Are the Rights of Most-at-Risk Adolescents in Ukraine Violated

Traditionally, there is an understanding that human right defenders organize actions, protest by the parliament, or we think of them as of those having legal education and regularly going to courts. However, every person can be a human right defender. Each specialist who provides services to vulnerable groups is, in fact, a human rights defender.

Reasons for implementing the monitoring tool

Within the last years, Ukraine has achieved great successes in fighting HIV epidemics. However, there are still many gaps that require immediate attention. First of all, there is a gap in providing prevention and treatment services for most at risk adolescents and youth, especially those who used drugs.

Starting from 2012, International Charitable Foundation “AIDS Foundation East-West” (AFEWUkraine) has been supporting the establishment of the system of services for adolescents using drugs. This work is conducted within the framework of the Bridging the Gaps project. Social bureaus, rehabilitation center and daycare centers in four cities were opened and are functioning successfully. Only in 2017, these centers and bureaus provided 21,290 services to 1,215 adolescents.

Project experience demonstrates that the rights of underage drug users are often violated, and this fact remains unknown to anyone from their close environment. Lack of response leads to repeated cases of violations, thus creating barriers in getting timely assistance, and, as a result, increases the possibility of negative consequences of drug use and unsafe behaviours. Therefore, violation of rights of underage drug users, that remains unnoticed is among the factors that contribute to increased risks of HIV infection.

Despite frequent cases of violations reported by service providers, these cases are not officially registered and publicly unknown.

That is why in 2016 AFEW-Ukraine and its partners started developing a tool for monitoring human rights violations of adolescents using drugs. The tool can be also applied to any other category of MARA, and it can be used by any specialist who works with MARA and has basic knowledge about human rights.

The overall objective of its implementation was to collect the data about cases of violations so that services providers and stakeholders could understand the scope of the problem and, based on that, improve and adjust advocacy actions on the national and local levels. Besides, use of the tool could help to provide timely response to the violations of rights of each client, offering an algorithm of actions that can facilitate it. This instrument can be used by a wide range of organizations and specialists that work with vulnerable children, adolescents and youth.

“Our task was to demonstrate that a social worker or any other professional working with key populations can stand for the rights of their clients. That it, in fact, does not require special legal education nor being a part of job description. However, specialists often do not understand that the problems faced by their clients are in fact cases of human rights violations that need special attention,” comments Anastasiya Shebardina, senior project manager from AFEW-Ukraine.

Piloting the monitoring tool

The tool for monitoring the violations of human rights of MARA consists of the directions on the use of the tool, screening questionnaire for service providers to identify the cases of violation, a template for the legal claim and online form for registering the cases of human rights violations that are filled by social workers or other specialists. The forms are filled online on the website of AFEW-Ukraine.

In each project city, AFEW-Ukraine organized introductory trainings for over 100 specialists from partner NGOs and service providers from referral network. Also, an educational webinar was organized for a wider range of participants who wished to learn more about the monitoring tool. In the nearest future, a free online course on human rights monitoring for most-at-risk youth will be developed.

Results of monitoring tool piloting

In 2017, 792 interviews with adolescents and youth were conducted with the use of screening questionnaire in 4 pilot cities. Among them, 430 adolescents were 14-18 years old. A number of cases of human rights violations, registered in an online form was 92 (12%) of all surveyed.

The results of piloting the tool demonstrate that the format for monitoring and documenting cases of human rights violations helps service providers to better recognize them and provide timely response to violations. The analysis of the documented cases allows to identify typical situations for each separate region or city and make advocacy actions more effective.

Documentation and analysis of cases with the use of monitoring tool will be continued and be used for further advocacy.

AFEW International Welcomes New Board Member

AFEW International is pleased to welcome Maria Yakovleva as the new member of its Board. Maria joined the Board in May 2018.

Maria Yakovleva is a Director of the Program-Target Charitable Director of Candle Charitable Foundation. Maria has been working in the field of HIV since 2010. She joined the organization as a volunteer, and in 2013 became the director. The Candle Foundation is a community organization working with HIV-positive people. Mainly, the organization works with people who use drugs. During her eight years in the field of HIV, Maria participated in various patient initiatives: she was the coordinator of HIV Young Leaders Fund for Eastern Europe and Central Asia, and she was also one of the founders of the Patient Control movement. Maria Yakovleva is a member of the All-Russian Women’s Association EVA – a network of women affected by the HIV epidemic and other socially significant diseases.

