Supporters

  1. Law Enforcement and HIV Network (LEAHN), The Netherlands
  2. AFEW International, The Netherlands
  3. Harm Reduction International, UK
  4. Fiji Network for People living with HIV and AIDS (FJNPLUS), Fiji

There are 7 individual supporter members of EHRA. Due to European Union General Data Protection Regulation, EHRA can not publish the data of the individual members. If you would like to check if you are a registered as supporter member of EHRA, please, contact Eliza Kurcevič members@harmreductioneurasia.org

Individual

There are 159 individual members of EHRA with the right to participate and vote during Regional and General meetings of EHRA members. Due to European Union General Data Protection Regulation EHRA can not publish the data of the individual members. If you would like to check if you are a registered member of EHRA, please, contact Eliza Kurcevič members@harmreductioneurasia.org

Need help in dismissing arrested human rights defender Andriy Yarovyi!

Locked in the basement. What for? He had substitution maintenance therapy (SMT) drugs — buprenorphine in his pocket.

According to the latest verified information provided by the representative Alliance for Public Health, as of mid-December 2018, Andriy is holding on well and he has no health complaints; lawyer support is provided as well as communication with his parents. Due to the involvement of a local lawyer, the characteristics and petitions received from Ukrainian and regional and international organizations are attached to the case. The fact of Andriy’s unlawful arrest in the “LPR” was recorded (without indicating personal data) in a recent regular report of the Office of the High Commissioner for Human Rights (OHCHR) on the situation in Ukraine. Several times per month, deliveries with food, clothing and essential items are transferred to Andriy. In the coming month, the “criminal case” is expected to be sent to the local “court” for consideration.
Andriy is our friend, leader, smart and brave person, is in need for our help.

“Money Can Buy Health If You Budget For It”: key results of the project

In January 2016 consortium of three regional networks’ three year project was supported by Robert Carr civil society Networks Fund (RCNF) to build the capacity of community-based organizations of key populations, foster exchange and partnership between different ISP groups in budget advocacy and HIV resource accountability, help them advocate for national and municipal budgets resources to be allocated to continuum of HIV care for all ISP in EECA. During project duration joint advocacy activities and community strengthening to expand funding for and accessibility of services for people who use drugs (PWUD), men who have sex with men and all trans* people (MSM and TG) and people living with HIV (PLHIV) along the continuum of HIV care in Eastern Europe and Central Asia (EECA) region were held on regional and national level.

Main achievements on regional level

EHRA worked on the budget advocacy capacities development, ECUO has been instrumental in developing advocacy plans for the communities and delivering guidance on PR and communication tools. ECOM on the other hand has launched its issue based inter-sectoral platform – Regional Platform on Policy Reform (RPPR), which consists of regional development partners and regional networks, national actors from state and civil society. This enables communities to come up with the joint strategy on how to find new and effective approaches to MSM and trans people health in EECA region.  We strive to achieve situation in which all members bring in unique expertise and input.

The Regional Community Action Plan was developed with leadership from ECUO based on research and consultation with community representatives, regional networks and other stakeholders and serves as the basis for joint planning and fundraising.

In April 2017 EHRN organized the budget advocacy training in Kyrgyzstan for 28 participants from regional and national consortiums. As a result 28 community members were trained and then practically involved in advocacy on regional and national level.

The tool for community led assessment of access and quality of services was developed in close cooperation with national consortiums and then approbated by them in the first year of the project.  Gaps in access to services identified by the communities, were then addressed in their advocacy work. It is planned to collect and try to unify all the existing methodologies of community led assessments during the Reginal methodological expert workshop in October, 2018.

Budget advocasy guide for community activists (BA guide short) developed by EHRA on the basis of conducted regional and national trainings for different communities is a great tool to share gained experience with members of regional networks and community leaders in EECA.

Our work together as a consortium made clear the necessity and all of the potential benefits of consortiums as a model for effective national and regional advocacy. That is why the specific training was organised and methodological guidelines (“We are different but act together”) were developed to summarize best approaches and to provide communities with practical recommendations on how to build effective consortiums working in budget advocacy.

