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Organisational Challenges to scale up the response

Organisational Challenges to scale up the response. Experience of Latvian Red Cross in HIV/AIDS work. Background on LRC. History Movement since beginning of XX century Founded in 1918 Soviet occupation and communism regime Re-establishing of independence in 1991

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Organisational Challenges to scale up the response

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  1. Organisational Challenges to scale up the response Experience of Latvian Red Cross in HIV/AIDS work

  2. Background on LRC • History • Movement since beginning of XX century • Founded in 1918 • Soviet occupation and communism regime • Re-establishing of independence in 1991 • First peer education project on HIV/AIDS in 1997 run by LRC Youth • Permanent programme of LRCY • Concrete activities depend on available resources

  3. HIV infections newly diagnosed, per million population, WHO European Region, cases reported in 2001 Estonia – 1067 Russia - 594 Latvia – 347

  4. Overview of activities • We and AIDS • 1997, training seminars for adolescents • Indirect Interview • Several stages on 1999, 2000 and 2001 • online website on HIV education • questions of website visitors to HIV+ • opinions of different recognised persons and experts, discussion • educational information, sitcom, etc. • comics provided by Fondation pour la Vie, La Tour-de-Peilz, Switherland other AIDS organisations used this page as an example for making their ones

  5. Overview of activities • TEAM 1 • 2001/2002 • Supported by Italian RC • training of trainers – LRCY peer educators • initiating phase to restart training seminars, information campaigns and other activities in Latvia • includes not only prevention but also support work for young PLWHA, drug users • will be no use for this training if there will not follow centralise support and further trainings and activities

  6. Overview of activities We help to help yourselves • 2001/2002 • Supported by Italian RC • syringes exchange • co-operation project with state institution AIDS Prevention Centre and municipality’s institution Drug Prevention Centre of Riga City • supporting information spread • providing syringes

  7. Overview of activities • 1st December 2001 • in Riga • Ecumenical church service • Torchlight procession • Pop / Rock concert • Activities in other parts in Latvia organised by Red Cross Youth activists • Red Cross Day on 11th May 2002 • announcement on launching of Global Campaign • symbolic blind folding of famous youth pop star

  8. Future activities • Training • for trainers, volunteers, • Focus on peer education • Information seminars and campaigns for adolescents • Focus on peer education • Red Cross – open and safe place • where young people can meet and • either receive support, information, training or be volunteer and help others

  9. Future activities • Miscellaneous Activities • toward strengthening volunteer movement and youth involvement • in interesting and useful activities • giving them opportunity to escape or stop drugs usage, • Restrict criminal behaviour • Help learn lifeskills and change sexual behaviour • Focusing on • Peer education • Harm reduction • Promotion of Red Cross Movement and its involvement in HIV/AIDS prevention

  10. confronted in the development of strategies for HIV prevention among injecting drug users: Legal basis Awareness The understanding of drug use as a social phenomenon Multisectoral approach Local responsibilities Assessment From UNAIDS co-partner UNDCP research on drug use in Central and Eastern Europe and Central Asia Commonly challenges

  11. Legal basis • A national strategy must build upon legal frameworks adapted to allow a comprehensive response From UNAIDS co-partner UNDCP research on drug use in Central and Eastern Europe and Central Asia

  12. Awareness A low level of awareness about the problems of drug use and HIV/AIDS among the general public, and inadequate knowledge about measures of prevention, often leads to prejudices against drug users From UNAIDS co-partner UNDCP research on drug use in Central and Eastern Europe and Central Asia

  13. The understanding of drug use as a social phenomenon, and not purely a medical problem, must be fostered, and consensus on HIV/AIDS prevention must be reached among the general population as well as among professionals from various disciplines From UNAIDS co-partner UNDCP research on drug use in Central and Eastern Europe and Central Asia

  14. Multisectoral approach There must be cooperation among all sectors in order to prevent HIV/AIDS infection among drug users. This major public health objective can be tackled using a multidisciplinary approach, which can be a new concept for most professionals. Constructive collaboration is particularly important between the health and law-enforcement sectors From UNAIDS co-partner UNDCP research on drug use in Central and Eastern Europe and Central Asia

  15. Local responsibilities In the light of the experience of the case studies, more responsibilities in terms of decision-making powers and funding should be delegated and decentralized to the local level From UNAIDS co-partner UNDCP research on drug use in Central and Eastern Europe and Central Asia

  16. Assessment The extent of drug use and of behaviour that puts a person at risk of HIV/AIDS is, in many cases, largely unknown. There is a need to carry out research studies to assess and monitor the evolution of risk behaviour in order to inform national strategy development over time From UNAIDS co-partner UNDCP research on drug use in Central and Eastern Europe and Central Asia

  17. Common Challenges at the Policy level • Awareness raising and advocacy • Strategic planning of a multisectoral response • Design of implementation policies • that are able systematically to broaden and diversify existing treatment and care approaches, • including reduction of the health and social consequences of drug abuse • Situation analysis of available resources and needs assessment • Sustainability of interventions From UNAIDS co-partner UNDCP research on drug use in Central and Eastern Europe and Central Asia

  18. Common Challenges at the Policy level • IT IS VITAL in the implementation of preventive interventions TO INVOLVE of non-governmental organizations and the target population • Broad local alliances and constructive partnerships with all stakeholders must be established: • the local administration, • the police and • providers of health care from the state and non-governmental sector, • as well as representatives of the target populations. • Also – improve services on the basis of local assessments and tailor them towards the target population From UNAIDS co-partner UNDCP research on drug use in Central and Eastern Europe and Central Asia

  19. RC/RC National Societies • Must be one of leading partners in HIV/AIDS prevention • Especially in countries where it is not active yet • Must take the leading role in combating stigma and discrimination • Share and use experience of others in advocacy work and policy making • Must use influence and power of global Movement of RC/RC

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