AFEW International is Finding New Possibilities in Russia

Anke van Dam meeting with the representatives of the Fund for Resocialization of the Republic of Tatarstan

Author: Olesya Kravchuk, AFEW International

AFEW International continues looking for possibilities of helping key populations at risk for HIV, tuberculosis and viral hepatitis and community organisations in the Russian Federation. AFEW’s executive director Anke van Dam visited a couple of NGOs and community-based organisations during her recent visit to Moscow and Kazan.

In Kazan, Anke van Dam visited Fund for Resocialization of the Republic of Tatarstan. This fund for the first time in Russia successfully tested the model of purposeful employment of those who went through all stages of rehabilitation. For more than three years, the Fund for Resocialization offers employment to people who were using drugs, who are working on modern production of ventilation systems.

“What Daniyar, the director of the Fund for Resocialisation is doing, is amazing. He gives people with a history of drug use and sometimes of imprisonment as well, a chance to earn their own living again. With the job they regain their self-esteem, which helps them to get in touch with their family and participate actively in society again,” says Anke van Dam.

The Fund for Resocialization of the Republic of Tatarstan is engaged in the resocialization of people dependent on the psychoactive substances

The Fund for Resocialization of the Republic of Tatarstan, is engaged in the development and implementation of the state regional program for the resocialization of people who use drugs.

“It is resocialization that will allow us to establish new links with the society, to consolidate, to approve and apply the knowledge and principles obtained at the stage of rehabilitation in the social environment. We all know that for people who use or used drugs it is not easy to find jobs. They often have problems with their relatives, and some of them even do not have their own housing. Many of those who had treatment, again find themselves in the surrounding that provokes drugs use soon after they left the hospital,” states on the Fund’s website.

AFEW on AIDS 2018: Workshop ‘Migration in EECA: access to health care for all?’

What: Seminar Migration in Eastern Europe and Central Asia: access to health care for all?

Where: E 105-108 @ RAI Amsterdam

When: 26 July, 2018/16:30-18:00 

Important to know: This workshop will offer translation facilities English – Russian.

This workshop, organized by AFEW Network, will offer a unique opportunity to not just talk about migration, HIV and key populations but also to hear a real-life experience about migration.

We will discuss the general situation on access to health for migrants and the political commitment within Eastern Europe and Central Asia (EECA), the essential package for migrant health for EECA and the situation of migrant’s access to TB/ HIV programs specifically in Tajikistan.

AFEW Network will highlight its research on People Who Use Drugs, including their regional mobility, and raise more clarity on the issue of the labor migration situation and access to prevention, treatment and care for Key Populations in Tajikistan, Kyrgyzstan and Russia. Also, a specific model for NGO service implementation will be presented by AFEW Tajikistan, where women in labor migration and wives of migrants are reached with various HIV, TB, HCV prevention, treatment and care interventions.

Through exchange and panel discussion we aim:

  • To inform all on the Universal Health Coverage when it comes to labor migrants in Eastern Europe and Central Asia;
  • to develop concrete actions that can be used within the existing platforms to advocate for further action and commitment at government level andto get key populations (PWUD, SW, LGBT/ MSM) and access to health modules in official migrant training protocols;
  • to study and discuss the role of NGOs and their collaboration with public (health) systems.

This session is prepared and presented in the framework of the program ‘Bridging the Gaps: health and rights for Key populations’, through the regional EECA approach by AFEW International and AFEW Network.

