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					 Title of event                                           Antiretroviral treatment for injecting drug users
                                                          (ARV4IDU's) Seminar
 Dates                                                    24-25th of November 2007
 Place                                                    Vilnius, Lithuania
 Organizers                                               EATG, with partner EHRN
 Report produced by                                       Elizabeth Verhetsel
 Reviewed by                                              Mauro Guarinieri, European AIDS Treatment Group
                                                          Simona Merkinaite, Eurasian Harm Reduction
                                                          Network
                                                          Diego Garcia, FEAT
                                                          Alvaro Ortiz de Zarate, T4


All over the world, successful programs demonstrate that evidence-based HIV interventions can be crucial for
helping people who use drugs gain access to medical services. However, wide-spread misunderstandings by
policy makers and health professionals about essential methods for helping injecting drug users (IDUs) still
remain controversial. In spite of data showing that drug users receive the same benefits from HIV treatment as
other patients and achieve high levels of adherence when offered appropriate social and medical support, IDUs
in the region often lack treatment to treatment. Based on previous experience from the regions, building equal
access to HIV prevention and treatment requires advocacy, training and technical assistance. Acknowledging the
problem, The European AIDS Treatment Group (EATG), together with the Eurasian Harm Reduction Network
(EHRN, formerly Central and Eastern European Harm Redcution Network), organized a workshop on HIV
treatment for people who use drugs.

Aims and objectives
The aim of the workshop were to share effective models and experience in delivering HIV treatment to drug
users and dicuss a number of issues related to HIV treamtent among IDUs including comprehensive care and
support services, integration of services (HIV, TB, hepatitis, drug treatment), harm reduction and HIV treatment
for IDUs.

This seminar is one of 9 best practice seminars to be implemented as part of the AIDS ACTION &
INTEGRATION Projects (www.integration-projects.org). The integration projects are designed to promote the
development of local, community based action on HIV/AIDS in Central and Eastern Europe, especially in the
new and future member-states of the European Union. Within the same framework EHRN organized a regional
consultation on hepatitis C among people who use drugs, while the EATG organized a Treatment Update
Seminar for People Living with HIV/AIDS.

Participants
Key target audience of the seminar: people directly involved in HIV treatment delivering and care provision to
IDUs, treatment advocates, NGO‟s, activists, representatives of the drug users‟ community, and people living
with HIV/AIDS from new EU member states and accession countries, willing to share their experience and learn
more about effective methods for delivering treatment for IDUs issues.

Participation was limited, with full scholarship available for approximately 25 persons. All scholarship recipients
were selected on the basis of their expertise (knowledge about HIV treatment as a part of support provided by
harm reduction services, community advocacy of antiretroviral treatment (ART) for IDUs or active involvement
in treatment delivery either in community or prison setting).

Due to the epidemiological differences between different parts of the region (higher HIV prevalence among
IDUs in Eastern part of Europe and low HIV rates among IDUs in Central Europe) as well as disparities in the
availability, access to ARV4IDUs between sub-regions which is better in Central Europe and far less so in
Eastern part of the region, it was decided to provide more scholarships for people from Eastern Europe –
specifically Russia and Ukraine. Therefore the seminar was more focused on the issues related to access to ARV
for IDUs in Eastern European and experience sharing between Western/Central and Eastern parts of Europe.
In total 33 participants (including speakers) from13 countries representing drug and HIV State treatment
institutions, international agencies, regional and local NGOs, IDU and PLWHA community attended the
seminar. Their background ranged from a medical background to a psycho-social background, including several
participants who have a background as (former) IDU living with HIV. 7 persons more were selected to
participate, they encountered problems in terms of availability, visum and during traveling which unfortunately
didn‟t allow them to attend the seminar at the last minute.

List of attending participants =
           Name                    Family name             Country                   Organisation
 1         Adrian                  Abagiu                  Romania                   Matei Bals Institute
 2        Esmira                   Almamed                 Azerbaidzjan              Azerbaidjan Aids Centre
 3        Jurgis                   Andriuska               Lithuania                 Positive Life
 4                                                                                   Republican AIDS
                                                                                     Center, Tartarstan and
          Anton                    Blinov                  Russia
                                                                                     PO “Obnovleni”
                                                                                     (Renewal)
 5        Gabriel                  Coltan                  Romania                   Matei Bals Institute
 6        Darek                    Denis                   Poland
 7        Stephan                  Dressler                Germany                   EATG
 8        Oana Ana-Maria           Enache                  Romania                   ARAS
 9        Diego                    Garcia                  Spain                     FEAT-VIH
 10       Catalina                 Iliuta                  Romania                   UNODC
 11       Stoica                   Ionica Gherghina        Romania                   ARAS
 12       Habil                    Javadan                 Azerbaidzjan              Azerbaidjan Aids Centre
 13       Daumantas                Kazdailis               Lithuania                 NGO “Tavo drugys”
 14       Arnijus                  Kucinskas               Lithuania                 NGO “Tavo drugys”
 15                                                                                  All-Ukrainian Network
          Konstantin               Lezhentsev              Ukraine                   of People living with
                                                                                     HIV
 16       Jekaterina               Manko                   Estonia                   EESTI

