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Recommendations from the Porto meeting concerning migrant populations and HIV-prevention

Recommendations from the Porto meeting concerning migrant populations and HIV-prevention. More information is a must. Definitions, epidemiological investigations, risk factors etc. ”Concerted” EU-level actions are necessary. ”Ombudsman”?

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Recommendations from the Porto meeting concerning migrant populations and HIV-prevention

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  1. Recommendations from the Porto meeting concerning migrant populations and HIV-prevention • More information is a must. Definitions, epidemiological investigations, risk factors etc. • ”Concerted” EU-level actions are necessary. ”Ombudsman”? • Representatives of migrant populations must be involved in the work (cultural sensitivity) • Combined antiretroviral treatment must be available to all who need it.

  2. HIV in Murmansk Region

  3. HIV in Murmansk Region

  4. Working principle • Services are provided with “low-treshold”-principle indicating that anybody is welcome to use the services free of charge and anonymously, if desired. The centre provides condoms and clean needles and syringes, and on-site HIV and HCV tests. • It works in close collaboration with the AIDS centre and narcological and rehabilitation organisations

  5. Characteristics of the visits to ”Doverie”-centre in Murmansk

  6. HIV- and HCV-rapid tests in ”Doverie”, Murmansk

  7. Demographic data of clients interviewed in the doorstep survey

  8. Examples of other projects • HIV/AIDS prevention and care among drug users and in prison settings in Estonia, Latvia and Lithuania (UNODC) • ”Border-cross” involving Ger, Pol, Baltics • Scaling-up treatment and care for HIV and Tb and accelerating prevention within the health system in the Baltic states (WHO/EURO)

  9. How to measure the impact? Example: • Recommendation: Promote effective VTC with special emphasis on reaching the vulnerable groups. • Objective: Access to VTC should be easy and nondiscriminating and coverage should be monitored on a regular basis • Suggested criteria : How big proportion of IDU:s and CSW:s are covered? Are there agreements with law-enforcement authorities to get undisturbed function?

  10. Problems/outstanding issues • Tb-expert – collaboration with the prison group • Co-lead partner – suggestion to involve the HIV-group of the Barents programme as a subgroup • Formal nomination of representatives of partners

  11. Prospects for 2008 • Thematic report (database) • Two meetings (Estonia April, Canada September) • New projects • Nordic-Baltic Conference on Infectious Diseases, St. Petersburg, September

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