As of 2018, there are seven board members at AFEW. More information about them you can find here.

Coalition of Communities of Kyrgyzstan: “We United to Strengthen the Voices”

The Coalition of Four Communities is developing a media campaign to eradicate hate and stigma speech

Author: Olga Ochneva, Kyrgyzstan

Community organizations are often not cooperative: each one deals with specific problems and has its own approaches to work. Nevertheless, the Coalition of Four Communities: people who use drugs (PUD), sex-workers (SW), people living with HIV (PLHIV), lesbians, gays, bisexuals and transgender people (LGBT) is developing and gaining strength in Kyrgyzstan. Consolidation began three years ago without any financial support. The goal is to make the participation of communities in solving the problems of their groups meaningful, to fight against HIV, to reduce stigma and discrimination. Below we discussed the experience of interaction, successes and plans with the representatives of the Coalition.

Four years ago, our interlocutors could not even dream of uniting all groups vulnerable to HIV.

“I said three years ago, that organisations for people who use drugs can only unite with a group of PLHIV, and probably with sex-workers organisation. The representatives of our group often have experience of imprisonment and would never join the LGBT community,” says Sergey Bessonov, leader of the IDU community organization Harm Reduction Network Association. “At the meeting earlier this year, 99% of my employees agreed to work with convicted men who have sex with men. This is the result of the gradual and systematic work on the consolidation of our groups, which we have been carrying out in recent years. People start looking at each other differently.”

The true spirit of unity

The groups began to unite in 2015, when women who use drugs (Asteria), sex-workers (Tais Plus) and the LGBT community (Labrys) took part in presenting an alternative report on the situation with all three groups at the 60th session of the CEDAW Committee on the Elimination of Discrimination against Women in Geneva. According to the members of the Coalition, they sensed the real spirit of unity during the election of a representative from the community to the governmental Coordinating Council for Public Health.

“As community organizations, we have mobilized to promote our candidate as an alternative to a candidate from AIDS-service organizations, since we have different approaches to work. Spontaneously, within two hours we managed to organize 47% of the votes,” recalls the director of the organization for women who use drugs Irena Ermolaeva. “Then the community of PLHIV and men who used drugs joined us. Although our candidate did not win, we understood that we are stronger standing together than alone, understood the real power of consolidation and were inspired by it.”

Similar problems in groups

The first activity of the Coalition was the development and submission of two project applications. At this time, a large regional network announced grants for the development of consortiums of communities. According to the representatives of the Coalition, the focus of their applications was on maintaining tolerance among groups as the basis for the future work. The Coalition has not received support but did not stop a joint activity. In 2017, the Coalition together with the Office of the Ombudsman conducted monitoring: they monitored the rights of all four communities. Later the organizations united to conduct a media campaign to eradicate hate speech and a language of hatred.

“Initially, the campaign had to be focused on the LGBT community. At the joint meeting last summer we decided to include all our communities in the campaign,” says Nazik Abylgazieva, the LGBT representative of the Labrys organization. “We made a video with famous people of the country who spoke about our problems. Our message has been heard: during three days, the video was viewed by more than 150 thousand people.”

50 representatives of different communities took part in a joint training, recalls the psychologist of the PLHIV-organization Prosvet Margarita Sabirova, and the team-building process was seen. People overcame external and internal discrimination. It became clear that groups had similar problems.

Involvement on a short notice

Now the Coalition includes seven community organizations representing women, men and young people who use drugs, PLHIV, sex-workers and the LGBT community. The Coalition is considering two more candidates. The association is not officially registered and is currently developing its strategic plan.

“Memorandums, agreements and the formal creation of consortiums do not solve the problem. If we understand each other and trust our partners, there is no need to register it legally since we are ready to help each other on a short notice, ready to get involved, to support,” claims Sergey Bessonov. “Together we already submitted several applications for our Coalition. The first joint project is aimed at bringing our communities closer together. We develop the three-year strategy of our Coalition and determine how we will interact to promote common interests.”

The Coalition received Global Fund project this year. Due to cuts of funding, it was decided to leave only one network that would work for all the groups instead of four separate national networks of communities. In the framework of this activity, communities monitor and advocate to improve the quality and access to HIV programs as well as receive technical assistance to increase community capacity and solidarity.

A Drug-Free Life: how Methadone Changed the Life of a Former Drug User from Tajikistan

Author: Nargis Khamrabaeva, Tajikistan

Methadone substitution therapy for drug dependent people has been used for many years, but so far there are both supporters and opponents of this method. 40-year-old Karim from Tajikistan shared how he personally benefited from the substitution therapy.