 17       Eva                      Mankova                 Slovakia                  Odyseus
 18       Luis                     Mendao                  Portugal                  GAT
 19       Simona                   Merkinaite              Lithuania                 EHRN
 20                                                                                  Society Association
          Aleksandrs               Molokovskis             Latvia
                                                                                     HIV.LT
 21                                                                                  International Network of
          Milena                   Naydenova               Belgium                   People Who Use Drugs
                                                                                     (INPUD)
 22       Alvaro                   Ortiz de Zarate         Spain                     Association T4
 23                                                                                  All-Ukrainian Network
          Artur                    Ovsepyan                Ukraine
                                                                                     of PLWH
 24                                                                                  PO “Struggle Against
          Ehtiram                  Pashaev                 Azerbaidzjan
                                                                                     AIDS”
 25                                                                                  Comision Anti Sida de
          Marta                    Pastor                  Spain
                                                                                     Bizkaia
 26       Xavier                   Pretel                  Spain                     Faudas
 27                                                                                  Rehabilitation centre for
                                                                                     drug users in Nacology
          Alexander                Savicky                 Russia
                                                                                     clinic, consultant for
                                                                                     Community of PLWHA
 28       Shona                    Shonning                Lihuania                  EHRN
 29       Irina                   Skriabina                  Lithuania                   NGO “Tavo drugys”
 30       Elena                   Traicu                     Romania                     UNOPA
 31       Elizabeth               Verhetsel                  Belgium                     EATG
 32       Albert                  Zaripov                    Russia                      Kazan NGO “Trust”
 33                                                                                      NGO “Обновление”
          Andrey                  Zlobin                     Russia
                                                                                         (Renewal)

Working languages: English and Russian


Trainers/experts
The project was led by EATG and EHRN representatives.

Simona Merkinaite –project leader
EHRN, Lithuania
Simona Merkinaite was a member of the project Coordination team planning and overseeing the project
activities since the beginning of the AIDS Action & Integration project. Until date EHRN organized a regional
consultation on hepatitis C among drug users, so one of the key contributions to the seminar organization – was
experience sharing on organizing the events in the framework of the project.

The seminar on hepatitis C had mayor follow-up activities devoted to research on hepatitis C among IDUs in the
region and advocacy of the results coordinated by Ms. Merkinaite. A report on hepatitis C among injecting drug
users in the new EU member states and neighboring countries and report on HCV in Europe were released in
2007, focusing on access to diagnostics, care and treatment for IDUs. Further information dissemination and
events directed at increasing awareness about the issue were facilitated. Therefore was key contribution to the
seminar inclusion of HCV issue on the agenda.

Ms. Merkinaite has been working for EHRN for the past 4 years mainly focussing on research, situation
assessments, and information support.

Mauro Guirinieri – project leader
EATG, Italy
Mauro Guarinieri was involved in developing the AIDS Action & Integration project from the very beginning
and strongly advocated for a specific training on injecting drug use being organized within the AAI framework.
He is a member of the UN Reference Group on HIV and Injecting Drug Use and has served in various positions,
including Chair of the European AIDS Treatment Group from 2004 to 2005. As Chair of the EATG, he
advocated for increased access to treatment for IDUs, worked to include harm reduction and drug users' rights in
the EATG global treatment advocacy agenda, and dramatically scaled up training activities in Central and
Eastern Europe and Central Asia.

Mauro‟s contribution to the project includes establishing the steering committee, drafting and finalizing the
agenda for the seminar, as well as identifying the speakers. He was also instrumental in identifying and
channeling additional resources in order to include Central Asia into the list of the countries represented at the
seminar. Unfortunately, due to personal reasons, he was not able to attend the seminar (see appendix IX).


Involevement of experts/internation supervision group

Further, an international group of experts was formed to plan the seminar in a manner reflecting the issues and
needs of the region on the topic. It also had to bring experience from Central and Eastern as well as Western
Europe. The terms of reference of such experts were developed and circulated widely. 4 people were selected on
the basis of their expertise and motivation. The key criterium for selection was expertise in different fields
(injecting drug use, HIV prevention and treatment, services and community perspective etc.), so that all these
aspects would be taken into consideration while planing the program. Since the project goal overall aims to
strengthen NGOs, representatives of NGOs, activists and people representing affected communities such as
IDUs and PLWHA were given priority over others.

Key responsibilities of the international group along with the project leaders were:
        To draft agenda and help to identify key speakers and key documents;
        To facilitate communication with speakers ;
        To actively participate in the work of the seminar – making presentations., facilitating, providing useful
         materials ;
        To act as steering committee for the consultation organization (guidelines for participant selection,
         organization strategy);
        To provide feedback on the the workshop's documents;
        To disseminate the results of the seminar ;

The members of the group:
     Diego Garcia, Faudas and Foro Espanol de Activistas en Tratamientos, Spain;
     Konstantin Lezhentsev, All Ukrainina Network of PLWH, Ukraine;
     Milena Naydenova, International Network of People Who Use Drugs (INPUD) Belgium:
     Shona Schonning, EHRN, Lithuania

The international group acted on volunteer basis and represented active drug users through direct participation of
(former-) drug users.


Program
Key topics discussed: HAART and injecting drug use; barriers to effective delivering of HIV treatment and care
to IDUs in the region of Central, Eastern Europe and Central Asia; what works in rolling out treatment to IDUs
and increase treatment outcomes, adherence and retention; comprehensive models of care and management of
co-infections HIV, hepatitis, tuberculosis; the role of harm reduction and community based organizations in
increasing access to ARVs for IDUs and adherence to treatment.

For planned programme see appendix I. Below the actual programme is described.