Together with 6 other regional networks consortium members launched joint “Chase the virus, not people!” campaign at AIDS 2018 conference. EHRA, ECOM along with ECUO were the coordinating parties of the campaign. The aim of the campaign is to draw attention to the problems of key population groups, against the backdrop of the catastrophic situation with the HIV/AIDS epidemic in EECA for comprehensive support of the region by the world community. Increase the priority of actions to overcome the discrimination and stigmatization of vulnerable and communities – as a key condition for an effective response to the HIV epidemic in EECA countries.

National level

While the perfect model and mode for transition from donor to domestic funding is yet to be discovered, there have been decisive steps taken in a number of countries to improve the situation. We work with our community organizations within each consortium individually and try to look at the situation in relation to all ISPs in the country at large. This enables building a win-win partnerships, raising stronger voice for change, gives consortia more influence on decision making level, including on funding of ISP services.

In June, 2016 members of the PUD, PLWH, MSM and transgender communities from Armenia, Kyrgyzstan and Estonia gathered together at the training “Budget advocacy and assessment of investments and priorities related to HIV prevention, diagnostics, treatment and care”, learned about the project and agreed on joint actions to collect and analyze investments and priorities related to HIV services.

In 2016 MSM, PLHIV and PWID communities from Armenia, Kyrgyzstan and Estonia conducted community led monitoring of HIV related survices, presented the results to relevant stakeholders and formulate strategic plans of national consortiums based on it.

Armenian consortium prepared the “Armenian civil society opinion on government readiness for transition to state funding”. Transition processes in the country have been advancing recently and consortium members are involved in them.

In Kyrgyzstan PLHIV, LGBT and PWUD community organizations are widely represented in the platforms that have their say on national HIV response. They are part of discussion during planning national HIV program which include transitional and reforming state procurement mechanism for ARVs.

As the result of the community mobilization, it was possible to recruit a group of new activists for the PWUD community in the North-East of Estonia. The core group of PWUD activists gained access to the resources of community assessment and mobilization in the summer of 2016. By the end of 2016, it was possible to register an NGO based on the initiative group. 
Estonian consortium has been actively engaged with National Institute of Health Development to work on more community based and low threshold programs for ISPs. Technical assistance provided by ECUO helped national consortium develop National Advocacy Plan of the Estonian communities.

About Harm Reduction Funding

Guidance from World Health Organization (WHO), United Nations Office on Drugs and Crime (UNODC) and Joint United Nations Programme on HIV/AIDS (UNAIDS) suggests that reversing an HIV epidemic requires 60% of all people who inject drugs (PWID) to be reached regularly by a needle syringe program (NSP), and that 40% of all opiate users be enrolled in opioid substitution therapy (OST).

Governments of Central and East Europe and Central Asia (CEECA) provide less than 15% of harm reduction funding needed in the region, which indicates region’s strong dependency on international donors who support both NSP and OST. At the same time, many of the countries in the CEECA region are becoming ineligible to receive donor funding due to increasing GNP per capita level. There are no more countries in CEECA that are classified as low-income – the funding priority for key donors such as the Global Fund to Fight AIDS, Tuberculosis and Malaria.

Epidemics among PWID cannot be reversed without greater and sustained state funding of harm reduction. Investments are needed to improve service quality and coverage level of both NSP and OST. Governments and other domestic sources have responsibility for meeting these investment needs. Their increased and sustained engagement is essential because the Global Fund is swiftly withdrawing from the region to concentrate on supporting low-income countries across the globe.

One of the key priorities of Eurasian Harm Reduction Association (EHRA) is to build capacity of PWID communities in CEECA in budget advocacy – a process enabling civil society organizations and communities to monitor and influence state decisions for the allocation of public funds towards harm reduction programs and better solutions safeguarding people’s health.

Budget advocacy by communities may have the greatest impact on actions of authorities, and in its turn, on the lives of people. With that in mind we believe that:

  • It is crucially important to engage PWID community in planning through estimating the unmet needs for harm reduction services and defining priority items for a policy agenda change and financing;
  • Allow for direct financing of civil society through social contracting or similar mechanisms, to deliver harm reduction and HIV and TB services to PWID, is the most evident way for the governments to sustain services and funding;
  • An important consideration is that cost-effectiveness can best be obtained not by cutting services, but by making them more efficient through their optimization.

