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Advocating for Harm Reduction: A Public Health Response to Drug Use and HIV in Eastern Europe and Central Asia. Sue Simon International Harm Reduction Development Open Society Institute. People Living With HIV in Eastern Europe and Central Asia.
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Advocating for Harm Reduction: A Public Health Response to Drug Use and HIV in Eastern Europe and Central Asia Sue Simon International Harm Reduction Development Open Society Institute
People Living With HIV in Eastern Europe and Central Asia Source: UNAIDS Report on the global HIV/AIDS epidemic 2002
Officially Registered Cases of HIV Infection in the Russian Federation 1995-2002 (As of Sept. 2, 2002) Data: Russian Federal AIDS Center
Responding to the Challenge • Service Delivery • More than 200 harm reduction • programs in 23 countries • Capacity Building • Training, study tours, • Policy Development • Analysis, advocacy, community • mobilization, and information
Albania Azerbaijan Belarus Bulgaria Croatia Czech Republic Estonia Georgia Kazakhstan Kyrgyzstan Latvia Lithuania Macedonia Moldova Poland Romania Russia Slovakia Slovenia Tajikistan Turkmenistan Ukraine Uzbekistan OSI-Supported Harm Reduction Programs
IHRD Policy Goals • Mainstream harm reduction • Gain government support and funding • Incorporation of harm reduction in national AIDS plans • Equal access to HIV treatment and testing for drug users • Access to effective drug substitution therapies • Supportive legislative environment • Decriminalization of drug users
Advocating for people affected by drug use and drug policy • Policy Analysis • Lobbying and Advocacy • Community Mobilization • Media and Information
Policy Analysis • Documenting and publicizing policy challenges related to harm reduction and HIV/AIDS • Building skills among service providers and local advocates • Working with governments, donors and multilateral institutions to shape policy agendas
Advocacy • Bridging local advocates with government and international officials • Policy maker study tours and participation in harm reduction events • Training police and prison officials • Legal advocacy and legislative reform
Community Mobilization • Supporting organizations of HIV+ people and drug user activists • Organizing networks of service providers and those they serve • Building connections with legal services and human rights groups • Advocacy skills building training; organizational development training for new community action groups
Media and Information • Supporting print and online information exchange across the region • Training service providers and advocates in media relations • Media outreach • Commissioning and distributing original research
Key Issues • Repressive drug policies fuel the HIV epidemic. • Needle exchange and substitution therapy save lives. • Drug users care about their health and must be offered HIV treatment.