DAY I, November 24, 2007

09:00-10:00       Registration

10:00-11:00       Welcoming Remarks

                  Introduction: Programme and goals of the workshop
                   Konstantin Lezhentsev, All-Ukrainian Network of People living with HIV, Ukraine

11 :00 – 12 :30   Opening session
                  Update on ARV4IDUs
                  Overview and introduction of key issues : adherence and effectiveness of HAART among
                  IDUs, results from the clinical trials, interaction with methadone, main facts and myths about
                  ARV for IDUs (30 min.)
                  Konstantin Lezhentsev, All-Ukrainian Network of People living with HIV, Ukraine

                  Barriers to HIV treatment for IDUs in Central and Eastern Europe (30 min.)
                  Shona Schonning, Eurasian Harm Reduction Network, Lithuania

                  Discussion (15 min.)

12 :30 – 12 :45 Coffee-break

12 :45 - 14 :00   The importance of multidisciplinary teams, harm reduction services, community centers,
                  peer groups in IDU adherence. Lessons learned from Spanish model in Balboa (Bizkaia) (60
                  min.)
                  Marta Pastor, Comsión Antisida de Bizkaia, Spain (30 min.)
                  Alvaro Ortiz, Asociación T4, Spain (30 min.)

                  Discussion (30 min.)
14 :00 – 15 :30 LUNCH BREAK

15 :30 – 19 :00   Thematic workshops

                  Workshop 1. Getting to treatment
                  Role of community-centers (IDU service center) (20 min.)
                  Konstantin Lezhentsev, All-Ukrainian Network of People living with HIV, Ukraine

                  Workshop 2. Staying on treatment
                  Role of multi-disciplinary approach, peer groups, case management (20 min.)
                  Olga Belyaeva, Charitable Fund “Virtus”, Ukraine
                  Ms Belyaeva was not able to join due to problems on the way to the seminar, see letter in
                  appendix VII. She was replaced by Artur Ovsepyan.

                  Workshop 3. Community empowerment, network building, helping to build skills in
                  advocacy for effective non medical problem solving (police, law, regulations, social stigma,
                  community myths) (40 min.)
                  Xavier Pretel, FAUDAS, Spain (20 min.)

                  Experience of Hope Sofia and drug users activists movement in Bulgaria
                  Milena Naydenova, International Network of People Who Use Drugs (INPUD), Belgium (20
                  min.)

                  Discussion (40 min.)

16:30 – 17:00     Coffee Break

17:00–18:00       Reports from the workshops and discussion (done by both rapporteur and lecturers)

Closing remarks

DAY II, November 25, 2007
10 :00 – 11 :30 Reports from the workshops and discussion (done by both rapporteur and lecturers)

11:30–12:00       Coffee Break

12:00-13:00       TB/HIV/Hep’s – conquering the three “beasts”

                  Integrating care and managing co-infections
                  Organizing effective management of TB/HIV for IDUs, Issue of drug-drug interactions, role of
                  case management (30 min.)
                  Konstantin Lezhentsev, All-Ukrainian Network of People living with HIV, Ukraine

13:00 - 14:00     LUNCH BREAK`

14 :00 - 15 :30 Hepatitis C treatment access for IDUs: short overview of situation in Central and Eastern
Europe (10 min.)
                 Simona Merkinaite, Eurasian Harm Reduction Network, Lithuania

                  Managing VH co-infections. Talking from the experience (20 min.)
                  Luis Mendao, Portugal

                  Discussion (30 min.)

15 :30 – 15 :45   coffee break

12:00 –13:00    Women IDUs, harm reduction and HIV
                Anna Ivanova, Charitable Fund “Humanitarian Action”, Russia
Ms Ivanova was not able to join due to problems on the way to the seminar, see letter in appendix VIII. This
programme item was cancelled for this reason and to create more time for other programme items. The results
from the 3 workshops that took place on the first day were discussed during the morning session on the second
day. This allowed to focus in depth on the issues of enrolling IDUs into treatment, staying on treatment and
community/harm reduction services‟ role in adherence and access to treatment.


15:45–19:00       Focus on 3 different topics faced by IDUs

                  Topic 1: Non-medical issues (stigma, harassment, neglect and how mobilization helps to
                  overcome some of these barriers) (30 min.)
                  Diego Garcia Morcillo and Marta Pastor, Comsión Antisida de Bizkaia, Spain

                  Topic 2: Access to TB care for people with HIV (30 min.)
                  Stephan Dressler, EATG

                  Topic 3: Outreach to care (30 min.)
                  Shona Schonning, Eurasian Harm Reduction Network, Lithuania
                  Andrei Zlobin, Community of PLHIV, Russia
                  Anton Blinov, Republican AIDS Center, Tartarstan and PO “Obnovleni” (Renewal), Russia

                  Discussion (30 min.)

16:00 –18:00 Plenary discussion about scaling up ARV for IDUs and role of IDU community and
PLWHAs
Due to some programme items taking longer than expected it was unfortunately enough not possible to have the
plenary discussion. Participants were asked to provide their feedback on the discussion paper by e-mail instead.

Methodology and training manuals used
Since the key objective of the seminar was to share the experiences, no training manuals were used. The program
was planned by the international group and included presentations followed by discussions on a range of topics.
Group work was equally part of the seminar agenda. Time for presentations and interactive excercises was
equally divided.

Evaluation of the presentations:
Most presentations were interesting and entertaining. A general negative point is that most presentations were
not timed well and took up more time than foreseen. In addition, most presentations were lacking cues for
interaction and did not have discussion points listed. Though critical questions and lively discussions did take
place as a result of the presentations.

Original presentations by the respective speakers, see appendix III.

Additional materials
For the seminar external experts were hired, who developed a paper „Access Of Injecting Drug Users To
Antiretroviral Therapy In Central And Eastern Europe‟, the paper (available in both Russian and English) served
as a background material.
OSI/IHRD report “Developing HIV Care and Treatment for People Who Use Drugs: Lessons from Research and
Practice” was provided to all participants.