Increasing national funding should go hand in hand with reversing harsh prohibition laws and change of enforcement policies that discriminate PWID. Otherwise scale-up in funding would not convert to increased program coverage.

Regional meetings of EHRA members to elect Steering Committee members in Russia and South-Eastern Europe

On 21 May – 4 June, 2018 EHRA conducts online Regional Meetings of it’s members to elect new Steering Committee representatives in the following regions:

  • Russia (Russia);
  • South-Eastern Europe (Albania, Bosnia-Herzegovina, Bulgaria, Croatia, Kosovo, Macedonia, Montenegro, Romania, Serbia).

All members (individual and organizational), who are from the above-mentioned regions and who are approved by the Steering Committee have a right to vote in the Regional meetings.

If you have any questions, please contact General Secretary of the Regional meetings – Eliza Kurcevič members@harmreductioneurasia.org

 

Russia

 

Alexander Levin

Know your candidate
Motivation Letter

Maxim Malyshev

Know your candidate
Motivation Letter

South-Eastern Europe

Samir Ibisevic

Know your candidate
Motivation Letter

Miso Pejkovic

Know your candidate
Motivation Letter

I do it – IDUIT

Author: Olga Belyaeva, Advocacy Manager, EHRA.

 «I was impressed by three unique events recently: seeing the Moon through a telescope, a concert by the rock band Leningrad and our training workshop. Alexander Kudryashev, Minsk. After our meeting was compared to the Moon and the creative and self-sufficient musician Shnur I feel entitled to publish my notes for people who organize meetings for people who use drugs*.

So here’s the task: hold a training workshop based on IDUIT,  which was created by the International Network of People Who Use Drugs with the support of UN agencies. It’s important that we understand and have a clear definition of the role we want to play in the decision-making process and in the implementation of those decisions.  We also need to understand how we can progress from being manipulated by the system to being able to influence decisions, shape state policies and strategies regarding drug policy and programs for people who use psychoactive substances. UN agencies developed guidelines on the proven and scientifically-based interventions that can influence the risks of spreading HIV and Hepatitis C among people who use drugs[1]. The International Network of People Using Drugs (INPUD) developed the IDUIT Practical Guidance that aims to preserve the values of harm reduction and allow community-based implementation of programs during the development, implementation and evaluation of necessary interventions. IDUIT describes how programs for people who use drugs can be carried out from the point of view of meaningful involvement of the communities in decision-making, program implementation and monitoring of their effectiveness. The document answers the following questions: what can we do and what should we do today, given the resources in hand and the circumstances we are in, to stop the spread of HIV and hepatitis C among people who use drugs?

How can we, during the three days of the workshop, share the knowledge and experience of thousands of people who, in some countries, survive despite provocations, killings based on suspicion only and torture, and in others, live safe lives, take part in medical heroin programs and work in cannabis grow shops or drop-in centres?

Here are the three components which the living energy of the meetings stems from:

a person from the community who believes it’s extremely important personally for him, for his family and friends to solve the systemic problem that results in repression against people who use drugs. Such a person attracts people with a purpose who are dedicated to changing the society’s attitude to substances and drug policies. There is a community of OST patients in Belarus called “Your Chance” and a movement of students who have the same goals as we do –  decriminalization of all substances and humane drug policy.

conditions. In the countries of our region where the drug policy is repressive and the rights of people who use drugs are very difficult to reinstate, the venue for the meeting should be free from any monitoring or control systems. It shouldn’t be a hotel with security and video cameras that contribute to increased nervousness and risks. Negotiate with a local drop-in-centre; ask people where they feel safe and comfortable in the city. It will help maintain positive dynamics and energy for change within the group. Also, the money that you’ll pay for the venue and food will go to the harm reduction programs and not to some business’ pocket.

