EECA INTERACT 2019

We are pleased to announce that, on the 18-19th November 2019, the first EECA INTERACT Workshop 2019 will take place in Almaty, Kazakhstan.

The EECA INTERACT 2019 Workshop builds scientific research capacity while simultaneously strengthening clinical, prevention, and research networks across the Eastern Europe and Central Asia (EECA) region. EECA INTERACT 2019 is an abstract-driven workshop focusing on factors unique to the region’s HIV, TB, and hepatitis epidemics. Bringing young and bright researchers together with top scientists, clinicians, and policymakers, EECA INTERACT 2019 aims to ignite a conversation that will build a stronger scientific base to serve the region and connect to the world.

EECA is the only region in the world where the HIV epidemic continues to rise rapidly. UNAIDS estimates point to a 57% increase in annual new HIV infections between 2010 and 2015.1 The World Health Organization has warned of a sharp rise in rate of HIV and tuberculosis coinfection, which poses a real threat to progress.2 Significant barriers to prevention and treatment services remain for people living with and affected by HIV, TB, and hepatitis across the region. For example, although the HIV epidemic in EECA is concentrated predominantly among key populations, particularly among people who inject drugs, coverage of harm-reduction and other prevention programs is insufficient to reduce new infections. The region urgently needs more effective strategies of prevention, treatment, and care and support that are tailored to the particular circumstances of individual countries.

The Amsterdam Institute of Global Health and Development (AIGHD) has over a decade of experience delivering in-country workshops and conferences that bring young researchers and established international experts together to share original research and state-of-the-art reviews on a wide range of topics. AIGHD has co-hosted the INTEREST Conference (the International Workshop on HIV Treatment, Pathogenesis, and Prevention Research in Resource-limited Settings) since its inception in 2007. The conference has grown from a small workshop to a full conference of more than 500 attendees each year.

Building on these proven results, AIGHD will collaborate closely with AFEW International and the AFEW network (AFEW) for EECA INTERACT 2019. AFEW’s deep roots and experience in the region offer a way to build sustainability into the new workshop, placing priority on local contributions. The EECA INTERACT 2019 will bring scientists, clinicians, members of civil society, and government officials together to tackle topics facing individual countries while building capacity and strengthening research and clinical networks. The two-day conference will focus on topics that are specifically relevant to EECA and dive deeply into particularities of the host country Kazakhstan, showcasing its successes, remaining challenges and responses.

The workshop objectives are:

  • To provide cutting-edge knowledge in the fields of epidemiology (modelling), treatment, pathogenesis, and prevention of HIV, TB, and viral hepatitis as well as chronic conditions;
  • To exchange ideas on providing and supporting HIV testing services and clinical care provision to adults, adolescents, and children living with HIV to achieve 90-90-90 goals;
  • To foster new research interactions among leading investigators and those who represent the potential future scientific leadership for health care and research in the region;
  • To build research and clinical capacity across EECA.

EECA INTERACT 2019 takes an innovative approach by bringing together experts in HIV, TB, and hepatitis to participate in the International Conference Committee developing the scientific program. The ultimate aim is a workshop that addresses the unique issues facing the region, finding paths forward to solutions for improvement. Challenges include slow implementation of harm reduction, insufficient access to treatment, and criminalisation and stigmatization of key populations. Sustainable change can be achieved if these challenges are faced head on, embracing scientific evidence and working with marginalized and stigmatized populations.

Introducing the EECA INTERACT concept in Kazakhstan for 2019 extends the sustainable goals laid out during the AIDS2018 conference in Amsterdam. AIDS2018 drew attention to the effectiveness of rights-based approaches to more effectively reach key populations, highlighting this work across the EECA region. By bringing people together, sharing knowledge, and building capacity, the EECA INTERACT 2019 will build further on this base to find tangible solutions.

“Orange morning”

On the 28th of June, in the framework of the project Fast-Track TB/HIV Responses for key populations in EECA (Cities) Almaty city in Kazakhstan held an important event for the community of people who use psychoactive substances – a photo exhibition “Orange morning”. The event was organized in honor of the World Campaign “Support. Don’t Punish”, which is held annually on the 26 of June, on the International Anti-drugs Day.

#SupportDontPunish is a global grassroots-centered initiative in support of harm reduction activities and drug policies that prioritize public health and human rights.