Successes
    1.   Participants were active and motivated throughout the seminar;
    2.   Participants got in touch with people encountering the same context and problems;
    3.   Revelance and good/expertise presentation of seminar topics: participants were inspired and indicated
         that they gathered experience to continue their work in new or even improved ways by the end of the
         seminar;
    4.   Participants were motivated to follow up on the issue of ARV4IDU;
    5.   Participants were satisfied with the logistical aspects of the seminar;
    6.   The situation assessment concerning ARV4IDUs was done prior the seminar by the method of literature
         review and standardized interviews with invited participants, which helped to involve the participants
         prior to the seminar;
    7.   Due to the flexibility of the participation policy and topic relevance we were able to invite people from
         Central Asia and more participants from Romania. The participation of these people was funded by
        national agencies. In order to expand to Central Asia the steering committee approached OSI who
        agreed to support some participants from Azerbaidjan, Central Asia ;
    8. The proposed agenda was generally fulfilled ;
    9. Speakers at the seminar showed great expertise ;
    10. Simultaneous translations at the seminar were of high quality ;
    11. The representatives of IDU and people living with HIV communities were involved in the seminar
        planing and actively participated in the event ;

Limitations
    1.   The relevance of the topic didn‟t completely match with the key geographical scope, meaning: the issue
         of access to treatment is more relevant to the countries of Eastern Europe and less to new EU member
         states;
    2.   The goals and involvement of the participants was poorly identified – some of the participants didn‟t
         understand the expected outcome of the seminar;
    3.   A couple of the planned programme items were not covered (see overview of actual agenda above);
    4.   There was a lack of moderation and time for conclusions due to overloaded program;
    5.   Some of the presentations should have been more participative and practical and less academic ;
    6.   There was no presence of decision makers of the new EU members ;
    7.   The separation of tasks between EATG and EHRN as well as project leaders and international group
         members remained unclear and sometimes overlapping;
    8.   Lack of centralized overview of the logistcs;

Recommendations for the future
Organizational:
    1.   Contracts for subcontracting different people for a similar set of tasks need to be negotiated carefully
         before having them signed;
    2.   Steering committee (here: international group) meet in person for a kick-off meeting and clarify specific
         roles of each member;
    3.   Logistics are centralized at a local organization or the local partner if there is one (EHRN in this case)
    4.   Feasibility criterium overrules quantitative criterium in terms of the programme, meaning: enthousiasm
         from many different speakers and many ideas for many presentations are only useful up to a certain
         point. When it is not feasible to have all these speakers and presentations it is better to cut into the
         programme to have less items on the programme and more time planned for each item;
    5.   More workshops and interactive modules on the programme;
    6.   Appointing one moderator for each item instead of one for the entire seminar;
    7.   Appointing one person for each day of seminar to facilitate concluding comments;
    8.   The issue of topic relevance while setting the agenda needs to be addressed carefully and thoroughly
         possibly making a presentations‟ review by organizers;
    9.   Ideally funds are available for sustaining activities on a national level after the seminar;

Topic related:
    10. There is a need for an offer of workshops on access to treatment, harm reduction and access to ART for
        Russian speaking countries (Russia, Ukraine, Central Asia countries, possibly Baltics);
    11. Emerging issues related to HIV treatment among vulnerable populations such as treatment access for
        migrant IDUs and sex workers need to be addressed with the goal to cover the needs in Central Europe;
    12. Efforts need to be undertaken to have politicians and other stakeholders from new EU Member States
        present in future seminars in order to facilitate a change in HR policies in the area;
    13. Future seminars should seek to strengthen local communities and more social involvement to produce a
        change of perspective in the area regarding IDUs rights;

Follow-up
The situation assessment paper on ARV for IDUs will be finalized thoughout February and will be disseminated
widely (through iBase newsletter, at Eeatern European and Central Asia AIDS Conference, etc.).

Appendices:
Actual agenda - List of participants - Presentations and additional information (results of working groups,
background materials etc) - Evaluation form and its summary (if conducted) – Letters from speakers and project
leaders who were not able to attend the seminar
APPENDIX I




                             Antiretroviral treatment for injecting drug users

                                                  Vilnius, November 24 – 25, 2007



DAY I, November 24, 2007
09:00-10:00 Registration

10:00-10:30 Welcoming Remarks

   Introduction: Programme and goals of the workshop
   Representative of the Steering Committee


10:30 – 11:45 Opening session
              Update on ARV4IDUs
              Overview and introduction of key issues: adherence and effectiveness of
              HAART among IDUs, results from the clinical trials, interaction with
              methadone, main facts and myths about ARV for IDUs (30 min.)
              Konstantin Lezhentsev, All-Ukrainian Network of People living with HIV,
              Ukraine

              Barriers to HIV treatment for IDUs in Central and Eastern Europe (30
              min.)
              Shona Schonning, Eurasian Harm Reduction Network, Lithuania

              Discussion (15 min.)

11:45 – 12:15 Coffee-break

12:15 -13:45 The importance of multidisciplinary teams, harm reduction services,
             community centers, peer groups in IDU adherence. Lessons learned from
             Spanish model in Balboa (Bizkaia) (60 min.)
             Marta Pastor, Comsión Antisida de Bizkaia, Spain (30 min.)
             Alvaro Ortiz, Asociación T4, Spain (30 min.)

              Discussion (30 min.)