Agenda

  1. Introduction: Janine Wildschut, Director of Programmes AFEW International
  2. Meet a person with experience: Ms. Alimahmadova Zebo
  3. The essential package for migrant health and the political commitment: opportunities and challenges in EECA: Ms. Elena Vovc, WHO Technical Officer, HIV, STIs and Viral Hepatitis program
  4. Tajik migrants and access to HIV and TB services. IOM experience to address health needs of migrants: Ms. Rukhshona Qurbonova, IOM Tajikistan Migration Health Programme Coordinator
  5. Women and labor migration. The role of NGOs in health care, social and legal support of female migrant workers: Ms. Zarina Davlyatova, Project manager AFEW-Tajikistan
  6. Discussion:

    • What can we do to developing regional approaches on HIV prevention and health promotion among labour migrants with emphasis to the needs of specific groups as PWUDs living in EECA?
    • Options for cross border collaboration and between public and NGO bodies.• Set priorities and any immediate action.
  7. Conclusion

Building Bridges Between East and West – AFEW Releases its 2017 Annual Report

AFEW International releases its 2017 Annual Report ‘Building Bridges Between East and West.’ The report highlights AFEW Network’s key activities in the region of Eastern Europe and Central Asia.

“‘Building bridges’ stands at the core of AFEW’s work. During its more than 15 years of working in Eastern Europe and Central Asia (EECA), AFEW has aimed to connect the East and the West by introducing and sharing expertise on prevention, treatment and care for HIV, tuberculosis and viral hepatitis,” says Anke van Dam, executive director of AFEW.

AFEW Network will use AIDS 2018 with its focus on Eastern Europe and Central Asia as a springboard to address the three epidemics of HIV, viral hepatitis and TB including multi-drug resistant TB. We will renew our advocacy strategy, work with partners to ensure additional and better healthcare services for all and lead efforts to ensure that the Sustainable Development Goals and other multilateral efforts result in a better future for the people of Eastern Europe and Central Asia.

The English version of our Annual Report is available here (download PDF.) The Russian version of the Report can be read here (download PDF.)

Civic Campaign Cup for People

The Diversity House and Civic Info Centre opened in St. Petersburg during the World Cup. Source: http://cupforpeople.spb.ru/

The Diversity House and Civic Info Centre opened in St. Petersburg during the World Cup on June 16 and will be open until July 16, 2018, as a part of civic campaign Cup for People.

The project is implemented by the Fare network, an international umbrella of organisations and ethnic minority groups, LGBT+ fans working to fight discrimination and promote diversity, and the Cup for People, a network of grassroot initiatives and civic activists created before the World Cup in St. Petersburg in order to use the World Cup in the city as an opportunity to enhance communication among people from different countries, both guests and locals, on the human rights, inclusion and civil society topics.

The Diversity House and Civic Info Centre will work every day between June 16 and July 16 as an open and safe space for everybody to celebrate diversity and meet people using football to create awareness and change for inclusion, protection of human rights and development of civil society.  The Diversity Houses will feature a football exhibition, World Cup match-viewings, lectures, discussions, festivals, and meetings with local supporters and residents. See the programme here.

The Civic Info Centre will be an information point within the Diversity House, which will provide assistance to the international and Russian guests as well as journalists concerning the available civil society organizations and activities in St. Petersburg. They will also disseminate safety guidelines and help for guests, organize dialogues and network with locals. Alternative tours with the human rights and civil society focus will take place.

Guests of the World Cup in St. Petersburg are invited:

  • To visit the Diversity House and Civic Info Centre any time to ask questions about social and cultural life of St. Petersburg and Russia, to watch the Exhibition on the Inclusion in Football and translation of the football matches
  • To participate in our public events on different topics, see the program here.
  • To organize a public event on your country or your field of interest in our space.
  • To come with our excursions and walks in English by guides among the thematic experts and grassroots activists on different aspects of cultural and civil society life in St. Petersburg: on creative spaces, street art, social problems, charitable projects, etc. check here.
  • To check the Map for People, a St. Petersburg map of responsible consumption, which will show, where to eat and make shopping by supporting local and ethically, environmentally and socially responsible enterprises, click here.
  • To check the bars in St. Petersburg, which are especially safe for women, click here.
  • To support the Diversity House and all the activities of the Cup for People financially, click here.
  • To use the Fare Diversity Guide, a comprehensive online resource combining travel advice and important information including historical context, Do’s and Don’ts and what to expect in each of the 11 host cities, including specific guidance and safety advice for the LGBT community and ethnic minorities traveling to Russia. The WhatsApp hotline is being set up to help support visiting minorities in Russia with issues of discrimination to report or who require other urgent help: + 79169481108.