The color of this protest and the need to overcome aggressive drug policies and stereotypes against people who use psychoactive substances, with a focus on women, has become orange.

Women, the characters of the photos, shared their life stories about aggressive drug policies and systems that destroy their lives. The event organizers say that the main goal of the exhibition is not to appeal to emotions, not to cause regret, sympathy, condemnation or contempt. The goal is to call for the end of this senseless war that doesn’t bring any results. The war on drugs is beneficial only to politicians, law enforcement agencies and drug mafia.

AFEW Kazakhstan in the face of Roman Dudnik, executive director of the organization, supported the exhibition. “The greatest value of such events is that the campaign “Support. Don’t punish” is becoming more and more popular and followed in the world, and this is an excellent result,” Roman says.

A video report from the exhibition you can watch here https://youtu.be/1qS6J4gwfbw.

 

 

 

AFEW International Releases Report on Its Activities for AIDS 2018 Conference

AFEW Network (AFEW)  has a long history of working to link the “east” with the “west” so when the decision was made to hold the 22nd International AIDS conference (AIDS 2018) in Amsterdam, the city that is home to AFEW International, the secretariat of AFEW Network, it was clear that AFEW could have an important role in leveraging the conference to bring global attention to the crisis situation in Eastern Europe and Central Asia (EECA). Starting from 2016, with the support of the Dutch Ministry of Foreign Affairs (MoFA), various strategies (fostering linking, learning and dialogue; developing creative solutions to unresolved challenges; influencing leaders, policymakers and donors; addressing stigma, discrimination and criminalization of people affected by HIV) were undertaken as to empower communities from the EECA to take part in AIDS 2018.

Leading up to and during AIDS 2018, AFEW International engaged in a range of activities to promote EECA at the conference and to promote the conference in EECA. An independent evaluator examined the impact of the implemented activities and factors that contributed to the successes and analyzed the challenges. In the report, you can read what were the key activities and lesson learned.

The short version of the report can be read here.

The full version of the report can be read here.

Daria Alexeeva: “The Majority of Applications to the Emergency Support Fund Come from Russia”

Author: Olesya Kravchuk, AFEW International

Starting from December 2018, organisations from 10 countries in Eastern Europe and Central Asia can receive small grants with a maximum amount of €5,000 per grant. AFEW International and Aidsfonds started awarding emergency grants in the framework of the Emergency Support Fund for Key Populations (ESF). The activities of the Fund are financed by the Elton John AIDS Foundation and Aidsfonds. With these small grants AFEW International and Aidsfonds support organisations representing key populations in surviving in difficult situations which they face due to legal barriers, stigma and discrimination, financial challenges and political restrictions. Support is given to organisations carrying out activities that ensure access to HIV prevention, treatment and/or services for key populations, or projects protecting the human rights of key populations. The total funds available in the Emergency Support Fund is equivalent of the 750,000 pound sterling.

Today we are talking with AFEW International’s program manager Daria Alexeeva about the first results of ESF’s work, and what it takes to be awarded the small grant.

– What are the first results of Emergency Support Fund’s work?

– During this first phase, our main tasks were to set up the grant application process, the selection procedure and the infrastructure for receiving and qualifying applications. All three aspects were ready by December 1, 2018. The invitation to apply for a grant from the ESF was spread widely in the networks of AFEW, Aidsfonds and the members of the Advisory Board. In December 2018 AFEW International has established a system to administer grants to applicants. On January 4th the first meeting of the Operational Team took place to review first applications. Since December 1, 2018 we received 96 applications, of which 42 (44%) were approved for grants. The total committed amount by the end of March 2019 was Euro 235.000.

– What countries are applying to the Fund the most?

– The majority of applications came from Russia. We received 45 applications from the Russian Federation and awarded 22 applications. The next most active country was Tajikistan with 15 applications, and 7 being awarded. The third one was Ukraine with 16 applications, 5 of which were awarded.

– What problems do organisations address the most?

– More than half of the awarded grants are targeting people living with HIV (PLHIV) – 55%. One third of all awarded grants went to the projects which provide support to communities of LGBTI, and one third – to communities of men having sex with men (MSM). One third of the awarded grants support projects for people using drugs (PUDs). The equal amount of the awarded grants – 21% – supports projects for sex workers and vulnerable women.

– How does the Fund help to solve the problems organisations have?