13:45 – 14.30 LUNCH BREAK
14:30 - 16:30 Thematic workshops

              Workshop 1. Getting to treatment
              Role of community-centers (IDU service center) (20 min.)
              Konstantin Lezhentsev, All-Ukrainian Network of People living with HIV,
              Ukraine

              Workshop 2. Staying on treatment
              Role of multi-disciplinary approach, peer groups, case management (20 min.)
              Olga Belyaeva, Charitable Fund “Virtus”, Ukraine

              Workshop 3. Community empowerment, network building, helping to
              build skills in advocacy for effective non medical problem solving (police,
              law, regulations, social stigma, community myths) (40 min.)
              Xavier Pretel, FAUDAS, Spain (20 min.)

              Experience of Hope Sofia and drug users activists movement in Bulgaria
              Milena Naydenova, International Network of People Who Use Drugs
              (INPUD), Belgium (20 min.)

              Discussion (40 min.)

16:30 – 17:00 Coffee Break

17:00–18:00 Reports from the workshops and discussion (done by both rapporteur and
lecturers)

Closing remarks

Community club work: a free discussion on some issues (capacity building of IDU
organizations, treatment literacy in IDU community, reforms in harm reduction programs,
etc.) with movies and music.
_____________________________________________________________________________

DAY II, November 25, 2007
10:00-11:30   TB/HIV/Hep’s – conquering the three “beasts”

              Integrating care and managing co-infections
              Organizing effective management of TB/HIV for IDUs, Issue of drug-drug
              interactions, role of case management (30 min.)
              Konstantin Lezhentsev, All-Ukrainian Network of People living with HIV,
              Ukraine

              Managing VH co-infections. Talking from the experience (20 min.)
              Luis Mendao, Portugal

              Hepatitis C treatment access for IDUs: short overview of situation in Central
              and Eastern Europe (10 min.)
             Simona Merkinaite, Eurasian Harm Reduction Network, Lithuania

             Discussion (30 min.)

11:30–12:00 Coffee Break

12:00 –13:00 Women IDUs, harm reduction and HIV
             Anna Ivanova, Charitable Fund “Humanitarian Action”, Russia

13:00-14:00 LUNCH BREAK

14:00–16:00 Focus on 3 different topics faced by IDUs

             Topic 1: Non-medical issues (stigma, harassment, neglect and how
             mobilization helps to overcome some of these barriers) (30 min.)
             Diego Garcia Morcillo and Marta Pastor, Comsión Antisida de Bizkaia, Spain

             Topic 2: Access to TB care for people with HIV (30 min.)
             Stephan Dressler, EATG

             Topic 3: Outreach to care (30 min.)
             Shona Schonning, Eurasian Harm Reduction Network, Lithuania
             Andrei Zlobin, Community of PLHIV, Russia
             Anton Blinov, Republican AIDS Center, Tartarstan and PO “Obnovleni”
             (Renewal), Russia

             Discussion (30 min.)


16:00 –18:00 Plenary discussion about scaling up ARV for IDUs
and role of IDU community and PLWHAs

     The seminar organized by the European AIDS Treatment Group (EATG) in
                      cooperation with the Eurasian Harm Reduction Network

                 Partly supported by the DG Sanco of the European Commission
APPENDIX II
List of participants
Group I participants
        Name           Family name   Country     Association                 e-mail
1       Aleksandrs     Molokovskis   Latvia      Society Association         molokovskis@gmail.com
                                                 HIV.LT
2       Jurgis         Andriuska     Lithuania   NGO “Positive Life”         pozitiv.lt@mail.ru
3       Jelena         Tyskiene      Lithuania   NGO “Tavo drugys”           vilnius@drugys.lt
4       Daumantas      Kazdailis     Lithuania   NGO “Tavo drugys”           vilnius@drugys.lt
5       Irina          Skriabina     Lithuania   NGO “Tavo drugys”           vilnius@drugys.lt
6       Shona          Schonning     Lithuania   EHRN                        Simona@harm-reduction.org
7       Simona         Merkinaite    Lithuania   EHRN                        Shona@harm-reduction.org
8       Darek          Denis         Poland                                  dariuszd@monar.krakow.pl
9       Stoica         IONICA        Romania     ARAS                        ioanastoica1975@yahoo.com
                       GHERGHINA
10      Elena          Traicu        Romania     UNOPA                       elena_traicu@yahoo.com
11      Catalina       Iliuta        Romania     UNODC Romania               catalina.iliuta@gmail.com
12      Oana Ana-      Enache        Romania     ARAS                        oana.aras@yahoo.com
        Maria
13      Eva            Mankova       Slovakia    NGO Odyseus                 asistencia@ozodyseus.sk
14      Jekaterina     Manko         Estonia                                 eesti.hpv@gmail.com


Group II participants
     Name            Family name     Country     Organization                 e-mail
1    Luis            Mendao          Portugal    GAT                          gatcontactos@gmail.com
2    Milena          Naydenova       Belgium     INPUD                        milenanaydenova@abv.bg
3    Diego           Garcia          Spain       FEAT                         diego@feat-vih.org
4    Marta           Pastor          Spain       Comsión Antisida de          martapastor@bizkaisida.com
                                                 Bizkaia
5    Alvaro          Ortiz           Spain       Association T4               centrodedia@asociaciont4.org
6    Stephan         Dressler        Germany     EATG                         Dr.Dr.Dressler@gmx.net
7    Xavier          Pretel          Spain       Faudas                       faudas@menta.net
8    Elizabeth       Verhetsel       Belgium     EATG                         Elizabeth.Verhetsel@eatg.org
                                                 (logistics/organization
                                                 person)