Heroin for breakfast, lunch and dinner

Karim started taking drugs when he was 20. At first, it was hashish and weed smoking with friends from time to time. He was 34 when one of his friends handed him a stronger cigarette with hashish and heroin mix.

“I thought, well, it is okay, in this life you have to try everything. A couple of days later I started feeling not very well. It seemed like flu, and back then I did not know that those were the withdrawal symptoms,” Karim is saying.

Karim did not manage to cope with the terrible feeling that people who use drugs get when the whole body aches and pains, there are chills, nausea and weakness. He had to buy a dose, then another one. As a result, he became seriously hooked on heroin. Heroin was for breakfast, lunch and dinner. Karim’s was thinking only about how to get another dose.

At times he would listen to his mother and wife and go to the narcology clinic to get treatment but without any success. He went to work far away, to Russia. Karim did not manage to make money but got addicted to drugs even more. Moving to another place did not help either. The wife left with the children on the condition that she would return when her husband coped with the addiction. Nevertheless, even this did not motivate Karim to knock the habit.

“Of course, I wanted to kick the drug addiction, because I realized that if the situation continued, I would lose my family. But quitting heroin is not easy, you need to harness all your willpower to do it, and not give up. I did not want to suffer. I would last a day or two, and everything began anew,” Karim says.

AFEW helped with methadone

In 2015, Karim heard that AFEW-Tajikistan helps drug users to cope with this craving with methadone substitution therapy. At first, Karim did not believe that something else could help but decided to use this opportunity.

“I went to the organization, received a referral to treatment and started taking strictly defined doses of methadone under the supervision of a doctor. By the way, I did not receive it in the form of injections but got it as a syrup instead. Over the period of three years, the dose of methadone was gradually reduced. Methadone helps to get off the needle and not spread HIV and hepatitis via a common syringe,” he says.

According to Karim, he no longer experiences withdrawal symptoms and hopes that the complete denial of drugs is around the corner.

“Now I am leading a normal life, my wife and four children are back with me,” Karim is saying.

Mikhail Golichenko: “HIV Epidemic in Russia is an Epidemic of Powerlessness”

Mikhail Golichenko is a lawyer and Senior Policy Analyst at the Canadian HIV/AIDS Legal Network

Author: Anastasia Petrova, Russia

We discussed the human rights issues in the context of HIV in Russia with Mikhail Golichenko. Mikhail Golichenko is a lawyer and Senior Policy Analyst at the Canadian HIV/AIDS Legal Network — organization, which has a special consultative status at the United Nations Economic and Social Council. Previously, Mikhail was a Legal Officer with the UNODC Country Office in Moscow. His work is focused on the promotion of human rights and addressing legal barriers to accessing health rights and effective HIV/AIDS prevention and care programs for prisoners and people who inject drugs. He holds a Candidate of Sciences degree (PhD equivalent) in Law.

– The International AIDS Candlelight Memorial Day was marked recently. What is this day about for you?

– It is a good occasion to reflect on the victims of HIV and at the same time think about our role in making sure that people who died of this disease did not die in vain.

In Tolyatti, in 2012, if I am not mistaken, on this day people traditionally went to a park, they handed out condoms, HIV awareness-raising materials, lit candles. It was all happening near the monument to the glorious heroes of the Great Patriotic War. Tolyatti is a small city and there are not many locations to hold public campaigns. It happened that during the campaign the bowl with condoms was put near the eternal fire and this fact was misinterpreted by mass media. As a result, the campaign organizers were fined for holding a mass event in close vicinity to the monument to the Great Patriotic War heroes. That is a local law in Tolyatti.

It shows that we are on different sides of the processes: the society is aware of the problem and the state doing nothing to start considering this problem from the right perspective.

Could you please tell us about the human rights situation in Russia and its implications for the HIV epidemic?

The key factor in the development of HIV epidemic in Russia is human rights violations, which make certain populations more vulnerable to HIV. People who use drugs, sex workers, men who have sex with men (MSM), transgender persons and migrants do not have access to adequate prevention, care and support for HIV and other socially significant diseases.

Rights are the social clothes of a modern person. They are represented by the laws imposing obligations on the state. The set of human rights keeps people warm and protects them from any aggressive impacts of the social environment. Some populations, such as people who use drugs, had part of their clothes removed. So, in fact, these people have to stay naked when it is minus forty degrees Celsius outside. Of course, they get sick. We should not cherish any illusions: even if we have sterile needles and syringes on every street corner tomorrow, it will surely improve the situation, but not much. We will still have repressions, persecution of people who use drugs, which prevent people from seeking health services.

