Bosnia and Herzegovina

1
Bosnia and Herzegovina

• Case study on approach to Youth and Vulnerable
  populations

2

• Since there is a concentrated epidemic in BH,
  we have decided to focus our preventive efforts
  on following groups with risky behaviour
• Young people
• IDU
• MSM
• SW
• Roma and refugees
• Prisoners
• PLWHA

3
Baseline ...

• Baselines for the population with risky behaviour
  reached by different interventions were
  established in 2005
• Young people in school setting 2900 15000 out
  of schools
• IDU 394 350 on methadone therapy
• MSM 483
• SW 210
• Roma and refugees
• Prisoners 100
• PLWHA 18 dg. 14 receiving ARV therapy

4
Targets ...

• In two years of the programme implementation we
  are planning to reach
• Young people in school setting 40000 85000 out
  of schools
• IDU 985 710 on methadone therapy
• MSM 1580
• SW 410
• Roma and refugees 3000
• Prisoners 600
• PLWHA 30 dg. 50 receiving ARV therapy
• People counseled and tested in VCT centers 12300

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Detox-center in Zenica before reconstruction
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• Detox-center in Zenica after reconstruction

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Adapted approaches...

• Adapted approaches developed for each target
  group
• Materials in Roma language
• Materials in slang used within the IDU population
• Counseling provided by formed IDUs, MSM, etc...
• Confidential and anonymous services...
• Harm reduction projects...
• Supportive attitude of the health care
  professionals...
• Focused media campaigns..

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Key steps

• Identification
• Coordination and collaboration
• Assistance, using adapted approaches
• Strengthening
• Addressing the problem

9
Key message

• Support/help governments and people to enable
  them to support/help themselves!