Group III participants
     Name            Family name     Country     Organization                  e-mail
1    Konstantin      Lezhentsev      Ukraine     All-Ukrainian Network of      klezhentsev@gmail.com
                                                 People living with HIV,
                                                 Ukraine
2    Russia          Andrey          Zlobin      РОО «Сообщество ЛЖВ»          a_zlobin@positivenet.ru
                                                 (PO Community of PLWH)        Tel.: +7 495 246 7675
                                                                               +7 926 595 6289
3    Russia          Alexander       Savicky     Rehabilitation centre for     chellovek@mail.ru
                                                 drug users in Nacology        Tel.: 8(495)2212508
                                                 clinic, consultant for        Mob.: 89057706337
                                                 Community of PLWHA
4    Russia          Anton           Blinov      NGO “Обновление”              galant2602@yandex.ru
                                                 (Renewal)                     Tel.: +79276725575
                                                                                         Mob.: +79276725575
5   Russia            Albert           Zaripov            Kazan NGO “Trust”              alizaripov@yandex.ru
                                                                                         Tel.: +79053111609
6   Ukraine           Artur            Ovsepyan           All-Ukrainian Network of       Ovsepyan@network.org.ua
                                                          PLWH                           Tel.: +38 044 425 25 91

Additional participants (paying for their participation):

      Name              Family name       Country           Organization                 e-mail
1     Habil             Javadan           Azerbaijan        Azerbaijan AIDS Centre
2     Esmira            Almamedova        Azerbaijan        Azerbaijan AIDS Centre       aibeniz@excite.com
      Almamed
3     Ehtiram           Pashayev          Azerbaijan        PO “Struggle Against
                                                            AIDS”
Contact person: OSI Assistance Foundation – Azerbaijan, Leyla Imanova, tel.: (99412) 564 3465, e-mail: limanova@osi-
az.org.

4     Adrian            Abagiu            Romania           Matei Bals Institute         adyaba@b.astral.ro
5     Gabriel           Coltan            Romania           Matei Bals Institute         gabriel.coltan@gmail.com
APPENDIX III
Presentations and additional information (results of working groups, background materials etc): see
www.eatg.org/projects

Presentations in powerpoint format, English and Russian versions
talking from experience - managing HIV co-infections - Luís Mendão.ppt
Lessons learned in Bilbao - Alvaro Ortiz.ppt
Methadone maintenance centre - Adrian Abagiu.ppt
Access to ARV for IDU in Central and Eastern Europe - Shona Shonning.ppt
Hepatitis C treatment access for IDUs short overview of situation in Central and Eastern Europe - Simona
Merkinaite.ppt
Access to TB care for PLHA - Stephan Dressler.ppt
DrugUsersMovementBulgaria – Milena Naydenova.ppt
Role of multi-disciplinary approach, peer groups, case management - Olga Belyaeva.ppt
Faudas, A Process To Develope Formative, Participation And Advocacy Skills In The Community Of People
Affected By Drugs - Xavier Pretel.ppt
Harm Reduction Programs in Bilbao - Marta Pastor.ppt
myths, methadone interactions, key facts-Konstantin Lezhentsev.ppt

Presentations in English version only
Drug interactions-Mauro Guariniery_Konstantin LezhentsevEN.ppt
HIV and IDU and Non-Parental Substance Abuse worldwide - Konstantin LezhentsevEN.ppt

Presentations in Russian version only
Getting to treatment - Konstantin LezhentsevRUS.ppt
Managing Tuberculosis in HIV - Konstantin LezhentsevRUS.ppt

Results of workshops, in English version only
Workshop 2 Group 2.ppt
WORKSHOP 2 Group 3.doc

Discussion Paper, English version
By Shona Shonning and Raminta Stuikyte
APPENDIX IV

                                    Evaluation form – blank English version

Please circle when appropriate a score between 1 and 5 in accordance with the following guidelines:
1 – Very poor
2 – Poor
3 – Adequate
4 – Good
5 – Very good
For example:
1       How relevant do you consider the seminar topic?                                   1 2 3 4 5
                                                                                                3

        Content


1       How relevant do you consider the seminar topic?                                 1   2   3   4   5
2       How good are the seminar documents – printed materials                          1   2   3   4   5
3       How well did the seminar meet your needs?                                       1   2   3   4   5
4       How well did the seminar fit your expectations?                                 1   2   3   4   5
5       How valuable was the seminar in increasing your knowledge?                      1   2   3   4   5
6       How valuable was the seminar in increasing your skills?                         1   2   3   4   5
7       How well will you be able to apply what you have learned?                       1   2   3   4   5
8       Which sessions of the seminar were most useful to you?
                See attached programme




9       Which sessions of the seminar were not useful to you?
                See attached programme



10      What information or skills do you still lack?



11      Comments & suggestions




        Sessions
        Please evaluate the relevance of the sessions to your
        work/skills (see program)

12      Opening session                                                                 1 2 3 4 5
13      The importance of multidisciplinary teams, harm reduction services,             1 2 3 4 5
        community centers, peer groups in IDU adherence
14      Thematic workshops (please mark the workshop you attended):                     1 2 3 4 5
        Workshop 1: Getting to treatment
        Workshop 2: Staying on treatment
        Workshop 3: Community empowerment, network building, helping to build
        skills in advocacy for effective non medical problem solving
15      TB/HIV/Hep’s – conquering the three “beasts”                                    1 2 3 4 5
16   Focus on 3 different topics:
     Topic 1: Non-medical issues                                1 2 3 4 5
     Topic 2: Access to TB care for people with HIV             1 2 3 4 5
     Topic 3: Outreach to care                                  1 2 3 4 5
17   Comments & Suggestions