There is a similar situation with sex workers. They know that they should use condoms. However, they know that if they get beaten up by a client who insists on having sex without a condom, nobody will protect them. Police will, first of all, blame the sex worker for being involved in sex work. Sometimes it is easier not to use condoms hoping not to get infected than being beaten up knowing that it makes no sense to seek protection in the police.

As for MSM, it is the same. Now the website PARNI-PLUS, which published information on HIV prevention among men who have sex with men, has been closed. There are almost no similar sources of information in Russia. Where will people who live with their sexual identities take this information? Their vulnerability and stigma will grow. There is a direct linkage. HIV epidemic in Russia is an epidemic of powerlessness.

– Could you tell about your speech in the Committee on the Rights of Persons with Disabilities? After it, a recommendation was made to revise the approach to the drug policy in Russia…

– There have already been many such recommendations. The Committee on Economic, Social and Cultural Rights, then the Human Rights Committee, the Committee on Women’s Rights, the Committee on the Rights of Persons with Disabilities, now there will be the Committee Against Torture. The committees realize that the drug policy in Russia is one of the drivers of systematic violations and issue those recommendations.

In my opinion, the main recommendation was given in October 2017, when the Committee on Economic, Social and Cultural Rights recommended Russia to decriminalize drug possession with no intent to distribute. The same goes for scaling up harm reduction services, legalizing substitution treatment, distributing truthful information on drugs, preventing overdoses, implementing substitution treatment for pregnant women, stopping tortures of drug users in police, in particular discontinuing the practice of using withdrawal syndrome to get evidence from detainees. Russia does not really follow all those recommendations, but the constant pressure will gradually give its results.

Our main tool is the attempt to involve government authorities in a dialogue so that people feel a certain need to introduce some changes. There is a set of clear recommendations, which are to be followed. It will certainly work. Where human rights are violated, there is no sustainability, there is a space for internal conflict, and there is no development.

What measures, in your opinion, does Russia need to take to stop the HIV epidemic?

We just need to remember that we are people. No laws are needed. There is a Constitution and it is enough. Safe coexistence is a value without which we cannot live. It is possible only with love, mutual understanding and help.

The Latest Global Prison Trends Publication Launched

Source: www.russellwebster.com

Last week, on 15 May 2018, Penal Reform International launched its annual flagship publication, Global Prison Trends 2018, at the UN Commission on Crime Prevention and Criminal Justice.

This is the fourth edition in their annual Global Prison Trends series and explores:

  • Trends in the use of imprisonment, including the use of pre-trial detention as an automatic response to suspects; the ongoing challenge of prison overcrowding; and the steady growth in the number of life-sentenced prisoners around the world.
  • Prison populations, such as the specific needs of women, children and LGBTI prisoners.
  • Developments and challenges in prison management, including record levels of prisoner violence in a number of prison systems; healthcare challenges and shortages of qualified healthcare staff; and the need to address violent extremism and prevent radicalisation in the prison system.
  • The role of technology in criminal justice and prison systems, such as the use of ‘telemedicine’ to provide mental healthcare and treatment, and the rise in access to online education and training.
  • The expansion of prison alternatives, including community service orders and electronic monitoring, and a growing trend in the use of restorative justice.

A Special Focus section looks at the rehabilitation and reintegration of offenders in the era of sustainable development.

Here you can find ten key facts that are of particular interest about the report.

Source: www.russellwebster.com

Martine de Schutter Scholarship Fund Launched

AFEW International sets up Martine de Schutter Scholarship Fund that allows participants from Eastern Europe and Central Asia (EECA) to attend the 22nd International AIDS Conference (AIDS 2018). Martine’s commitment to the international fight against AIDS and her unwavering support to the Eastern European region has set an example for us to follow. That is why AFEW International established the Scholarship Fund named after Martine de Schutter – our friend and fellow activist.

As of today, Martine de Schutter Fund raised 103.000 EUR to cover the additional scholarships of the EECA applicants to come to Amsterdam for AIDS 2018. A part of the Martine de Schutter Fund has been distributed to the applicants from EECA through the established Scholarship Committee of the International AIDS Society (IAS) of which 45 are regular scholarships and 20 – for speakers who will be invited from the EECA region. AFEW thanks Gilead, Janssen Cilag, Deutsche AIDS-Stiftung and Aidsfonds for their contribution to this Fund.