– We are helping with a broad range of emergencies. We have several goals within the Fund. The first one is contributing to decline in the annual number of new HIV infections in Eastern Europe and Central Asia (EECA). The second goal is increasing access of everyone who is living with HIV in the EECA region to treatment. The third goal is full funding of the AIDS response in EECA.

Thus, we are funding activities, which contribute to these goals. Among the grants we awarded are projects aimed at the provision of harm reduction services, HIV testing and referrals for the treatment for difficult to reach populations (MSM, LGBTI). We have funded repairing mobile units for outreach work, purchasing milk formula to secure stock for HIV positive women. We support project working for disabled PLHIV making sure they are able to adhere to their treatment regimens, and projects which help prisoners getting access to testing and treatment, and to adhere to their treatment after they are released from prisons. Besides, there are projects organising trainings of the medical staff with the goal to form a tolerant attitude towards key populations, for instance, transgender people, in order to improve access and quality to health services and antiretroviral treatment. We also support advocacy activities to raise awareness of the needs of the key population and to call for the funding increase, for instance, provide legal support to cases of rights violation in prisons to generate evidence for advocacy. There are much more issues we support that are aligned within our three goals that I have mentioned before.

– What type of applications is being rejected by the Fund?

– Some of the projects are one-off events which are not carefully thought through from the sustainability point of view. For instance, conducting training for outreach workers without creating a system to support their work in the future. Besides, there are projects which are contributing to solving a real emergency situation. Some of the proposals are just weakly written. In all cases, we provide feedback and advice on how to improve the proposal if an applicant decides to submit again.

– What are ESF’s plans for the future? How many projects do you plan to support in 2019 and in the years afterwards?

– We plan to support at least 100 applications and maybe even more in the period till the end of 2020. We will continue supporting applications until the total funds that are available will be exhausted. We might be done in the middle of 2020 already. The amount of grants to be awarded depends on the size of the requested funds. In some cases, we allow a grant up to 10,000 euro, in particular when the project is contributing to solving situations which concern bigger groups of key populations or when the project is contributing to generating the evidence needed for developing prevention programs and advocacy towards national or local governments. When the emergency situation cannot be solved with 5,000 euro – then the bigger amount is awarded as well. We foresee a little fewer approved grants in the second quarter of 2019. By the way, there will be a summer break in the reviewing of applications from 8th July till 16th August due to holidays.

AFEW Educated Dutch Audience on Health in Eastern Europe and Central Asia

AFEW International’s program manager Daria Alexeeva recently took part in the unofficial lunch with the mayor of the Dutch city Assen (Drenthe province) Marco Out and also public debates. Daria had an opportunity to talk to the Dutch audience about public health issues in Eastern Europe and Central Asia (EECA).

The Dutch title of the events was Europa’s Rafelende Randen which translates into English as Europe’s Fraying Edges. The idea behind the events is to inform people in Assen and Drenthe about international developments through the eyes of female human and social rights activists. Daria Alexeeva was talking mainly about the situation with HIV/AIDS, sex workers and trafficking in the EECA region.

“It is important for the Dutch public to know what challenges Eastern Europe and Central Asia are facing in the sphere of public health,” says Daria. “The programs that we are implemented in EECA are being financed via the money of the Dutch taxpayers. Thus, it is important to realize that their money is targeted towards something as important as fighting HIV and AIDS in the EECA region. Besides, this region is bordering Western Europe, and good neighbours always help each other.”

Besides the public health topics, the guests of the meeting – female activists from Russia, Poland and Lithuania – were talking also about Chechnya and the work of the Memorial organisation, developments in Poland and Ukraine and LGBTI in the Baltic countries.

Videos from AIDS 2018 и IAS 2017 Now Available in Russian

Videos from AIDS 2018 and IAS 2017 Now Available in Russian. The IAS Educational Fund provides educational and inspiring sessions from IAS conferences (International AIDS Conferences and IAS Conferences on HIV Science) to clinicians and other healthcare providers and advocates. To make content accessible to more people, the IAS Educational Fund provides several sessions subtitled and transcribed in FrenchSpanishPortuguese and Russian.

You can find the sessions from AIDS 2018 Conference with the subtitles in Russian here.

Source: www.iasociety.org

AFEW-Kyrgyzstan Started the Year with Rebranding

By changing the name “AIDS Foundation East-West in the Kyrgyz Republic” at the beginning of the year 2019, AFEW-Kyrgyzstan emphasized its involvement in the international AFEW Network. Another reason for changing the name and logo of the organisation is the expanding capabilities.