Time: June 16 — July 16, 12:00 — 23:00

Place: St. Petersburg, Berthold center, Grazhdanskaya str., 13-15, enter through the yard

Source: http://cupforpeople.spb.ru/

Chase the virus, not the people! Campaign at AIDS 2018

Eastern Europe and Central Asia (EECA) remains the only region in the world where new HIV cases and AIDS deaths continue to grow rapidly. Low access to treatment, repressive legislation, stigma and discrimination of key populations, as well as the unwillingness of states to finance and ensure the sustainability of prevention programs in the EECA region, hinder an effective response to the epidemic.

The response to HIV in Eastern Europe and Central Asia will only be successful if decriminalization, destigmatization, zero discrimination and demedicalization are recognized as key needs of the communities. These aspects require comprehensive support from the global community, enhanced partnerships and immediate action by all stakeholders.

One of the AIDS 2018 objectives is to spotlight the state of the epidemic and the HIV response in Eastern Europe and Central Asia. It’s the right time and place to attract the attention of the whole world to the region and communities’ actions and to support them.

Therefore we, the team of regional community networks*, are joining forces in the campaign at AIDS 2018. Our slogan – Chase the virus, not people! Our goal is to present to the world the impact of repressive, discriminatory laws and practices of their application, as well as stigma against key populations and people living with HIV. To achieve obligations to create an enabling legal environment and to involve key populations and people living with HIV in decision-making processes. We are ready to show the negative consequences of the reduction in international support and to seek global assistance to mobilize resources for stabilizing the HIV/AIDS epidemic in the EECA region.

“Chase the virus, not people!” campaign aims at the common needs of all key populations and focuses on achieving the goals in general and for each community in particular.

The campaign key attribute is handcuffs, as a symbol of limited freedom and actions.

Support the campaign and the EECA region at AIDS 2018 and join its actions!

 How to support and join the campaign:

– insert the logo of our campaign into one of the slides of your presentation at the conference;

– bring handcuffs and put them on during the campaign events (number of handcuffs from organizers is limited);

– join the campaign during the March, the opening of the Global Village, the opening/closing sessions, plenaries on July 24 and 26, and the activities in EECA Networking Zone in the Global Village (pavilion 515);

– support flash mob – every day (time will be announced) in different parts of the Global Village;

– take a picture in handcuffs at the conference and place a photo with the hashtag of the campaign in social networks:

#chasethevirus

#chasevirus

#chasethevirusnotpeople

#chasevirusnotpeople.

Check the schedule of the campaign events and activities at www.chasevirus.org starting from July 7, 2018.

It’s time for joint actions!

*EECA communities team: Eurasian Coalition on Male Health (ECOM), East Europe and Central Asia Union of People Living with HIV (ECUO), EECA Sex Workers’ Alliance, Eurasian Harm Reduction Association (EHRA), Eurasian Network of People Who Use Drugs (ENPUD), Eurasian Union of Adolescents and Youth “Teenergizer”, Eurasian Women’s Network on AIDS (EWNA), Sex Workers’ Rights Advocacy Network (SWAN). Organizational partner – AFEW International (the Netherlands).

 

 

Sex-Workers in Russia – for Effective HIV Prevention

In 2015, the Sex-Workers’ Rights Advocacy Network in Central and Eastern Europe and Central Asia (SWAN) conducted a study ‘Failures of Justice’

Author: Anastasia Petrova, Russia

Sex-workers are one of the groups that are vulnerable to HIV. There are no government programs aimed at working with this category in Russia. According to Russian Federal Consumer Rights Protection and Human Health Control Service, over the past two years the way of sexual transmission of HIV has become more prominent: in 50.3% of instances, the positive status was received during heterosexual contacts. According to a study conducted by the Open Health Institute in 2017, the percentage of sex workers with HIV varies from 1.3% to 8.9%, depending on the region. In cases when sex work is combined with drug use, up to 15% of people become HIV-positive.

