Download HIV/AIDS Expert Group Progress report and future plans

HIV/AIDS Expert Group
Progress report and future plans
Pauli Leinikki and Outi Karvonen
CSR 15-16.10.2009
16/10/09
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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.
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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
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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.
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Long term Priorities
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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
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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
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HIV/AIDS Expert Group of NDPHS
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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)
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HIV/AIDS Expert Group of NDPHS
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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
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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
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HIV/AIDS Expert Group of NDPHS
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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
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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
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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
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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)
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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
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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)
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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
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