– source of energy to keep moving. For all the living things on earth it’s the sun. For a community movement it’s its values.  An IDUIT coach should have a clear vision of the goal he’s leading the group towards, a coach who doesn’t need words to make us see the future we’re heading for. One’s right to privacy and to deciding whether to use a substance should be protected. Why did doctors in Amsterdam offer an apology to a guy they delivered methadone to while he was out but didn’t wait for him in order to say hello? While in our countries nurses end up behind bars for opening OST sites.  We drew up a layout of our drop-in centre which is cozy and has sustainable financing. It’s the first step towards understanding what we have at the moment and what can be changed. During the discussion, we ascertain and reiterate that it’s impossible to achieve safe and effective risk reduction programs without decriminalisation and science-based regulation of the psychoactive substance market. In Belarus, there is zero tolerance towards substances and people who use drugs. Any amount of substance, starting from 0.00..3 is already too much. “Too much” means 6 to 8 years in prison. The list of illicit substances is drawn up in a way that makes any new synthetic drug formula illegal. When synthetic drugs were legal, – say the participants, – they were used as stimulants: they made things and colours a bit brighter and the high from them made users feel better. Then access and formulas became more complicated. Now we are talking about adolescents of 12 to 14 years of age who consume cocktails the effects or risks of which are impossible to control. And we can’t even talk to them about the risks and ways to reduce them because the system will see it as propaganda of use, especially among minors. Only adults aged over 18 can enroll on harm reduction programs.

We have to be careful all the time about what exactly we’re discussing due to the risk of being jailed for spreading such knowledge. What is “IDUIT”?  It’s a description of approaches to and examples of creating a world in which people who use drugs are free to be themselves. That’s why we study each chapter of “IDUIT” through hands-on training where key values and foundations of the community-based approach are able to manifest themselves: motivational integrity, clear unambiguous goal, realities of the drug scene and ways to preserve the health and mental strength of people who are forced to be invisible for everyone, especially for the system, to survive.

 Chapter One of IDUIT:  empowering the community. We focused on a real-life situation that OST clients in Belarus are faced with – issues with the right to receive medication for self-administration. At the time of the meeting on March 27-29, a new instruction on OST, which included mechanisms for dispensing the drugs, passed the first stage of agreement by experts and civil society. During stage two, when the law enforcement agencies and other executive authorities were to approve the draft instruction, the chapter on dispensing medication for self-administration was removed.   Sergey Kryzhevich and Sergey Gartsev, leaders of the public organisation of OST patients “Your chance” had been responsible for preparing the documents on the part of the community. Together with the participants of the workshop they chose and invited experts to consult with regarding the next steps. This was the key moment for attracting allies and partners – when people are ready to hear about your motives and tasks, understand the goals and see what can be done right now to support the initiative. As a result, we prepared a letter to the Minister of Health requesting a suspension of the approval of the OST instruction and asking to reinstate the chapter on dispensing medication for self-administration. We collected 47 signatures and took them to the Ministry of Health of the Republic of Belarus. We wrote to the UN agencies and to the Global Fund. We organised meetings and telephone consultations with relevant agencies: UNODC and UNAIDS. With the help of the Chairperson of the Country Coordination Mechanism (CCM) – Deputy Health Minister – a working meeting has been arranged involving all those who developed the Instruction, as well as addiction doctors, representatives of UN agencies, OST patients and drug control representatives. The meeting will take place on April 11 and will aim at agreeing the full and final version of an Instruction that will observe the human right for affordable and quality medical care. We have a week to prepare for the meeting thoroughly. Our task before it is to establish the position of all participants and to hold consultations. During the meeting, we take notes and put the outcomes of the discussions in writing immediately after it wraps up. And, of course, we are working on a plan B. The question of dispensing drugs to take home is a fundamental one: people are tired of having to choose between family and addiction treatment, career and addiction treatment, travel and addiction treatment. This is about understanding what Chapter One of the Guidance means in practical terms: it’s about empowering the community through clarifying goals, motives and clear distribution of tasks within a team. It’s also about the meaningful participation of the community in decision-making.

This is Chapter Two of the Guidance: legal reform, human rights, stigma and discrimination. It’s difficult to talk about the rights of people who use drugs in a country where a patient recovering from an overdose in hospital sees the police next to him and then he is taken from the hospital bed straight to court and to prison for three years. People fear that they might attract attention of drug control services if they’re caught looking up overdose treatment for bath salts on the internet. The war on drugs means eight years in prison which in turn means loss of health, money, illness and suffering in the family – things that are completely disproportionate to the effect and quantity of the drug they consumed and subsequently are being punished for.