Epidemic of Violence

Sex-workers are vulnerable to HIV for a number of reasons. They have limited access to medical, legal and social services, information and prevention means. However, the most significant factor is violence from partners, clients, administrators, and police officers.

In 2015, the Sex-Workers’ Rights Advocacy Network in Central and Eastern Europe and Central Asia (SWAN) conducted a study ‘Failures of Justice’. The community on its own studied violence against sex workers. The study showed that 28% of girls in Russia were physically abused, and 4.8% – sexually abused by the police.

According to the study, the above statistics directly correlate with the HIV incidence rate among sex workers. Persecution by the police deprives sex workers of the opportunity to work in safe conditions, choose clients, or use condoms at every contact.

Unique HIV prevention project

Involving community representatives in the project work is the basis for effective prevention. In addition to highlighting services of prevention of HIV and sexually transmitted infections (STIs), a lot of emphasis is placed on strengthening the community and increasing the legal literacy of sex workers

The Silver Rose, a movement of sex workers and their supporters, has been fighting against violence since 2003. Today, the movement unites 450 sex worker leaders in more than 35 regions of the Russian Federation. Under the guidance of the leader Irina Maslova, the Silver Rose, using their own resources, are implementing a unique for Russia HIV prevention project aimed at this key group. The girls are provided with condoms, referrals to trusted doctors, and psychological and legal assistance; they are taught how to protect themselves from HIV and violence.

For instance, during March – December 2017, the Silver Rose implemented on its own the project ‘Bridging the Gaps’ in the framework of the Program on Expanding Access of Vulnerable Groups to HIV/AIDS Prevention, Treatment and Support Services in the Russian Federation. 1509 people were tested for HIV in the course of the 9 months’ work.

Involving community representatives in the project work is the basis for effective prevention. In addition to highlighting services of prevention of HIV and sexually transmitted infections (STIs), a lot of emphasis is placed on strengthening the community and increasing the legal literacy of sex workers. Girls must learn to defend themselves in the face of a constant threat of violence.

“Now this is not a project any more, but a program instead,” says Irina Maslova, referring to the continuity with which the movement helps sex workers. “These processes continue, even if funding ends. Now, at the completion of projects supported with grants of the Global Fund to Fight AIDS, we are thinking about the transition to self-financing.”

Current Legislation Does Not Solve Problems

As of today, the legislation of the Russian Federation triggers and promotes discrimination of sex workers as well as human rights violations. Sex work is punished under administrative and criminal codes. The Code on Administrative Offenses prohibits “Prostitution” (Article 6.11) and “Receiving income from prostitution if this income is associated with another person’s prostitution activity” (Article 6.12).

However, this discriminatory legislation poses more problems than it solves since it deprives sex workers of fundamental rights and freedoms, including freedom of assembly on issues of healthcare and HIV prevention. Sex workers remain vulnerable to humiliation and violence from clients, as well as to abuse from the police.

For this very reason, introducing amendments to the legislation and repeal of Article 6.11 have long been the main goal of the work of the Silver Rose movement in general and Irina Maslova in particular. After all, the repeal of the mentioned article, according to experts, will promote the observance of the rights of sex workers since they will not be afraid to turn to the police for help in cases of maltreatment or violence from clients. Decriminalization will also help sex workers self-organise to protect their rights, health and life.

Key Asks from Tuberculosis Stakeholders and Communities for the United Nations High Level Meeting

The five tuberculosis (TB) “Key Asks” announced by stakeholders and communities are priority actions that have been developed through a combined extensive engagement with the global TB stakeholders and communities, including the United Nations (UN) agencies, high-burden TB countries, donors, civil society, people affected by TB, and the private sector. It is crucial that the aspiration of the TB Stakeholders and Communities are considered to inform the content of the Zero Draft and the subsequent final Political Declaration that will be endorsed at the UN High-level Meeting (UNHLM) on September 26th to achieve the goal of ending TB by 2030.

