Strategies for Addressing the Health Consequences of Drug Use in Roma Communities by mikesanye

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									                                  Open Society Institute Seminar Series
          Strategies for Addressing the Health Consequences of Drug Use in Roma Communities
                                         September 25-27, 2008
                                              Princess Hotel
                                          131 Maria Luisa Blvd.
                                             Sofia, Bulgaria
                                              369-933-8888
                                      www.sofia-princess-hotel.com

Background and Purpose:
In 2007, the Open Society Institute's (OSI) Roma Health Project (RHP) and International Harm Reduction
Development Program (IHRD) collaborated to organize a discussion and debate on the issue of drug use in Roma
communities. Participants included harm reduction grantees as well as Roma leaders from across Europe. The goal
was to debunk many of the myths about Roma and drug use and to explore how best to address a growing issue
without increasing rampant discrimination against Roma. This seminar will move a step further to target NGOs and
health officials in order to increase knowledge on how to establish harm reduction services appropriate to Roma
and other minority communities.

Description:
The seminar program will last approximately 3 days and will be structured primarily as a technical training
designed to provide participants with a variety of strategies and program models for incorporating, increasing,
and/or improving their harm reduction services for Roma clients. The meeting program will include interactive
skills-building sessions, site visits to harm reduction projects working with Roma, presentations and panel
discussions by representatives of harm reduction organizations currently working in Roma communities, and time
for networking.

Local Host Organization: Initiative for Health Foundation (IHF)

Objectives:
   1. Learn about harm reduction and the philosophy and core services that are the foundation of this practical,
        human rights-based approach to working with people who use drugs;
   2. Learn about strategies and program models for incorporating appropriate harm reduction services into
        current work with Roma communities;
   3. Provide a collegial forum for learning and sharing ideas about introducing harm reduction to Roma clients
        and communities;
   4. Meet and network with colleagues who are providing or who are interested in providing harm reduction
        services in Roma communities;
   5. Create organization-specific action plans for incorporating harm reduction or improving current harm
        reduction services available to Roma clients.




Wednesday, September 24
        Evening Arrivals and Check-in
        Welcome Reception/Dinner
DAY




DAY 1: Thursday, September 25

Official Seminar Program
COMPLEMENTARY BREAKFAST ON YOUR OWN AT THE HOTEL

9:00-9:30       Registration and Materials Distribution

9:30-9:50       Welcome and Introductions
                Ms. Eva Foldes, Program Coordinator, OSI Roma Health Project
                Ms. Elena Yankova, Executive Director, Initiative for Health Foundation

9:50-10:15      Safe Space Affirmation and Meeting Objectives
                Ms. Lydia Guterman, Consultant, OSI International Harm Reduction Development Program
                (IHRD)

10:15-11:15     Overview of Harm Reduction: Core Philosophies and Service Components
                Ms. Lydia Guterman, Consultant, OSI IHRD

11:15-11:30     Break

11:30-12:00     Movie Screening and Discussion
                ‘Persistence Pays: Harm Reduction Outreach in Roma Communities in Sofia’
                Ms. Anna Lyubenova, Secretary, Initiative for Health Foundation

12:00-13:00     Group Discussion: Drug Use, Roma, and Your Work
                Facilitator: Ms. Lydia Guterman, Consultant, OSI IHRD

                What role does drug use play in the communities in which you work?
                Do you see potential for harm reduction services? If so, what are your ideas?
                What new services would be the most impactful?
                Are there barriers to implementing/expanding these services? What are they?
                What resources/support/magic do you need to address the barriers?

13:00-14:15 Lunch

14:15-16:00     Introducing Safer Injection/Syringe Distribution in Roma Communities
                Facilitator: Ms. Silvia Miklikova, Harm Reduction Program Coordinator, Open Society Foundation
                Bratislava
                Panelist 1: Ms. Veronica Broasca, Project Coordinator, ARAS, Bucharest
                Panelist 2: Ms. Anna Lyubenova, Secretary, IHF, Sofia
                Panelist 3: Mr. Kristijan Nushkov, Needle Exchange Coordinator, HOPS, Skopje

                Panelists will discuss their respective organization’s process for starting syringe distribution and
                safer injection education in Roma communities. Presentations will focus on detailed discussions of
                the process from conceptualization to realization and will include major challenges and tips for
                other NGOs hoping to begin syringe distribution in Roma settlements.