It was an inspiration to learn there is a movement of students in Belarus who united to achieve humane and reasonable drug policy. We discussed the practical side of decriminalization in Portugal and the Czech Republic. The leaders of OST patient communities had already visited these countries and were confident that we could achieve a similar level of respect for the rights of people who use drugs. We discussed areas where we can support each other especially in the circumstances where we must think about the safety of the experts who help people who use drugs.

 

 

 

Chapter Three of the Guidance – health and support services from the point of view of the community. We discussed the lifestyle of a teenager who suffers from substance abuse. We heard about the work being done with relatives and friends of drug dependent teenagers in order to reduce risks. We prepared draft memos for people who use bath salts drawing on the practical experience of the participants such as people who consume stimulants and doctors. It’s the most pressing issue in Belarus: users of synthetic stimulants (new psychoactive substances) avoid any contact due to repressions, when going online to look up tips on sleep after taking bath salts could attract troublesome attention from authorities. We’ve come up with a plan to spread information. After watching the film “Bevel Up: Drugs, Users & Outreach Nursing”, shot about ten years ago and showing work of Canadian street nurses, the participants realized how far other countries have progressed towards humane and not discriminating attitude towards drug users compared to our countries.

In order to get closer to people who make or influence decisions, a meeting was organised with the representative of the Global Fund Grant Management Group in Belarus. We invited our colleagues from other groups vulnerable to rights violations to this meeting to form partnerships and communicate with community networks. Anya Nazarova, the leader of an initiative to help HIV-positive women (Belarus), attended it. By the time this blog is published, Anya should already become the head of a registered organization.

 

Chapter Four of IDUIT described community-led harm reduction service delivery approaches. The Global Fund grant for 2019-2021 is set to continue unchanged, but there is an opportunity for pilot projects. Building on their priorities, the workshop participants decided to prepare an application to the Community, Rights and Gender (CRG) Technical Assistance Program to justify the adjustments that should be made to some of the harm reduction programs so that they meet the needs of people who use synthetic substances. We also discussed the creation and funding of community-based and community-led drop-in centres. The money for our services is trapped within the system of repression and war on drugs. We need resources to prepare the rationale and proposals for change. We decided that the application for technical assistance under the Community, Rights and Gender program will help with the rationale.

When we arrived at Chapter Five – Program Management, hiring people who use drugs – employment-related questions arose. The meeting participants told us that harm reduction organizations require employees to give a written statement saying that they are aware that it’s forbidden to work while under the influence of drugs or alcohol. The case of Sergey Kryzhevich shows that even the Supreme Court can’t issue a just ruling – he was unable to get his driver’s license back or cancel the fine of 1000 euros even though the evidence suggesting that he had been intoxicated was obtained with violations of some key procedures. In the Republic of Belarus, it’s illegal to be in the workplace in the above-mentioned state.  And we, the workshop participants and the employee of the Global Fund grants management team, were asking ourselves why harm reduction programs require their staff to sign such statements when they hire them for the very reason they use substances and therefore are able to help others reduce risks; what can those statements protect the employer from, and what risk do the outreach workers take when they sign them? The issue of the labour rights of people who use drugs has been up for an open discussion. This is the basic principle of the IDUIT Guidelines: to recognize human rights and freedoms, and if that’s not achievable today, to help by all means to achieve the ultimate goal: to exercise the human right to privacy, to respectful, affordable and safe social and medical assistance based on real needs of people who use drugs.

4:20   4th of April 2018

The training workshop was organized on the initiative of the UNODC Regional Office for Eastern Europe, prepared and conducted by the Belorussian public organisation “Your Chance” and the Eurasian Harm Reduction Association.

[1] http://www.who.int/hiv/pub/idu/targets_universal_access/en/, the 2012 version. Geneva, WHO, 2013.  Consolidated guidelines on HIV prevention, diagnosis, treatment and care for key populations–2016 update. Geneva, WHO, 2016.