     Speakers


18   How good were the speakers in terms of knowledge?          1 2 3 4 5
19   How good were the speakers in terms of delivery skills?    1 2 3 4 5
20   How responsive/flexible were the speakers to your needs?   1 2 3 4 5
21   Comments & Suggestions




     Practical arrangements



22                                                              1 2 3 4 5
     Communication/information before seminar
23                                                              1 2 3 4 5
     Support from seminar organizers
24                                                              1 2 3 4 5
     Hotel room and services
25                                                              1 2 3 4 5
     Seminar venue
26                                                              1 2 3 4 5
     Meals
27
     Comments & suggestions




     General
28   How successful was the seminar in creating networking opportunities?    1 2 3 4 5
29   How are you planning to follow-up on the seminar? What is your action
     plan?




30   Anything not addressed?




                                 Thanks so much for your feedback
APPENDIX V

                   Evaluation feedback English speaking participants – two respondents

Please circle when appropriate a score between 1 and 5 in accordance with the following guidelines:
1 – Very poor
2 – Poor
3 – Adequate
4 – Good
5 – Very good
For example:
1       How relevant do you consider the seminar topic?                                   1 2 3 4 5
                                                                                                3

        Content


1       How relevant do you consider the seminar topic?                               4(50%)-5(50%)
2       How good are the seminar documents – printed materials                           4(100%)
3       How well did the seminar meet your needs?                                     3(50%)-4(50%)
4       How well did the seminar fit your expectations?                               3(50%)-4(50%)
5       How valuable was the seminar in increasing your knowledge?                    4(50%)-5(50%)
6       How valuable was the seminar in increasing your skills?                       2(50%)-4(50%)
7       How well will you be able to apply what you have learned?                        4 (100%)
8       Which sessions of the seminar were most useful to you?
                One respondent replied that all were useful, the other
                preferred that workshop 3 with Ms Milena Naydenova
                was most useful




9       Which sessions of the seminar were not useful to you?
                Integrating care and managing co-infection was
                evaluated as not useful due to fast presentation and
                unclear information



10      What information or skills do you still lack?
        Outcomes and recommendations were lacking

11      Comments & suggestions
        -to stick to time (needs to be addressed)
        to stick to the topic that is being discussed




        Sessions
        Please evaluate the relevance of the sessions to your
        work/skills (see program)

12      Opening session                                                               3(50%)-4(50%)
13      The importance of multidisciplinary teams, harm reduction                     3(50%)-4(50%)
        services, community centers, peer groups in IDU adherence
14   Thematic workshops (please mark the workshop you                                  4(100%)
     attended):
     Workshop 1: Getting to treatment
     Workshop 2: Staying on treatment
     Workshop 3: Community empowerment, network
     building, helping to build skills in advocacy for effective
     non medical problem solving
15   TB/HIV/Hep’s – conquering the three “beasts”                                  2(50%)-4(50%)
16   Focus on 3 different topics:
     Topic 1: Non-medical issues                                                   2(50%)-4(50%)
     Topic 2: Access to TB care for people with HIV                                3(50%)-4(50%)
     Topic 3: Outreach to care                                                     3(50%)-4(50%)
17   Comments & Suggestions




     Speakers


18   How good were the speakers in terms of knowledge?                                4(100%)
19   How good were the speakers in terms of delivery skills?                       3(50%)-4(50%)
20   How responsive/flexible were the speakers to your needs?                         4 (50%)
21   Comments & Suggestions                                        We didn’t have moderators all the time,
                                                                   sometimes focus on the topic was lost




     Practical arrangements



22                                                                                     5 (50%)
     Communication/information before seminar
23                                                                                     5 (50%)
     Support from seminar organizers
24                                                                                     5 (50%)
     Hotel room and services
25                                                                                     5 (50%)
     Seminar venue
26                                                                                     5 (50%)
     Meals
27
     Comments & suggestions




     General


28   How successful was the seminar in creating networking opportunities?               3(50%)-5(50%)
29   How are you planning to follow-up on the seminar? What is your action   -information campaign in the
     plan?                                                                   community
                                                                             -bringing the information gained to
                                                                             the community of IDU’s and
                                                                             motivate them throughout the
                                                                             treatment

30   Anything not addressed?




                                 Thanks so much for your feedback
APPENDIX VI

                    Evaluation feedback Russian speaking participants – 4 respondents

Please circle when appropriate a score between 1 and 5 in accordance with the following guidelines:
1 – Very poor
2 – Poor
3 – Adequate
4 – Good
5 – Very good
For example:
1       How relevant do you consider the seminar topic?                                   1 2 3 4 5
                                                                                                3

        Content


1       How relevant do you consider the seminar topic?                                     5 (100%)
2       How good are the seminar documents – printed materials                          4 (50%) 5 (50%)
3       How well did the seminar meet your needs?                                  3 (50%) 4 (25%) 5 (25%)
4       How well did the seminar fit your expectations?                                 3 (50%) 5 (50%)
5       How valuable was the seminar in increasing your knowledge?                      3 (50%) 4 (50%)
6       How valuable was the seminar in increasing your skills?              2 (~25%) 3 (~25%) 4 (`25%) 5 (25%)
7       How well will you be able to apply what you have learned?                       4 (75%) 5 (25%)
8       Which sessions of the seminar were most useful to you?        TB/HIV/Hep’s
                See attached programme                                Workshop 3. Community empowerment, network
                                                                      building, helping to build skills in advocacy for
                                                                      effective non medical problem solving

9       Which sessions of the seminar were not useful to you?         One respondent indicated presentation on
                See attached programme                                Update on ARV4IDUs, the feeling is thought that
                                                                      since there were people with different level of
                                                                      knowledge of the issue, some of them possibly
                                                                      lacked basics on what is pros and cons of
                                                                      treatment, since a person indicated there was no
                                                                      clear methodology.
                                                                      It also was noted by one of the participants that
                                                                      at times presentations overlapped and some of
                                                                      the things were repeated, indicating possibly
                                                                      more work with speakers and on the coordination
                                                                      of presentations is needed in the future preparing
                                                                      seminars.
10      What information or skills do you still lack?                 No one answered this question.



