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HIV/AIDS Expert Group Progress report and future plans Pauli Leinikki and Outi Karvonen CSR 15-16.10.2009 16/10/09 1 Long-term objective for HIV EG: • Facilitate regional collaboration of health authorities and civil societies focusing in issues dealing with HIV/AIDS that have special relevance to the people in the region. 16/10/09 2 Remarks related to Long Term Objectives • The epidemic has followed different patterns of evolution in different countries– an opportunity to learn from each other • The epidemic is unusually prevalent among most-atrisk-populations that are socially marginalised and often hard to reach for support, care or intervention 16/10/09 3 Mid-term plans Development and implementation of Barents region collaboration with spin-offs in other regions. Several projects established and implemented Cross-border activities between Estonia and Leningrad Oblast established as a project Projects dealing with the prevention of TB/HIV dual infections in high-risk populations have been initiated The expert network is supported by regular meetings and planning and implementation of new relevant projects through it. 16/10/09 4 Long term Priorities • • • • • • • • Regional collaboration, (learning from each other) Prevention of HIV among drug users Prevention of HIV/TB dual infections Enhancing cross- border activities Prevention of HIV among men who have sex with men Close collaboration with social welfare Promoting harm reduction among IDU:s Prevention of mother-to-child transmissions 16/10/09 5 Examples of activities 1: Prevention of HIV among drug users • Development of working principles and practice in Low Threshold Service Health Centres (LTSC) for injecting drug users (IDU)in Finland in 1990:s • Impact: Few cases of HIV linked with drug use today (in 2008 7 cases, in 2009 2) • Based on this model LTSCs established in Latvia, Estonia, Murmansk, Kandalaksha, and negotiations going on elsewhere (Leningrad region) • ENCAP project strengthening collaboration between the Baltic states 16/10/09 HIV/AIDS Expert Group of NDPHS 6 Examples of activities 2: Prevention of HIV/TB co-infections and MDR TB • Work among People Living With HIV and AIDS • Low threshold service centres – important role in reaching the right population • Collaboration between LTSCs, AIDS centres and Tuberculosis services established in practical and administrative level • TB/HIV collaboration in Murmansk is a good example, new activities as a project proposal • Project proposal with the Leningrad Region (collaboration with Finland and Estonia) 16/10/09 HIV/AIDS Expert Group of NDPHS 7 Examples of activities 3: Integration of social and health care • HIV work is closely linked with social care in prevention, treatment and care • Project examples with special emphasis on social support: – “Psychological and social support to HIV-infected women in Leningrad Oblast”, 2007-2009 – “Further development of low threshold services in Murmansk and Kantalahti” 2008-2010 16/10/09 Examples of activities 4: Other priority areas • Prevention of HIV among MSM – European MSM Internet survey on knowledge, attitudes and behaviour as to HIV and STI (project supported by EU) • Policy harmonisation in HIV prevention and care (Project supported by France) • Policy issues: Enhancing voluntary testing and counceling and link to “secondary surveillance” according to WHO criteria. Harmonisation of Post exposure prevention guidelines • Collaboration with prison authorities and Prison Health Expert Group of NDPHS 16/10/09 HIV/AIDS Expert Group of NDPHS 9 Activities after CSR in Gdansk, 2009 • European AIDS Conference in Vilnius, April 28-30 • Contributions to NDPHS E-newsletter • Study tour from Archangelsk and Leningrad Region to Finland (May 13-15) • Project planning seminar by Logical Framework Approach in Narva, Estonia (June 3-5) • Logical Framework workshop in Murmansk (June 1-5) • Project planning seminar on HIV/TB using LFA approach, Murmansk June 1-5 • TB+HIV meeting with experts from Murmansk in Helsinki, August 7 16/10/09 10 Activities after CSR in Gdansk 2 • Barents HIV/AIDS Programme Steering Committee meeting, St. Petersburg, Sept 22 • Contribution to the 8th Nordic Baltic Congress on Infectious Diseases, St. Petersburg, Sept 23-26 • Expert Group meeting in Sopot, Poland, 1-2 October: themes – Social aspects of HIV and AIDS work – NGO:s as active players in Russia (NGO representative) – Impact of the new strategy proposal to the future work of the group 16/10/09 11 Activities after CSR in Gdansk 3 • Application for continuation of funding for the coordination of the EG in 2010 (August) • New project applications: – Development of low threshold services in the Leningrad Region (2010-2012) – HIV prevention among reproductive aged women in Karelia (Russia), 2010-2012 – Strengthening of municipal anti-drug networking in the Murmansk Region, 2010-2012 – HIV/TB collaboration in Murmansk, 2010-2012 16/10/09 12 Activities after CSR in Gdansk 4 • Guidlines for provider-initiated voluntary medical examination, testing and counseling for infectious diseases in injecting drug users (Norway & EMCDDA) • Commenting the OECD Accession Review of the Russian Health System for the Ministry of Social Affairs and Health, Finland (July) • Memorandum on Arctic collaboration for the Ministry of Social Affairs and Health, Finland (August) 16/10/09 13 Administrative issues: • A new member representing the European Center for Disease Control (ECDC) was appointed to the group • Chair and co-chair arrangements will continue through 2010 • Two Expert Group meetings – spring 2010 in Finland, autumn meeting to be defined later Project status in August 2009 – 18 projects ongoing – 7 proposals under consideration – 21 projects completed 16/10/09 15 Future plans in 2009 • Participating to Eastern Europe and Central Asia AIDS Conference, Moscow, 28-30 October • PAC and side event • World AIDS Day, 1 December • Study tours by groups from Archangelsk and Kaliningrad to low threshold services for injecting drug users in Finland – (November) • Seminars for prison health and rehabilitation centre personnel on issues of HIV, TB and drug use (December) • 12th European AIDS Conference (Nov 11-14, Cologne) • ECDC meeting on HIV testing (November 2-3) 16/10/09 16 Plans for 2010 • Project activities will continue and new projects started depending on financing decisions • Two Expert Group meetings – spring 2010 in Finland, autumn meeting to be defined later • Update of thematic issues/new themes • International AIDS Conference (Vienna 18-23 July) • More detailed plans pending the new ToR for the Expert Group 16/10/09 17