Dublin and Vilnius declarations

1
Dublin and Vilnius declarations

• Raminta Stuikyte
• Central and Eastern European Harm Reduction
  Network

Conference Sustainable Services for Vulnerable
Groups Bucharest, Romania November 11-12,
2005
2
Key political declarations and commitments

• UN Declaration of Commitment on HIV/AIDS (UNGASS
  2001)
• UN Millennium Declaration (UNGA 2000)
• Dublin Declaration on partnership to fight
  HIV/AIDS in Europe and Central Asia (2004)
• Vilnius Declaration on Measures to Strengthen
  Responses to HIV/AIDS in the EU and Neighborhood
  (2004)

3
Dublin and Vilnius D principles

• Access to all
• Non discriminative approach
• Human rights
• Special focus on the vulnerable ones
• Women, youth, orphans
• The most vulnerable ones injecting drug users
  and their sexual partners, men who have sex with
  men, sex workers, trafficked women, prisoners and
  ethnic minorities and migrant populations linked
  to high prevalence countries
• Inclusiveness and partnership
• Evidence base

4
Leadership

• Accountable leadership at the level of our Heads
  of State and Government
• Leadership by civil society and the private
  sector
• National HIV/AIDS partnership forums
• Increased and results-based resources

5
Prevention

• Youth gt90 access to information and education
  (by 2005)
• The most vulnerable gt80 a wide range of
  prevention programs (by 2010)
• information, services, commodities, addressing
  vulnerability factors
• Injecting drug users scale up access to
  prevention, drug dependence treatment and harm
  reduction (recommendation gt60)

6
Coverage

• 5.5 m injecting drug users and 800.000 sex
  workers in Eastern Europe and Central Asia lt10
  coverage

7
Substitution treatment

• Old EU MS
• Coverage 20-65 in different MS
• Increasing numbers
• Exceptions Finland, Sweden
• New EU MS and neighborhood less developed
• Coverage lt5 of estimated injecting drug users
• Illegal or/and not used in Russia, Belarus,
  Georgia
• Good exceptions Slovenia (49), Croatia (10),
  FYR Macedonia, Lithuania (7)

8
Living with HIV/AIDS

• Combating stigma and discrimination
• Legislation, policies and practices
• Universal access to effective, affordable and
  equitable prevention, treatment and care (by
  2005)
• Including antiretroviral treatment

9
Access to HAART,June 2004
RUS
EST
LAT
LIT
BEL
UKR
KAZ
MDA
ROM
KGZ
UZB
GEO
AZE
BUL
ALB
ARM
TKM
TJK
TUR
BIH FYM SRM
No access to ART Partial access
(25-75) Poor access ( lt25) Good access
(over 75)
Source WHO
10
ARV Access IDU (Western Europe)
Source WHO
11
ARV Access IDU (Eastern Europe)
Source WHO
12
Monitoring and reporting

• To closely monitor and evaluate the
  implementation
• To assess progress at regional level every second
  year, beginning in 2006
• With participation of civil society and
  particularly of people living with HIV/AIDS and
  of persons most vulnerable to HIV/AIDS

13
Declarations

• Indicator of political commitment
• Agreed standard (consensus)
• Tool to measure progress
• Advocacy instrument
• No legal power

14

• A number of Governments are simply not doing
  enough and have to make this a key political
  priority. What we now need are clear national
  strategies that include best practices and ensure
  that all actors have a role to play.
• Commissioner Pavel Telicka, September 2004