11      Comments & suggestions




        Sessions
        Please evaluate the relevance of the sessions to your
        work/skills (see program)
12   Opening session                                                                   4 (50%) 5 (50%)
13   The importance of multidisciplinary teams, harm reduction                         4 (25%) 5 (75%)
     services, community centers, peer groups in IDU adherence
14   Thematic workshops (please mark the workshop you                   3 respondents participated in the Workshop 3,
     attended):                                                        results: 3 (33%) 5 (67%)
     Workshop 1: Getting to treatment                                  1 respondent participated in Workshop 1
     Workshop 2: Staying on treatment
     Workshop 3: Community empowerment, network
     building, helping to build skills in advocacy for effective
     non medical problem solving
15   TB/HIV/Hep’s – conquering the three “beasts”                                      4 (33%) 5 (67%)
16   Focus on 3 different topics:
     Topic 1: Non-medical issues                                                      4 (50%) 5 (50%)
     Topic 2: Access to TB care for people with HIV                             3 (~33%) 4 (~33%) 5 (~33%)
     Topic 3: Outreach to care                                                        3 (33%) 5 (67%)
17   Comments & Suggestions




     Speakers


18   How good were the speakers in terms of knowledge?                                3 (25%) 5 (75%)
19   How good were the speakers in terms of delivery skills?                     2 (~25%) 3 (~25%) 5 (50%)
20   How responsive/flexible were the speakers to your needs?                   3 (~25%) 4 (~25%) 5 (~50%)
21   Comments & Suggestions
     Two participants also noted that translation wasn’t good at
     times (this is most probably because the translators do not
     have medical background – also noted by participants, and
     couldn’t keep up with Konstantin. At the same time, one of the
     participants indicated that Kontantin’s presentations were very
     good and will be a basis for transferring knowledge back
     home.




     Practical arrangements



22                                                                                     3 (25%) 4 (75%)
     Communication/information before seminar
23                                                                                     4 (50%) 5 (75%)
     Support from seminar organizers
24                                                                                        5 (100%)
     Hotel room and services
25                                                                                        5 (100%)
     Seminar venue
26                                                                                        5 (100%)
     Meals
27
     Comments & suggestions




     General


28   How successful was the seminar in creating networking opportunities?           3 (75%) 4 (25%) 5 (25%)

29   How are you planning to follow-up on the seminar? What is your action
     plan?

     One person indicated that will integrate some of the seminar’s content into
     trainings delivered in the country.
     Overall the responses show quite good satisfaction with the content; since
     most of the people are working directly in providing support to IDUs, two of
     them indicated that now it is important to continue working towards access
     to drug (OST) and HIV treatment.




30   Anything not addressed?


     Overall comments show that there still is not only the need for experience
     sharing but in training on ARV4IDUs (in the East and more precisely most
     probably in Russia, since this assumption is based on the evaluation forms
     from Russian speaking participants).




                                  Thanks so much for your feedback
APPENDIX VII
Letter cancellation Olga Belyeava‟s participation




                                                    Европейской группе
                                                    по лечению СПИДа



                                                     Украина, г. Днепропетровск
                                                     Беляевой О.В.


               Уважаемые коллеги.

   В связи с аварией поезда Днепропетровск – Киев (поломка тормозной системы)
прибытие в Киев было задержано на 3,5 часа. Что, в свою очередь, не позволило мне
успеть на самолѐт в Вильнюс, вылетающий с аэропорта Борисполь (г. Киев). По этой
причине я не смогла принять участие в конференции «Лечение ВИЧ для потребителей
инъекционных наркотиков» 24 – 25 ноября 2007 года г. Вильнюс.



        29.11.2007 г.                               Беляева О.В.
APPENDIX VIII
Letter cancellation Ana Ivanova

            Санкт-Петербургский благотворительный общественный фонд
                          медико-социальных программ
                            «Гуманитарное действие»
_______________________________________________________________________________________________________________________________________________________
                                                                        _______

             197110, Россия, Санкт-Петербург, Офицерский переулок дом 6 кв. 2
                         тел./факс: + 7 812 237-14-95; +7 812 237-18-21
                                office@humanitarianaction.org
                                 www.humanitarianaction.org



                                                                Европейской группе по лечению СПИДа
                                                                От Ивановой А.Б., координатора программы
                                                                «Профилактика ВИЧ/СПИДа, насилия, среди
                                                                женщин групп риска» СПБ БОФ МСП
                                                                «Гуманитарное действие»




    Я не смогла приехать в Вильнюс на конференцию
«Антиретровирусная терапия для потребителей инъекционных
наркотиков», организованную ЕATГ 24-25 ноября 2007 г. в связи с
возникшими трудностями по получению билетов.
APPENDIX IX
Letter absence Mauro Guarnieri




                               QuickTime™ and a
                           TIFF (LZW) decomp resso r
                        are neede d to see this picture.

				
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