoring of satisfaction with services“

THREE monitoring tools are available to your attention: “Secret client“, “Access to sexual and reproductive health services”, “Community-led monitoring of the satisfaction with OST programs“, and #Life hacks from research practitioners (in Russian).

Key principles and international agreements on the organization of medical services

The challenge to health systems is to ensure that engagement with patients and the population is at the heart of all policies and strategies for quality improvement, and that this commitment is translated into meaningful actions. In accordance to this task health systems should take actions to improve health literacy, self-care, and patient satisfaction with the services received. WHO. 2006.

Presentation on the community-led monitoring and international documents (in Russian):

[embeddoc url=”//harmreductioneurasia.org/wp-content/uploads/2019/09/МУСС_MP.pptx” download=”all” viewer=”microsoft”]

Practical tools for conducting community-led monitoring of programs quality and satisfaction as well as using its results for advocacy

“Secret Client“, adapted for assessing government services by the Eurasian Coalition on Male Health


Presentation: “Quality services without tags“ (in Russian)

[embeddoc url=”//harmreductioneurasia.org/wp-content/uploads/2019/09/Тайный-клиент_ECOM.pptx” download=”all” viewer=”microsoft”]

Guidance on the “secret client” methodology for assessing the quality of service in the field of HIV prevention and treatment among MSM and trans people (in Russian)

“Access to sexual and reproductive health services”, developed by the Eurasian Women’s Network on AIDS

Presentation: “Sexual and reproductive health“ (methodology in Russian) [embeddoc url=”//harmreductioneurasia.org/wp-content/uploads/2019/09/Сексуальное-и-репродуктивное-здоровье.pptx” download=”all” viewer=”microsoft”]

Presentation: “Study history and results“ (in Russian)           [embeddoc url=”//harmreductioneurasia.org/wp-content/uploads/2019/09/История-исследования.pptx” download=”all” viewer=”microsoft”]

Report: “Rights of Women Living with HIV in Ukraine“ (2019) in Russian

“Community-led monitoring of the satisfaction with OST programs”, developed at the request of the Eurasian Harm Reduction Association

Contact person Masha Plotko maria@harmreductioneurasia.org

Workshop on research methods to study quality and satisfaction with services (in Russian)

[embeddoc url=”//harmreductioneurasia.org/wp-content/uploads/2019/10/тренинг_Тбилиси-wecompress.com_.pptx” download=”all” viewer=”microsoft”]

WHO Quality of Life-BREF, which is a part of the questionnaire for assessing satisfaction with OST

A detailed description of the methodology and the final questionnaire will be issued in late September – early October, after a pilot study in Ukraine. If you want to conduct assessment of satisfaction with OST services in your country, please, write to Olya Belyaeva at olga@harmreductioneurasia.org

The workshop for developing expert skills in monitoring of service quality and satisfaction was conducted 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”.

We’re not there just yet: A joint statement on harm reduction and the Global Fund Sixth Replenishment

Last week, governments philanthropic donors and the private sector pledged US$14 billion for the Sixth Global Fund Replenishment. But this was the minimum amount required and will not be enough to meet 2030 targets.

“In Central, Eastern Europe and Central Asia region we are trying not to loose hope for sustainable social and medical help to people using drugs. After all these years of spending public resources mainly for keeping people who use drugs imprisoned, very slow progress in domestic support to harm reduction, multiple cases of human rights violations, it is hard for communities to be still encouraged. That is specifically hard in states with repressive drug policy and criminalization of drug use or possession. With this GF replenishment it is critical to bring catalytic resources for system changes to communities in CEECA. For activists to know they are not alone in advocacy for access to services and human rights protection for people using drugs” – said Ganna Dovbakh, EHRA

Please read a Joint Statement on harm reduction and the Global Fund Sixth Replenishment by Harm Reduction International, Eurasian Harm Reduction Association, International Network of People who Use Drugs and India HIV/AIDS Alliance.

Terms of Reference for the consultant to develop methodology to analyze the implementation of the national plans for transition

Being a partner of the Alliance for Public Health, the All-Ukrainian Network of PLWH 100% Life and other regional networks in the implementation of the Global Fund funded regional HIV project “Sustainability of services for key populations in Eastern Europe and Central Asia” (#SoS_project), the Eurasian Harm Reduction Association (EHRA) is aimed at the improving the financial sustainability and allocative efficiency of HIV programs in EECA countries.

Continue reading “Terms of Reference for the consultant to develop methodology to analyze the implementation of the national plans for transition”

Сall for applications to receive technical assistance for organizations, that want to increase their organizational capacity

EHRA announces a call for applications to receive technical assistance (TA) for organizations, that want to increase their organizational capacity to be more competitive and successful in receiving available state funding[1].

Continue reading “Сall for applications to receive technical assistance for organizations, that want to increase their organizational capacity”

National campaigns tender results

The Eurasian Regional Consortium – Eurasian Harm Reduction Association (EHRA), Eurasian Coalition on Male Health (ECOM), and Eurasian Women’s Network on AIDS – within the open call has identified 4 national partners to develop and implement the CHASE THE VIRUS, NOT PEOPLE! campaign at the national level in the countries of the Eastern Europe and Central Asia region.