Through the Sustainable Development Goals and their endorsement of the World Health Organisation (WHO) End TB Strategy, UN member states have committed to ending the TB epidemic by 2030. However, at the current rate of progress, this will not be achieved for at least another 150 years. Without immediate concrete action, an estimated 28 million people will die from TB by 2030, at a global economic cost of USD$1 trillion. The case for ending the TB epidemic is clear. Every dollar spent on TB could return benefits to society worth US$43.

The following priority actions must be taken by Heads of State and Governments to accelerate progress and achieve the goal of ending TB:

  1. Reach all people by closing the gaps in TB diagnosis, treatment, and prevention
  2. Transform the TB response to be equitable, rights-based, and people-centered
  3. Accelerate development of essential new tools to end TB
  4. Invest the funds necessary to end TB
  5. Commit to decisive and accountable global leadership, including regular UN reporting and review

 

Source: http://stoptb.org

Vladimir Kurpita: “Dnipro Will Become the Third City in Ukraine to Join the Fast-Track Cities Initiative”

Vladimir Kurpita thinks that the Fast-Track Cities initiative allows drawing public attention and raising additional funding for the HIV response

Author: Yana Kazmirenko, Ukraine

To learn about the benefits for the Ukrainian cities joining the Fast-Track Cities initiative and about the expectations from AIDS 2018 conference to be held in Amsterdam, read the interview with Vladimir Kurpita, Head of the Public Health Centre of the Ministry of Health of Ukraine. According to him, though Ukraine is one of the leading countries in terms of the number of people living with HIV, the government does its best to cover such people with treatment.

– What successes and challenges of Ukraine related to HIV response will be presented at the XXII International AIDS Conference in Amsterdam (AIDS 2018)?

– Today Ukraine is the second country in the European region with the biggest number of people living with HIV. Only Russia is ahead of us. In our country, there are over 230 thousand people living with HIV, while 146 thousand have been diagnosed with HIV and receive care. The HIV epidemic in Ukraine is a problem of big cities, industrial metropolises and is still concentrated in the key populations (people who inject drugs, men who have sex with men, sex workers). The issue of HIV is in the focus of attention in our country. Currently, the seventh national HIV programme is implemented, which is a result of the effective cooperation among the international partners, governmental agencies, and civil society organizations. The governmental policies may be illustrated with the fact that Ukraine is one of the few post-Soviet countries where prevention programmes, in particular, the opioid substitution treatment programme, are funded from the national and local state budgets.

The issue of detecting new HIV patients who are not aware of their diagnosis is on our agenda. In particular, we change the testing algorithms and are ready to intensively promote self-testing. A significant achievement is the fact that people already know that they can live with HIV.

 – Today, over 90 thousand people receive HIV treatment in Ukraine, and it is expected that this coverage will be increased to 196 thousand people by 2020. What will help to make it happen?

– As of 1 April 2018, over 98 thousand people received HIV treatment in Ukraine. We are actively scaling up access to treatment. Currently, the therapy is offered in more than 300 healthcare institutions and in 100 places of confinement. In 2014-2016, there were certain problems with access to antiretroviral treatment at the local level, but now the situation has been improved.

Ukrainian patients have access to innovative drugs. Besides, the cost of treatment is reduced through the use of generic drugs. Today, the average cost of treatment course is less than USD 200 a year. Now the treatment is easier both for the doctor and the patient. If the treatment is initiated on time, one pill a day will be enough.

The healthcare reform in Ukraine stipulates that testing and prescription of the first treatment scheme may be provided by the family doctor or the general practitioner. Of course, such changes require some time. There is a need to overcome fears and concerns from the side of patients and improve the level of knowledge and expertise among doctors. However, without changing the existing standards we will not be able to provide treatment to such high number of patients.

