Concept, activities 20042005 and possibilities

1
Concept, activities 2004/2005 and possibilities

• Raminta Stuikyte
• CEE-HRN, Harm Reduction Knowledge Hub

2
Knowledge Hubs initiative

• Context Increased financial resources for AIDS
  in countries (GF, WB,)
• Knowledge hubs regional mechanisms for regional
  and national capacity building
• Eastern Europe, Central Asia
• 2003-2005
• WHO-EURO / German agency GTZ Back up initiative

3
Areas

• Second generation surveillance
• Behavioural surveillance
• Surveillance of sexually transmitted infections
• Biological/Sero-surveillance
• Surveillance in hard to reach populations
• HIV/AIDS treatment and care
• ART for adults and adolescents (incl ART for
  pregnant women, TB/HIV)
• ART for newborns and children
• Palliative care
• HIV/AIDS nursing
• Psychosocial aspects of treatment and care
• Prevention of mother to child transmission
• Clinic administration and management
• Special courses developed upon request
• Harm reduction (HIV prevention among injecting
  drug users)

4
Harm Reduction Knowledge Hub

• Aim to support the development of local and
  regional technical capacities to develop,
  implement, monitor and evaluate HIV/AIDS
  preventive policies and approaches targeted at
  injecting drug users (IDUs)
• Synergize existing various capacity building
  initiatives and
• Establish quality standards for capacity building
  in the region

5
Hub Consortium
OPEN SOCIETY INSTITUTEInternational Harm
Reduction Development
6
Activities
Continuation of training delivery
Piloting training tools
Certified trainings upon request
TRAINING DELIVERY
Adopting/Developing training tools
Dissemination via web, CD
TRAINING TOOLS
Translation/ certification
Maintaining expert/trainers DB
Training of trainers upon request
TECHNICAL ASSISTANCE
NETWORKING, INFO DISSEM
Networking
Website
7
Training tools (manuals)

• Standard quality tools (using existing expertise,
  existing training tools) in English and Russian
• Nine topics
• Harm reduction principles and approaches
• Project management and evaluation
• HIV treatment for injecting drug users
• Outreach and peer work
• Needle and syringe programming
• Substitution drug treatment
• Harm reduction in prisons
• Advocacy
• Sex work
• Template manual on one topic (outreach and peer
  education) already developed by WHO

8
Training manuals (contd)

• Training template - manual
• training plan (incl agenda, sessions
  description), and
• tools (presentations, hand-outs, evaluation forms
  etc)
• additional information (sources, articles)
• Based on regional and international expertise
• Using existing materials
• Russian/English
• For public use
• Certification by the beginning of 2006

9
Training manuals by topics

• Harm reduction principles and approaches
• Draft Elena Kucheruk (Ukraine)
• Review Yury Sarankov (Ukraine), Seva Lee
  (Russia)
• Project management and evaluation
• Draft Nataliya Kitsenko (Ukraine)
• Review Larissa Badrieva (Russia), Anya Sarang
  (Russia), Lali Khotenashvili (WHO)
• Outreach and peer work
• By WHO experts (lead expert Dave Burrows)

10
Training manuals by topics

• Needle and syringe programming
• Draft Anatolyi Volyk, Andrey Protopopov
  (Ukraine)
• Review Tatsiana Seamionava (Belarus), Andrey
  Khrapal, Nadia Pylypchuk (Ukraine)
• Substitution drug treatment
• Draft Emilis Subata, Rita Kriksciukaityte
  (Lithuania)
• Review Leonid Vlasenko (Ukraine), Tychtynbek
  Asanov (Kyrgyzstan)
• Advocacy
• Draft Sergei Kostin (Ukraine), Sacha
  Tsekhanovitch (Russia)
• Review Andrey Tolopilo (Ukraine), Dasha Ocheret
  (Russia)

11
Training manuals by topics

• Harm reduction in prisons
• Draft Raushan Abdildaeva (Kyrgyzstan)
• Review Dmitry Rechnov (Russia), Vadim Demchenko
  (Kazakhstan)
• Sex work
• Draft Tatiana Vanenkova (Ukraine) last part
  Igor Vassilenko (Kazakhstan)
• Review Gulnara Kurmanova (Kyrgyzstan), Vera Dite
  (Kazakhstan), Irina Eramova (WHO)
• HIV treatment for injecting drug users
• Draft Mauro Guarinieri (Italy), Konstantin
  Lezhentsev (Hungary/Ukraine), Dasha Ocheret
  (Russia)
• Review Dmitry Donchuk (Russia/Ukraine), Vera
  Kobzeva (Russia), Richard Steen (WHO), Martin
  Donoghoe (WHO)

12
Trainings

• Trainings earlier provided through joint CEE-HRN
  / IHRD program
• Now trainings upon request
• With Russian Harm Reduction Network ARV4IDU Dec
  2005, Training on DU community Aug2005
• Main target group harm reduction service
  providers and advocates
• 9 main training modules proposed
• Training programs featured upon request

13
Training offered through the Hub scheme
Service menu
Content, methodology
Negotiations / request from contractor
Trainers
Participants
Logistics, host orgz
Funding
14
Technical assistance

• Training of trainers
• Larger training in Jun 2005 in Kiev
• Upon request training for trainers for Azerbaijan
  experts through the GF
• Maintaining databases of experts and trainers
• Following the requests
• suggesting experts
• finding information materials and linkages to
  resources
• assistance in planning trainings
• specific requests
• Study visit on harm reduction and drug treatment
  of Malaysian delegation to Lithuania from
  WHO-WPRO (April 16-18, Vilnius, Lithuania)
• Request for high level mission from Uzbekistan to
  good practice legislation country
• Request to bring community expert to speak on
  methadone and community role in drug users
  rights (Irina Skriabina to Central Asian
  community conference in Bishkek)

15
Networking/information dissemination

• Using CEE-HRN networking tools
• CEE-HRN listservs (ceehrn_at_yahoogroups.com,
  ceehrnrus_at_yahoogroups.com) and using its
  electronic services, etc
• Website
• Reports from trainings
• Existing tools from CEEHRN (incl substitution
  treatment guidelines, overview of substitution
  medication prices, library)
• Training manuals to be published (after
  certification process)

16
Challenges

• Many training and capacity building initiatives,
  especially in the GF countries
• There is no quality culture in harm reduction in
  the region (including for capacity building)
• Many people are regarded to be expert trainers
• Time to move for business driven approach in
  capacity building?
• General small funding for harm reduction services
  and low appreciation of harm reduction
• Low capacity of the Hub (very little funding and
  high tasks)

17
Contacts

• info_at_ceehrn.org
• www.ceehrn.org