The winners of the tender: partnership of the Community Engagement, Human Rights and Gender Equality Working group and Real World, Real People NGO (Armenia), Public Association “Legal Center “Zan Talaby” (Kazakhstan), Public Organization for the fight against AIDS (Azerbaijan), «Parni PLUS» (Russia).

The assignment is implemented in the framework of the Eurasian Regional Consortium project “Thinking outside the box: overcoming challenges in community advocacy for sustainable and high-quality HIV services”, funded by the Robert Carr Fund for civil society networks. The national campaigns will be developed and implemented by the end of 2019.

EHRA statement: HIV2020

Eurasian Harm Reduction Association (EHRA) supports the HIV2020 Conference in Mexico City, which will be held July 6-8, 2020.

We want to recall, that against the recommendations of community advocates worldwide, including the national networks of people living with HIV in the U.S., the International AIDS Society (IAS) chose the U.S. as the site for its next International AIDS Conference in 2020. This decision creates a dilemma for many in the global HIV movement.

An alliance of global key population-led networks, networks of people living with HIV, treatment activists has formed to organize an alternative international Conference – HIV2020: Community Reclaiming the Global Response. Event is scheduled to take place in Mexico City, July 6-8, 2020. This community-led event is going to provide a safe alternative for individuals who cannot or will not enter the U.S. in 2020 or who cannot afford to attend AIDS2020. It will also offer new opportunities to reaffirm the leading role communities play in the global HIV response.

The event will focus on presentations and debates that are important to showcase the work and research conducted by people living with HIV. This will guarantee that our voice will be heard all over the world, including the U.S.

For EHRA it is important to make the voice of the EECA communities to be heard on such an important global arena without additional travel barriers.


Extended: Terms of Reference for a national consultant on legal analysis of cases of human rights violations against women who use drugs in Russia

 The Eurasian Harm Reduction Association (EHRA) as part of the three-year multi-country project “Sustainability of Services for Key Populations in Eastern Europe and Central Asia” (#SoS_project), implemented by the Alliance of Public Health Charitable Foundation in consortium with the All-Ukrainian Network of People Living with HIV (100% Life), the Central Asian Association of People Living with HIV and the Eurasian Key populations Health Network, regional networks, governmental and non-governmental organizations, and a number of technical partners, announces an open tender for a consultant for legal analysis of interviews collected in Russia to implement Objective 2 of the project – to reduce the most important human rights and gender barriers to accessing HIV prevention and care services.

Gathering data on human rights violations among people who use drugs, their analysis, ensuring follow-up, and reporting to the UN human rights treaty bodies will help remove barriers to access to HIV prevention and care services for people who use drugs in EECA countries. In addition, mentoring and technical assistance to partners from national communities will help build community capacity in collecting data on human rights violations and understanding the follow-up system for its systematic and effective use.

The collection of data on cases of human rights violations against women who use drugs in Russia will serve as the evidence base for advocating for amendments to existing national legislation aimed at respecting and protecting the rights of people who use drugs, and will become the basis for subsequent submission of reports to the UN human rights treaty bodies.

Tasks of the consultant and expected results:

  1. To get acquainted with the interviews collected by EHRA, to identify the main patterns, trends and types of problems that women who use drugs face.
  2. To analyze to what extent the identified problems are a consequence of the Russian legislation on drugs, and where there are cases of discrimination and / or abuse by representatives of state and other structures.
  3. To prepare a descriptive 10-15 pages report.


  1. The first draft of the report – by December 10, 2019;
  2. The final report, taking into account comments from EHRA – by December 20, 2019.

Consultant Requirements:

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):

  1. The applicant is an employee or permanent consultant of a Russian organization working in the sphere of harm reduction and / or protection of human rights (25 points);
  2. Legal education (25 points);
  3. Relevant work experience (references to documents or relevant analytical materials should be provided in the application) (50 points).

Cost of services:

The amount of the contract may not exceed $1,000 (paid upon completion of work and the provision of a final report to EHRA).

How to apply:

Applicants must submit their CV and application (letter of interest) in free form to maria@harmreductioneurasia.org, the subject of the letter is “Consultant RUS”, the deadline for submission is before 24:00 EET November 4, 2019. The CV and application should clearly reflect the competency of the candidate necessary to complete this task, as well as include the proposed number of working days necessary to implement the assignment.

General terms:

Interested consultants should pay attention to the following conditions:

  • EHRA will sign an agreement with the winner of the competitive selection. The contract will define a detailed work plan and payment terms.
  • The winner of the competitive selection agrees to provide confirmation of their daily rates before signing the contract.
  • 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, as well as to agree on the timing of work.

If you have any questions or need clarification regarding this ToR, please contact Maria Plotko at maria@harmreductioneurasia.org no later than October 30, 2019.

Terms of Reference