“Now we are working not only in the field of HIV and AIDS. We are implementing tuberculosis treatment projects, conducting large-scale researches, carrying out advocacy campaigns to protect the rights of people and for the economic empowerment of women. Therefore, the former name no longer fully reflects our goals and values,” says the Chair of the Board of AFEW-Kyrgyzstan Natalia Shumskaya.

The new logo has retained one of the key elements of the previous one – the human figure, because everything AFEW does is aimed at helping specific people. The figure also shows that AFEW-Kyrgyzstan works, involving people from the community, and for them.

Three blue and one red objects around the white pattern represent different countries since AFEW-Kyrgyzstan is a part of an international network and is ready to use the experience of foreign partners to build a healthy future in the country.

In an updated form, AFEW-Kyrgyzstan is ready to welcome its old partners again and look for new opportunities to help people from key populations.

World AIDS Day 2018 – Message of Anke van Dam

World AIDS Day 2018: a message of AFEW International Executive Director Anke van Dam

1 December 2018

This year’s theme for World AIDS Day is encouraging people to know their HIV status. HIV testing is very much needed for expanding treatment. Treatment is so important as that makes that no HIV is detected in blood and therefore not transmissible to other people. In the region where AFEW International works – Eastern Europe and Central Asia (EECA) – barriers to HIV testing still remain. Last year, among the 1.4 million people living with HIV in the region 73% were aware of their HIV status.

Stigma and discrimination are the obstacles that discourage people from taking an HIV test in the EECA countries. Access to confidential HIV testing in the region is still a concern. Many people only get tested after becoming ill and symptomatic. That is why we at AFEW are working on expanding the access to HIV testing. Partnering with the NGOs and CBOs in Eastern Europe and Central Asia, we ensure that people who use drugs, prisoners, sex workers, LGBT and young people have access to confidential HIV testing, and people living with HIV have access to good medical care and have great possibilities for a healthy future.

This year, the 22nd International AIDS Conference in Amsterdam AIDS 2018 reinforced our work. The focus on public health concerns as HIV, TB and viral hepatitis in the EECA region allowed us to present the challenges and the obstacles in policies, political and health care systems. With the relevant stakeholders in one spot, we had an excellent chance to facilitate the dialogue between communities, political leaders and donors for better access to treatment and for sustainable financial mechanisms.

We are continuing emphasizing on Eastern Europe and Central Asia and its public health concerns after AIDS 2018 Conference! AFEW addressed the needs for diagnostics and treatment for tuberculosis in Eastern Europe and Central Asia at a side event during the United Nations General Assembly high-level meeting on tuberculosis in New York in September and during the 49th Union World Conference on Lung Health in October in the Netherlands. Let us continue the dialogue about the healthy future for the EECA region and let the barriers to accessing HIV testing be removed.

The Advisory Board to the Emergency Support Fund for Key Populations Starts to Function

The Advisory Board to the Emergency Support Fund for Key Populations in Eastern Europe and Central Asia (EECA) starts to function. The Fund will support Eastern European and Central Asian registered and non-registered NGOs and CBOs that represent key populations and that are surviving in difficult situations which they face due to legal barriers for key populations, stigma and discrimination, financial and social challenges and political restrictions. The activities of the Fund are implemented by AFEW International and AIDSFonds and financed by the Elton John AIDS Foundation.

The Advisory Board will ensure genuine connection to the situation in the EECA and give a guidance provision on the economic, political and epidemiological developments in the countries of the region. The Board advises the operational team of the Emergency Fund on strategic development of the Emergency Support Fund. The funding decisions will be made by the operational team.

The Advisory Board consists of eight members of the EECA region (see the table below) representing expertise in the programming and advocacy for all key populations: people living with HIV, people using drugs, young people, LGBTQ and MSM, and sex-workers.

The Advisory Board will meet once a year in person. Regular conference calls will take place every three months to revise the progress, exchange updates on the situations in the countries of EECA and adjust the Emergency Grant Fund conditions if necessary, as part of the learning process.

The first meeting of the Advisory Board will take place on 26 November 2018 in Amsterdam. During this meeting, the members of the Board will profoundly review the Emergency Fund documentation and call for proposals, eligibility criteria, evaluation process and criteria, and look at the set of relevant emergency situations. They will also share the latest updates from the EECA region and agree on one-year planning for the Board.

