Based on the regional and national reports, each participating country within the Regional program "Harm Reduction works!- fund it" developed its own national advocacy strategies "Harm Reduction Works - Fund It" that have been implemented by SRs and SSRs. The strategy included policy advocacy roundtables, working advocacy meetings, and other advocacy activities.It is two-year national advocacy plans for each of the participating country.
The 5 Country positions are documents that find consensus between the stakeholders on the transition to national funding of Harm Reduction. They were developed for the Regional Dialogue in Tbilisi (September 2015) and they were based on the results of investment monitoring research (IMG) on Harm Reduction financial needs. National authority representatives and representatives of PWUD communities together with national and international NGOs discussed the results of investment monitoring and built the country position on national Harm Reduction financial needs.
The assessment of the quality of Harm Reduction services took place in 6 countries of the Regional Program "Harm Reduction works - Fund it". The representatives of the community of people who use drugs conducted the assessment based on the SMG (Service monitoring guidelines) methodology developed by the EHRN. 4 country reports and 6 excel files containing data analysis are available.
Montenegro is one of the countries of the South Eastern Europe region that has significantly benefited from support of the Global Fund from 2006 to 2015. Together with UNDP as the principal recipient (PR), Global Fund provided direct support for the implementation of two national strategies on HIV/AIDS (2005-2009 and 2010-2014) and a national Tuberculosis (TB) strategy (2007-2011). This support resulted in maintaining the low prevalence of HIV in the country and the remarkably low prevalence of HIV among people who inject drugs (PWID). Nevertheless, the country reports a high proportion of patients diagnosed at a late stage of infection, potentially indicating a relatively large number of people - including PWID - unaware of their HIV infection as well as high prevalence of viral hepatitis C (HCV) among PWID.
This case study analyzes the readiness and risks of the Bosnia and Herzegovina transition from donor to domestic funding, identifying the challenges and recommendations.
Becoming a member of the European Union in 2007, Romania has seen its Gross Domestic Product (GDP) rise 2.8% in 2014 and 3.7% in 2015, one of the highest in the EU with the World Bank categorising the country as ‘upper middle income’ but with the Government only putting 13% of its resources towards the health sector in 2014. Although Gross National Income (GNI) per capita in 2014 was $9,520, one-quarter of the population were reported to be living below the national poverty line.
With reductions in Global Fund support and lack of funding available from other donors, the EECA region now faces the challenge of raising domestic resources for these programs. The lack of transition and sustainability planning heightens the risk of countries losing the progress they have made over the last decade with Global Fund support. This case study examines the situation in Macedonia and makes recommendations to the Global Fund, national governments, civil society, and other donors for easing the transition and safeguarding previous gains in HIV prevention in Macedonia.
With reductions in Global Fund support and lack of funding available from other donors, the EECA region now faces the challenge of raising domestic resources for these programs. The lack of transition and sustainability planning heightens the risk of countries losing the progress they have made over the last decade with Global Fund support. This case study examines the situation in Albania and makes recommendations to the Global Fund, national governments, civil society, and other donors for easing the transition and safeguarding previous gains in HIV prevention in Albania.
As leaders of the HIV response gather in New York on June 8-10 for the 2016 High-Level Meeting on HIV/AIDS, we have an opportunity to envision how the global HIV response will contribute to the achievement of the world’s new Sustainable Development Goals (SDGs). Reversing the tide of HIV, TB and hepatitis C virus (HCV) in Eastern Europe and Central Asia (EECA), where far less progress has been made so far than in other parts of the world will be essential in order to achieve the SDGs. "After the UNGASS on drugs failed to provide a strong leadership in reforming drug laws and scaling up harm reduction as a response to HIV, hepatitis C and overdose epidemics that devastate public health in our region, now it is up to the High Level Meeting on AIDS to show wisdom to the world. It is impossible to end AIDS by 2030 without facing the elephant in the room, that is, repressive drug policies." Peter Sarosi, ENRN RC co-chair
An open letter signed by a number of organizations representing civil society including key affected populations from different Eastern Europe and Central Asia (EECA) countries and their partner organizations from other regions. The letter is addressed to the members of the Global Fund Board preparing for its 34th meeting on 16 -17 November 2015.