TO BE OR NOT TO BE:

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Transcript TO BE OR NOT TO BE:

TO BE OR NOT TO BE:
Harm Reduction In
Ukrainian Red Cross
8th Annual ERNA Meeting,
Krakow, 2004
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Background
Population (2004 est.):
- Growth rate
- Life expectancy
Economy:
- Unemployment rate
- GDP (2003 est.)
- Minimum salary
- Population below poverty line
HIV/AIDS rates:
-Officially registered HIV cases
(2004 est.)
- International experts data on HIV
cases
- Number of AIDS cases
- Adult prevalence rate
- Deaths
47,732
m.
-0,7%
66,7
9,1%
8,2%
38$
30%
68,187
400,000
7,465
1%
4,450
Scope of the HIV/AIDS Epidemic in
Ukraine (as of June 1, 2004)
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4
Number of officially registered HIV-positive
IDUs in different regions of Ukraine
(1994-2004)
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Situation related to Injecting
Drug Use in Ukraine
- The highest rates of IDUs: Eastern, Southern Ukraine + Kyiv
City
- 77, 267 officially registered IDUs (est. 2004)
- According to expert assessment, rates are twice (thrice) higher
- Opiates & ephedrine -> the most widespread drug substances
- Adolescent drug usage – 11-13%
- 44% of IDUs use services of different drug dealers
- 29% of IDUs share needles
- 19% of IDUs never use condoms
- 38% of IDUs have casual sexual relations
- 40% of IDUs get basic knowledge on HIV/AIDS
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HIV/AIDS & HR in Ukraine
The 1st
officially
registere
d case of
HIVinfection
1987
The 1st HR
project
launched
in Odesa
for IDUs
and CSWs
1997
15
Ukrainia
n NGOs,
working
in the
sphere of
HR
2000
25 HIVservice
organizati
ons
providing
HR
strategy
2004
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HR Programs in Ukraine
http://uhrn.civicua.org/en/nepmap.htm
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Main Constraints For HR in Ukraine
1.
Efforts of the Ukrainian society are insufficient for effective counteraction of
epidemic HIV/AIDS. The state strategies have a basically declarative character. Work of
the non-profit structures is not provided by long-term state political and financial support
and is possible only due to support of the international organizations.
2. The results of the scientific research in many countries and in Ukraine have confirmed Harm
Reduction as an effective medical and social technology.
3. In addition to the Declaration of the Special session UNGASS Global crisis - we emphasize,
that the most vulnerable groups are IDUs and their sexual partners, commercial sex
workers and their clients, and also those in custody and prisoners in the State
Department on Issues of Execution of Punishments.
4. Stigma, discrimination and denial undermine efforts on prevention, treatment and care,
and existing social, cultural and economic factors interfere with the development of
awareness and training to effective actions.
5. The NGOs expressing interest and basing their activities on community needs, vulnerable or
mentioned by epidemic, must play a key role in granting outpatient care and other
services necessary for successful prevention, care and support of PLWA.
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NGOs:
International agencies:
Open Society Institute
International Renaissance Foundation
AIDS Foundation East-West (AFEW)
UNAIDS
UNDP
British Council
MSF
International HIV/AIDS Alliance in Ukraine
HR
in
Ukraine
-‘Vera, Nadezhda, Lyubov’
(Faith, Hope an Love) – Odesa
-Charitable Anti-AIDS
Foundation – Poltava
- Association ‘Victoria’ –
Khmelnitsky
- NGO ‘Victoria Club’ –
Pavlograd
- NGO ‘Poryatunok’ (Salvation)
– Kremenchuk
-Charitable Foundation
‘Insight’ – Cherkasy
- Charitable Foundation ‘Salus’
– Lviv
- Charitable Foundation ‘Red
ribbon’ – Kharkiv
-Charity Fund ‘Unitus’ Mykolayiv
Ukrainian Red
Cross Society
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Ukrainian Red Cross
experience in HR
Place: Zaporizhzhya RC Branch
Project staff:
-Project manager (RC Branch)
- Specialists from AIDS Centres
-25 volunteers: students of Psychology from Zaporizhzhya Humanitarian
Institute
-2 professional psychologists: Heads of
Zaporizhzhya City districts
Project beneficiaries:
-100 IDUs per month
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Project activities:
• Arrangement of points of
needle exchange:
- 3 out of 7 City districts are
covered with 10 points of needle
exchange
- Wednesday/Friday afternoon
- 3-4 RC people -> point -> transfer
syringes & sanitary kits, gather used
needles (containers) ->utilizing
• Psychological and social
support
• Informational prevention
• Fundraising
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Project Budget
(100 IDUs per month)
Donors
Zaporizhzhya RC
Branch
Syringes 5,0 1000 units
Premises rent
Hygiene packages 1000 units Utilities
Condoms 1000 units
Transport expenses
Leaflets 100
Disinfectants
Staff salary
Utilization of the used
syringes.
Volunteers’ incentives
 Information products
Container for the used
syringes
Mass media campaign
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Constraints for URCS HR
Programme
 Late involvement into HR activities
 Is HR priority?
 Community indignation
 Low publicity of URCS HR activities
 Reduced attendance of the stationary
exchange points
 Lack of resources (financial and human)
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Problems of HR
Programme in Ukraine
“Favorable” legislation
Illegal substantive therapy
No well-functioning CCM
High level of stigma
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THANKS
FOR
YOUR
ATTENTION!
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