Name
Organisation
Position
Vladimir Mayanovsky
ECUO/Eastern Europe
and CentralAsian
 network of PLWHIV
Member of the management board
Ilya Lapin
CCM of the GF grant in Russian Federation) http://rusaids.net/ru/
PLWHIV representative with the voting power
Grigory Vergus
International Treatment
preparedness
Coalition in EECA, ITPCru
Regional Coordinator
Vitaly Djuma
Eurasian Coalition on Male Health (ECOM)
Executive Director
Igor Gordon
Eurasian Harm Reduction Association EHRA
Programs team lead
Svitlana Moroz
Eurasian Women’s Network on AIDS
Head of the Board
Nurali Amanzholov
Association of legal entities Central Asian Association of People Living with HIV
CEO
Yana Panfilova
Adolescent’s network
Teenergizer
CEO & Founder

 

HIV on AIDS 2018: Global Extent, Impact and the Way Forward

The issues of stigma, discrimination and human rights violations were broadly discussed during the AIDS 2018 conference which was held in Amsterdam, Netherlands in July 2018. The conference sessions explored the political, economic and sociological manifestations of HIV related stigma, discrimination and human rights violations on the global level articulated by the civil society.

Global Network of People living with HIV presented their report on HIV stigma and discrimination in the world of work which included findings from people living with HIV (PLHIV) stigma index. The report was written based on the information provided by 13 country teams who implemented the PLHIV Stigma Index.

Stigma index as a tool

Addressing stigma-affected people living with HIV is a global priority. Stigma, defined as “the co‐occurrence of labeling, stereotyping, separation, status loss, and discrimination in a context in which power is exercised,” has a negative impact on the health of PLHIV and contributes to the psychosocial stress, coercion and violence, job loss, and social exclusion. PLHIV, gay men and other men who have sex with other men (MSM), transgender individuals, sex workers, and people who use drugs (PWUD) – often referred to as key populations – are at the intersection of HIV‐related stigma and prejudice against their identities, occupations or behaviors that are often exacerbating their experiences of stigma and discrimination.

The PLHIV stigma index provides the evidence on stigma and discrimination that has been essential for informing HIV policy, PLHIV rights advocacy efforts, and stigma‐reduction interventions.  Stigma index is a research tool by which PLHIV capture data on their experiences of stigma and discrimination. As of November 2017, more than 100,000 PLHIV had been interviewed in over 50 languages by 2 000 trained PLHIV interviewers.

Stigma is complex

Stigma and discrimination remain a significant HIV risk factor for the key populations all over the world and mostly for people living with HIV as stigma directly and negatively affects health outcomes. At the International AIDS 2018 Conference, the participants reviewed new developments in the effort to combat stigma and discrimination, report results from researches and analyses of interventions and effective anti-stigma programs. The implications of the studies were discussed as they relate to the development of ongoing efforts to reduce HIV-related stigma and discrimination around the globe.

The construction of stigma is complex. Therefore, anti-stigma interventions must take this into account. Stefan Baral, M.D., Johns Hopkins University, presented a cross-country analysis of intersectional stigma among MSM, including perceived stigma, enacted stigma, and anticipated stigma related to family, community, and the health system.

As national AIDS programs and the international community grow efforts to implement plans for the universal access to HIV prevention, treatment, care and support, participants of the AIDS response should work together to overcome the main obstacles to achieving this goal.

MSM with depression have higher risk of stigma

Expressions of stigma in this analysis included a broad range of behaviors, such as family exclusion, rejection by friends, family gossip, verbal harassment, being afraid in public, being afraid to seek care, avoiding seeking care, poor treatment by health care workers, health care worker gossip, police not providing protection, blackmail, and even physical harm. Harassment and gossip were noted as important forms of enacted stigma that must be addressed, and intersecting identities were found to raise the risk of experiencing high stigma. MSM with depression, for example, had a higher risk of being stigmatized. These intersecting identities represent a critical target for all types of stigma reduction, particularly anticipated health care stigma.

In many countries and communities, HIV stigma and subsequent discrimination can lead to the same devastating effects as the disease itself: a break with a spouse and/or family, social ostracism, loss of work and property, exclusion from school, denial of medical services, lack of care, support, and violence. These consequences or the fear of them mean that people will not be very willing to be tested for HIV, disclose their HIV status to others, or seek treatment, care and support.