– The WHO guidelines state that to control the HIV/AIDS epidemic among people who inject drugs, 20 thousand people should receive opioid substitution therapy. Now there are 11 thousand people who receive such therapy in Ukraine…

– Opioid substitution treatment (OST) is the most effective method to prevent HIV among people who inject opioid drugs. In the recent several years, Ukraine made a big progress in scaling up the OST programmes: approaches in the government policies were changes, the number of healthcare institutions offering such treatment was increased, and we were the first in our region who started providing OST using the state budget funds. However, OST is still a high-threshold treatment method as only narcologists may prescribe it and to be prescribed with the therapy one needs to be registered with drug treatment facilities. The patients are concerned about their security and confidentiality, they are afraid that their data may be given to law enforcement bodies. Besides, it should be mentioned that OST is a therapy to treat opioid dependence. Changing drug scene, with the growing use of stimulants, salts and other synthetic drugs, requires application of other methods in addition to methadone and buprenorphine. That is why the goal of the state policy is not to increase the number of patients, but to provide access to OST to all patients who need such therapy and are eligible.

Currently, together with our colleagues from the National Police, the Ministry of Justice, the Ministry of Health, civil society and international organizations we work to change the approaches and implement innovative models to scale up OST (e.g., in places of confinement) and study the experience of pilot projects in some regions of our country, where OST programmes are managed by family doctors.

 – In Ukraine, Kyiv and Odesa joined the Fast-Track Cities initiative to accelerate the AIDS response. Have they achieved any results?

– The Fast-Track Cities initiative allows drawing public attention and raising additional funding for the programme. When the mayor of Kyiv, Vitali Klitschko, is talking about the response to the HIV epidemic, people trust him, they seek care, get tested, start treatment, and thus the municipal authorities are able to control the epidemic. It is also important that both in Kyiv and in Odesa the local authorities approved new plans and objectives for the municipal AIDS programmes and allocated additional funding from the municipal budgets. Besides, participation in this initiative allowed attracting additional funding from the international donors.

 – What other Ukrainian cities are going to join the initiative?

– Hopefully, the next city to join the initiative will be Dnipro (former Dnipropetrovsk – author’s note). Dnipropetrovsk region is already leading in terms of the number of patients who receive treatment. In the region, there are 15 thousand people who are on treatment, which is 1/6 of all the patients in Ukraine.

NOhep Guide for Medical Professionals Published

NOhep Guide for Medical Professionals: 5 principles for taking action to eliminate viral hepatitis was recently announced at the Global Hepatitis Summit. Developed by the NOhep Visionaries Steering Group, comprised of leading healthcare professionals across the world, the guide offers practical guidance and resources to equip and empower medical professionals to take action to meet the 2030 elimination targets.

Medical Professionals are the gatekeepers to elimination and have a powerful role in achieving the public health approach needed to meet the 2030 goals. Whether it is in a hospital, a clinic or a community outreach center, everyone can play a part in eliminating viral hepatitis.

To receive more information and resources from the NOhep Visionaries Programme, sign up here.

You can download the guide here.

Source: http://www.nohep.org

Needs and gaps in treatment and rehabilitation for people who use drugs in selected countries of EECA

Report on the needs and gaps in treatment and rehabilitation for people who use drugs in selected countries of EECA

This report presents the results of an assessment on the availability of and access to treatment and rehabilitation services for people who use drugs (PWUD) in selected countries of the Eastern European and Central Asian (EECA) region. It was carried out through a regional approach developed by the AFEW Network within the programme ‘Bridging the Gaps: health and rights for key populations. Phase 2’, fi­nanced by the Ministry of Foreign Affairs of the Netherlands.

The assessment focused primarily on the topics of rehabilitation and human rights. AFEW International was responsible for information at the international level, whilst regional level assessments focused on EECA countries where the AFEW Network implements the project amongst PWUD, namely, Georgia, the Kyrgyz Republic, the Russian Federation and Ukraine. We expect the results of this assessment will be used to improve the current situation with access to treatment and rehabilitation services for PWUD in the EECA region, particularly in those countries in which the AFEW Network works. Findings from this analysis of existing gaps, this assessment represents the fi­rst step to developing rehabilitation services and human rights under the AFEW regional approach. Furthermore, the ­findings will inform the development of pilot projects on advocacy, service delivery or capacity building and the continuous monitoring of results.

The full version of the report is available here.