16:00-16:15     Break

16:15 – 17:00   Experiences and Strategies for Work on TB prevention and with Women and Girls in
                Roma Settlements
                Ms. Larysa Sukhomlin, Project Coordinator, Donetsk Roma women organization "Miriclya"

17:00 – 17:30 Group discussion and Questions
               Ms. Lydia Guterman, Consultant, OSI IHRD

19:15           Depart from hotel for group dinner
                Restaurant Hadjidraganov’s Houses
                75, Kozloduy Str., Sofia, Bulgaria

DAY 2: Friday, September 26

COMPLEMENTARY BREAKFAST ON YOUR OWN AT THE HOTEL

9:00-9:30       Welcome Back and Daily Agenda Review
                Ms. Eva Foldes, Project Coordinator, OSI RHP

9:30 -11:15     Introducing HIV/STI Prevention, HIV Testing and Counseling, and Health Education in
                Roma Settlements
                Facilitator: Mr. Kristijan Nuskov, Needle Exchange Coordinator, HOPS
                Panelist 1: Ms. Kornelia Kostova, Social Worker, NGO Thirst for Life, Bulgaria
              Panelist 2: Ms. Martinova Violeta Yurieva, Outreach Worker,
              Panacea Foundation, Bulgaria
              Panelist 3: Ms. Lora Raleva, Better Mental Health Foundation, Bulgaria

              Panelists will discuss their respective organization’s process for incorporating HIV/STI testing and
              counseling in Roma communities. Presentations will focus on detailed discussions of the process
              from conceptualization to realization and will include major challenges and tips for other NGOs
              hoping to begin such work in Roma settlements.

11:15-11:30   Break

11:30-13:15   Introducing Drug Treatment for Roma Clients
              Facilitator: Mr. Marian Ursan, Romania Country Team, UNODC, Romania
              Panelist 1: Ms. Veronica Broasca, Coordinator, ARAS (Methadone Center for Roma)
              Panelist 2: Ms. Elena Yankova, Executive Director, IHF
              Panelist 3: Ms. Zorica Necovska, Social Worker and Drop-in Center Coordinator in Suto Orizari
              Roma settlement, HOPS

              Panelists will discuss their experience setting up substitution therapy and other drug treatment
              program for Roma clients. They will also discuss their experience, challenges, and models for
              referring Roma clients to drug treatment. In addition to speaking about methadone centers,
              speakers are encouraged to speak about treatment and referral to treatment options for Roma
              clients when methadone is not available.

13:15-14:00   Lunch

14:00-18:00   Site Visits
              Street Outreach
              IHF Methadone Center

18:00-18:30   Group Discussion
              Facilitator: Ms. Lydia Guterman, Consultant, OSI IHRD

              What resonated with your work during the site visits?
              What questions/new ideas do you have?

18:30         Dinner

19:45-21:00   Optional Overdose Prevention and Response Training
              Ms. Lydia Guterman, Consultant, OSI IHRD

              Optional night outreach visits (maximum 5 people)

DAY 3: Saturday, September 27

COMPLEMENTARY BREAKFAST ON YOUR OWN AT THE HOTEL

8:30-9:00     Welcome Back and Agenda Review

9:00-10:00    Getting In: Strategies for introducing harm reduction in Roma organizations and
              making community partners in a way that is respectful and appropriate.
              Mr. Marian Ursan, UNODC, Romania
              Ms. Cerasela Banica, National Agency for Roma (ANR), Romania

10:00-10:15 Break

10:15-12:30   Harm Reduction, Reproductive Rights, and Women’s Rights: Experiences and Strategies
              for Work with Women and Girls in Roma Settlements
              Facilitator and Panelist: Ms. Zola Kondur, Vice President, Chiricli, Kiev, Urkaine
              Panelist 2: Ms. Monica Dan, Project Coordinator, ARAS
              Panelist 3: Ms. Silvana Naumova, Coordinator of Sex Worker Drop In, HOPS

              Group discussion to follow panelist presentations

12:30-13:30   Lunch

13:30-15:00   Tuberculosis, Drug Use, and Roma: The Current Situation, Prevention and Treatment
              Models, and Next Steps
              Ms. Zola Kondur, Vice President, Chiricli, Kiev, Urkaine

              Questions and discussion to follow presentation

15:00-15:15   Break

15:15-16:15   Strategies for Local/Regional/National Advocacy and Partnership Building: Advancing
              the rights and health concerns of Roma, especially Roma affected by drug use.
              Mr. Baican Eugen, Professor, Babes-Bolyai University, Cluj-Napoca, Romania

16:15-17:45   Planning Exercise
              Facilitator: Ms. Lydia Guterman, Consultant, OSI IHRD

17:45-18:15   Formal meeting closing, Evaluations, Discussion of next steps
              Ms. Eva Foldes, Project Coordinator, OSI RHP

18:30-20:00   Dinner

20:00-        Site Seeing in Sofia Bus Tour (depart from hotel by bus)

Sunday, September 28

COMPLEMENTARY BREAKFAST ON YOUR OWN AT THE HOTEL

8:45-11:00    Optional Site Visit to IHF Methadone Center (clients present)

Departures

								
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