Martine de Schutter was a strong advocate for human rights. For about 10 years she managed the European network AIDS Action Europe, which connects more than 400 AIDS organizations throughout Europe and Central Asia. Martine worked with dedication and passion to keep the AIDS problem on the agenda at the European Union and to connect all organisations working on the same issues in Eastern Europe. In 2014, Martine became the Program Leader for Bridging the Gaps: Health and Rights for Key Populations program. She travelled a lot and her last trip was to AIDS 2014 Conference in Melbourne on the MH17 plane that was shot down and crashed.

 

EECA Success on the Road to AIDS 2018

Author: Olesya Kravchuk, AFEW International

The total of 603 abstracts from Eastern Europe and Central Asia (EECA) were submitted to 22nd International AIDS Conference AIDS 2018 to be held in July in Amsterdam, the Netherlands. 182 abstracts out of them were selected for the abstract book, posters and oral presentations.

These results were achieved with the support of AFEW International, Dutch Ministry of Foreign Affairs and in partnership with EECA regional networks EHRA, ECOM, ECUO and GNP+.

“It is a great success, and we can see that especially by comparing it with the previous AIDS conferences. In comparison to the AIDS 2016 Conference that took place in Durban, South Africa, the amount of submitted abstract has more than tripled, and the number of accepted abstracts has increased by almost six times,” says AFEW International Project Manager of AIDS 2018 EECA Daria Alexeeva. “124 abstracts were submitted to AIDS 2016, and 31 were accepted. The acceptance rate has increased this year as well – 31% against 25%.”

The special group of 25 EECA organizations whom AFEW International supported with on- and offline training program on community-based participatory research and funded their local community-based researches, has shown even greater results. Eight of the abstracts that were developed based on their researches were accepted. 13 scholarships were awarded.

Besides, a special EECA communities networking zone was secured at the Global Village of the Conference. Challenges and successes of the region will be featured there. EECA regional networks and community organisations will use the zone to jointly advocate for financial sustainability for the AIDS response in the EECA region, vanishing legal barriers for effective prevention programs and increasing meaningful participation of the communities in decision and policy making.

Joint Statement of Civil Society Organizations in Advance of the Thirty-Ninth Meeting of the Global Fund Board

On May 9–10 2018, the Global Fund’s Board will consider revisions to the Fund’s Eligibility Policy based upon recommendations from its Strategy Committee. While some of these recommendations are positive, others raise serious concerns.

In this regard organizations representing civil society and including communities of people living with and affected by the three diseases and other key populations from different countries and regions – developed a Joint Statement to share with Global Fund Board members their position on several critical issues that should be considered by the Board during its deliberations on the Eligibility Policy.

The Statement signed by 41 international, regional and national level organizations was sent to the focal points of all Delegations to the GF Board as well as to GF Board Leadership and GF ED. 7 more organizations signed the statement after it was sent.

We hope that our position will be taken into account by the Global Fund Board members when making decisions on the eligibility issues during the Board meeting.

The final version of the document – Joint Statement of Civil Society Organizations in advance of the Thirty-Ninth Meeting of the Global Fund Board.

AIDS 2018: Call for Journalists

The International AIDS Conference is the largest conference on any global health issue in the world. First convened during the peak of the AIDS epidemic in 1985, it continues to provide a unique forum for the intersection of science, advocacy, and human rights. Each conference is an opportunity to strengthen policies and programmes that ensure an evidence-based response to the epidemic. The 22nd International AIDS Conference (AIDS 2018) will be hosted in Amsterdam, Netherlands 23-27 July 2018.

The theme of AIDS 2018 is “Breaking Barriers, Building Bridges”, drawing attention to the need of rights-based approaches to more effectively reach key populations, including in Eastern Europe and Central Asia and the North-African/Middle Eastern regions where epidemics are growing. AIDS 2018 aims to promote human rights-based and evidence-informed HIV responses that are tailored to the needs of particularly vulnerable communities – including people living with HIV, displaced populations, men who have sex with men, people in closed settings, people who use drugs, sex workers, transgender people, women and girls and young people–and collaborate in fighting the disease beyond country borders.

If you are a journalist and interested to learn more, please register at http://www.aids2018.org/Media-Centre. There are still opportunities for scholarships. You can also subscribe to newsletters to support your work in-country. For further questions, please contact media@aids2018.org